Change Text Size
ElderCare Solutions of MI

Archive for 'Baby Boomers'


The older we get, the more doctor appointments we seem to need.  It is not uncommon for the average baby boomer or older adult to see a cardiologist, a neurologist, perhaps even a rheumatologist, pulmonologist or gynecologist!  But amidst these many appointments there is one that often gets forgotten…an annual physical with a primary care physician.

Why is it important to keep up with your primary care doctor if you’re seeing all these specialists?  That’s a frequently asked question among our clients.  And the answer is a timeless metaphor…to be sure the right hand knows what the left hand is doing, and vice versa! Most specialists will only diagnose, treat, and prescribe medications for illnesses that fall under their own area of specialization.  So problems that come up may not be addressed outside of a primary care physician’s office.  For example, you’ll routinely have your blood pressure checked as part of an office visit with a pulmonologist, rheumatologist, or gynecologist, but it will not likely be addressed or treated, even if it is elevated. That’s also true if your labs show elevated cholesterol levels.  Instead you’ll be referred to primary care.  Also, routine general preventive care and screening will not be done by specialists, who need to use the appointment time to focus in-depth on the condition they are treating.

So, as much as you would love to eliminate another appointment, call your primary care doc, and schedule your annual appointment.

Getting out my calendar,


Tags: , , , , , ,

Dementia…that single word carries with it a tremendous amount of stigma.  But it is the second most common diagnosis given to older adults. And perhaps the most difficult to accept.  Once that label has been given, people never forget it. As this happened to several of our client this week, I wanted to address two of the questions we are asked most often after someone receives a Dementia diagnosis starting with “What exactly is Dementia and how is it diagnosed?” 

Dementia is an umbrella category that serves as a catch all for different types of cognitive disorders, ranging from simple short or long term memory loss to more specific diagnoses including Alzheimer’s disease.  Dementia diagnoses are usually made by combining someone’s history and experiences with some type of testing, so that objective evidence and observed functioning together form the basis for the diagnosis.  MRIs or other brain scans are helpful to identify vascular dementia and rule out physical causes for cognitive difficulties such as brain tumors.  More extensive neurological and psychological testing are available and can provide objective measures of cognitive abilities and identify specific areas of strengths as well as deficits.

Cognitive screening tools however, are available to anyone regardless of history of symptoms, and are very low cost.  Screening tools are designed to help people identify whether or not a more thorough evaluation is necessary, and scores are broken down into three distinct categories of “Normal, Mild Cognitive Impairment (MCI), or Dementia”.  Cognitive screening is a great place to start, but it is important to remember that the results may not be conclusive.  For example, if someone’s score results in a determination of MCI, it would be important to follow up with more in-depth testing.  There have been many instances of people who are highly intelligent testing as MCI when further testing indicates Alzheimer’s disease. Their intelligence allows them to compensate for their cognitive deficits on the screening tool, but cannot be sustained through more extensive testing.

Which brings us to another frequently asked question: “Why is it important to be screened or tested?”  That’s an individual decision, but unfortunately at this time there is no cure for Dementia.  However, there are several medications that are believed to slow down the progression of the disease and help keep people living with more mild to moderate forms rather than severe.  If that is the case then starting treatment as early as possible is important to help preserve cognitive functioning.  The decision to use medication is of course an individual one, and needs to be made in consultation with a doctor who can explain the benefits as well as possible side effects.

Counting my blessings while I still can,


Tags: , , , , , , ,

When caring for an older adult, there can be many different areas where they need attention and support.  If your family is like most families, the most critical needs get addressed first.  But after that’s done, usually people forget to get back to those less urgent issues, which often include bill paying assistance.

Now I’m not talking about financial need, but rather help with the physical task of sitting down a few times a month to pay bills, keeping an accurate balance in a checkbook, and avoiding finance charges.   Sometimes an older adult’s cognitive functioning can really limit their ability to pay their bills on their own.  We often see people who pay the same bill twice, or mistake a solicitation for a bill.  After all, fundraisers are getting savvy…they put a return address envelope and tear-off pledge sheet right in the envelope so, in fact, it looks like a bill!  Often times an older adult may be paying for a service they don’t even use, such as high speed internet bundled in with their cable tv.

That’s the not so great news.  However, help is available.  If family members want to help by setting critical bills up for auto pay by the bank, that’s a good first step.  But for those who need a little more help, there are services that can step in and take over this responsibility.  The Fiscal Concierge is a company that puts an individual’s bills on a secure web page, viewable by family with an older adult’s permission.  They will check balances, contact the family if a bill is due and there are insufficient funds available thereby avoiding bank fees, and pay bills on time.  For those who prefer a more hands on approach, Daily Money Managers and retired accountants often offer in-home bill paying assistance.  They can set up files and stop in 2-3 times per month to go through the mail and help write checks.  Obviously, security is a number one priority when dealing with finances, so be sure to go with a personal recommendation from a trusted source.

Grabbing my checkbook,


Tags: , , , , , , , ,

Living in a time where celebrating your 100th birthday is no longer uncommon, the cost of long term care is often on the minds of older adults, their families, and senior service professionals.  How will we pay for it, should the need arise?  Next week, the Elder Care Chat debuts, and may have an answer for you.

Hosted by Christopher J. Berry, Certified Elder Law Attorney and Veterans Accredited Attorney, the Elder Care Chat is a weekly call and webcast Mondays at 2:00pm, that addresses topics of interest to both those who need elder care services, such as caregivers, as well as those who provide them, such as home care providers, social workers, elder care communities and other senior service professionals.  Chris will  lead the calls each week and will also occasionally feature other experts who work with older adults and their families.  You can join him on the web at,  using the event ID 42786354, or dial (206) 402-0100, and enter ID 670087#.
This Monday, June 24th at 2:00PM,  Chris will give an overview of the 6 ways to pay for long term care, followed by a brief Q & A.  As he is fond of saying, “This is the cheapest time you’ll ever spend with an attorney”!
Putting it on my calendar,
Tags: , , , , ,

Now that spring has arrived and summer is around the corner, I often find myself refilling my water bottle several times throughout the day.  And unlike me, my clients usually don’t have a water blottle with them when we’re out and about.  As we get older we become less aware of thirst, so I thought this beautiful weather week would be a great time for a quick dehydration reminder.  Many times dehydration is caused by inadequate water intake, but that’s not the only cause.  Other culprits include medication side effects, sweating or diarrhea.  

If you’re not sure of the signs of dehydration, here is a list from The Mayo Clinic:

  • Dry, sticky mouth with thick saliva
  • Sleepiness, weakness or a general feeling of being unwell
  • Decreased urine output with a dark or deep yellow color
  • Dry skin
  • Headaches
  • Constipation
  • Feelings of dizziness or lightheadedness
  • Sunken eyes
  • Cramping in the limbs
  • Breathing faster than normal
  • Low blood pressure
  • Acute confusion

While water is the best option for hydration, here are other ways to increase fluids in the body:

  • Fruits and vegetables
  • Flavored gelatin
  • Watered down juices
  • Sparkling or flavored water
  • Soups
  • Ice pops
  • Limit salt intake
  • Avoid alcohol
  • Minimize the number of beverages with caffeine.

The goal is not to change your loved one’s behavior, but to be creative in finding ways to keep them hydrated.  As they say, timing is everything.  It is best to drink often instead of in large amounts.  After a trip outdoors, during meals and with snacks are all good times to offer a beverage.  While most older adults may not think to  ask for a drink, if you offer them one while getting one for yourself they’ll most likely agree, and remember, every sip counts! 

Don’t forget, if you have questions, concerns or suspect dehydration be sure to check with their doctor.

Refilling already,


Contributing author Christie Schoenwald

Tags: , , , , , ,

I do not sell long term care insurance.  In fact, I do not sell insurance of any kind.  I am a social worker.  However, during my work with older adults and their families I often need to advocate for clients who are fortunate enough to have long term care insurance policies, and have written several blogs on the topic. Recent inquiries made me realize that it is time to revisit the topic!

I am always amazed at how proactive some people were in order to have bought policies many years ago when the idea was not so popular.  But the reality is that many of us will need help either to remain in our own homes as we age, or to receive care in a senior community, and the costs can add up very quickly.  Similar to when choosing any other type of insurance,  it is important to understand exactly what you are getting because policies vary tremendously in terms of how much they reimburse, the method of payment, qualifying waiting periods etc.   But there is one critical factor to consider whose importance is often underestimated…the insurance company itself.

Some insurance companies are very easy to work with.  Their claims processes can be initiated with just a telephone call and a nurse will come out to assess the need.  Others have a claims processes that are so paperwork intensive, require multiple follow up calls, and can be so frustrating to work with that you may end up feeling as if their processes are designed more to deny people’s claims rather than approve them.  And some insurance companies that sold policies many years ago, found themselves unable to keep up with the financial demands.

So when you’re comparing policies, being sure that you’re comparing apples to apples, remember to do your due diligence with regards to the companies you are considering.  Ask your insurance agent which companies are easier to work with when it is time to file a claim (as long as he/she doesn’t represent only one company).  Ask your doctor’s office if they’ve ever had contact with any companies and what their impressions were.  A home health care company is often on the front lines and may be able to tell you which companies are easier to work with.  Believe me; you’ll be glad you asked around!

Calling my agent,


Tags: , , , ,

The holidays are a much anticipated time of year for most of us.  Whether you celebrate Passover or Easter, chances are you’ll be seeing family this time of year.  However, for some the holidays bring unexpected surprises if they live out of town and haven’t seen the older adults in their life for some time.

An older adult’s level of functioning can change significantly over the course of a few months, even more so if it’s been longer since you were last together.  Here are some potential red flags that might indicate more support is needed:

  • Stacks of unopened mail
  • A fridge full of old, expired or moldy fruits, veggies, milk and yogurt
  • Unanswered messages on the answering machine
  • An older adult seems to:
    • have more difficulty walking
    • have precarious balance
    • have less energy
    • tire easily
    • be confused or forgetful

It can feel overwhelming when you first realize that all is not well, but there’s no need to handle it on your own.  Their physician might be a resource, and a Geriatric Care Manager can help you identify and put in place local resources that will make it easier for you to board that plane for your return flight.

Happy Holidays,

Tags: , , , , , , ,

There are so many conversations we’d rather avoid than have…conversations about finances or about someone’s inability to drive to name just a few.  But by far the most universally avoided topic has got to be end of life wishes.  On the surface this seems like such a silly problem.  I mean, most of us do truly know that someday we will die.  But do our children know our wishes?  Do they know the specific interventions we do and don’t want?  Have we given anyone the legal power to make medical decisions for us if we are unable to do so ourselves?

Clearly not, because statistics show that 70% of people wish to live out their lives and die at home, yet 70% of all deaths occur in hospitals.  The good news, however, is that there are tools available to help us navigate this potentially difficult topic.  There is a website, that has a free downloadable starter kit to help you start thinking about what is important to you regarding end of life care.  Unpleasant topic? Perhaps, but at least it’s free!

Downloading as we speak,


Tags: , , , , , ,

It was another week full of great seminars…I felt so fortunate to be sitting in the audience, listening as two different attorneys spoke about changes to the laws that effect estate planning, and I can assure you I made a few notes for my own information!  But what made the strongest impression on me was the discussion about Veteran’s Benefits.

Many of us know someone who is a veteran.  But many of them are unaware of the different types of VA benefits they may be eligible for.  Depending on need, veterans can receive medical care and medications through the VA, but less well known is the Aid and Attendance benefit, which provides monthly income to help offset the high cost of care for aging vets.  There are eligibility criteria to meet, however many people who may be eligible are declined because they don’t know the ins and outs of the process.  It is very specialized area of expertise.

So if someone you know defended our country and now needs care, urge them to contact an attorney who specializes in veterans benefits.

Spreading the word,


Tags: , , , , ,

The theme for this week is Falls Prevention.  Over the last 2 weeks I fell tripping over power cords, a colleague of mine slipped in her home, and we received several calls from new clients who were asking for help because they are recovering from…you guessed it, falls!

I think most of us think about falls prevention reactively, meaning it becomes really important to prevent another fall, after we’ve fallen at least once.  Prior to that we feel pretty much invincible.   But the truth is, it takes a long time to recover from that first fall if it was a bad one, so the time to think about falls prevention is now!

There are several different reasons people fall.  The most common causes are poor balance, clutter on the floor, inadequate lighting, wet/slippery floors, and neurological causes.  Luckily, the following preventive suggestions are helpful in most cases:  

  • Install grab bars in bathrooms
  • Pick up or tape down all throw rugs
  • Remove clutter from the floor
  • Install additional lighting if necessary
  • Be conscious of where you step on slippery surfaces
  • Work with a physical therapist to improve balance

Whether you put all of these steps in place, or only the one or two critical for you, protecting your quality of life is well worth the investment.

Measuring my bathroom for grab bars,


Tags: , , , , , ,
« Previous posts Back to top

Upcoming Events

The More You Know

An Educational Series for Older Adults and Those Who Love Them
March 7th, 14th, 21st & 28th 2012

Learn More »

See Full Event Schedule

Register for an Event

When to Call

  • Does an older adult's family live out of town?
  • Are local family members overwhelmed and need help?
  • Is an older adult about to be discharged from the hospital or rehabilitation center?
  • Do family members have differences of opinion regarding a senior's care?
  • Is a senior living in an environment that needs aging-in-place modifications?

If the answer to any of these is "yes," ElderCare Solutions of Michigan can help. Call us today.

Join Our Mailing List

Sign up to receive news and information.

ElderCare Solutions of Michigan is a division of Jewish Family Service of Metropolitan Detroit, a non-sectarian not-for-profit organization that has served the metro Detroit area for more than 80 years.