Globe Syndicate

 

For release Friday April 07, 2006

 

 

The Sandwich Generation . . . Helping Your Aging Parents

 

by Carol Abaya, M.A.

 

 

MEDICARE AND MEDICAID ALERTS

 

Medicare Part D (Drug) Alert:  Confusion continues as the sign-up deadline for Medicare Part D (drug plan) nears (May 15).

            The Centers for Medicare & Medicaid Services (CMS) is hosting weekly conference calls, so participants and their families can get accurate information directly related to their specific case.

            The calls are being taken on Tuesdays from 2 p.m. to 3 p.m. EST.  The telephone number is 1-800-619-2457. Reference the password “Part D.”

            My own advice:  if you can’t check out the financial stability of the insurance company offering the drug plan and its payment history, stay away.  The federal plan offers a more secure plan, even though there is that doughnut in payment schedule.

 

Medicaid Alert:  The federal government continues to crack down on asset transfer in for a person order to qualify for Medicaid services.  The look back period is now five years, and certain annuities are now included in asset/income calculations.  Changes have also been made in relation to home ownership, with new restrictions if the home equity is $500,000 or more.

 

Question:  We had to place my mother, 89, in a nursing home.  It broke my heart to do so.  In the three months she has been there, she has fallen three times.  In the last fall she broke her arm.  We're paying a lot of money for her care.  Should we sue the home for negligence?

 

Answer:  NO!  No one or facility can guarantee a patient will never fall down.  There are some people, especially those with a moderate or severe level of dementia or Alzheimer’s, who have an inherent higher natural risk.

            A new tool to determine the likelihood of a person falling is the Reality Comprehension Clock Test.  This test’s for visual-spatial awareness, which is the ability to assess the distance between and the relationship to various objects and one’s self.

            Place a clock in front of your mother and ask her to draw it.  The amount of distortion will tell you the level of her visual perception and is a problem indicator.

            Her falls may also be the result of poor eyesight and being in a new, unfamiliar place.

 

Question:  My father, 67, has an ulcer and has reacted badly to several different medicines.  Even the doctor is having a hard time finding a medicine that will help him and not give him the bad reactions.  Why can’t the doctor really help?  Should we get another doctor?

 

Answer:  I am not doctor.  But I think getting another doctor may not guarantee any better results.  Your father’s problem is not uncommon.  I don’t want to scare you, but according to the American Medical Association, 100,000 die each year as a result of serious adverse drug reactions.

            Also, according to the AMA, each person has a different ability to metabolize drugs.  So the way your father’s body absorbs, distributes and metabolizes the medicines may be the culprit.  Different genes apparently determine the ability to process -- or not -- drugs.  Research is now more aggressively focusing on genes and drug reactions.

 

 

Are you juggling doing errands for your aging parents, your children, yourself and working at the same time?  Are you tired, stressed out and upset that your once vibrant parent is now frail and needy?

 

Do you feel alone?  Rest assured you are not alone!  The Sandwich Generation is dedicated to the 50 million Americans who may have elder/parent care concerns and/or responsibilities.

 

 

 

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Do you have a question? Send it in. Although letters cannot be answered individually, appropriate letters will be answered in this column whenever possible. Letters may be edited. Send letters to Ms. Carol Abaya, mail direct to her at PO Box 132, Wickatunk, NJ 07765-0132 or contact her through her web site: thesandwichgeneration.com.

 

Carol Abaya is an international-award-winning journalist and creator of the unique magazine The Sandwich Generation: You & Your Aging Parents.

 

NOTES TO EDITORS: text = 573 words; other material = 160 words

 

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