Navigating Your Later Years For Dummies

Chapter

Discovering How Your Options Are Changing

Looking at why changes are being made

Keeping up with insider language

Meeting Your Changing Needs

Location, location, location

Timing and flexibility

Getting Professional Advice

Chapter 2 A Personal Inventory: Past, Present, and Future

Looking at the Present — and the Future

Healthcare needs

Family, friends, and professionals

Personality characteristics

Attitudes about money

Creating a Plan Based on Your Profile

Drawing a CareMap to Visualize Your Profile

Chapter 3 Finding Services

Where to Turn for Help

Organizing your research

Federal government programs

State and local programs

Community-based organizations

Taking Your Research to the Next Level: Site Visits for Housing

Tips for your tours

Federal and state regulations

Chapter 4 Making Decisions: A Family Affair

Holding Family Meetings

Who should be included?

When should you get together?

What should be on the agenda?

Being Considerate of Others

Allocating responsibilities

Bringing in the outer circle

Dealing with Conflict

Mediators and counselors

Consensus and compromise

Part 2 Choosing Where to Live

Chapter 5 Staying in Your Home

Staying at Home in Your Community

Dealing with Two Major Hazards

Preventing falls

Preventing burns

Modifying a Home

Categorizing types of home modifications

Checking out accessibility

Finding a contractor

Getting help paying for home modifications

Seeking Help at Home

Allocating tasks to family

Searching for services

Finding help for other chores

Putting technology to use

Preparing for an Emergency

Creating a support network

Making an emergency plan

Putting together a disaster kit

Chapter 6 Under One Roof: Generations Living Together

Multigenerational Living: Everything Old Is New Again

Why different generations are living together

Defining family households by generation

Considering family reactions before making a decision

Where Should We All Live? Considering the Options

Having a relative move in with you

Preparing to move into your parent’s home

Making fair financial arrangements

Making the Move

Getting started

Planning ahead

Sorting and packing

Settling in

Checking In over the Long Haul

Chapter 7 Downsizing for Now and Later

The Emotional Aspects of Downsizing

Downsizing and Home Renovations

Getting Started

Putting together important papers

Sorting and decision making

Donating or selling items

Hiring professional help

Making the Move

Chapter 8 Assisted and Independent Living and Other Group Settings

What Is Assisted Living?

Interpreting industry and government language

Getting to know what assisted living offers

Checking out healthcare services

Finding more information on assisted-living facilities

Evaluating the Cost of Assisted Living

Choosing from the menu of cost plans

Asking questions to create a monthly budget

Beyond the Brochure: What to Look For When You Visit

Making notes about the common areas

Checking out the residential units

Investigating continuing care

Pitfalls to Avoid

Unnecessary trips to the ER

Additional costs or a move after a hospital stay

Exclusion from social activities or dining room seating by other residents

Failing to read the contract

Independent Living and Other Options for Group Living

Independent living for seniors

Affinity or niche communities

Cohousing arrangements

House sharing

Group homes

Chapter 9 Beyond Your Home: Living in a Community

Understanding Why Community Matters

Defining age-friendly communities

Looking at livable-community initiatives

Taking a Walk Around Your Community

Looking at sidewalks and surrounding areas

Checking for places to stop, shop, and chat

Rating your community

Finding Community Services

Considering NORCs and Village Networks

Navigating NORCs

Joining a Village

Chapter 10 Getting Around: Transportation Options

Judging Whether Driving Is Still Safe

Watching for warning signs of unsafe driving

Starting the conversation

Making Your Car Fit You

Increasing safety with new technology

Choosing a new vehicle

Modifying vehicles

Knowing When It’s Time to Give Up the Keys

Finding Alternatives to Driving

Public transportation and paratransit options

Private options

Part 3 Legal and Financial Planning

Chapter 11 Unraveling the Rules of Medicare and Medicaid

The Distinction between Medicare and Medicaid

Looking at Medicare Basics

Are you eligible for Medicare?

What’s included in Original Medicare

What you get with Medicare Advantage plans

Prescription drug coverage

Durable medical equipment coverage

Home healthcare services

Medicaid Ground Rules

Are you eligible for Medicaid?

What services Medicaid offers

How Medicaid works with home- and community-based programs

Medicaid managed long-term care

Coordinating Benefits

PACE programs

Coordination with other health insurance

Chapter 12 Paying for Care: Long-Term Care Insurance and Other Options

Reviewing the Ups and Downs of Long-Term Care Insurance

Traditional long-term care insurance

Group and employer-based long-term care insurance

Hybrid long-term care insurance

Short duration long-term care insurance

Asking questions when considering any type of long-term care insurance

Continuing to pay rising premiums

Getting your claims paid for

Receiving Money through Annuities

Using Disability Insurance

Selling Your Policy: Life Settlements

Considering a Reverse Mortgage

Chapter 13 Financial Matters: Money Management, Wills, Trusts, and More

Managing Money

Opening joint bank accounts

Granting financial powers of attorney

Where There’s a Will . . .

Taking inventory of your assets

Considering types of wills

Choosing the executor

Taking the final steps

Settling the Estate with Probate

Reviewing the Rules on Estate Taxes

Establishing a Trust

Pros and cons of living trusts

Special-needs trusts

Considering Guardianship

Part 4 Managing Your Healthcare

Chapter 14 Choosing Good Medical Care

Checking on the Special Medical Needs of Older Adults

Identifying common chronic conditions

Dealing with multiple ailments

Finding the Right Specialist to Manage Care

Considering the need for a geriatrician

Finding a geriatrician

Navigating Hospitals

Where to go for emergencies and non-emergencies

Being admitted to the hospital

Planning for a hospital stay

Polypharmacy: Too Many Drugs?

Using caution with certain drugs

Getting medications right

Other risks and questions

Chapter 15 Demystifying Home Care

Examining Varieties of Home Care

Surveying Services from a Home Healthcare Agency

Defining different kinds of home care agencies

Choosing a home care agency

Paying for Home Care

Looking at Medicare’s rules for eligibility for home healthcare services

Understanding Medicaid home care

Other kinds of insurance

Hiring home care workers on your own dime

Working with Home Care Aides

Paying Family or Friends to Provide Care

State programs

Long-term care insurance

Caregiver contracts

Is There a Doctor in the House?

Chapter 16 Understanding the Different Roles of Nursing Homes

Beginning with Nursing Home Basics

Defining nursing homes

Moving from a hospital to short-term rehab

Comparing nursing homes for a long stay

Visiting Nursing Homes

Checking off important points

Noting policy details

Checking Out New Models of Nursing-Home Care

Eden Alternative

Green House Project

Beatitudes

Responding to Residents’ Problems in Nursing Homes

Chapter 17 Getting the Healthcare You Want (And Avoiding What You Don’t Want)

Talking about Future Healthcare Decisions

Realizing the importance of advance planning

Making wishes known with advance directives and living wills

Dealing with the Rules of Advance Directives

Finding the forms for advance directives and living wills

Putting all your wishes down on paper

Choosing a healthcare proxy

Adding do not resuscitate (DNR) orders

Keeping your advance directive accessible

Choosing Physician Orders for Life-Sustaining Treatment (POLST)

Understanding Care Options for Serious Illness: Palliative Care and Hospice

Palliative care

Hospice

Part 5 Services for Special Groups

Chapter 18 LGBT Older Adults

Recognizing LGBT Aging and Health Issues

Physical conditions

Mental health risks

Knowing Legal Protections and Their Limits

The U.S. Supreme Court and same-sex marriage

Obama presidential memorandum on hospital visitation

Keeping Legal Documents at the Ready

Finding LGBT-Friendly Providers and Facilities

Finding healthcare providers

Considering independent- or assisted-living facilities and nursing homes

Looking at LGBT-specific options

Chapter 19 Services for Veterans

Getting into the VA System

Comparing the VA to other healthcare systems

Understanding eligibility for VA healthcare

Supporting Veterans and Their Families

Shared decision making

Caregiver support

Noting VA Options for Older Veterans

Receiving pensions

Using Aid and Attendance and Housebound programs

Finding the Right Residential Setting or Nursing Home for Veterans

Veterans’ medical foster homes

Community living facilities (nursing homes)

State-operated veteran homes

The domiciliary program

TRICARE For Life

Using Other Resources to Navigate the VA System

Chapter 20 Family Caregivers

Defining Family Caregivers

Family caregivers by the numbers

What family caregivers do

Family caregivers’ rights and obligations

Becoming a Family Caregiver

Identifying yourself as a family caregiver

Readying yourself for negotiation

Checking Out Different Types of Family Caregivers

Family caregivers who are employed

Long-distance family caregivers

Multicultural caregivers

Looking at Your Caregiving Experience through a CareMap

Looking for Help

Family and friends

Federal programs

State programs

Community-based organizations

Internet resources

Part 6 The Part of Tens

Chapter 21 Ten Myths about Aging and Future Care

Serious Memory Lapses Are Normal in Older Adults

Older People Fall: Not Much You Can Do about It

Antibiotics Are the Best Drugs for Older Adults with Coughs and Colds

Americans Dump Their Older Relatives in Nursing Homes

Medicare Pays for All Long-Term Care

Hospice Is Just a Place Where People Go to Die

Millionaires Take Advantage of Medicaid

If I Need Care, I’ll Wind Up in a Nursing Home

Assisted-Living Facilities Are Regulated Like Nursing Homes

Long-Term Care Insurance Covers All Your Needs

Chapter 22 Ten Resources with State-by-State Information

Identifying Local Services through Area Agencies on Aging

Assessing Assisted-Living and Rehabilitation Facilities

Finding Services and Housing Options through Eldercare Locator

Getting Support for Family Caregivers

Modifying Your Home with Rebuilding Together

Getting Information on Medicaid in Your State

Calculating Costs

Finding Your State’s Advance Directives

Solving Problems through an Ombudsman

Resolving Complaints through BFCC-QIOs

Part 7 Appendixes

Appendix A Glossary

Appendix B Resources

Index

EULA

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