William & Mary Elder Law Clinic

Serving Seniors in the Greater Peninsula Area

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Nobody Thinks They Need Long Term Care Planning, Until They Do. For Some, That May Be Too Late.

By Lance Cummins, Elder & Disability Law Clinic Student, Fall 2016

For many people, the concept of planning for the future just brings to mind the thought that they need to write out a will, but there’s more to it. With the average life expectancy in the United States being around 80—it was only 47 the last time the Cubs won the World Series before this year—people can often expect to live many years after retirement. However, for some people, those years will not always be healthy, and healthcare expenses can take a toll on the retirement accounts of even the best planners.

Recently I had the misfortune of seeing someone I know forced to retire early due to a diagnosis of Frontotemporal Dementia (FTD). FTD is similar to Alzheimer’s, and in its early stages is often misdiagnosed as such. FTD tends to first affect language skills like speaking, writing, and comprehension. Personality changes, resulting from changes to the brain in areas controlling conduct, judgment, and empathy, often make caring for individuals with FTD difficult. While uncommon, FTD tends to begin much earlier than Alzheimer’s, often affecting people in their 40’s and 50’s.

In this case, the person affected was an accountant who always kept a close eye on his retirement accounts and knew exactly how much he had, how much he needed to retire on, and how and when he was going to get there. Once his symptoms forced his retirement, however, all of his retirement planning quickly went out the window.

At that point, the proper thing to do would have been to immediately consult with an elder law attorney in order to ensure that he could be placed into long term care when it became impossible to care for him at home, without leaving his wife without the benefit of all their advanced financial planning. For example, Medicaid may be used to help pay medical expenses for an institutionalized spouse, while allowing the non-institutionalized spouse to retain a portion of their assets and retirement funds. However, Medicaid will only allow the non-institutionalized spouse to retain a limited amount of any retirement funds, requiring all the money over a certain amount to be used to defray medical expenses before Medicaid will kick in to help. To guard against people either spending or giving away all of their money right before applying for Medicaid, the government has a five-year lookback period. That means that when applying for Medicaid, the government will examine the applicants’ finances over the past five years to see if any assets have been shifted away, and will then impose a penalty period, which essentially means Medicaid benefits will not kick in for a period of time in an effort to recoup the missing money.

In this case, with the help of an elder law attorney early in the process, the couple could have made some financial decisions to do something with their retirement money sooner, outside of that five-year lookback period. Perhaps they could have enjoyed his retirement for a few years while he was still able to do so. They could have taken care of some long delayed repairs to the house or bought a new car to replace their twenty-year-old vehicle that constantly needed repairs. They could have set up a trust, or transferred ownership of some assets. Regardless of what they would have chosen to do with their money, with proper planning they would have had the power to choose.

Instead, they did what most of us would do. They slashed their spending and saved every penny they could for the inevitable medical expenses that were sure to come. FTD can be a slow moving disease at first, and they planned to stretch things out for as long as possible. Even as the disease progressed, they refused to take any drastic financial action, feeling that keeping that money in the bank was the wisest course.

Unfortunately, a few weeks ago he had to be rushed to the hospital. While the immediate danger is past, it is unlikely that he will be able to live at home ever again. What does this mean for them? In short, it is too late to do much of anything. The vast majority of the money they have kept sitting in the bank all this time will have to be spent on nursing home care before Medicaid will help. While some limited options still remain, once he has been institutionalized for 30 days even those options will be gone. Medicaid will look back to the first day of the month he was institutionalized, and whatever assets they had on that day will be required to be spent, minus her allowance, before they will pay anything.

The takeaway from this should be to plan before you think you need to do so. We never know when disaster will strike, and with the complexity of Medicaid rules, common sense things like saving your money may not always be the best approach. Consulting an experienced elder law attorney early, before you think you need them, and before it’s too late for them to help, can be critical to averting disaster later.

Guardianship: Giving up Freedom or Gifting Security to your Loved One

By Casey Wynn, Elder & Disability Law Clinic Student, Fall 2016

Have you ever heard the saying “age is but a number?” Typically, it is a harmless phrase that is thrown around when a friend has a birthday or a loved one is celebrating retirement. It is fun to say, and uplifting for others to hear, but nothing could be further from the truth when talking about a mentally challenged senior.

Unlike members of the general population which have the capacity to protect themselves against abuse, manipulation, and fraud, a mentally disabled person is more vulnerable to these dangers and may even have difficulty making important life decisions. When that struggling individual is a child, the solution is simple– his or her parents can and do make all the important medical and life decisions because the law gives them that authority. However, what happens when your precious child becomes an adult who is mentally unable to make decisions but legally holds the right to do so? In those cases, it may be time to seek guardianship because age does matter and could prevent you from helping your child in ways that you have in the past. Guardianships are used for mentally incapacitated individuals of all ages who are unable to make sound decisions regarding their own well-being and financial security.

Some people will avoid instituting a guardianship, seeing it as an affront to a loved one’s freedom. This is an understandable reaction considering American culture. At a young age, we are taught the value of freedom and few, if any, words are considered more precious.  Freedom may seem like a simple word, but for centuries brave men and women have valiantly fought to ensure that Americans remain free. Reflecting upon these sacrifices makes it difficult to give up our own freedom and gut wrenching to take someone else’s freedom away. But before  eliminating all possibility of a guardianship, there are a few things to consider.

While it is true that guardianships take away an individual’s right to make legal and personal decisions for himself; in return it gives him protections that are not otherwise available. Without a Guardian, a mentally incapacitated individual is more likely to fall victim to poor decisions and/or outside influences. Now that doesn’t mean that you should rush out to seek guardianship over all your adult relatives who make poor choices, nor would the system allow it. The beauty of this process is that the court decides when a guardianship is appropriate based largely upon a medical evaluation and the input of a court-appointed lawyer referred to as the Guardian ad litem. Put simply, if an individual has the mental capacity to make decisions and understand the consequences of those decisions, then guardianship will be denied. Also, note that guardianships are not always forever; they can be reversed via a court ruling if circumstances change. Lastly, guardianship is a fantastic planning tool for caregivers. Although it can be difficult to think about, it is important to consider what should happen to our dependent loved ones once we pass on or are no longer able to care for them. If a successor guardian is included in the guardianship petition, it makes for a much smoother process once the primary guardian is no longer able to serve due to death, illness, or for other reasons.

Thus, guardianships shouldn’t viewed with disgust; they should be embraced as a way to protect our loved ones. A guardianship doesn’t change who the person is. They are and will forever be their own person and nothing stops the Guardian from considering the individual’s wishes when making these important decisions. While freedom is one of the most important things a person can have, when that freedom endangers a person’s health or financial security, a guardianship is often best gift that we can give.

 

Dignity & Dementia

By Elias Kerby, Elder & Disability Law Clinic Student, Fall 2016

“Dementia does not rob someone of their dignity, it’s our reaction to them that does.” This quote by dementia and Alzheimer’s care expert Teepa Snow speaks volumes about the hidden suffering of those living with one of the most common disabilities among the elderly – dementia. One of the biggest hurdles to overcome in improving the quality of life of any disabled individual is understanding their obstacles and their experiences so you can best give them the respect and dignity they deserve.

I used to work at a hospital, and my boss would always refer to the Sylvia Plath poem “The Eye-Mote” when trying to explain what dementia patients who are unable to communicate really want. The poem, which is about Plath’s own extended hospital stay where she was unable to move or speak, shows the experience of being trapped in a body from the patient’s side. She spends weeks lying in a hospital bed, aware but locked in, unable to communicate her needs and stuck passively watching as caretakers and visitors shape the world she lives in. My boss would point to a specific line and say that it crystallized the needs of those living with dementia – “What I want back is what I was.”

That hospital required caretakers had to go through an exercise known as the “simulated dementia experience,” which was meant to give them a taste of what life with dementia is like. I went through the simulated dementia experience, and would recommend something similar to anyone who works with dementia patients.

First, rubber gloves are taped to your hands to simulate a lack of feeling and dexterity. Then, popcorn kernels are put in your shoes to reproduce the fibromyalgia of just moving around. You receive goggles that block out certain colors and have randomly appearing blind spots, as well as headphones that play a random selection of noises – cars honking, the phone ringing, music from your youth – everything having to do with your senses and experience of the world becomes chaotic and unpredictable.

After you’re suited up, a caretaker reads you a list of instructions for cleaning up your room at a care facility and getting ready for bed at night. Of course, you can’t hear him because your auditory hallucinations are too loud. He then leads you into your room, which is dark and messy with random flashes of light and strange sounds coming from places they shouldn’t. You know you’re supposed to be doing something, but not sure what, so you look to the printed instructions on the wall – which at this point you can’t read because the letters are jumbled up or missing. Time goes by, you surrender because trying to figure out what you’re supposed to do is futile, and you feel frustrated at your inability to act. Eventually, the caretaker comes back, sees you have not gotten ready for bed, and yells at you for not doing what he said.

From the caretaker’s point of view, he took you to your room and gave you simple instructions to do things you’ve done a thousand times before. He thinks he’s given you all the instruction you need but is unaware of how difficult everything is on your side of the equation. Without exercises like this, the hospital caretakers might make the same mistakes the caretaker in the simulated dementia experience made, and which caretakers of dementia patients do make all the time. Situations like this give rise to much of the vulnerability dementia patients feel, where the difficulty of daily life is made worse by our inadequate response to their needs.

The Elder & Disability Law Clinic is devoted to the dignity, care, and respect of dementia patients and seeks to promote a fuller understanding of the experience of living with dementia. Every person is deserving of being treated with dignity, and dementia patients are often at their most vulnerable. Treating dementia patients without understanding their condition can make them feel like they have no dignity, which should never be the case. The EDLC is committed to promoting informed care practices so that every caretaker can have the resources they need to be well-equipped in caring for their dementia patients.

Cultural Differences in the Ways We Care For Our Elders in America

By Agata Przekop, Elder & Disability Law Clinic Student, Fall 2016

As someone who comes from what we can generally call Eastern culture, I would like to share my thoughts and observations about differences in social conventions when it comes to older people and issues that affect the aging population.

American values tend to focus strongly around youth and individualism, while Polish people tend to identify themselves as a part of a collective society. This distinction comes from different cultural assumptions, traditions and challenges that the two nations faced in their histories. Of course there are people in Western culture that are strongly family oriented and have extremely close ties with their parents and grandparents, and people from Eastern culture that are more future-oriented, independent and self-reliant. However, I think it is fair to say that there are some, more or less defined general cultural assumptions and principals that characterize both those worlds. For example, in an Eastern country like Poland, it is not that uncommon to find a family of multiple generations living under the same roof. Because of this, it is far more likely that when a parent or a grandparent needs daily assistance, a family member will treat it as his duty to step up as a caregiver. Because of this social expectation, it is uncommon to put an elder person to a nursing home or assisted living facility. Younger family members are not only expected to become caregivers of their elders, they would expose themselves to a social ostracism if they didn’t follow this convention.

In collective societies, the tradition is to depend on one another, and to build strong family ties, while Americans, from very early in their lives, are taught to consider themselves as separate individuals who are responsible for their own lives and decisions with strong emphasis for personal freedom and independence. I think that it is this feeling of losing independence and becoming a burden on the family which determines the older Americans willingness to accept the possibility of moving to a nursing home.

In the Eastern culture, there is an assumption that children have a moral obligation to take care of their parents when they get older, and a devoted, family-oriented child is a sign that he or she was raised properly. While in Western society, successful parenting implicates teaching a child how to be self-reliant, and loosening of a parent-child tie is a natural process.

Being a part of a family-oriented society results in implied respect, understanding and empathy towards older people, but family obligations can also prevent individuals from moving forward and pursuing their own dreams. On the other hand, being independent and self-reliant helps one to become successful in life, but lack of those traditions that impose responsibility for one’s elders might result in a situation where older generation is left to their own devices and their needs are forgotten.

Having all the in mind, I’m positive that those two cultures can learn from each other and inspire one another. It is our job to create a society and environment for our elders which make them feel comfortable. The key is to treat our elders in a way we would like to be treated, and we cannot forget that we’ll all grow our gray hairs someday.

How Post-Adoption Contact and Access to Records Impact the Grandparents I Have Never Met

By Anonymous, Elder Law Clinic Student, Spring 2016

My mom was adopted by my loving grandparents as an infant and, for most of her life, knew nothing about her birth family. That changed, however, a few months ago. She first obtained her original (redacted) birth certificate along with non-identifying family information from the Chicago church that facilitated her adoption in the early 1960s. Then she petitioned an Illinois Court to appoint her a “confidential intermediary” (CI)—a professional who can retrieve information from sealed records, locate birth parents, and contact them on behalf of adoptees. After verifying that her birth parents are still alive, the CI notified them that my mom wants to make contact. If either rejects or ignores the request, the CI can contact “other blood relatives,” presumably biological siblings or half-siblings. My mom is still waiting to hear back.

Illinois’s CI service became available under recent legislation, backed by an open records movement that is increasingly influential across the U.S. In many states, adoptees have lobbied for and gained substantial access to sealed court records and family medical histories. In Oregon, for example, adoptees can access unaltered birth certificates. Our pervasive digital culture amplifies these policy initiatives, as technology has removed many of the traditional barriers to information. My mom admits that, if the CI route fails, she may turn to a private investigator or trace her genealogy through genetic testing. Some adoptees track down and reunite with birth relatives through social networks like Facebook.

My biological grandparents, however, did not grow up in this information age; in fact, secrecy was the primary goal of adoption law and policy from the 1930s into the 1960s. In that era, privacy helped protect birth parents from social stigma, and it created a sense of permanency in an adoptee’s placement. Releasing records will no doubt upend the expectations of many individuals who put children up for adoption during those years. Working with the Elder Law Clinic has forced me to consider, for the first time, what my biological grandparents—and other senior citizens in their position—stand to gain or lose from open records laws and communication with birth children.

Through my Clinic cases, I better understand how vulnerable seniors are, especially near the end of their lives. The sad reality is that people ingratiate themselves with and take advantage of aging relatives and friends. By no means do I think that adoptees harbor such ill intent. Fears of abuse and exploitation, however, are well-founded for many elderly individuals and their families. In attempts to communicate or reunite, adoptees should recognize the potential complexities of their birth parents’ situations and the threats they might pose with unmediated contact.

Increasing adoptees’ access to personal and genetic information is an important and worthy goal—so much so that many birth parents support laws promoting open access. Nonetheless, the privacy rights and personal choices of birth parents should not be overlooked. And, as I voice my opinions and my mom’s adoption story, I wonder whether my biological grandparents have the same luxury. I wonder whether they could push back against openness in adoption records, even if they were so inclined. It seems unreasonable to expect aging birth parents to be vocal or visible in their opinions, especially if the privacy promised to them years ago is precisely what they would like to maintain.

 

Anything Can Happen to Anyone at Any Time

By Kate Lennon, Elder Law Clinic Student, Spring 2016

Preparing for the worst case scenario is never fun. What the Elder Law Clinic has taught me is that everyone should plan for the future, regardless of how unlikely, unnecessary, or discomforting this planning may seem. Upon signing up for the Clinic, I envisioned that we would be helping people who have current legal problems, and while we do a significant amount of that, I was surprised to learn that we could do so much for those people who had yet to have any serious problems occur in their lives. If I had to choose one thing I learned from the Clinic to pass on to others, it would be to plan now.

I know some readers will think, “well sure, I know that I am supposed to plan, but how am I supposed to make decisions for such unlikely circumstances,” or  “I have plenty of time to make these choices.” I can relate to that. On the first day of class, our clinic’s supervising attorney told us we should have a power of attorney in place for ourselves, and I thought, like many of you, that I have plenty of time to create a document like that. Truth is, without my clinic experience, I would have likely been saying the same thing at 65 years old as I said at 24 years old: “I have plenty of time.” The reality is, we will always feel like we have plenty of time, until problem strikes, in which case, we will have no time at all to make these decisions.

This brings me to why planning now is so important. While there are likely many reasons why planning proactively is better than trying to make decisions in crisis, I would propose three key reasons that I think will resonate with a lot of readers. First, the unlikely or unfortunate scenarios CAN and DO happen. While it is a bit unsettling, even the healthiest person can face an unfortunate day when they need emergency medical care; when they cannot make decisions for themselves; or when their family is faced with the devastating news of their death. I, like many of you, also find this to be a hard topic to think about, but it is important to remember that it will be even harder to think about these things while they are happening.

That brings me to my second reason: planning now will help your loved ones make decisions in the unfortunate event that something does happen to you. If an unfortunate situation does arise, your loved ones will be in a heightened emotional state. During that time, they will at least find some solace in the fact that you have planned for the situation, leaving them with instructions and guidance on what to do. Having these plans laid out will also decrease the amount of conflict that might arise among your loved ones.

Finally, to my third reason: planning now will give you, and your loved ones, peace of mind as you move forward in life. While beginning to think about unfortunate circumstances is initially unsettling, once you have finished planning, you will find comfort in the fact that if something were to happen, you are as prepared as you can be. In addition, your loved ones will find comfort in the fact that they will have instruction if certain difficult situations were to arise.

So my one suggestion is to plan now, while you have “plenty of time,” rather than waiting until there is no time to make decisions. Implement medical directives, Powers of Attorney, and a Last Will and Testament. While we may not be able to stop bad things from happening, we can plan so that we are ready if they do. As our clinic’s supervising attorney says, “Anything can happen to anyone at any time.”

How to Provide For Your Pet

By Elspeth Berry, Elder Law Clinic Student, Spring 2016

In many modern households, pets are considered to be part of the family. For some, pets are the closest thing they have to children. When a pet is that important to someone, it would make sense that he or she would wish to provide some security for them in a will or other estate planning document. What happens if you become mentally or physically incompetent and cannot take care of your pet for a period of time? What happens to your pet upon your death? Can you leave money specifically for the care and maintenance of your pet? Fortunately, there are estate planning options available to pet owners in these situations that can help set their minds at ease regarding their pets’ futures.

Because pets are considered to be personal property themselves, they cannot inherit anything on their own. The pet owner must therefore provide for his or her pet indirectly. The first thing a pet owner should do is decide to whom they feel comfortable leaving their pet, and then ask that person if they would be willing to assume this responsibility. Once the pet owner makes this decision, and the potential caretaker agrees, he or she may make a specific bequest of the pet in their will to the person they have chosen. The pet owner may also provide for his or her pet during periods of physical or mental incompetency by including a provision in his or her durable power of attorney that names a caretaker for the pet and authorizes funds to be distributed from the estate for the care of the pet. In order to pay the pet’s expenses after the pet owner’s death, he or she may also make a specific bequest of money to the chosen caretaker in his or her will, with the precise instructions that this money be used for the benefit of the pet. Another way to leave money to a pet is by making a trust for them, which a person can do in some states including Virginia. The trustee, or administrator of the trust, has a legal duty to administer trust funds for the sole benefit of the beneficiary, in this case, the pet. A trust can be created for more than one beneficiary, so if a pet owner has more than one pet, he or she may make them all equal beneficiaries. The trust terminates either when the single pet dies or when the last surviving pet dies, if there are multiple pets named as beneficiaries.

While there are no guarantees that a pet owner’s beloved animal will be loved and cared for precisely in the way that he or she would wish, the methods described above can help make sure that the pet is at least looked after by someone chosen and trusted by the pet owner. This can provide some important peace of mind during and after the estate planning process.

 

Adult Children, Caretaker Parents, and the Scope of a General Power of Attorney

By Charles Lambdin, Elder Law Clinic Student, Spring 2016

As parents age, they often adopt a power of attorney allowing their spouse, child, another relative, or close friend to make decisions for them as an agent in the event they cannot make those decisions for themselves. This power of attorney can be designed to activate only when the individual becomes mentally incapacitated (i.e. unable to handle his own financial affairs). At least one physician must determine that the individual is mentally incapacitated. With these safeguards in place, concerns about the amount of power being handed over decreases. The power of attorney may be broad in scope, but the powers within it are not readily accessible until incapacity.  This is commonly referred to as a “springing” power of attorney.

But what happens when an adult child needs some assistance immediately even though he still has the mental capacity to make most of his own decisions? This is where the strengths and weaknesses of having a caretaker parent become more obvious. Caretaker parents often provide many benefits to disabled adult children; they may take them to appointments, manage their affairs, sort their prescription medications, and provide a loving atmosphere free from the guilt that one might feel from relying on a caretaker. There is a downside, however. Parents are used to making decisions on behalf of their children whether by opening up a savings account at the bank or filing their taxes during those college years when many children are barely aware that they are paying taxes. Adult children with caretaker parents walk the fine line between being an independent adult and a dependent child. They may need their parents to help manage some of their affairs but do not want to give up full control.

This is where a “split” power of attorney can help. A power of attorney can be designed to come into effect immediately. This gives the agent the ability to exercise the powers as soon as the document is signed. A mildly-incapacitated adult child might find this very useful. It would allow the caretaker parent to speak with creditors, talk to doctors, and manage the adult child’s finances whenever it was necessary for the parent to step in. The risk, however, is that the caretaker parent might take things too far. This may include selling or transferring assets without the adult child’s consent or making large purchases that the child may need but should also be involved in.  However, a power of attorney that is limited in scope could protect the adult child’s relationship with the caretaker parent by narrowing the powers given to the caretaker parent. The powers could be limited to only paying bills and picking up medications, for example. Any day-to-day task that the adult child needs help with can be included. The broader scope of powers that one usually finds in a power of attorney would then exist in a “springing” power of attorney. The springing powers would only come into effect if the adult child becomes mentally incapacitated. Thus, by narrowing the scope of the powers that are immediately available, the adult child and the caretaker parent avoid the risk of overstepping boundaries and are protected by the second springing power of attorney that gives the caretaker parent full power to manage the adult child’s affairs should he become mentally incapacitated.

Medicaid – A Complex Solution to a Complex Problem

By Darius Rohani-Shukla, Elder Law Clinic Student, Spring 2016

In many walks of life, when someone is confronted with legal complexities, an obvious solution is to consult a lawyer.  However, indigent elderly people often cannot afford a lawyer, and at this intersection, the Elder Law Clinic is able to fill an important need to the Williamsburg community. The life span of an average person has lengthened over time due to medical advances, so as the “baby boomer” generation ages, there are significantly more elderly citizens than ever before who will need help taking care of themselves.  Elder Law as a whole is a field that is becoming increasingly important and relevant to society; it incorporates a wide range of issues that affect the elderly, such as estate planning, creating trusts, guardianships, powers of attorney, veterans benefits, and Medicaid.

Medicaid is a welfare health care program;  the eligibility rules are confusing and thus qualifying for benefits can be very overwhelming.  There is a litany of options available to them in order to achieve both the financial and non-financial determinations of eligibility.  Financially, there are limits on assets and income, and there are several ways of “spending down” the assets to become eligible. Some examples are putting  money into different types of trusts, annuities, personal property, renovations to a personal residence, burial plots, cars, houses, and specific types of life insurance.  Each of these options can have specific costs and benefits unique to it, and depending on the individual, may be more effective or less.  Making a mistake in these areas by transferring assets in a way that does not comply with the Medicaid rules can cause a penalty period, where for a certain length of time the individual will not be eligible for Medicaid.  If this occurs, the individual will have to either pay for care out of pocket, be taken care of by family, or if already living in a facility, become the financial responsibility of the facility until the penalty period expires.  For this reason, it is of the utmost importance that when a person expects to use Medicaid to pay for long-term care expenses, he is careful in making any transfers of assets and consults a lawyer for legal advice on the eligibility and transfer rules. Mistakes made can have significant affects on the person, both financially and personally, and potentially for the rest of his life.

Alzheimer’s and Elder Law: What Do You Need to Know?

By Ambria Armstrong, Elder Law Clinic Student, Fall 2015

Today, there are over five million Americans living with Alzheimer’s, and it is the sixth leading cause of death in the U.S. No one wants to consider the possibility that their loved one may be showing signs of Alzheimer’s disease, but recognizing the early signs is important – for proper care, and for legal purposes.  It may be harder than you think to determine if your loved one is competent to make his own decisions, and it may be uncomfortable to bring up the possibility.  Some signs of Alzheimer’s or dementia might appear to you like simple signs of old age. The Alzheimer’s Association provides ten symptoms to watch for:

  1. Memory loss that disrupts daily life. However, a typical age-related change would be to sometimes forget names or appointments, but remembering them later.
  2. Challenges in planning or solving problems. Making occasional errors when balancing a checkbook is nothing to be concerned about, but having trouble following a familiar recipe might be a sign of Alzheimer’s.
  3. Difficulty completing familiar tasks at home or work. Needing help driving to a familiar location or remembering the rules to a favorite game may be signs of Alzheimer’s, but you shouldn’t be worried about helping your loved one to use technology, for example.
  4. Confusion with time or place. People with Alzheimer’s can lose track of dates, seasons, and the passage of time, or trouble understanding something if it is happening in the future.
  5. Trouble understanding visual images and spatial relationship. Vision changes related to cataracts or old age are nothing to be concerned about, but you may want to consider all of these factors if your loved one has trouble judging distance or determining color.
  6. New problems with words in speaking or writing. People with Alzheimer’s may have trouble holding a conversation; they may repeat themselves, struggle with vocabulary, or call things by the wrong name.
  7. Misplacing things and losing the ability to retrace steps.
  8. Decreased or poor judgment. They may, for example, give large amounts of money to telemarketers, or pay less attention to their cleanliness.
  9. Withdrawal from work or social activities. People with Alzheimer’s may have trouble keeping up with their favorite sports team or remembering how to do their favorite hobbies. They may also avoid being social because some of these other changes they have been experiencing.
  10. Changes in mood and personality. A person with Alzheimer’s may frequently become confused, suspicious, depressed, fearful, or anxious.

If you notice these signs in yourself or your loved one, you should make an appointment with your doctor. Do not ignore them.  With early detection, you can get some treatments which may help with some of the symptoms, and you can plan for future care, living arrangements, and legal options for your estate.

Just a few weeks ago, there was a Walk to End Alzheimer’s here in Williamsburg. So what kinds of research are medical professionals doing to work towards the end of Alzheimer’s?  Out of the top ten leading causes of death, Alzheimer’s is the only one that cannot be prevented, cured, or slowed. There are medications for some of the symptoms of Alzheimer’s, such as medications for memory loss and confusion, irritability, anxiety, depression, or sleep changes. Researchers are working to understand brain functioning to determine what causes the changes in the brain with Alzheimer’s disease.

If your loved one is not competent to make his or her own decisions, it’s important to make sure they are properly cared for.  If your loved one has a full durable power of attorney, that will be sufficient to allow their directed agent to make decisions regarding care of the elderly person. However, if no durable power of attorney exists, a friend or family member can petition the court to obtain guardianship or conservatorship.  This is another way to make sure that someone with Alzheimer’s receives the care and living arrangements they need.  It is important to recognize the signs and symptoms of Alzheimer’s early, so that the elderly person’s wishes can be known and carried out in their best interest.  For more information on Alzheimer’s disease, please visit the Alzheimer’s Association website.

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