May 20, 2015 — For When The Time Comes

Dear William, Daniel, Catherine, (and Baby Boy X [Michael] & Baby Girl Y) (and your parents), (and any future descendants and their parents),

Baby Boy X!? On or about September 11, 2015, William and Catherine will have a new First Cousin, and Daniel will have a new Brother. I do not know what his name will be; so, for now, I am calling him Baby Boy X. Of course, this means that Malgosia and John will have a new baby — their second son; and Marek, Kelly, Rysio and Stephanie will have a new Nephew; and Babcia Krysia and I will have a new Grandson! Wow — our family is growing!!!

Baby Boy X Sasieta

Baby Boy X Sasieta

Now I want to discuss a VERY SERIOUS topic with all four of you — actually, I want you to re-read this when YOU are 50 years old, as it may be very relevant to your lives THEN.

Yesterday I attended a Lunch and Learn presentation: “Home Care – Things You May Want To Know … For When The Time Comes!” Lunch and Learn is a series of meetings on a variety of topics given during the lunch time. A bunch of us get together, eat lunch, listen to a presentation, ask questions, talk, and discuss things.

This particular presentation was about getting old. It was VERY depressing. I almost cried. [Secretly I did, but nobody noticed.]

I realized that when YOU are 50, I will probably not be able to be of much help to you; yet, YOU may then have a very big PROBLEM — YOUR PARENTS! They will be in their 90’s!!!!!!!!

What are some signs that your parents may no longer be able to live alone?

  • Reduced interactions with other people
  • Reduced Functional Abilities (cooking, bill pay, cleanliness etc.)
  • Age Related Decline (forgetfulness, challenged movement)
  • Depression
  • General Changes in Behavior

What are the long term options for an aging parent that can no longer live alone?

  • Care in the private home (90% of seniors want to stay at home)
  • Independent Living Facilities
  • Assisted Living Facilities
  • Skilled Nursing Facilities
  • Continuing Care Retirement Communities

What is Home Care?

  • Companionship and Personal Care for the elderly provided by a Certified Home Health Aide
  • * Companionship – Errands, Medication Reminders, Cooking, Light Housekeeping, Activities
  • * Personal Care – Activity of Daily Living …. shower, dressing, transfer, toileting, feeding
  • Generally not covered by Medicare or Medical Insurance (Only Long Term Care Insurance or Medicaid) — so: start nagging your parents NOW about getting Long Term Care Insurance — It Is Expensive; but the alternative is WORSE
  • It is long term in nature
  • ‘Client and Family’ focused
  • Available as ‘hourly’ (usually with minimums) or ‘live-in’
  • * Hourly: $20 – $25 (2015 rates in N.J.)
  • * Live: $195 – $250 per day (2015 rates in N.J.)

Once its time …… A few key questions to consider:

  • How much care is needed/desired? (May drive a location decision)
  • Does mom/dad want to stay at home or are they open to a supported environment?
  • Is mom/dad open to having help?
  • What resources are available to fund care? (May also drive location)
  • What is the role of the family?

2015_05_20_Hands

As you grow up, I hope that you discuss these issues with each other, and your spouses, and your friends; and that you seek out appropriate help as you need it — from attorneys, counselors, doctors, and other professionals that may be available to you. These are VERY difficult decisions. Be nice to MY kids. I love them very much, and I depend on YOU do do right by them.

Love,

Dziadziuś Paweł.

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