Guardianship and Conservatorship: What You Need to Know

What Type of In-Home Caregiver Do You Need?You think you or your loved one might need some help around the house, but youre not sure what. Youve done a bit of research, but the language can be confusing. Whats the difference between home care and home health care? What services does a companion provide? And most importantly, which services do you need?Each type of service, from companion care to skilled nursing care, caters to different needs and offers varying levels of support. Knowing the differences can help you make an informed decision thats best for your family. Heres a breakdown of the primary in-home caregiver services available.Companion Care (or Sitter Services)Companion care, sometimes known as sitter services, mainly provides companionship for seniors or individuals who do not require intensive medical care but may need supervision and light assistance. This service is ideal for those who wish to remain in their home and maintain a level of independence. Companion care helps ensure the individual is safe in their home and gets regular social interaction.Caregivers in this role engage in activities such as:          Conversation and companionship, including hobbies, games, and walks          Meal preparation and dining company          Light housekeeping Errand services, such as grocery shopping          Transportation to appointments or social events          Medication reminders Companion care is suitable for individuals who are mostly independent but may be at risk if left alone for long periods, such as those with early-stage dementia or limited mobility. Personal Care (or Home Care)Personal care professionals provide a more hands-on level of support, helping with the personal care of an individual. This service is often more generally called home care. These caregivers have more training than companion caregivers and can assist with the physical aspects of daily living. Their tasks typically include:          Bathing and personal hygiene          Dressing assistance          Mobility assistance          Incontinence care          More detailed medication management          Monitoring of vital signs under some circumstancesPersonal care is ideal for individuals who need regular assistance with personal care tasks but do not require medical intervention. Its a good fit for those with moderate disabilities or more advanced stages of age-related conditions. Home care visits are typically a minimum three-hour shift as often as needed up to 24/7 care and can continue as often as visits are needed.Nursing Care (Home Health Nurses)Nursing care at home is provided by registered nurses (RNs) or licensed practical nurses (LPNs). This type of care is necessary when an individual needs medical care at home, whether theyre recovering after a hospital stay or need help managing a chronic condition such as chronic lung or kidney disease.Home health nurses perform a range of medical tasks, including:         Wound care          Administering medications, including injections          Pain management          Medical equipment operation          Monitoring health status and adjusting care plans accordinglyNursing care is suited for individuals with significant medical needs that require professional health monitoring. Its commonly used for recovering from surgery, managing serious illnesses, or managing complex health conditions requiring regular medical attention. Home health visits are often intermittent and limited. They last until recovery goals are met or the health care provider certifies the visits can continue.How To Decide What Type of In-Home Care Is Best         Its common for care needs to cross over these categories. For example, someone who needs a nurses help managing their lung disease at home may also need the housework type help provided by a home care aide. Here are some additional thoughts to help with the decision:         Evaluate the individuals level of independence and medical needs. The person with lung disease may not need help around the house.         Consider the care recipients preferences and financial situation. Insurance (including Medicare/Medicaid) typically does not pay for in-home care or may pay only under limited circumstances.         Consult with health care professionals for tailored advice and guidance. What kind of care does the primary care physician recommend? Patients who are being discharged from a hospital or nursing home may also receive recommendations from the discharge staff.Remember, the goal for receiving care or assistance at home is to maintain the highest quality of life possible. If you are helping a loved one or friend decide on care, respect their wishes and needs as they age or recover in the comfort of their own home.Questions To Ask When Considering In Home Care Providers         As you research in-home care options, ask each provider these questions to ensure the company is reputable and will provide exceptional, quality care:         Are Social Security, federal and state taxes, and unemployment insurance paid? Are the caregivers bonded/insured? Are workers compensation and professional liability insurance paid? A trustworthy company will pay the taxes and insurance for its caregivers, so you are protected from legal and financial responsibility.         Is the required state licensing up to date? Have all caregivers undergone background checks, including references and criminal records?         Are supervisory home visits conducted to verify that quality care is being provided?Asking these questions will help sort out which providers have a good reputation and are highly regarded in the community, and which do not have these qualities. Above all else, ensure that dependable, quality care will be provided by people you can trust. Question, please contact Right at Home 970-494-1111.

Helen, a vibrant 78-year-old who thrives in the hustle and bustle of the winter holiday season, hosts gatherings and participates in longstanding family traditions. Come January, the sudden silence of her home, now void of guests and decorations, can feel overwhelming. This abrupt shift from constant social interaction to minimal contact is one of the main reasons seniors feel lonely after the holidays. Helens situation is, sadly, very common. The winter holidays bring a flurry of activity and companionship that can brighten seniors lives, whether they live alone or in a senior living community. But once the decorations are packed away and families return to their routines, a stark quiet can settle in, leaving many seniors feeling isolated. The contrast can be jarring.Why Post-Holiday Loneliness OccursSocial interaction drops off: During the holidays, older adults often experience an increase in social contactvisits from family and friends, holiday parties, and community events. Once the festivities end, the sudden drop in social interaction can feel particularly stark, leading to feelings of loneliness and isolation.Seasonal affective disorder (SAD): The winter months bring shorter days and longer nights, especially when winters are coldcan lead to seasonal affective disorder or winter blues, exacerbating feelings of loneliness and sadness.Physical challenges: Cold weather can also limit an older adults mobility, making it difficult for them to leave home and engage with others.Reflection and remembrance: The holidays can also be a time of reflection, where older adults may reminisce about past holidays and loved ones or friends who are no longer present. Even during the holidays, these memories can contribute to feelings of loneliness.Coping Strategies for Seniors Compare Helens story to that of David, a retired teacher who lives in a senior community. His family lives across the country, and visits are infrequent. Although he sometimes does not see his family during the winter holidays, David has found new sources of purpose and community throughout the year. He volunteers at the local library and participates in the community garden, activities that keep him connected and engaged all year long.For older adults, maintaining a regular schedule of social contacts like that can be incredibly beneficial. Engaging in regular activities, even simple ones like joining a book club, attending a craft workshop, or simply having a scheduled weekly phone call with family, can make a big difference. Here are more tips:         Use technology. Technology can help bridge the gap, especially for family members who live far away. Video calls, social media, and even online games can provide interaction.         Schedule regular activities. Many senior centers and communities offer regular programming. If you have hobbies that you typically do independently, like reading, crafts, or gardening, consider inviting a friend to enjoy them with you.          Look for volunteer work. Volunteering can be an excellent way for seniors to feel connected and purposeful, which are key to combating loneliness. Start with your personal knowledge or interestsfor example, avid readers could consider volunteering at a local library.         Consider getting professional help for mental health. Be honest with yourself about your mental health. You could start by asking your primary health care provider for advice or a referral. Unchecked loneliness and isolation can ultimately affect your physical health and well-being.How Family and Friends Can Help Older Adults1. Make regular visits or stay in touch. Make a concerted effort to visit or communicate regularly with the senior in your life. Something as simple as a daily text or phone call can make a big difference. 2. Plan post-holiday visits. Consider scheduling a visit in January or February, which can give your older loved one something to anticipate after the holidays wind down. 3. Involve them in planning. Encourage your older loved one to help plan that post-holiday visit or other gatherings or events. Planning can help fill their hours and get them talking with you or others. 4. Watch for signs of depression. Signs of depression or severe loneliness could include changes in appetite, sleep, or general disinterest in life. Early intervention is key in managing these issues. 5. Talk to your older loved one about in-home caregivers. Right at Home offers companion care, in which our caregivers provide important social interaction while also helping with tasks at home or elsewhere.Understanding the reasons behind post-holiday loneliness and taking proactive steps to counteract it can help ensure that seniors feel connected, valued, and cared for all year round. By weaving a safety net of family, friends, activities, and professional support, we can help diminish the quiet that comes after the festive season and foster a year full of meaningful connections. Article by Right at Home in Fort Collins. Please call 970-494-1111 with any questions.

Guardianship of an elderly parent is a complex and often emotionally challenging process that requires careful consideration and understanding. This comprehensive overview delves into the intricacies of guardianship, its necessity, and the responsibilities it entails.Understanding GuardianshipGuardianship is a legal arrangement that becomes necessary when an elderly parent is no longer capable of making sound decisions about their health, finances, or daily care. It's considered a last resort option, requiring a court hearing and confirmation of incapacity by medical providers. When guardianship is granted, an individual - either a family member or a professional - is appointed by the court to make medical decisions and manage the daily care of the elderly parent.  The decision to pursue guardianship often comes with mixed emotions. While it may be the right choice for ensuring the parent's well-being, it can feel uncomfortable, especially if there's disagreement among family members. It's crucial to understand that guardianship provides absolute decision-making authority, allowing the guardian to make medical decisions and manage care in the best interest of the elderly parent. When is Guardianship Necessary?Guardianship becomes necessary in several situations. It's commonly appointed for elderly parents diagnosed with cognitive impairments such as dementia or Alzheimer's disease. Brain injuries or other serious health conditions that result in cognitive impairment may also necessitate guardianship. In some cases, elderly parents may reach a stage where their health concerns are overwhelming, making it difficult for them to make good decisions about their care.  The process of obtaining guardianship requires substantial documentation. A guardianship petition must be submitted to the court, accompanied by evidence that substantiates the degree of cognitive impairment and demonstrates poor decision-making. This typically includes a medical assessment, which may involve a neuropsychological evaluation.Contested Guardianship HearingsIt's important to note that not all guardianship proceedings are straightforward. Contested guardianship hearings can occur when there's disagreement about the need for guardianship or about who should be appointed as the guardian. These disagreements can arise between the elderly parent and their children, among adult children, or with other family members.  Contested hearings can be costly, with opposing family members bearing their own legal expenses. The elderly parent for whom guardianship is pending also incurs legal expenses. In some cases, particularly where family conflict is prevalent, appointing a professional guardian rather than a family member may be the better choice.Benefits of Guardianship and ConservatorshipWhile guardianship focuses on health and daily living decisions, conservatorship deals with managing money and property. Often, when a guardian is appointed, a conservator is also named. In family situations, one person can serve as both guardian and conservator. However, when professionals are appointed, these roles must be separate to ensure oversight and a system of checks and balances.  The primary benefit of having a conservator is the assurance that funds are managed in the best interest of the elderly parent. This arrangement can provide protection for both the guardian and the elderly parent. It's crucial to understand that the goal of guardianship and conservatorship is to ensure funds are spent for the benefit of the elderly parent, not to conserve an inheritance for adult children.The Responsibilities of a GuardianBeing a guardian carries significant legal responsibilities that are often underestimated or misunderstood, even by healthcare professionals. Guardians are required to make good decisions, not just easy ones. This often involves advocating for the elderly parent in various healthcare settings.  Guardians must be prepared to disagree with medical professionals when necessary. This requires confidence in advocacy skills and a willingness to engage in potentially uncomfortable conflicts. Guardians should be prepared to explain their legal responsibilities to healthcare providers who may not fully understand the implications of guardianship.  The guardian's role extends beyond medical decision-making. It includes managing daily care, whether at home or in a care community, communicating with medical professionals about care needs, and advocating with service providers. As the number of individuals involved in the elderly parent's care increases, so does the complexity of the guardian's responsibilities.Decision-Making in GuardianshipGuardians have total decision-making power, but this doesn't mean they can act arbitrarily. There are standards of decision-making that must be followed. One important concept is "substituted judgment," where the guardian makes decisions as if they were the elderly parent deciding for themselves.  To make informed decisions, it's crucial for guardians to have discussions with the elderly parent about their wishes for future care. These conversations should ideally take place before cognitive decline sets in and should be documented. If it's too late for such discussions, guardians may need to consult other family members or friends who knew the elderly parent well.State Differences in Guardianship LawsIt's important to note that guardianship laws and terminology can vary from state to state. In some states, the term "conservator" may encompass both medical and financial responsibilities. The availability of professional guardians and conservators also differs by state, with some having more advanced systems than others.The Growing Need for GuardianshipAs the population ages, the need for guardianship is likely to increase. Many individuals over the age of 85 have undiagnosed dementia, and elderly parents living alone are at particular risk if family support is not available. The rise in chronic diseases such as heart disease, diabetes, and cancer also contributes to the growing need for guardianship.The Importance of Caregiving SupportFor those serving as guardians, caregiving support is invaluable. The role of a guardian is often unexpected and can be overwhelming. As the elderly parent's needs increase, the responsibilities become more time-consuming and complex.  Caregiving support can offer solutions to common problems, provide access to expert advice, and help relieve the stress, anxiety, and frustration that often accompany caregiving responsibilities. It's crucial for guardians to seek out resources and support to help them navigate their important role effectively.Guardianship of an elderly parent is a significant responsibility that requires careful consideration, thorough understanding, and ongoing commitment. While it can be challenging, with the right support and resources, guardians can ensure their elderly parents receive the care and protection they need in their later years.