Cost of Home Care vs Assisted Living, Channel 6 TV Interview with Diane Masson

Most seniors want to stay in their own home. Learn five keys in this TV interview to differentiate a reputable home care company from a fly-by-night company.   Paying a caregiver under the table may end up being your most expensive option. Can you afford 24-hour home care? If not, learn the costs of your other options before you deplete your resources. Learn more insider tips in a new resource book, “Your Senior Housing Options” or get weekly advice for free at WWW.tips2seniors.com.

“Your Senior Housing Options,” has a simplistic title, but what’s inside this new book can save you months of research time.  Hear Diane Masson’s interview of how her mother and in-law’s faced the pivotal decision to plan ahead or wait until a crisis.  Learn the pitfalls from transitioning from your home to senior housing.  Understand what questions to ask, insider tips and dirty secrets revealed.  The decision to stay home requires caregivers.  Prevent elder abuse by determining if a home care agency is reputable, before they move into your home.  You are just not looking for today’s needs, but for your future care.  Discover key differences between rental facilities vs Continuing Care Retirement Communities.  Do you have enough financial resources if you need to be in a higher level of care for an extended period of time?  For weekly tips join at: Www.Tips2Seniors.com 

Diane Masson has worked in senior housing for 17 years and is the regional marketing director for two debt-free Continuing Care Retirement Communities in Southern CA (Freedom Village in Lake Forest and The Village in Hemet).  Her first book “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” is being utilized by senior housing professionals across the country.  Both her first book and second book, “Your Senior Housing Options,” have a 5-star rating on Amazon.com.

Can Mom Progress from Stage 2 Dementia to Stage 4 Dementia in Weeks?

Can Mom Progress from Stage 2 Dementia to Stage 4 Dementia in Weeks?

Stage 2 to Stage 4 DementiaProfessionals have told me that a trauma could have caused Amy’s dementia (my favorite mother-in-law) to escalate rapidly. Is this true? Can all the dementia professionals and family members weigh in with their experiences?

My mother-in-law’s dementia was progressing slowly like my mom’s vascular dementia. There are four stages of memory loss and Amy was in stage 2, before the trauma. She repeated herself a lot, needed cueing for personal hygiene, medication management and had little desire to leave the home. Amy talked about not being able to remember stuff, but she could still read the paper, dress, bathe, toilet and feed herself.

Then Bill, my favorite father-in-law and Amy’s 24-7 caretaker, had a heart attack and went to the hospital. Amy could not understand where her rock and husband of 65 years had gone. She ended up having a psychotic break and eloping (The police had to find her and bring her back home.). A whole series of dramas happened and she hit a nurse. Then she too was hospitalized and put on psychotropic medications. Amy was in the hospital for three weeks in the psych ward.

By the time she got out of the hospital, the Amy I had seen months earlier was gone. The first time my husband and I saw her after the hospitalization (we live three states away) was so sad. The vivacious and sarcastic Amy was gone. It was like seeing a shell of her former self. Her lip trembled, her arm shook and she was so sleepy from the Haldol drugs. We immediately got the psychotropic medication reduced by half. It took us another three months to get her completely off the Haldol because we are not Amy’s Power of Attorney.

Amy was suddenly in stage 4 dementia. She needs help with absolutely everything and is not able to communicate her thoughts or needs. Hospice has been discussed in care plan meetings.

Has anyone else seen such a rapid decline with a family member or resident with dementia? Was it losing her husband, the psychotropic medications or both that caused Amy’s rapid deterioration? I believe that if my in-laws had planned ahead and moved into a Continuing Care Retirement Community (CCRC) that staff and residents would have supported Amy when her husband was first hospitalized. The CCRC would have rallied around her, helped her transition to the care level she needed and her world wouldn’t have changed so dramatically (she would have been dining daily with resident friends instead of being isolated in her own home).

What do you think?

“Your Senior Housing Options,” has a simplistic title, but what’s inside this new book can save a you months of research time.  Hear Diane Masson’s interview of how her mother and in-law’s faced the pivotal decision to plan ahead or wait until a crisis.  Learn the pitfalls from transitioning from your home to senior housing.  Understand what questions to ask, insider tips and dirty secrets revealed.  The decision to stay home requires caregivers.  Prevent elder abuse by determining if a home care agency is reputable, before they move into your home.  You are just not looking for today’s needs, but for your future care.  Discover key differences between rental facilities vs Continuing Care Retirement Communities.  Do you have enough financial resources if you need to be in a higher level of care for an extended period of time?  For weekly tips join at: Www.Tips2Seniors.com 

Diane Masson has worked in senior housing for 17 years and is the regional marketing director for two debt-free Continuing Care Retirement Communities in Southern CA (Freedom Village in Lake Forest and The Village in Hemet).  Her first book “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” is being utilized by senior housing professionals across the country.  Both her first book and second book, “Your Senior Housing Options,” have a 5-star rating on Amazon.com.

What do you do? What’s your 30-second commercial?

What do you do? What’s your 30-second commercial?

What's your 30-second commercial?

What’s your 30-second commercial?

We’ve all been at a party when a new acquaintance asks, “What do you do?” What is your response? Is it engaging and interesting? Or does your heart drop, because you have to talk about work and you end up sharing a boring list of your duties or mumble your exact job title?

Every one of us can improve our 30-second commercial and make it captivating to the listener.

Here are a couple of tips of what not to do:

  • No laundry list of duties
  • Don’t just give your job title and company name

At Seattle’s Pike Place Market, a company that sold fish seven days a week decided to make it interesting. They were determined to have fun and engage the customers. So the motivated employees started throwing the fish that customers were  purchasing. Now they are a huge tourist attraction and sell lots of fish.

If you work for a senior living company and simply state you work at an assisted living or skilled nursing community, it sounds boring. Saying, “We improve the quality of seniors lives everyday,” – makes your acquaintance ask a secondary questions of – how? Everyone typically knows an aging parent, grandparent or senior neighbor. In the remote possibility that you do not, you probably know a friend who is dealing with an aging senior who needs help. Ninety-nine percent of the time, people need advice for an aging relative and you can end up helping them or suggest they consider your senior living community (which is wonderful for them, your company and you).

Maybe you already use your 30-second commercial on a daily basis? Or you use it occasionally when you attend chamber of commerce or networking events. Each of us can improve our commercial and make it more appealing to the listener. Your fellow networkers and social acquaintances will appreciate you making an effort.

So what is your 30-second commercial? Is it interesting enough that someone asks you a follow up question?

If you share your 30-second commercial in the comment section on my blog page, you will automatically be entered to win a copy of my new book, “Your Senior Housing Options.” The best commercial will win and be announced in the comment section of my blog on Saturday, June 13th.

Everyone of us knows at least one senior that needs to move now.  Here is a resource to help you or them make an informed decision.  Diane Twohy Masson’s new guide book for seniors, “Your Senior Housing Options,”  is available on Amazon.com with a 5-star rating.  It reveals a proactive approach to navigating the complex maze of senior housing options. It will help you understand the costs and consequences of planning ahead or waiting too long.  Learn firsthand tips from someone who is currently advocating for two aging parents.

Among the thousands of seniors she and her teams have assisted in finding the right senior living community, the most difficult case has been helping her own parent. Masson spent two years exploring senior housing options with her mother before finding the ideal Continuing Care Retirement Community for her. After eight years in this independent living setting, she helped her mother transition into an assisted living community. Seven years later, even as a senior housing expert, Masson struggled with the decision to move her mother into a skilled nursing community.

More related articles by Diane can be found at  Tips2Seniors.com or like Tips 2 Seniors on Facebook.

Diane Twohy Masson has worked in senior housing since 1999. She is an award-winning certified aging services professional and the author of Senior Housing Marketing: How to Increase Your Occupancy and Stay Full for senior living professionals.

Worthless Power of Attorney?

Worthless Power of Attorney?

Will the POA understand new shoes are needed?

Will the POA understand new shoes are needed?

It’s hard to be an advocate for a senior for years on end. I advocated for my own mom (with vascular dementia) for over 10 years, until I recently lost her. Advocacy is not an easy job and it can entail sleepless nights of concern.

It’s vital to select a Power of Attorney (POA) who currently knows you well enough. If you can no longer speak on your own behalf, your POA needs to know if you are over medicated or sedated just by looking at you. They need to know your baseline so they can help you and reverse the issue or accelerate an outcome in a timely fashion.

The POA’s main purpose is to comply with your wishes that were indicated before you became incapacitated. They should always protect your best interests both mentally and physically.

Over medication is a growing problem for seniors. I have heard many stories of hospitals overmedicating seniors. My own mother-in-law was over sedated in the emergency room. She has Alzheimer’s. They had no room in the psych ward and she was drug restrained for three days and two nights in the emergency room. Sigh…

It has taken us four months to get my mother-in-law off Haldol. Psychotropic drugs and dementia do not mix well. Her POA thought the doctors understood what they were doing tapering off the medication. Unfortunately, my mother-in-law’s doctor admitted to knowing nothing about psychotropic drugs and was relying on others to advise her. Gulp… What a mess! We are talking about seniors’ lives…

Neither the doctor nor the POA knew what to do about my mother-in-law’s medications or where to begin. It literally required a family member taking my mother-in-law to her doctor and demanding, in person, for the Haldol to terminate immediately. The doctor could see for herself the sedation instead of relying on the input from home health professionals. The weird part was the doctor agreed to terminate the Haldol in three days. We wondered why wait three days? It turned out she wanted a psych nurse to visit my mother-in-law while she was still on the Haldol. The psych nurse agreed to terminate the Haldol too. Here is the horrible part; the psych nurse ordered a different psychotropic drug on an as needed basis. What?? It took the family helping the POA another week to reverse that fiasco.

Why are doctors prescribing psychotropic drugs to seniors with dementia in the first place?

A POA needs to be vigilant.  It may require educating themselves about medications that they no nothing about. Very few POA’s are doctors and nurses. If you are the parent of a doctor or nurse who will be your POA, then congratulations are in order for you.

What about a senior with neuropathy in his or her feet? Something as simple as buying quality shoes, so a senior has better balance is key. Will the POA do it?

What if your POA is an attorney or an absentee POA relative who rarely visits, how can they understand or advocate for your needs?

A POA needs to be willing to speak to the doctor on your behalf. Some possible POA’s are very direct (speak their mind) and others are indirect (prefer to fade into the background). Some folks are introverted and others are extroverted. Who are you asking to be your POA? Will they get the job done? This is not a position for sissies. Your POA needs to be hardcore if you are in dire need. Your POA may have to spend relentless hours pursuing a medication result that is beneficial for your needs.

What have you encountered? Who have you selected to be your POA? Do you feel good about your decision?

Don’t wait until you’re in a health care crisis like author Diane Masson’s in-laws. It has been a nightmare for her in-laws and all the adult children. Research your future choices NOW to avoid being “put” somewhere, or having decisions made for you by others.  “Your Senior Housing Options” is a new resource book available on Amazon.com with a 5-star rating. It offers a step-by-step guide to the options, including staying home. 

Seniors, Boomer children, spouses, family members and caregivers are desperate to learn how to truly differentiate good senior housing from mediocre at best. Diane Masson’s new book will answer these heart-wrenching issues in an easy, simple, story telling format with humorous illustrations. 

Diane has worked in senior housing for 17 years and is the regional marketing director for two debt-free Continuing Care Retirement Communities in Southern CA (Freedom Village in Lake Forest and The Village in Hemet).  Her first book “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” is being utilized by senior housing professionals across the country.

For weekly tips and advice go to www.Tips2Seniors.com and learn more from author and senior housing expert Diane Twohy Masson.

New RESOURCE BOOK for SENIORS

New RESOURCE BOOK for SENIORS

Your Senior Housing OptionsIt is important that seniors make a plan while they are healthy and well OR they will find themselves in a situation where family members have to “put them someplace.” My in-laws waited for a health care crisis that you can read about HERE and the adult children were forced to “put them” in more supportive environments. The doctor told my father-in-law that he needed 24/7 assisted living care and another doctor required that my mother-in-law with Alzheimer’s move into a secured memory care simultaneously. 

How do you find a good retirement community, assisted living, memory care or skilled nursing care? “Your Senior Housing Options,” gives tips and advice on exactly what questions a senior needs to ask in order to determine if a senior living provider is great or mediocre.

Almost every week I speak to 50 to 75 seniors about their future health care and housing options. Two months ago, I created a new presentation based on my book, “Your Senior Housing Options.” What an impact it has made. Seniors share how grateful they are for clear and concise information that they can apply immediately in making a decision for themselves. This is my passion and I want to help seniors make a wise choice.

The book articulates the costs and consequences of the various senior living options. I share the ramifications of waiting too long and how a senior can save money and stress by planning ahead.

Seniors can take away valuable tips they can utilize immediately as they begin to research and explore long-term health choices. Most seniors have no knowledge of how to select a reputable home care company or retirement community. It’s important to know states vary on requirements for caregiver training, drug screening and finger printing.   Due diligence of care choices can prevent elder abuse!

Ultimately, a senior can continue to live by a river in Egypt called denial or they can make proactive decisions and create a plan for their future health care. It is scary for seniors to contemplate running out of resources in a higher level of care, but it can happen (my own mom ran out of money living in assisted living for seven years). Hopefully, seniors choose a plan that has a safety net, in case they run out of money.

Current presentations based on this new book are helping seniors make proactive decisions for their future health care needs. Hopefully, this is the beginning of a movement to educate seniors.

Diane Masson has worked in senior housing for 17 years and is the regional marketing director for two debt-free Continuing Care Retirement Communities in Southern CA (Freedom Village in Lake Forest and The Village in Hemet).  Her first book “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” is being utilized by senior housing professionals across the country.  Both her first book and second book, “Your Senior Housing Options,” have a 5-star rating on Amazon.com.

For weekly tips and advice go to www.Tips2Seniors.com and learn more from author and senior housing expert Diane Twohy Masson.

Comatose in Memory Care (Three memory cares in four months?)

Comatose in Memory Care (Three memory cares in four months?)

Comatose in Memory Care

Comatose in Memory Care

My mother-in-law who got over drugged in the hospital several months ago is now in her second memory care community in Seattle. The first high-end memory care community in downtown Seattle wanted to follow the doctor’s recommendations of sedation. It took me three days to get the drugs reduced by half after I saw my overmedicated mother-in-law. Then the second memory care community promised our family that they would get her off the reduced Haldol dose. We believed them and paid a hefty community fee (a one time move-in fee) Sigh…

It’s been almost two months in the second Memory care.

We had an unproductive care conference about two weeks ago. When the family talked about changing the psych drugs the conversation led to considering Amy as a candidate for hospice because she was not eating. What? It turns out one of the drugs she began in the hospital was also an appetite suppressant.

She was overmedicated in the hospital because there were no rooms in the psych ward, so my mother-in-law stayed in the emergency room for three days and two nights. Getting the picture of sedation now?

My sister-in-law is on the warpath. She is demanding changes for her mom and talking about moving her to a third place. Will it help?

The second memory care called my husband to see if they could save the move out. He simple said, “You have known that the family wanted my mom off the Haldol. How many phone calls and faxes have you made to the doctor to make that happen?” The administrator started to back pedal.

My sister-in-law took my mother-in-law to her doctor yesterday. A 15-minute appointment turned into nearly hours. The doctor is going to take her off the Haldol but does not have a clue what medications will help or are necessary. My mother-in-law has significant dementia, and seemed to have had a psychotic break when she lost her home of 50 years and her husband within a week.

Why is it so hard to unsedate a senior who cannot speak on his or her own behalf? Is it easier for the memory care staff if the residents are half sedated? Can anyone help us on how to turn this around? Any tips on psychotropic drugs?   Which ones are best?

Don’t wait until you’re in a health care crisis like author Diane Masson’s in-laws. It has been a nightmare for her in-laws and all the adult children. Learn how to plan ahead like Masson’s mom. Research your future choices NOW to avoid being “put” somewhere, or having decisions made for you by others.  “Your Senior Housing Options” is a new resource book available on Amazon.com with a 5-star rating. It offers a step-by-step guide to the options, including staying home. 

Seniors, Boomer children, spouses, family members and caregivers are desperate to learn how to truly differentiate good senior housing from mediocre at best. Diane Masson’s new book will answer these heart-wrenching issues in an easy, simple, story telling format with humorous illustrations. 

Diane has worked in senior housing for 17 years and is the regional marketing director for two debt-free Continuing Care Retirement Communities in Southern CA (Freedom Village in Lake Forest and The Village in Hemet).  Her first book “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” is being utilized by senior housing professionals across the country.

For weekly tips and advice go to www.Tips2Seniors.com and learn more from author and senior housing expert Diane Twohy Masson.