In this episode of The Care Table podcast, host Amy Huddleston engages with elder law attorney Brendan King to demystify the often misunderstood concepts of estate planning and elder law. They discuss the importance of estate planning for everyone, regardless of wealth, emphasizing that it encompasses both disability and death planning. Brendan explains the probate process, the significance of powers of attorney, and the necessity of having a healthcare power of attorney in place. The conversation highlights the potential pitfalls of neglecting these legal documents, particularly in scenarios involving dementia or incapacity, and stresses the importance of early planning to avoid complications later on.

Brendan shares practical advice on how to set up financial and medical powers of attorney, the differences between revocable and irrevocable trusts, and the implications of debt after death. The episode also touches on the emotional aspects of estate planning, including the legacy left behind and the importance of clear communication within families. Listeners are encouraged to take proactive steps in their estate planning to ensure peace of mind for themselves and their loved ones.

Takeaways:

- Estate planning is for everyone, not just the wealthy.
- Probate can be avoided with proper planning.
- Powers of attorney are crucial for managing finances and healthcare decisions.
- It's never too early to start estate planning.
- Guardianship can be messy; planning ahead can prevent it.

Sound Bites:

"Estate planning is for everyone."
"All of this planning is a gift, really, to your family."

Products/Books/Resources:

Brendan King Law Offices: https://lawbtk.com/
“I’m Dead, Now What” Organizer: https://amzn.to/4qXPtoK

Some of the links provided are affiliate links. I may receive a commission if you purchase through these links. Thank you for your support.

Chapters:

00:00 Introduction to Elder Law and Estate Planning
02:51 Defining Probate
07:13 When to Start Estate Planning
09:00 Consequences of Delayed Planning
12:01 Powers of Attorney Explained
19:34 The Role of Trusts in Estate Planning
22:32 Revocable vs. Irrevocable Trusts
25:46 Medicaid Planning and Irrevocable Trusts
27:05 Navigating Dementia and Estate Planning
30:09 Managing Finances with Power of Attorney
31:45 Understanding Financial Oversight for Aging Parents
33:10 The Importance of Medical Power of Attorney
34:31 Navigating Estate Planning for Young Adults
37:48 Debunking Myths About Inheriting Debt
39:43 Addressing Financial Exploitation in Families
41:40 The Role of Guardianship in Protecting Vulnerable Adults
44:39 Planning for Funeral Arrangements
47:37 Understanding Medicaid and Asset Protection
50:32 The Emotional Impact of Estate Management
55:34 Finding the Right Legal Support for Estate Planning

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In this episode of The Care Table podcast, Deborah Archer shares her long-distance caregiving journey for her parents, highlighting the emotional and logistical challenges faced while caring for a loved one from afar. The conversation delves into the importance of family dynamics, the role of hired caregivers, and the impact of regulations on caregiving. Deborah emphasizes the need for love, understanding, and communication among siblings during this difficult time, as well as the significance of recognizing early signs of decline in loved ones. The discussion also touches on financial considerations, the value of hospice care, and the necessity of leading with love in caregiving decisions.

Takeaways:

- Deborah cared for her parents long-distance while her sister was nearby.
- Hiring help can be challenging but necessary for caregivers.
- Regulations for caregivers vary by state, impacting care options.
- It's important to recognize early signs of cognitive decline.
- Sibling dynamics play a crucial role in caregiving situations.
- Leading with love can guide caregiving decisions.
- Financial planning is essential for long-term care.
- Hospice care can provide valuable support and resources.
- Communication with caregivers is vital for ensuring quality care.
- Caregiving can be emotionally taxing, requiring patience and understanding.

Sound Bites:

"Caregiving is a labor of love."
"Lead with love in caregiving."
"It's emotional and it's hard."

Products/Books/Resources:

Blink Mini Security Cameras: https://amzn.to/3Zh1Noj

Some of the links provided are affiliate links. I may receive a commission if you purchase through these links. Thank you for your support.

Chapters:

00:00 Introduction to Caregiving Journeys
00:54 Deborah's Long-Distance Caregiving Experience
02:22 The Role of Family in Caregiving
04:15 Hiring Help: Navigating Caregiver Dynamics
08:50 Understanding Caregiver Regulations in Different States
11:52 Adapting to Mom's Needs: The Shift to Home Care
14:51 Challenges of Caregiving: Emotional and Physical Strain
18:47 Financial Considerations in Caregiving
22:02 Sibling Dynamics in Caregiving
23:14 Resources and Tools for Caregivers
25:47 The Importance of Hospice Care
29:54 Navigating Difficult Conversations with Caregivers
31:39 Recognizing Early Signs of Decline
34:40 The Impact of Personality Changes on Caregiving
37:57 Finding Peace Amidst Fear and Delusion
50:40 Leading with Love in Caregiving
54:01 Final Thoughts and Advice for Caregivers

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
Follow us on Instagram: https://www.instagram.com/thecaretable/
Visit us on Facebook: https://www.facebook.com/people/The-Care-Table/61580615603797/
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In this episode of The Care Table podcast, Amy Huddleston interviews Gail Rosen, a geriatric care manager, to explore the vital role of geriatric care management in supporting older adults and their families. They discuss the responsibilities of a geriatric care manager, the importance of building trust with clients, navigating healthcare options, and the emotional complexities involved in caregiving. Gail shares personal stories and insights on how to advocate for seniors, manage family dynamics, and ensure that the wishes of older adults are respected. The conversation emphasizes the need for compassion, understanding, and the importance of finding joy in aging.

Takeaways:

- Geriatric care managers serve as advocates for clients and families.
- Building trust takes time and is essential for effective care management.
- The role of a geriatric care manager differs from that of a social worker.
- Understanding payment options is crucial for families seeking care management services.
- Navigating facility placement requires careful consideration and support.
- Initial assessments focus on the safety and well-being of the client.
- Family dynamics can complicate care decisions, requiring skilled mediation.
- Finding joy in aging is important for overall well-being.
- Geriatric care managers coordinate care but do not provide direct services themselves.
- Financial considerations and insurance options are critical in managing elder care.

Sound Bites:

"We're the hub of a wheel."
"It's about joy."

Products/Books/Resources:

Aging Life Care Association to locate a geriatric care manager: ​​https://www.aginglifecare.org/

Chapters:

00:00 Introduction to Geriatric Care Management
01:02 Role of a Geriatric Care Manager
02:59 Advocacy and Trust Building
06:12 Crisis Management and Client Stories
08:57 Understanding Payment and Services
10:59 Navigating Facility Placement
13:46 Initial Assessment and Safety
18:04 Coordinating Care with Family Involvement
21:02 Fostering Joy and Fun in Aging
23:49 The Hub of the Wheel: Connecting Services
28:02 Financial Considerations in Geriatric Care
31:06 The Importance of Advocacy and Support
36:37 Navigating Insurance Challenges
39:48 The Role of Geriatric Care Managers
47:03 Understanding Veterans Benefits
48:16 Dealing with Resistance to Care
51:53 Reflections on Personal Growth in Caregiving
57:59 The Emotional Toll of Caregiving
01:00:00 Finding the Right Geriatric Care Manager

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
Follow us on Instagram: https://www.instagram.com/thecaretable/
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Our website: https://www.thecaretable.com/
Email us: info@thecaretable.com

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In this episode of The Care Table podcast, Dr. Jenny Silvestain, an audiologist, discusses the complexities of hearing loss, the importance of regular hearing tests, and the various options available for treatment, including hearing aids. She emphasizes the psychological barriers many face when considering treatment and the significant connection between untreated hearing loss and cognitive decline. The conversation also covers caregiver strategies for supporting individuals with hearing loss and the financial aspects of obtaining hearing aids.

Takeaways:

- An audiologist specializes in diagnosing and treating hearing loss.
- Most adults over 50 should get a baseline hearing test.
- Hearing loss can be gradual or sudden, influenced by various factors.
- Hearing aids come in different styles and features, tailored to individual needs.
- Many patients delay treatment for hearing loss, impacting their quality of life.
- Hearing loss can be confused with dementia, leading to misdiagnosis.
- Regular hearing tests are crucial for tracking changes in hearing ability.
- Caregivers play a vital role in supporting individuals with hearing loss.
- Financial assistance for hearing aids is limited, but options exist.
- Communication strategies can significantly improve interactions with those who have hearing loss.

Sound Bites:

"An audiologist is essentially a doctor of hearing."
"Most adults over 50 have some degree of hearing loss."
"Hearing loss can happen to anyone at any age."

Products/Books/Resources:

Wireless Headphones for TV with LED display: https://amzn.to/4qeqwpf
TV Ears Digital Wireless Headset System: https://amzn.to/4pAFeWl
American Academy or Audiology to find a local audiologist:
https://members.audiology.org/cvweb/cgi-bin/memberdll.dll/info?wrp=find-an-audiologist.htm

Some of the links provided are affiliate links. I may receive a commission if you purchase through these links. Thank you for your support.

Chapters:

00:00 Understanding Audiology and Hearing Loss
02:37 The Importance of Hearing Tests
05:15 Types and Degrees of Hearing Loss
08:38 Earwax and Hearing Health
09:44 Hearing Aids: When to Consider Them
10:56 The Psychological Barriers to Hearing Aid Acceptance
14:06 The Consequences of Untreated Hearing Loss
16:56 Hearing Loss vs. Dementia: Understanding the Confusion
20:36 Choosing the Right Hearing Aid
24:15 Understanding Online Hearing Tests
26:48 The Role of Audiologists in Hearing Care
30:02 Navigating Hearing Aid Options
32:47 Communication Strategies for Caregivers
35:57 Financial Aspects of Hearing Aids
38:51 Resources for Hearing Aid Assistance
42:50 The Importance of Regular Hearing Tests

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
Follow us on Instagram: https://www.instagram.com/thecaretable/
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Our website: https://www.thecaretable.com/
Email us: info@thecaretable.com

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In this episode of The Care Table podcast, Amy Huddleston interviews Helen Bauer, a seasoned hospice and palliative care nurse, to demystify hospice care and its benefits. They discuss the philosophy of hospice, the interdisciplinary team involved, and the importance of early engagement with hospice services. Helen shares insights on palliative care, the role of spiritual support, and the common myths surrounding hospice. The conversation emphasizes the need for open communication and planning in end-of-life care, encouraging families to seek help sooner rather than later.

Takeaways:

- Hospice is a philosophy of care, not a place.
- Over 90% of patients prefer to die at home.
- Hospice care is for those with a life expectancy of six months or less.
- The hospice team includes doctors, nurses, social workers, and chaplains.
- Patients can still receive therapies like physical therapy in hospice.
- Hospice does not provide 24/7 care; family involvement is crucial.
- Palliative care is available for those still seeking curative treatment.
- Hospice services are typically covered by Medicare and Medicaid.
- Patients can leave hospice care if they choose to pursue curative treatment.
- Early engagement with hospice can significantly improve quality of life.

Sound bites:

"Don't fear the word hospice."
"Hospice is a philosophy of care."
"Over 90% prefer to die at home."

Products/Books/Resources:

Medicare (.gov) Care Compare: https://www.medicare.gov/care-compare/?providerType=Hospice
Hospice Navigation Services: https://www.theheartofhospice.com/
The Heart of Hospice podcast: https://www.theheartofhospice.com/podcast
Being Mortal by Dr. Atul Gawande: https://amzn.to/4mJjMxy

Some of the links provided are affiliate links. I may receive a commission if you purchase through these links. Thank you for your support!

Chapters:

00:00 Introduction to Hospice Care
02:14 Understanding Hospice: A Philosophy of Care
05:05 Who is Hospice For?
07:11 Criteria for Hospice Admission
08:44 The Benefits of Early Hospice Care
10:49 The Hospice Care Team Explained
15:44 Legacy Projects and Spiritual Counseling
17:42 The Role of Chaplains in Hospice Care
21:11 Therapies Offered in Hospice Care
23:59 Understanding the Schedule of Hospice Services
28:05 Supplementing Hospice with Home Care
33:41 Medication Management in Hospice Care
34:36 Understanding Medication Administration in Hospice Care
38:11 Navigating Hospice Payment Options
39:48 Finding the Right Hospice Agency
44:07 Supplemental Services for Hospice Patients
47:52 Defining Palliative Care
53:37 Distinguishing Between Hospice and Palliative Care
58:14 The Personal Journey into Hospice Nursing
01:05:11 The Process of Hospice Admission
01:07:32 The Importance of Early Hospice Engagement
01:09:47 A Case Study: Late Hospice Referral
01:15:38 Debunking Myths About Hospice Care
01:19:30 Empowering Conversations About Hospice
01:24:02 Navigating Hospice Services

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
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In this episode of The Care Table podcast, Amy Huddleston speaks with Rachel about her long-distance caregiving journey with her parents, discussing the challenges and lessons learned while navigating their illnesses. Rachel shares her experiences with hospice care, the importance of having long-term care insurance, and the emotional and logistical challenges of downsizing and transitioning her father to assisted living. The conversation emphasizes the need for open discussions about end-of-life wishes and the value of hiring professionals to assist in caregiving.

Takeaways:

- Rachel's parents had long-term care insurance, which was invaluable during their illnesses.
- Hospice care provided essential support and dignity at the end of life.
- Having a geriatric care manager can alleviate the burden on family caregivers.
- Conversations about end-of-life wishes should happen early and openly.
- Downsizing can be an emotional and challenging process for families.
- Dementia can complicate medical decisions and requires careful management.
- It's important to know where financial assets are located and how to access them.
- Transfer on death designations can simplify the inheritance process.
- Life is unpredictable, and planning ahead is crucial for families.
- Rachel emphasizes the importance of self-care for caregivers.

Sound bites:

"Life is too short."

Products/Books/Resources:

Aging Care Life Association to search for geriatric care managers: https://www.aginglifecare.org/
American Association for Long-Term Care Insurance: https://www.aaltci.org
Mama Bear Legal Forms: https://www.mamabearlegalforms.com/

CapTel phone: https://www.captel.com

Chapters:

00:00 Introduction to Caregiving Journeys
00:54 Navigating Parental Illnesses
05:53 The Importance of Hospice Care
10:47 Transitioning to Assisted Living
16:23 The Downsizing Dilemma
23:13 Managing Dementia and Medical Decisions
30:55 Finding the Right Care
37:40 Lessons Learned from Caregiving
47:09 Final Thoughts and Advice

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
Follow us on Instagram: https://www.instagram.com/thecaretable/
Visit us on Facebook: https://www.facebook.com/people/The-Care-Table/61580615603797/
Our website: https://www.thecaretable.com/
Email us: info@thecaretable.com

Please rate and review us so we know if we’re helping you!

In this episode of The Care Table podcast, Dr. Elliot Davidoff, an ophthalmologist, discusses various eye conditions prevalent among older adults, including cataracts, macular degeneration, and glaucoma. He explains the differences between ophthalmologists and optometrists, the importance of regular eye exams, and the latest treatments available for these conditions. The conversation also touches on the emotional impact of vision loss, lifestyle choices for maintaining eye health, and practical advice for caregivers supporting loved ones with vision impairments.

Takeaways:

- An ophthalmologist is a physician specializing in eye care.
- Cataracts and macular degeneration are the most common eye conditions in older adults.
- Macular degeneration has two forms: wet and dry, with different treatment options.
- Regular eye exams are crucial for early detection of eye conditions.
- Cataract surgery has advanced significantly, leading to better outcomes for patients.
- Glaucoma is often asymptomatic until significant damage has occurred, making screening essential.
- Lifestyle choices, such as diet and exercise, can impact eye health.
- Support groups can be beneficial for those experiencing vision loss.
- The AMSLER grid can be a useful tool for monitoring vision changes.

Sound bites:

"An ophthalmologist is a physician."
"It sucks to get older."

Products/Books/Resources:

ICaps Extra Lutein Tablets supplement: https://amzn.to/43sop7S
Amsler grid test: https://www.aao.org/eye-health/tips-prevention/facts-about-amsler-grid-daily-vision-test
American Board of Ophthalmology to confirm physician is board certified: https://abop.org/
The Ohio State University’s Low Vision Rehabilitation Clinic: https://greatvision.osu.edu/clinic/main-campus-clinic/low-vision-rehabilitation
Be My Eyes app: https://www.bemyeyes.com/

Some of the links provided are affiliate links. I may receive a commission if you purchase through these links. Thank you for your support!

Chapters:

00:00 Understanding Ophthalmology and Eye Care
02:30 Common Eye Conditions in Older Adults
05:39 Treatments for Macular Degeneration
09:59 Coping with Vision Loss
13:17 Annual Eye Exams and Preventative Care
20:12 Cataracts: Symptoms and Treatments
22:02 Understanding Glaucoma
26:31 Maintaining Independence with Vision Loss
32:08 Lifestyle Choices for Eye Health
33:14 Mental Health Impact of Vision Loss
39:34 Finding a Reputable Ophthalmologist

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
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Please rate and review us so we know if we’re helping you!

In this episode of The Care Table podcast, Dr. Diane Fleming shares her journey and expertise in physical therapy, particularly focusing on geriatrics. She discusses the importance of physical therapy in improving quality of life, the various roles physical therapists play, and how they can assist caregivers in providing better care for their loved ones. The conversation also covers signs that indicate a need for physical therapy, how to find the right therapist, and the different types of therapy available. Dr. Fleming emphasizes the significance of maintaining independence and dignity in older adults, as well as the importance of motivation and personal connection in therapy.

Takeaways:

- Dr. Diane Fleming has been a physical therapist since 2009, specializing in geriatrics.
- Physical therapy (PT) focuses on improving movement and quality of life for patients.
- Physical therapists can recommend assistive devices like canes and walkers.
- Geriatric patients often face challenges like incontinence and falls, which can be addressed through PT.
- Physical therapists can provide home visits and modifications for safety.
- Occupational therapy focuses on daily living activities and maintaining independence.
- Speech therapy includes not only communication, but also swallowing and cognitive skills.
- Caregivers should be present during therapy sessions to learn safe transfer techniques.
- Motivating patients by connecting therapy goals to personal desires can improve compliance.
- Age should not be seen as a barrier to activity: the spirit remains youthful.

Products/Books/Resources:

American Physical Therapy Association: https://www.apta.org/
To review common conditions and how physical therapy can help each condition and to find a local physical therapist: https://www.choosept.com/
Hemi cane for one-sided paralysis/weakness: https://amzn.to/4gVOuSo
Pivot disc: https://amzn.to/42JtYPd
To find a Certified Aging in Place Specialist (CAPS) for home modifications: https://ageinplace.com/aging-in-place-professionals/how-to-find-a-certified-aging-in-place-specialist-caps/
National Council on Aging Caregiver Support: https://www.ncoa.org/caregivers/benefits/caregiver-support/

Some of the links provided are affiliate links. I may receive a commission if you purchase through these links. Thank you for your support!

Chapters:

00:00 Introduction to Physical Therapy and Geriatrics
05:03 Understanding Physical Therapy: The Role of Movement Experts
11:52 Quality of Life Improvements Through Physical Therapy
18:00 Recognizing Signs for Physical Therapy Referral
22:39 Advice for Caregivers: Encouraging Activity in Seniors
25:31 Home Visits and Modifications for Safety
27:58 Understanding Different Types of Therapy
33:22 Body Mechanics and Caregiver Safety
37:07 Motivating Loved Ones for Exercise Compliance
38:52 Fall Prevention and Recovery Techniques
45:38 Inspiring Stories of Aging and Activity

Support The Care Table Podcast:

Watch on YouTube: https://www.youtube.com/@TheCareTable
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