Bonus Episode—Transition of Care For My Mom (A Personal Story)

08/06/18 • 23 min

Raising 'Rents (as in paRents) a show about caring for an aging parent or adult

Host Zack Demopoulos prepares to kick off Season 2 of Raising ‘Rents but before he does he shares a bonus episode on the transition of care for a family loved one who has been hospitalized and is being discharged. This one is a personal story about Zack’s Mom. It is the first time he is sharing on a personal note and plans to do more in the future.

Show Notes:

Sibling dynamics--Zack has to work with his brother to care for their mother who has been hospitalized with a contagious virus that has weakened her and heart problem called supraventriculartachycardia. His brother lives in North Carolina near their mother and along with his wife is the primary caregiver. Zack lives in New Jersey and is a long distance caregiver.

Cost of caring, especially as a long distance caregiver-- Zack walks through what it takes to leave New Jersey on short notice to help his brother care for their mother.

Challenges of your mother telling you she wants to go home from the hospital and there is no clear plan yet.

Hospital case manager--very important you meet with them early and have them help you start planning for your family member’s hospital discharge.

Doctor says his mother can go home but with a plan that includes 24/7 care which Zack knew would not fly with his mom.

Zack reviews options with his mother which include going home with 24/7 care which she did not want nor can a family member help her with or go to a subacute rehab facility which she immediately rejects because she considered that to be a nursing home.

He convinces her to agree to go to a subacute rehab facility. Case manager gives Zack a list of recommended facilities. He is not familiar with any of them being from out of town. He reaches out to his home care provider peer and friend in Charlotte ComForCare Charlotte NC and received recommendations, two of them being on the list. Zack also asked the doctor who replied that she did not know anything about them but if it was her mother, she would go to each facility in person and check them out and make a decision from there.

Zack’s brother wants their mother to go to a rehab facility by his work so if need be he can run over briefly and see her. It was mostly about location than anything else. Zack instead tries to use factors such as how good the Physical Therapy is, is subacute separated from long term care (nursing home), how many aides are there per number of patients, and if a private room is available that is paid for by Medicare. Sibling dynamics once again come into play here.

After selecting a subacute facility, Zack is ready to take his mom there. Very important that you get the discharge plan documents from the Director of Nursing or Case Manager so that you can share it with the facility. Discharge plan has special instructions and lists medications, some of them could be new since her hospital admission.

Thank you for listening to the Raising ‘Rents podcast. This was Episode 25. If you have any questions or feedback, please go to our website www.raisingrents.com and click on the “Contact” tab. You can also find the show notes and references to anything we talked about. Until we talk again, remember that our parents raised us, the least we can do is help raise them. Talk to you later.

Sources used in this series:

Intro/outro music: Arthaiz
Other music used on this episode: Bensound: “ Better Days”
Daughter Anastasia Demopoulos does the opening voice over
Website created and managed by Philip Golden
Sponsor: ComForCare Fairfield NJ https://comforcare.com/new-jersey/fairfield

Show Notes:

Cost of caring, especially as a long distance caregiver-- Zack walks through what it takes to leave New Jersey on short notice to help his brother care for their mother.

Challenges of your mother telling you she wants to go home from the hospital and there is no clear plan yet.

Hospital case manager--very important you meet with them early and have them help you start planning for your family member’s hospital discharge.

Doctor says his mother can go home but with a plan that includes 24/7 care which Zack knew would not fly with his mom.

Sources used in this series:

Intro/outro music: Arthaiz
Other music used on this episode: Bensound: “ Better Days”
Daughter Anastasia Demopoulos does the opening voice over
Website created and managed by Philip Golden
Sponsor: ComForCare Fairfield NJ https://comforcare.com/new-jersey/fairfield

Previous Episode

Episode 024: Day 15 - Helping Mom & Dad Move

Host Zack Demopoulos launches his 30 day preparation plan to care for an aging adult. In Day 15, Zack talks about what is involved when it is time for your parents to down size and move.

Next Episode

Day 16: Senior Scams

Day 16 of the 30 Day Preparation Plan To Care For An Aging Adult: Senior Scams

Zack shares a personal story of a scammer calling his cell phone.

Scammers are getting more and more creative. Easy targets are people with cell phones (because they always pick up) and your aging parent who are at home and answer the good old fashion land line.

Latest scam is about the new Medicare issued card—something every older adult may fall for.

This is Day 16 of the 30 day preparation plan to care for an aging parent and the topic is senior scams. If you have not had a chance to listen to days 1-15, please go to season 1 http://raisingparentspodcast.com/page/7/ and check out those episodes. We also talk about the 9 beginner steps in raising your parent in season 1.

2.7 million reports of fraud and identity theft were reported in 2017 according to FTC Federal Trade Commission costing victims a total of $328 million. Those are the reported ones. That doesn’t count the attempts. Senior citizens are targeted more frequently than any other age group according to the NJ Division of Consumer Affairs.

A very popular scam is during tax season—“This is the IRS calling”.

Here are the top 10 scams of late (National Council on Aging - NCOA): https://bit.ly/1MVdQKR

Health Care/Medicare/Health Insurance
Counterfeit Prescription Drugs
Funeral & Cemetery Scams
Fraudulent Anti-Aging Products
Telemarketing
Internet Fraud
Investment Schemes
Homeowner/Reverse Mortgage
Sweepstakes & Lottery Scams
The Grandparent Scam

Some others not mentioned by these folks are the one about a scammer calling as a utility company telling the victim that they are past due and need to pay now before cutting off the power.

Then there is the one posing as the NJ Motor Vehicle Department telling you your driver license has been suspended and that a payment is needed to get your license back.

There is also the ones that give out a customer service rep for big names like Amazon and you google search the number and it takes you to a fake webpage that makes you think it really is Amazon and it will ask you for your information.

The latest one should also get your attention. It’s about the new Medicare card and since about 44 million Americans are enrolled in Medicare that is a pretty big target group to go after.

Medicare will not call you. They just don’t. Everything will be sent written in the old fashion snail mail style. So never never talk to anyone on the phone if they say they are Medicare. By the way the IRS does not make phone calls either. They use snail mail too.

https://www.cms.gov/Medicare/New-Medicare-Card/index.html

If you haven’t seen a Medicare card ask to see your parent’s. If they haven’t received their new ones yet and you are looking at the old one, you will see the problem right away. Their social security number is on it. Medicare has always advised that you carry your card. This has been one of the biggest causes of identity thefts known for a long time. We all misplace our purses and wallets, especially as someone ages. And of course they are stolen as well. And scammers used to ask Medicare beneficiaries to read the number off the card over the phone. Today you probably notice that the social security number is hidden practically on everything. At the very most you will see xxx-xx- and the last four digits. This makes it tougher for bad people to steal your identity.

So the CMS or the Center For Medicare and Medicaid Services has wanted to change this for quite some time but it was going to be very expensive to do so and they did not have the funding. Luckily they found some cash and started changing the cards as of April 2018. It is going to be a gradual process since there are so many folks who have a Medicare card. They plan to take one year to do this. But they are mailing them out automatically free of charge starting in one geographic area and moving to another. When they receive their new card, they are being asked to destroy the old one. Just make sure your parent does not destroy their social security card or health or drug plan cards. Just the old Medicare card with the Social Security number on it.

Other things to know:

You will receive your new Medicare card any time from April 2018 until the end of April 2019.
You can use your new card as soon as you receive it. There is no activation required.
To ensure you receive your new Medicare card, create or log into your account at ssa.gov (“my social security account”) to make sure your address is up to date.
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