Friday, 30 September 2016

Aging in Place

It seems of late, I have been hearing a lot about "Aging in Place". For those unfamiliar with the term, it generally refers to staying in the same place as your needs change and bringing in supports and services to help you manage in your chosen home. While in the past, this was something retirement homes offered, it seems more and more we are hearing this term referred to for those wishing to stay in their private residence as they age.

While staying in one's own home is something most assume (I don't know anyone who talks about a future in a nursing home), it is something that needs to be planned for. Clearly, no one knows what their future holds but there are ways in which one can ensure that they can stay in their home for as long as possible.

Of course, finances are probably the biggest issue. Depending on the type of home you are in, beyond being able to cover the costs of residing in your home, in order to stay there as you age, one might need to renovate, or spend money on care. That being said, if this is the goal, then it may make sense to downsize in retirement to a single level home and one that does not require much maintenance. The type of home you are in can impact your ability to stay independent in your later years.One would need to consider the kind of modifications your home would require as you age and if you will have available funds to pay someone to help maintain your home and provide services to you if you require them.

For those who live in a small community, you may wish to consider/investigate the type of resources or supports in your area for seniors who require help. While your community may meet your needs when you are young, it may not be 'age friendly' for seniors requiring help.

Do keep in mind, that despite one's desire to age in place in their own home, for some this is simply not possible regardless of how much planning one does. As well, sometimes even if you are able to manage in your own home with supports an alternative like a retirement home is more feasible. On a regular basis I witness how retirement homes keep people healthy and engaged through social stimulation, good care and proper nutrition. Many who live in a supportive setting do far better than they would have done living in their own home with supports.

For more information on Aging in Place visit http://www.seniors.gc.ca/eng/working/fptf/place.shtml

Friday, 2 September 2016

Home Help

In recent years there seems to be an increasing number of companies who provide care to seniors in their own homes. For those who don't qualify for CCAC services, or for those who need more than what CCAC can provide and wish to stay in their own homes for as long as possible, this is often a very viable option (as long as it is affordable). However, as with any service geared to a vulnerable population, be it children or seniors, it is always best to take a 'buyer beware' attitude. While the large majority of companies are wonderful, well-meaning and caring organizations, there is always the possibility that a company you hire, may not be as reliable as one would expect. To this end, there are several questions one might want to ask before hiring a company to provide care for your loved one in their home. It is always smart to interview care providers before you commit to hiring them and always best to contact a few companies so you can compare what each offers.
Suggested questions include:
1. How long have they been in business?
2. Do they have any kind of accreditation (if they do, investigate them with the accrediting body)?
3. What services do the offer?
4. What qualifications do their employees have?
5. How do they screen employees (back ground checks, vulnerable person screening etc.)?
6. Do they provide extra training to their employees? If so, what kind of training?
7. How do they monitor their staff and track hours?
8. Are they licensed, insured and bonded? Is there agency liability coverage?
9. How do they share information between staff?
10. Do supervisors do surprise visits?
11. Can you interview the caregiver/s before hiring them?
12. Do the same staff visit each time?
13, What is the cost of service? Is there a minimum number of hours? How often are fees increased?
14. What emergency procedures are in place? (feel free to create scenarios of what situations you would consider an emergency)
15. Is there a contract you must sign (ask to see a copy in advance of hiring them)?
16. Can they provide references for their agency and the specific caregivers you would be using?

These are just a few questions to consider. Spend some time thinking about additional things you would like to know before making your calls. As well, you might want to speak with others who have been through this process to find out what things are important to them and what they found helpful or problematic when they hired private help. Its always best if you are prepared and do your research before a crisis hits.