Do you have a loved one with a disability? Do you have a loved one recently diagnosed with multiple sclerosis? As you and your loved one know, it can often be a lengthy and stressful time to get a diagnosis of MS. As you, your family and your loved one work to accept the diagnosis, you may need to begin special-needs planning. We would like to discuss some special needs planning tips for you and your loved one.
• Early planning is essential. In many cases of multiple sclerosis, the brain loses the ability to send messages to certain parts of the body, which may impede a person’s ability to communicate. We realize this can be a frightening prospect to confront but it makes early planning necessary to prevent any issues of testamentary capacity from arising. In addition, if your loved one has minor children, one of the most important things to do may be to name a guardian for the children, in the event that your loved one becomes unable to take care of them.
• Your loved one should make medical wishes known. Your loved one should have health care documents in place, such as a living will and health care surrogate. The living will can set forth your loved one’s wishes regarding end of life medical care. A health care surrogate can designate a trusted loved one to make medical decisions on his or her behalf in the event of incapacitation. Most importantly, because of the high level of medical care associated with multiple sclerosis, it may be important to work with a Florida estate planning attorney experienced with multiple sclerosis, so these documents have sufficient detail in terms of MS treatment.
• Prepare for long-term care. The cost of care and assistance for a person with progressive multiple sclerosis can be quite high, especially as the disease advances. There is often in-home modification, in-home assistance, or placement in a residential facility needed. A special needs trust may be the best option for managing the finances of your loved one, while helping to assure eligibility for government assistance. If your loved one’s mental capacity decreases, the trustee will be able to manage the financial affairs of your loved one.
Although the diagnosis of multiple sclerosis, coupled with special-needs planning, can feel overwhelming, consider following these suggestions and working with an experienced Florida elder law attorney who understands capacity to help ease the process. Special needs planning is not the end of the road. Rather, the purpose is to ease some of the burden for you and your loved one, by assuring his or her needs are met. Most importantly, there may be good days and bad days with multiple sclerosis, so try not to let yourself or your loved one be controlled by the diagnosis. Make plans and memories and keep enjoying life.
Our office is here to help you navigate the legal issues related to seeking and covering the cost of memory care. We encourage you to contact us and schedule a meeting with our attorneys.
Are you an adult child caring for your aging parent? Did you know that loss of memory may be a part of the aging process? As you care for your aging parent, how do you know when memory issues are serious enough to warrant intervention? What happens when your parent will not tell his or her physician that he or she is experiencing memory issues. Let us discuss some warning signs your aging parent may need memory care soon.
1. Appearance changes. With declining mental status there may be changes in appearance. For example, your parent may forget to bathe or stop putting an effort into his or her appearance, or even continuously wear the same outfit. This may be happening because he or she is forgetting to tend to hygiene or has confusion regarding the steps involved in hygiene. You know your parent best and are in a good position to see if there is a significant change in appearance.
2, Weight loss. Severe dementia may cause your parent to lose weight but there may be several other causes. Forgetting to eat may be the simplest cause, but if your parent does his or her own shopping he or she may be from getting lost on the way to the market, misplacing credit cards or having them turned off because your parent forgot to make the payment. Often, a combination of these factors may make the process of shopping for and eating food feel too overwhelming, and your parent may simply try to survive on what he or she has. If you do notice a sudden unexplained weight loss, you will need to engage your parent in a conversation about meals and grocery shopping. From a safety perspective, you should also determine whether your parent is at any risk of cooking related injuries, including burns or leaving the stove on, which may warrant immediate intervention.
3. Medication not taken. Are you noticing extra medicine around, or is your parent experiencing medical symptoms from not taking the proper medications, such as suddenly increased blood pressure or elevated blood sugar? These are sure signs that your parent is forgetting to take his or her medications.
4. Starting to get lost. If your parent is wandering or getting lost on routine routes this is a primary sign of dementia. When you try to talk to your parent, however, he or she may be unwilling to discuss it out of fear or shame, or his or her memory loss may cause him or her to be too confused to fully comprehend the situation. Try to visit your parent at a different time of day to see if they are wandering or getting lost or ask his or her neighbors to call you, if they see anything out of the ordinary.
5. Often agitated. Memory loss can be emotionally stressful. If your parent seems to be a little off, or gets easily angered, or begins lashing out, your parent may be experiencing memory loss. Often, memory decline will cause your parent to accuse family members and friends of stealing, as an explanation for misplacing things. If your parent accuses you of stealing, rather than take it personally, it may be time to call his or her doctor.
6. Depression. The aging process, medications, or a number of other reasons may cause depression. If you start to notice signs such as withdrawing from going outside, interacting with others, and increased isolation it may be time to not only talk to your parent but seek medical help.
If you observe any of these symptoms in your parent, first make sure he or she is in a safe environment and check on him or her more frequently. After this, speaking with his or her physician will provide you guidance in getting him or her appropriate memory care. Our office is here to help you navigate the legal issues related to seeking and covering the cost of memory care. We encourage you to contact us and schedule a meeting with our attorneys.
It may be the worst nightmare for your parents or other senior loved one. After a lifetime of hard work and savings, the need for a nursing home may cause them to lose it all. While planning for long-term care may be best done before the care is indicated, that is not always possible. Sometimes an abrupt medical event or an unforeseen accident may result in a senior being placed in a nursing home, or perhaps, the senior was unaware of the necessity of long-term care planning. So, how can you help Florida seniors protect themselves, when entering a nursing home?
If the senior owns a home and Medicaid assists with the cost of a nursing home, following the senior’s passing, Medicaid may place a lien against the home, also known as “estate recovery,” for the cost paid out for the nursing home. If the senior owns a home and Medicaid is contributing to the cost of the nursing home, it may be important for the senior and/or family members to consult an elder law attorney as soon as possible after placement in the nursing home. There are some situations, which may prevent estate recovery, such as a spouse residing in the home, or a disabled child. In some instances, the senior may be able to transfer the home without creating a situation of Medicaid ineligibility.
Unfortunately, seniors who enter nursing homes can also become victims of financial elder abuse via less than honest employees, who obtain their personal information. Seniors should be instructed not to log into personal accounts from shared computers to avoid having personal information stolen. Some nursing homes offer banking services. Residents who bank with the nursing home, however, may unknowingly have funds withdrawn from their account. Another risk is that when pension and social security checks are mailed directly to a facility, they may be stolen. The nursing home is supposed to deposit such checks in a trust account and use them to pay the resident’s bills, but there have been instances where the funds were misappropriated. Not only is the resident out the money, but if his or her nursing home bill is not paid, the resident may be forced to leave the facility, as well. Thus, when a Florida senior enters a nursing home, it may be best to have a trusted friend or relative appointed as the durable power of attorney and to keep the senior’s private funds separate. The power of attorney can oversee the senior’s finances and help ensure that no suspect transactions are occurring.
In general, if you know a senior, who has entered a nursing home, it can be a good idea to meet the staff of the nursing home and visit frequently. Our office can assist with creating the proper documents to protect the senior’s assets and to safeguard them from the potential of financial abuse. Please reach out to our office today to schedule a meeting.
