Family inHome Caregiving Blog
Governor Jerry Brown signed into law AB 340 in 2012, a bipartisan bill which was designed to save taxpayers money by capping benefits on state government pensions. It increased the retirement age, stopped so-called pension "spiking" (which is special pay for things like paying library workers assigned routinely and consistently to the circulation desk) and required state employees to pay at least half of their pension costs. However, CalPERS approved by a vote of 7-5 temporary raises which Brown is now saying is another way to try and spike pensions, and he has been pretty vehement about his opposition. "CalPERS got it wrong. The vote undermines the pension reforms enacted just two years ago. I've asked my staff to determine what actions can be taken to protect the integrity of the Public Employees' Pension Reform Act," said Governor Brown. This issue will be hotly debated as local government employees are also participants in the CalPERS pensions.
A local caregiver pleaded no contest to felony elder abuse by neglect under circumstances that would likely result in great bodily damage or death as well as failing to file tax returns and making false representations to obtain unemployment benefits in the state of California. Unfortunately, under the plea agreement she is only expected to get probation and will have to pay restitution. During the time she was a caregiver, police and fire officials were repeatedly called to help the senior that she was taking care of. In addition to not properly taking care of the senior, she had the nerve to take cash under the table and collect unemployment insurance while she was actually working. Although it's more expensive, in the long run it can save you money and heartache to hire a caregiver through a company like Family inHome Caregiving. We constantly hear of elder abuse horror stories after people hire caregivers that are not bonded and insured. In this current case, the state and the IRS can go after the senior for paying the person under the table and not withholding taxes. It's a terrible risk to take.
Hospice Foundation hosted an open house and unveiled its new name, Hospice Giving Foundation. The Hospice Giving Foundation does fundraising and then disburses the money to local hospice caregivers. "As the need for and appreciation of hospice care grows, we want to make sure that people understand who we are, what we do, and why it's so valuable," CEO Siobhan Greene told the Monterey Herald. "We screen for excellent hospice care providers, raise funds and award grants so that everyone can have access when they need this critically important service," she said.
Monterey, CA Caregiver Private Duty In Home Senior Companion Aide Jobs Available (Also Aromas, Carmel, Carmel-by-the-sea, Carmel Highlands, Carmel Valley, Castroville, Corral de Tierra, Del Rey Oaks, Gilroy, Gonzales, Greenfield, Hollister, King City, Morgan Hill, Moss Landing, Pacific Grove, Paicines, Pebble Beach, Prunedale, Salinas, Sand City, San Juan Bautista, Seaside, Soledad And Tres Pinos)
I am happy to say that business is booming at Family inHome Caregiving! We have had a greater than anticipated influx of new Clients over the past two weeks, many of which have been referrals from past and current Clients. Our reputation for having the best caregivers in Monterey County is growing. We are currently looking for a handyman as well as qualified caregivers.
Family inHome Caregiving of Monterey is seeking compassionate, mature and dependable caregivers (Companion Aides) who want to improve the lives of our elderly Clients by providing in-home, non-medical care, particularly those seeking live-in positions or those who can work 24-hour shifts. Our services include:
Monitoring of safety while bathing
Information and referral services
Other services that improve the safety, security and quality of life of seniors.
If you believe you would make an exceptional Companion Aide, we would love to hear from you! We prefer those with experience helping the elderly, disabled and others with mobility problems. Having cared for those with dementia and/or Alzheimer's is a plus. To work for us, you must have excellent references, a clear criminal record, a good driving record, and an insured reliable vehicle. To apply, please visit our web site www.fhcofm.com, click on careers where you can fill out an application online. We have immediate openings all over Monterey County. Service areas include:
Aromas, Carmel, Carmel-by-the-sea, Carmel Highlands, Carmel Valley, Castroville, Corral de Tierra, Del Rey Oaks, Gilroy, Gonzales, Greenfield, Hollister, King City, Marina, Monterey, Morgan Hill, Moss Landing, Paicines, Pacific Grove, Pebble Beach, Prunedale, Salinas, San Juan Bautista, Sand City, Seaside, Soledad And Tres Pinos
Hospitals have typically been drab facilities with few amenities but that has been changing in recent years. CHOMP, for instance, has valet parking for its cancer clinic, and many hospitals across the country are trying to improve the quality of food and audio and video equipment to make patients feel more at home. The environment certainly plays a large part in how quickly one recovers after having major surgery. Studies have shown that there is a direct link between the content of images and the brain's reaction to stress, pain and anxiety and hospital executives are now considering how to choose artworks based on these studies. "These are not just accoutrements or aesthetics anymore," Lisa Harris, CEO of Eskenazi Health, told the Wall Street Journal. It's a good trend and thankfully most hospitals have an affiliated non-profit foundation which can get major donors to buy the artwork so it doesn't cut into their bottom line.
The government has gotten kudos for catching some big fish committing Medicare Fraud over the past couple of years. However, as The New York Times pointed out today, there is still a long way to go. There is a massive $100 million system in Baltimore, Maryland which goes through Medicare claims looking for suspicious patterns to try and combat the massive amount of Medicare fraud. We're now spending about $600 million a year to fight the $60 billion per year in fraudulent claims, but the Times article says myriad outside contractors being used by the government are rife with conflicts of interest and other problems. "It's pretty dysfunctional because the contractors don't communicate with each other, Orlando Balladares, a fraud investigator, told The New York Times. I hope more oversight of these outside contractors is done. We're relying on them to recover roughly 10% of all spending on Medicare each year which is attributable to fraudulent claims.
The average American has to go into the hospital for surgery 9 different times during their lifetime. A recent article in AARP The Magazine had suggestions to prepare yourself for going into surgery. One of the most important ones was that if you smoke, you need to quit prior to the surgery. Smokers have nearly double the risk of suffering a heart attack, stroke or other severe complication during or immediately after surgery. Stopping for even a few weeks can change your odds significantly. You should also have your blood sugar levels tested. Having high blood sugar during surgery quadruples the risk of dying during surgery and triples the risk of wound infection. Cutting down on alcohol consumption and getting in better physical shape will also give you a better shot of making it through a major surgery. Your drug regimen and nutritional supplements should also be discussed with your physician. Gingko biloba (a memory booster), for instance, can cause dangerous bleeding during surgery, while Valerian (used for sleep disorders) makes going under anesthesia dangerous. Stop taking nutritional supplements two weeks prior to surgery and make sure you are getting enough to eat. Fifteen percent of patients are dangerously undernourished prior to surgery so buy some Ensure or another supplement may be a good idea. Finally, physicians say that if you have heavy snoring, this should get checked out. Patients with sleep apnea are much more likely to have problems breathing during surgery. I thought these were great tips. Many of them I was unaware of.
People are living longer and longer, which is great as long as they remain healthy and have enough money to keep up their current standard of living. So-called "longevity insurance," which hasn't caught on much with senior citizens, is likely to make a big comeback according to the latest issue of Kiplinger's Retirement Report. These are deferred income annuities which allow you to pay an insurance company a lump-sum premium instead of monthly payments, which entitles you to a fixed monthly lifetime payment in future years. The average buyer is 59 years old and defers payments for seven to eight years, according to the LIMRA Secure Retirement Institute. A 60-year old man who invested $50,000 would get $6,340 per year if he started payments when he hit 70, or $17,570 a year if he waited until he was 80. Talk to your financial advisor before making such an investment, however, because there are complicated rules revolving around IRS requirements that require minimum distributions beginning at the age of 70.5 years old.
Insurers are expected to battle consumers over many claims for compounded medicines, which are something your doctor specifically prescribes as a potion and is done as a custom job at the pharmacy. The drugs can be extremely expensive. "There are absolutely situations where compounded medicines are appropriate," but in other cases the products are "unsafe or overly expensive," Dr. Sumit Dutta told the New York Times. Bringing the issue to the forefront was a recent indictment of 15 doctors, chiropractors, pharmacists and financial brokers who are accused of engaging in fraud by inappropriately prescribing compounded medicines. Compounded medicines help many of the elderly. For instance, your doctor can request a compounded liquid version of a formulation if a loved one is not able to swallow pills. But stories of inappropriate compounds abound, including two pain creams mentioned in the article that cost between $2,400 to $4,100 for a 30-day supply. If Medicare fights you on reimbursement for a compounded drug, it's possible to contest their decision with the help of your physician.
Many people are unclear about the financial implications of filing for Social Security at an early age. The latest issue of Kiplinger's Retirement Report covered many issues, with one of the most important points being that you can change your mind about your decision within 12 months of claiming benefits. Essentially, you revoke your application by filing form SSA 521 and must repay any of the benefits that you have received. This may be worth it over the long-term. You should speak to a financial planner if you are in this situation. Even if the 12 months have passed, you can suspend your benefits if you are at or above the full retirement age. This will cause you to stop receiving benefits Again, this is a complicated situation and should only be done in conjunction with a financial planner, accountant or someone else that you trust to figure out what is your best strategy.