Senior Concierge Blog

The purpose of this blog is to explain the Senior Concierge profession and to provide on-going assistance to senior concierge professionals with tips and tools for their business, and information from the field about the day and the life of a senior concierge. Enjoy! Rachel Laws Senior Concierge
Showing posts with label Caring for Seniors. Show all posts
Showing posts with label Caring for Seniors. Show all posts

Monday, January 12, 2015

Senior Concierge and the Low Income Client



There may be a misconception about the types of clients a Senior Concierge can serve.  The term "Concierge" evokes an image of wealth and privilege.  The reality is that in certain circumstances we can work with a lower-income senior and if you can, do work with these clients.  There is so much to learn about the senior industry from a lower-income perspective. 

Sometimes there is a loved one in a seniors life that has some extra funds to help their low-income family member with their care. Unfortunately this is not always true.  I have several clients where this is the case.  The mother is low-income but a son or daughter or relative pays my bills so that I can work with them.

Geriatric Care Managers have recognized with some of their clients that there is going to be a lot of work and the clients' don't have much money. GCM's will refer these clients to me so that I can work with the family at a much lower cost. I'm not acting as a GCM but there may be some specific straightforward tasks that can be assigned to me.  Not all GCM's will do this but if they feel a family needs help and as a concierge we can take care of some straightforward tasks then it can work very nicely.  

As an example, low-income individuals need help applying or navigating these types of organizations:

  • Social Security, Supplemental Security Income or Social Security Disability programs  
  • Medicare/Medicade medical referrals to multiple doctors and lab locations
  • In Home Support Services (Low Income Caregiving)
  • Transit Services
  • Low Income Phone or Electric Company services being set-up
  • Additional social services like food programs and senior center activities
It's difficult to be an expert on all of these services but it's important for the Senior Concierge to become familiar with the local services in your area so that you can be an additional resource to clients or low-income people inquiring about your services.




Tuesday, December 23, 2014

Ambulance Rides-Don't Immediately Pay the Bill Until You Read This

Hopefully you and your family members will not be receiving any ambulance bills in the near future.  If you do, and the bill is high, make sure that your insurance has been billed.  A lot of people that have Medicare think that the ambulance ride is not covered or that the insurance company already took your insurance information.   That's typically not the case.

In the rush to get you to the hospital, the ambulance personnel do not take down your insurance details.  A few weeks later you may get a huge bill.  

Before you pay the bill, turn the bill over and on the back of the letter there is normally a place to list your insurance coverage. 

Take the time to fill this out and provide:

1)Your  Medicare number
2) Your secondary insurance (if you have one)
3)  Your supplemental insurance 

Don't send a payment along with this information when you return the letter.

In a week or two you should receive a new bill with a reduced amount.  You may have just saved yourself a few thousand dollars.

Be safe.

Sunday, December 21, 2014

"I think I won $1,000,000.00 and a Mercedes Benz"

She tells me she met a man in a parking lot to pay the $500.00 in taxes on the Mercedes Benz that will probably be delivered to her tomorrow.  I find thousands of dollars of receipts from the Green Dot purchases that she made and shared the numbers of the back of the card to the callers.  There are hundreds of letters about her winnings, "but it looks so real, it has my name in print and on such nice paper". In my 3 hour visit I get 20 questions about the legitimacy of these letters.  "If it's too good to be true then it probably is", I respond.  

This is the most frightening situation I have ever come upon as a Senior Concierge. Luckily, someone else was concerned too.  The police had been called and Adult Protective Services has visited in the previous weeks. Thank goodness..

Seniors are so ripe for fraud.  As a Senior Concierge it is my obligation to make sure that they are protected.  I called the Adult Protective Services contact my client had and we had a nice conversation about what I had learned.  Slight memory loss and a desire for a big win is a bad combination and these issues should be reported immediately.  

Adult Protective Services had recommended that she change her phone number so they would stop calling every 10 minutes.  They also recommended that my client continue to work with me to help to monitor this situation. We go through mail, organize it and throw away those unwanted letters.  Hopefully these solutions will help.

A cognitive study may be done and then a fiduciary may get involved to help pay her bills and assist her in managing her money.  It's dangerous for a concierge to help with finances when you're working with someone that has memory loss.  It's important to work in conjunction with your client on these issues or if they are unable, work with a family member to help them pay bills and keep the finances straight.  If there is memory loss and they are alone a fiduciary is really the only solution.  

If you need a fiduciary contact the Professional Fiduciary Association in your area.  




Monday, August 20, 2012

Imagemakers-The Golden Years

I saw three short films on Imagemakers.  Here is a listing of them.  They were so beautiful, they made me cry and they're thought provoking too.

Please look at the website for each film to see where you might be able to view them.

http://www.kqed.org/arts/programs/imagemakers/episode.jsp?epid=261182

Managing Care On-Line

I think it's very helpful to set-up one of these on-line care sites for your clients and their families. Google Groups works too and it's free.  I have created sites when a client is very ill and many people are involved in the care.  This really helps to keep everyone on the same page.

I use Google Groups to help my clients families stay in touch about issues, scheduling, problems solving, etc. This way everyone is on the same page (hopefully) and you can help where it's relevant for you to get involved.

Here is the article:
http://newoldage.blogs.nytimes.com/2012/05/23/managing-care-online/?smid=tw-TheNewOldAge&seid=auto

Tips for Fighting Fraud

I often refer to the work that I do as a "Confusion Dispeller".  I spend a lot of my time looking over letters that have come through the mail or e-mail to help to determine if they're legitimate or possible fraudulent requests for money. Luckily, I have caught a few things for my clients and most of the time it's just junk.  Here is a great article to help you with your clients or family members who might be victims of fraud.

http://newoldage.blogs.nytimes.com/2012/04/23/tips-for-fighting-fraud/?smid=tw-TheNewOldAge&seid=auto

Monday, February 6, 2012

Best place to retire is at home

Keeping seniors in their homes a long as possible is so good for them.  Especially if it's safe, and close to family and services.
http://finance.yahoo.com/news/real-best-places-retire-2012-184912471.html

Elder Abuse-One Stop Shop for all this information

http://www.centeronelderabuse.org/resources.asp

2012 Aging Conference

http://www.asaging.org/aia12%20

Seniors who Drive

When your clients are asked to take their driving test at the Department of Motor vehicles, this can cause a lot of anxiety.   The concern is they will be told to stop driving.  This could mean a real life change.

My clients have benefited from investing in driver training. Driver training is not just for the new driver.  You can have a driving instructor come to your home and go through the rules of the road while allowing your client to practice.  They work generally on an hourly rate about $60-75 per hour.  This can help your client to prepare for the DMV driving test.  It's best to interview a few companies to make sure they have experience working with senior drivers.

Obviously the Senior Concierge can help with driving our clients to appointments, the grocery store, etc. but if they can still manage those tasks alone, that's fantastic.

This looks like an excellent documentary film on Senior Drivers.  http://www.oldpeopledrivingmovie.com/trailer/

Stay safe!

Friday, July 22, 2011

This looks like a great book about caring for a loved one

How to Care for Your Mother

Combining personal narrative with practical advice, as Jane Gross does in “A Bittersweet Season,” is a tricky business. A reader swept up in a story is apt to resent the intrusion of brass tacks. And a reader looking for how-tos will have little use for the details of an author’s own tale. Particularly perilous are the transitions between the instructional and the essayistic — passages reminiscent of the fraught moments in Broadway musicals when ordinary speech must lift into song. There is the actor, speaking his lines; suddenly he leans on his pitchfork, squints into the distance and breaks into a soaring rendition of “Oh, What a Beautiful Morning.”
Courtesy of the author.
Photograph of Jane Gross and her mother, Estelle.

A BITTERSWEET SEASON

Caring for Our Aging Parents — and Ourselves
By Jane Gross
350 pp. Alfred A. Knopf. $26.95
Or, in this case, “Pore Jud Is Daid.” Gross, a former reporter for The New York Times who wrote pioneering stories about AIDS and autism, here takes on a subject she knows from experience: the trials of caring for an aging parent. She mixes an account of her mother’s difficult last years with a “hard-earned list of tips” on eldercare. Her chronicle of her mother’s decline is intimate and affecting, and her advice to readers is insightful — but the shifts between the two are often far from smooth.
The story part begins just over a decade ago, when Gross’s mother, Estelle, a widow in her mid-80s, becomes too frail to live alone in her Florida apartment. Gross recognizes it’s time for her mother to undertake a “reverse migration,” a move back north to be near Gross and her brother. But she is unprepared for the burdens and crises that follow her mother’s relocation to an assisted-living facility in New York: the plaintive (or demanding) phone calls, the late-night emergency-room visits, the medical tests that stretch into all-day ordeals. Most painful for Gross is seeing Estelle, a proud and private woman, frustrated by her growing infirmity. In a tiny, telling scene, the author observes her mother trying to remove her socks: “She resisted assistance in taking them off, but watching her struggle both saddened and annoyed me.”
Gross tries yoga, manicures and “retail therapy” to relieve the stress of these emotions, but the strategy that seems to work best for her is acting like an expert. She makes aging her beat at The Times, writing articles on topics like elder abuse and living with Alzheimer’s, and ultimately creates the newspaper’s popular blog The New Old Age. But however much it may help her, this coping mechanism can make for a bumpy ride for the reader of “A Bitter­sweet Season,” as Gross veers between frank confession and finger-wagging lecture. Feel the whiplash as she lurches from describing to preaching without so much as a paragraph break: “These were among my early lessons in how hard it is to be old, how long everything takes, how much some of it hurts, and how a loving caregiver must stop moving at the warp speed of a New York minute and adapt to the pace of someone who is disabled, making it look natural and effortless. Don’t shame your mother into rushing to keep up with you. First, it’s not nice. Second, both of you will have to cope with her broken hip if rushing leads to a fall.”
Gross writes eloquently about the need to act as her mother’s protector once she is moved again, from assisted living to a nursing home. But her tender passages, even when they offer sensible counsel, are too frequently marked by this hectoring tone. “You will have to play this role, too — by building meaningful relationships or, failing that, by currying favor. See to it that the management types like you,” she exhorts, adding for good measure, “Do not berate the staff, constantly complain or micromanage.”
While Gross the expert may tout the transformational potential of caregiving, Gross the storyteller reveals a different reality: in the crucible of crisis, the people here seem to become more incorrigibly themselves. Gross, a self-described control freak, grows ever more intent on planning for every contingency. Her brother, Michael Gross (the author of books including “740 Park” and “Rogues’ Gallery”), relies increasingly on his breezy charm to evade responsibility. Their squabbles over how their mother should be cared for only intensify a longstanding sibling dynamic, as the author candidly observes. “My self-righteous behavior was surely not helping . . . but rather hardening the old stereotypes of good-goody sister and screw-up brother, which had been tamped down until this situation kicked up all the old dust.” (Her admission is closely accompanied by a patronizing aside to the reader: “It sounds completely neurotic, but believe me, you’ll have some of these feelings; it goes with the territory.”) And Estelle? “Until the bitter end, my mother remained frugal, contrarian, clever and antisocial,” Gross writes.
But then, unexpectedly, we begin to see tentative movement — if not in the entrenched temperaments of this threesome, then in the bonds between them. In the face of Estelle’s inexorable decline, her relationship with her daughter, stiff with a tension of many decades’ duration, starts to soften. Gross begins to appreciate her brother’s ingratiating advocacy on their mother’s behalf, and even the ability to compartmentalize that allows him to preserve his energy and peace of mind. Gathered in Estelle’s room at the nursing home, the three of them enjoy moments of unaccustomed intimacy and even humor. When Estelle’s speech becomes increasingly slurred, her children buy her a “talking board” with buttons she can press to communicate simple messages (recorded, for kicks, in Michael’s voice): I’m cold. I’m hot. I’d like a cup of coffee. Close the curtains, please. For the last couple of buttons, Michael encouraged Estelle to “say” whatever cranky thing she chose. “She thrilled to the task and thought up two messages,” Gross writes. You’ll be old someday, too, you know, went one. “The other message, and the button I’m told my mother wore out from overuse, was the ultimate plaintive cry of a woman who treasured her privacy above all else,” Gross ruefully recounts: Get out of my room, it barked, adding an obscenity for good measure.
Michael, who had chafed at his sister’s overbearing manner, eventually accepts that this is her way of showing she cares, and by the end of “A Bittersweet Season” the reader comes to feel the same. The aging and death of a parent transports us to a strange, sad land, a place no one wants to visit but where most of us have been or will someday have to go. Gross wants us to be prepared: Always bring a spare pair of glasses and a phone charger with you. Write down where you left your car in the hospital parking lot. Realize that the smells of a nursing home bother you more than they bother your parent. Such admonitions have the bracing air of things not said aloud before, even if they concern matters that few of us would choose to dwell on. Gross seems to acknowledge this, quoting a work-life expert: “Nobody wants to think about it beforehand. When you’re in the throes of it, you don’t have time. And when you’re done, you don’t want to go back there again.”
Estelle died eight years ago at age 88. To her credit, her daughter has gone back there again, returning with a forthright story and trenchant advice. At its best, “A Bittersweet Season” manages to send its voice aloft, its two parts harmonizing in sorrowful, haunting song.
Annie Murphy Paul is the author of “Origins: How the Nine Months Before Birth Shape the Rest of Our Lives.”

Excellent Report on Elder Financial Abuses

Take a look at this report.

I'm saddened to see that "trusted professionals" are the number one source of financial abuses.  If you're hiring a senior concierge to help you stay out of these issues, please do your research and background checks before hiring your senior concierge.  For senior concierge professionals, this is an important report as it provides a lot of important information about what to do when you suspect there is this type of abuse.

http://www.metlife.com/assets/cao/mmi/publications/studies/mmi-study-broken-trust-elders-family-finances.pdf

Saturday, May 7, 2011

This is a story that should resonate for some regarding siblings and aging parents

The Senior Concierge is a great solution for families when you need a break.  The Senior Concierge can be of assistance to take on some of the tasks that are having to be shared by siblings.