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El. knyga: Essential Eldercare Handbook for Nevada

  • Formatas: EPUB+DRM
  • Išleidimo metai: 18-Mar-2014
  • Leidėjas: University of Nevada Press
  • Kalba: eng
  • ISBN-13: 9780874179422
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  • Formatas: EPUB+DRM
  • Išleidimo metai: 18-Mar-2014
  • Leidėjas: University of Nevada Press
  • Kalba: eng
  • ISBN-13: 9780874179422
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A comprehensive guide for seniors and their families


The senior years can be daunting, for spouses, children, other caregivers, and seniors themselves. Too often a sudden crisis leaves a family unprepared and feeling helpless. Chronic illnesses and limited funds can present difficult and emotional choices regarding care or housing. Rules and resources vary from state to state. Everyone can use help from experienced professionals in understanding them.

Boyer and Shapiro provide Nevada-specific information\--medical, legal, and financial\--on the wide range of problems that arise during the elder years. Case studies show how a typical family copes with troubles such as failing health or financial cares and what options they have. This guide will help any Nevada resident plan for their own senior years and take care of aging parents, spouses, and other loved ones.
Preface xiii
Acknowledgments xv
One An Eldercare Overview
1(11)
The Growing Need for Eldercare
1(2)
When the Time for Care Has Come
3(1)
Make a Plan
4(3)
What, Sell the Family Home?
6(1)
Importance of Early Planning
6(1)
The Caregiving Role
7(5)
Aging, Dementia, and Children
9(1)
Burnout
10(1)
You Can Say No
11(1)
Two Who Needs Eldercare?
12(15)
The Aging Process
12(1)
Common Chronic Illnesses
13(10)
Adult Onset diabetes
14(1)
Arthritis and Osteoporosis
14(1)
Balance Disorders
15(1)
The Dreaded Fall
15(1)
Kidney and Bladder Problems
16(1)
Eye Diseases
17(1)
Lung Disease
17(1)
Cardiovascular Disease, Including Stroke
18(1)
Depression
18(1)
Dementia
19(1)
Alzheimer's Disease
20(1)
Tips for Handling Dementia and Alzheimer's Disease
20(2)
Case Study: The Petersons
22(1)
Taking Away the Keys
23(2)
Dementia and Driving
24(1)
Community Resources
25(1)
Respite Care
25(1)
Support Groups
26(1)
Three There's No Place Like Home
27(5)
Keeping the Home Safe
27(2)
Halls and Doorways
27(1)
Bathroom Safety Tips
28(1)
Kitchen Safety Tips
28(1)
Bedroom Safety Tips
29(1)
Stair Tips
29(1)
The Cost of "Aging in Place"
29(1)
Emergency Response System
30(1)
Medical History Bracelet
30(1)
More Resources
30(1)
Tips for Handling Incontinence
30(2)
Four Planning for the Cost of Long-Term Care
32(14)
Types of Care
33(2)
Paying for Care
35(3)
Long-Term Care Insurance
36(1)
What About Medicare?
36(2)
Assess Medical Needs and Personal Needs
38(2)
What Can You Afford?
39(1)
Determine Income and Assets
39(1)
Financing Home Care Through Reverse Mortgages
40(3)
Cashing in Life Insurance
42(1)
Avoiding Common Financial Mistakes
43(1)
Tax Issues Related to Long-Term Care
44(2)
Five Medicaid Planning
46(13)
Applying for Medicaid
46(1)
Exempt Assets and Countable Assets
47(1)
What Must Be Spent?
47(1)
Joint Accounts
48(1)
Transferring Assets
48(1)
Medicaid Planning for Married Couples
49(1)
Spousal Support
50(3)
Case Study: Division of Assets and Spousal Support
50(1)
Case Study: Equal Division of Assets
51(1)
Case Study: The Income Cap
52(1)
Case Study: Financial Gifts to Children
52(1)
The Medicaid Spend-Down
53(1)
Basic Spend-Down for Married or Single Applicants
53(1)
Spend-Down for Married Couples
54(1)
Trusts
54(1)
Will I Lose My Home?
55(1)
Review Beneficiary Designations
56(1)
Planning Strategies
57(2)
Income Trust Fund
57(1)
Irrevocable Trust
57(1)
Long-Term Care Insurance
58(1)
Case Study: Irrevocable Trust
58(1)
Six Veterans' Benefits
59(14)
What Is Pension?
59(1)
Medical Needs Test
60(1)
Income Tests
61(1)
Asset Requirements
62(1)
Benefit When Spouse Needs Assistance
63(1)
Asset Transfers and Tax Implications
64(1)
Asset Restructuring and Spend-Down
65(1)
Veteran's Spouse Eligibility
66(1)
Applying for VA Pension
67(2)
Supporting Documentation for VA Pension Applications
67(1)
Appointment of Fiduciary
67(1)
Death of Claimant
68(1)
Accredited Agents and Attorneys
68(1)
Notifying VA of Changes
68(1)
Other VA Benefits
69(1)
Case Study: Single Veteran
69(1)
Deductibility of Family Caregiver Payments
70(3)
Case Study: Aid and Attendance
71(2)
Seven Protecting Legal Rights
73(16)
Advance Directives
73(9)
Living Wills
84
Durable Power of Attorney for Health Care
75(1)
Do-Not-Resuscitate Orders
76(1)
Physician Order for Life-Sustaining Treatment
77(1)
Substituted Judgment
78(1)
Living Will Registry
79(1)
HIPAA
80(1)
Improving the Effectiveness of Advance Directives
80(1)
Pain Management
81(1)
Patient's Rights
82(1)
Right to Autonomy, Dignity, and Respect
82(1)
Right to Manage Own Finances
82(1)
Right to Participate in Plan of Care
82(1)
Right to Be Free from Abuse and Restraints
82(1)
Right to Confidentiality
83(1)
Right to Be Fully Informed
83(1)
Right to Choose One's Own Physician
83(1)
Right to Voice Grievances
83(1)
Right to Privacy
83(1)
Right Against Unlawful Discharge or Transfer
83(1)
Power of Attorney for Finances
83(2)
Elder Abuse and Exploitation
85(2)
Guardianship
87(2)
Eight The Affordable Care Act in Nevada
89(7)
Overview of the ACA
96
Silver State Health Insurance Exchange
91(2)
SHOP Exchange
92(1)
How the ACA Affects Medicare
93(1)
The Costs of ACA
94(2)
Nine Plan Your Estate
96(19)
Trusts
96(1)
Last Will and Testament
97(1)
Case Study: Second Marriage Situations
97(1)
Family Disputes
98(2)
Updating Your Documents
100(1)
Gifts and Loans
100(1)
Special Situations
101(2)
Deed upon Death
103(1)
Nevada Asset Protection Trust
103(1)
Protecting Your Legal Documents
104(2)
After Death
106(7)
Determine How Assets Are Titled
106(1)
Joint Tenancy
107(1)
Payable on Death and Transfer on Death Property
107(1)
IRAs, Annuities, and Life Insurance
107(1)
Trust Assets
107(1)
Community Property
108(1)
Probate Process
108(3)
Avoiding Probate
111(1)
Tips for the Surviving Spouse
112(1)
Places to Look for Records
113(1)
Moving Forward
113(2)
Appendix 1 Guide to the Family Meeting 115(6)
Appendix 2 Resource Guide 121(46)
Suggested Reading 167(2)
Index 169
Kim Boyer, founder of the Boyer Law Group, is certified as an elder law attorney by the ABA-approved National Elder Law Foundation. She practises in the areas of elder law, estate planning, Medicaid, and veterans planning. She is coauthor of Alzheimers and Dementia: A Practical and Legal Guide for Nevada Caregivers.

Mary Shapiro has several decades experience as a gerontologist, counsellor, and educator. In 1992 she cofounded Senior Direction, a geriatric care-management company. She is coauthor of Alzheimers and Dementia: A Practical and Legal Guide for Nevada Caregivers.