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Another resource for in-situ eldercare

I ran across this link from the state’s health and human services department. Unfortunately, I don’t know anything about it. The parent website isn’t helpful. It sounds like a health payment manager of some sort; sort of a personal Medicaid manager, maybe, authorized under contract to the state. It would certainly be a useful role for families or individuals looking for individual home health care. It doesn’t sound like it is an employer. It might be useful if a family member wishes to become a caregiver and receive Medicaid or insurance coverage for that service. I know there are other programs to train family members as caregivers (can’t remember the specific programs, sorry. However, the Yukon Kuskokwim Health Corp. once had training for personal care attendants, PCA)

The company homepage is almost no help.

“CDPC performs fiscal intermediary functions for the Consumer, including processing time sheets, billing Medicaid, and caregiver payroll. CDPC provides training for the Consumer and resources for caregiver training and also assists the Consumer in maintaining program compliance.”

The Arizona program description is a bit more helpful–

“What is Consumer-Directed Personal Care?
Consumer-Directed Care is available to individuals who need attendant care services in their home. Self-Directed care puts you in control, allowing you to arrange and direct your own services. You select, train and manage your caregiver who may be a trusted friend, neighbor or relative. Individuals must be capable of directing their own services or arranging for a representative to act on their behalf.”

Contact info for the Alaska program is http://www.consumerdirectonline.net/alaska/ Anyone have any experience with this group?

Invited by the state in 2001 to help develop the Consumer Directed Personal Care Services Program, we are proud to be part of communities across the state of Alaska by supporting and promoting self-directed personal care services. The program is specifically intended to allow individuals with health care needs to remain in their homes and communities avoiding placement in an institution. This program is designed for individuals who are capable of directing their own personal care services or appointing a Personal Representative to act on their behalf.

Alaska program requirements include:
* Eligibility for Alaska Medicaid
* The need for assistance with activities of daily
living such as:
– medication reminders – transfers
– bathing & hygiene – dressing & grooming
– ambulation – eating
– toileting, bowel & bladder care
* Authorization by a health care professional that assistance is necessary
* Completion of an assessment for placement in the program
* There is no age requirement in the state of Alaska

Contact a program coordinator at:
Anchorage
The Emerald Building
615 East 82nd Ave, Suite 101
Anchorage, AK 99518
Phone: (907) 222-2652
Toll free: 1- 888 – 966-8777
Fax: (907) 677-8777
infoAK AT ConsumerDirectOnline DOT net

Wasilla
Kenai
Kodiak


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Liz Taylor takes comments

One of the best reads ever on aging deliberately is Liz Taylor–
Her series has been mentioned previously –

I just discovered that the columns published at Kitsap Sun Stories: Liz Taylor: Aging Deliberately allow comments (registration required) and have an RSS feed . This is so much more convenient and useful than the Seattle Times venue. I’m not sure which is the primary home for Liz’s work, however, and Kitsap may not carry all her columns. At the Seattle Times I have to subscribe by E-mail to their health series (once a week e-mail, all health stories which are interesting) to get notice of her columns. Otherwise I have a Google News Alert for Liz Taylor+ aging, which sometimes brings in notice of National Velvet. [the colors behind some items below mean nothing except straightening out the code remains to be done.]

Liz Taylor began her career as a federal consumer-fraud investigator and was appointed by Elizabeth Dole in 1976 to direct a nationwide investigation of the nursing-home industry. She’s worked in the aging field ever since.

In the 1980s, Liz became one of the first geriatric care managers in the Pacific Northwest, working with thousands of families and older adults to find high-quality services. In 2000, she founded Aging Deliberately, a business that teaches people how to prepare for their aging so they’ll have more control over what happens to them. In 2005, she served as a delegate to the White House Conference on Aging. She’s won the American Geriatrics Society’s 2007 Aging Awareness Media Award and the Washington Association of Homes and Services for the Aging’s Excellence in Media Award. http://seattletimes.nwsource.com/html/growingolder/

It’s relatively easy to age successfully if you’re wealthy. Money can’t buy happiness, but it certainly allows you to buy the things that make life more comfortable at any age. 1/26/2008 11:00 PM
In my last column, I wrote about a growing problem: what to do when an older person who has dementia hasn’t named anyone she trusts to make decisions for her. This week I’ll tackle a tougher issue: what to do when the person she names does a poor job. 11/17/2007 11:00 PM
My e-mail has had a repeated theme recently: An older person with dementia, such as Alzheimer’s disease, isn’t paying bills, preparing meals, bathing, and other important tasks — but refuses to allow anyone to help.
11/3/2007 09:00 PM |
There’s a certain uniformity to finding a physician under Medicare these days. Rich or poor, if you’re 65 or older, you’re likely to have similar slim pickings (more so if you’re poor and on Medicare and Medicaid). 10/20/2007 11:00 PM |
Most of us want to live a long time, but nobody wants to grow old. The irony is, most of us will — live a long time and grow old. It’s easy to do — all it takes is letting the days roll by. As long as you’re healthy, getting old is a piece of cake.
10/6/2007 11:00 PM |
It’s easy as pie to age well when you’re healthy. The friction comes when you become frail. Sometimes it’s self-inflicted, the product of isolation, poor eating habits, lack of physical activity and falls — all common problems for people who age in their homes but don’t plan it correctly. 9/22/2007 11:00 PM |
A woman in her late 70s, a good friend, is pondering her options. Her home is two stories (or three, including the basement), with many stairs to her bedroom, bathroom and the washing machine. 9/8/2007 11:00 PM
Dad is 87, fun and funny, with moderate dementia. He lived “on the edge” in his own home for years while we kids worried sick. 7/28/2007 11:00 PM
When I was growing up in the 1950s and ’60s, cars were sort of round and later sort of square. My dad wore a hat to work and took the bus.
7/14/2007 11:00 PM
I’m 75 and have lived in an assisted-living facility for a year.
7/8/2007 02:00 AM
Older people are not simply younger people with wrinkles our bodies change dramatically as we age, both inside and out; some parts wear out before others, sometimes several at once.
6/17/2007 02:00 AM
Whether you live at home, in a retirement community, or in a yurt on top of a mountain, as you age, you want to do it consciously.
6/3/2007 02:00 AM

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2008 free tax help for some in Alaska

Free Tax Help – 2008 Tax-Aide and VITA sites. The VITA program is a federal grant that rural senior programs can apply for.

This program is designed to prepare basic tax returns for most low and middle income taxpayers, with an emphasis on senior citizens and disabled taxpayers. Sites are staffed by volunteers trained by the IRS to prepare basic tax returns. E-file means it’s fast, accurate AND it’s absolutely FREE. Volunteers receive training on the Earned Income Credit and other personal tax credits. If your income is below $39,783 you MAY qualify for an Earned Income Credit, up to $4,716.

*** You must file a 2007 tax return to receive the Economic Stimulus Payments. To be eligible for this payment, you must have a tax liability, or at least $3000 of earned income, Social Security benefits, or certain VA benefits. If you had at $3,000 of qualifying income, you should file a tax return even if you are not required.

AARP TaxAide sites may offer priority service to taxpayers age 60 and older.

As all locations are staffed by volunteers using donated space, these dates and times may change. To get the most current information, please call the Alaska 211 referral line by dialing 2-1-1, or 1-800- 478-2221. [try this and see if it works. There were problems last week or so– the software couldn’t figure out rural Alaska zip codes.]

NO COST ELECTRONIC FILING AVAILABLE

WHAT TO BRING
Social security cards or current record of SSN’s for you, spouse and all dependents.
Form W-2 (Wage and Tax Statement) from each employer.
All income information (such as Forms 1099-INT, 1099-DIV, SSA-1099 or RRB-1099 and 1099R).
Record of VA benefits received
Property tax and mortgage interest statements.
List of your medical, interest, contributions, and miscellaneous expenses (to itemize your deductions).
Copies of last year’s tax return (helps volunteer prepare this year’s return).
Child care payment information and name, address and SSN/EIN of your child care provider.

The rest of the document is written in a way to make it difficult to re-post so I’ll only list the names of places. Contact them for hours and dates.

  • Anchorage Senior Center Tax-Aide
  • Northeast Anchorage Tax-Aide
  • First Free Methodist, Anchorage
  • Spenard Rec Center
  • Crosspoint Church Tax-Aide, Anchorage
  • University of Alaska Anchorage
  • Palmer Senior Center
  • Mid-Valley Senior Center
  • Wasilla Senior Center
  • Upper Susitna Senior Housing
  • Glacier View Bible Church
  • Willow Senior Housing
  • Fairbanks Senior Center Tax-Aide
  • North Pole Library Tax-Aide
  • University of Alaska Fairbanks
  • Noel Wien Library Tax-Aide
  • North Pole Senior Center Tax-Aide
  • Nikiski Senior Citizens, Inc.
  • Homer Senior Center
  • Seward Senior Center
  • AVTEC Library (Seward)
  • Soldotna Tax-Aide Site
  • University of Alaska, SE
  • Swan Lake Senior Center
  • United Methodist Church, Sitka
  • Tongass Credit Union
  • Rendesvous Senior Center
  • Ketchikan Parks & Rec Center
  • Metlakatla Tongass Credit Union
  • Craig City Youth Center
  • Juneau Mendenhall Library
  • Wrangell Senior Center
  • Kodiak College
  • Valdez Tax-Aide
  • Kodiak Senior Citizen Fair

Accessible jails

Good news. See previous
Nonagenarian: prison care
A say in one’s or other’s life?

Source: Reuters TOKYO, Jan 4 (Reuters) – Faced with a prison population ageing as rapidly as the rest of the country, Japan is to build new jails with disabled access, including elevators, slopes for wheelchairs and grab-bars in toilets and baths.

The three new penal facilities will offer healthy meals and may also have specialists in nursing and rehabilitation on staff […]

http://www.alertnet.org/thenews/newsdesk/T173848.htm


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Nonagenarian: prison care

following the earlier post, Prisons Not Geared to the Needs of the Elderly, Study Finds

At 95, killer hopes to win freedom

By J. Michael Kennedy, LA Times Staff Writer, June 29, 2007

SAN LUIS OBISPO – John Rodriguez didn’t seem to know what was happening to him.

The state’s oldest inmate didn’t immediately realize that the state parole board had recommended Thursday that he be freed. Instead, the 95-year-old sat hunched in his wheelchair, looking slightly confused, as he had for much of the four-hour hearing at the California Men’s Colony….

The Rodriguez case is unique in that it casts a spotlight on California’s aging prison population and the reluctance of the governor to release prisoners convicted of murder even if they have served their minimum sentences. In Rodriguez’s case, Thursday’s hearing marked the seventh time the state parole board has recommended that he be released….

Meanwhile, Rodriguez is the epitome of the aging prisoner, a man who uses a walker, is hard of hearing and requires a wheelchair when being moved out of the hospital ward where he lives. His normal attire is pajama bottoms and a blue prison shirt…. One recent projection is that by 2030, California will have 33,000 geriatric prisoners, compared with about 9,500 now. […]

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Alaska Aging Advocacy Network teleconference

Subject: Priority Legislative Advocacy Teleconference

Dear Alaska Aging Advocacy Network,

ACoA will be holding a legislative teleconference tomorrow, Thursday April 5, from 9:30am-11:00am. We will be discussing very important issues that are currently moving through the Legislature. Specifically, we will focus on:

SB 4, related to Senior Care
HB 198 related to Senior Benefits

We will also discuss the Longevity Bonus.

We really want to hear from you regarding current legislation. We are looking for your input. If you are interested in participating, please contact your local senior center to see if they are participating as a host site. If so, you will need to go to that senior center for the call in. In Juneau, the meeting is held at the ACoA office at 150 3rd Street. You may call our office for further information at 907-465-3250.

A complete list of our watch list can be found at:
http://www.hss.state.ak.us/acoa/legislative/legWatchList.pdf

Sincerely,

Jeannette Lacey
UAA MSW Intern
Alaska Commission on Aging

A say in one’s or other’s life?

Liz Taylor continues her series mentioned previously Dad deserves a say about his life, even if he’s wrong

See also, Elder neighbor in crisis? and Prisons Not Geared to the Needs of the Elderly, Study Finds

The gray area between competency and incompetence is one of the most difficult dilemmas any family can face. We went through it when my mom was in the early stages of Alzheimer’s, and it was hell. I urged the daughter to take her dad to a physician for a diagnosis to know for sure what’s going on. But until he’s clearly mentally impaired, he’s in charge of his life.

And here is another example of the difficulties that can arise. How do we even discuss this?

The oldest jail inmate in state custody had a massive stroke Friday and the state immediately dropped the charges against him so he wouldn’t spend what could be his final days under a cloud of criminal allegations, prosecutors said.

Charlie Parks, a 90-year-old whose family says he suffers from dementia, had been in jail for three months. He was facing a felony assault charge that claimed he tried to stab his caregiver in an assisted living home in December….

But defense attorney John Bernitz said the incarceration of his client shows a fault with the state’s system.

“I don’t know who is personally responsible, but we as a community could have treated him better,” he said.

In November, Parks, a school teacher for 40 years, packed his frying pan, clothes, crystals and meditation books into a tattered plaid suitcase and sneaked out of his assisted living home in Kalispell, Mont., ahead of spirits he thought were chasing him. He cashed his Social Security check and bought a plane ticket to Alaska.

Once in Anchorage, he took up residence at the Days Inn on East Fifth Avenue… His hotel bill mounted and the Veterans of Foreign Wars chipped in before hotel staff found Parks’ daughter, his only child, in New Mexico. She contacted Alaska Adult Protective Services and Parks was moved to a five-bed assisted living home in Russian Jack. He had been there for little more than a month when, in December, he took a 4-inch serrated steak knife to his caregiver, prosecutors said. The caregiver was grazed by the knife.


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O’Folks (off their rocker)

Old age isn't a disease.

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