Misperceptions Surrounding the VA's Aid and Attendance Pension Benefit

As the summer heat intensifies across the country, dehydration becomes a common and potentially dangerous concern. This condition can have severe implications, particularly for seniors who are more vulnerable due to several physiological factors. Seniors face unique challenges, especially when it comes to the impact of their medication on hydration. Why Are Seniors More Prone to Dehydration?Seniors are at an increased risk for dehydration for several reasons:     Reduced Thirst Signal: As people age, their bodies lose their ability to recognize thirst, making it harder to drink fluids.      Lower Body Water Volume: Older adults generally have a lower total volume of body water, meaning they have less fluid to lose before dehydration sets in.      Kidney Function Decline: Kidneys become less efficient at conserving water with age, further contributing to fluid loss.     Chronic Illnesses: Conditions such as diabetes can worsen the risk of dehydration since they affect the body's ability to control water. In addition to these factors, medication plays a significant role in influencing fluid balance in seniors.The Impact of Medication on DehydrationAs a clinical pharmacist, I've seen firsthand how medications can contribute to dehydration, especially in older adults. One of my clients, an active senior, nearly passed out while cycling in the summer. As it turned out, he was on a diuretic medication, commonly referred to as a "water pill." Diuretics are a class of drugs that increase urination, leading to reduced fluid levels in the body. These medications, often prescribed for conditions like hypertension and heart failure, can inadvertently lead to dehydration if fluid intake isn't carefully managed. Some commonly used diuretics include bumetanide, chlorothiazide (Diuril), hydrochlorothiazide, and furosemide (Lasix). But diuretics aren't the only medications that can cause dehydration. Other drugs like these can also affect your body's water balance.     Antihistamines: Often used for allergies, these can cause dry mouth and reduced fluid intake.     Blood Pressure Medications: Certain blood pressure medications can increase urine output.     Laxatives: They can cause fluid loss through increased bowel movements.     Chemotherapies: These treatments often lead to side effects like vomiting and diarrhea, contributing to dehydration.Managing Dehydration RisksIt's important to be aware of dehydration risks, particularly for those taking medications that impact fluid balance. Regardless of whether one feels thirsty, its important to drink water throughout the day. Staying alert to the signs of dehydrationsuch as increased thirst, dry mouth, dark urine, fatigue, and dizzinesscan also help address the issue early. These symptoms are early warning signs that the body may need more fluids.  Finally, anyone concerned about dehydration should consult a healthcare provider. They can adjust medication and advise seniors on managing fluid intake to prevent dehydration.   At Deeper Dive Horizons, one of my priorities is to guide you and your loved ones through the complexities of medication management to improve your well-being. With over 22 years of experience, my goal is to dive deeply into your health and ensure you maintain a balanced and healthy life, even in challenging conditions like extreme heat. Schedule a consultation today to get started 888-984-8895.

Here is your chance to live in a historically designated building two blocks from bustling Union Station.  Built in 1882, The Barth Hotel was originally a liquor warehouse, but it was soon converted into an upscale hotel. While the Barth Hotel Assisted Living is historic, it provides a home with tall ceilings, large and expansive windows, and beautiful features throughout the building Senior Housing Options (SHO) purchased the property in 1980 to help solve the problem of older adults being displaced in downtown Denver due to gentrification. SHO continues that mission today providing residential communities and caring services to enrich the lives of older adults in Colorado.  The Barth Hotel accepts Medicaid and private pay for a studio unit and is all-inclusive starting at just $4,000 a month.  All SHO Assisted Living properties provide three home cooked meals a day, snacks, medication administration, 24/7-person centered care, housekeeping and on-site maintenance and life enrichment activities that are included in the all-inclusive rate.  Call today for more information at 303- 534-7142 or plan to attend our open house on August 15, from 1:00 pm to 4:00 pm at 1510 17th Street Denver, CO 80202. If a quiet, park-like setting is more to your liking, come visit our Park Hill Residence half a mile east of City Park near the Denver Zoo.  Park Hill Residence was converted from a convent and still possesses its original charm.  There are recently renovated rooms available with the same all-inclusive benefits listed above.  These quaint rooms start at $4,000, Medicaid and private pay accepted.  Another development at Park Hill is the addition of an Adult Day Program beginning Fall 2024 for people 60+ with dementia.  If you would like Information about living at Park Hill or the Adult Day Program, they can be reached at 303-993-5049. Cinnamon Park is our beautiful, assisted living community in Longmont.  Founded by a group of physicians in 1984, Cinnamon Park became a SHO community in 1992.  We currently have availability that includes the same benefits all our residents at SHO assisted living communities enjoy with unit rates beginning at $4,000.  Located in a beautiful residential neighborhood, they share the campus with our affordable living senior community and enjoy many shared activities. We also have open waitlists for many of our affordable housing units too, including hard-to-find two-bedroom units at September House or Decatur in Denver.  If interested, please contact our main number at 303-595-4464. Senior Housing Options is celebrating 45 years of following our vision to assure Colorados older adults live and thrive in a safe, caring community regardless of their financial means.  Please save the date to attend our anniversary celebration on Wednesday, October 16th from 6:00pm 8:00pm at the Space Gallery located in the Denver Arts District.  Industry experts have been invited to speak and a buffet dinner will be served.  More information to follow.  Sponsorship opportunities are available.  Please contact Christine at 303-523-3362 if interested. Senior Housing Options, Inc. (SHO) is a nonprofit organization that serves low- and moderate-income older adults and adults with disabling conditions. SHO is unique in that we provide affordable housing in both the assisted living and more independent settings to those who need it most. We are one of Colorados most long-standing nonprofits in the affordable housing sector, providing the best options for older adults and those with disabilities. Please visit SeniorHousingOptions.org and subscribe to our newsletter, to learn more and keep in touch our phone number is 303-595-4464 and email is info@SeniorHousingOptions.org.

The U.S. Department of Veterans Affairs (VA) offers several programs and services to help Veterans access the long-term care they need. From financial assistance programs to residential living options and services and programs that help Veterans who live at home, VA aims to support U.S. military Veterans in living comfortably and accessing the care they need. Here, we explain 16 Veterans benefits that senior Veterans can receive to maximize their quality of life, safety, and comfort whether they live at home or want to live in a long-term care facility.Financial assistance programs for VeteransVA offers various financial assistance programs to U.S. military Veterans. Some provide additional income to individuals who have significant health needs. Other programs offer loans to Veterans, and still others provide grants that allow Veterans to improve their homes without needing to repay the funds. Lets explore these financial programs designed specifically for Veterans.Aid and Attendance benefitVeterans who require assistance with daily life may qualify to receive additional income every month through the Aid and Attendance benefit. This VA benefit provides income directly to qualifying Veterans. Surviving spouses can also qualify for this benefit. The maximum monthly benefit may change each year, and VA makes this determination at the end of each calendar year for the following 12 months. Currently, benefit recipients can receive over $2,000 per month if they are eligible.To qualify, Veterans must meet requirements in military service, health needs, and income. Generally speaking, the military service criteria require that the Veteran served in active duty during an approved wartime period (though serving in an active combat zone is not required). The Veteran must require help with at least two activities of daily living, need to live in a facility to protect their safety due to a cognitive or other health issue, or have a vision impairment. The Veteran must also meet the net worth limit set by Congress.Veterans interested in applying can do so on their own through VA or work with a third party that can help them determine their eligibility and get assistance with the application.VA home loanAging in place, or living at home for as long as possible, is often the ideal situation for many people. However, doing so can require capital to purchase a home or improve its accessibility. Veterans needing funding assistance to make their homes safer and accommodate their care needs may qualify for a VA home loan.The U.S. government backs these loans, and the VA guarantees part of the loan to a lender. With the VA standing behind the Veteran in the loan, the lender often offers desirable terms. The borrowing Veteran could have a zero or low down payment, a lower interest rate, or a cap on closing costs, among other benefits.To qualify for a VA loan, the Veteran must meet certain service requirements and get a Certificate of Eligibility from VA.The Special Home Adaptation grantThe Special Home Adaptation (SHA) grant provides funding to qualifying Veterans who want to buy or modify a home to meet their needs due to a service-connected disability. The Veteran can use funds to buy or build a home or modify their existing home. In addition to meeting the health and disability requirements, the Veteran must also own or soon own the home they want to improve or purchase. Eligible individuals can apply online through eBenefits, by mail, or in person after filling out VA Form 26-4555.The Temporary Residence Adaptation grantHelp is also available to Veterans who temporarily live in a home that doesnt meet their accessibility needs. If a Veteran can qualify for the Special Home Adaptation (SHA) grant or the Specially Adapted Housing (SAH) grant but temporarily lives in a family members home, the Temporary Residence Adaptation (TRA) grant may be able to help fund necessary modifications to support the Veterans accessibility needs.The Veteran must meet disability criteria and not own the home they want to modify. Veterans can apply online through eBenefits, by mail, or in person after filling out VA Form 26-4555.The Home Improvements and Structural Alterations grantThis grant is for Veterans who are not trying to fund new construction but instead want to fund home modifications for greater accessibility in their homes. The Home Improvements and Structural Alterations grant can cover alterations to home entrances, installations of roll-in showers or walk-in bathtubs, adjustments to counter heights, and other similar accessibility improvements.To qualify for the grant, the Veteran must meet various criteria, including receiving a prescription written by a VA physician deeming the improvements necessary. The Veteran must also complete the application, submit a notarized statement from the owner (if the Veteran rents the home) approving the improvement, obtain an estimate of costs for the project, and submit a photo of the original unimproved space.Residential care facilities for VeteransSome Veterans may need significant assistance with activities of daily living, so moving to a residential community may be the best way to maintain comfort and a good quality of life. Others may opt to live in facilities because of the camaraderie, socialization, and round-the-clock access to care staff and professionals. While there are many senior living communities around the country, VA provides two types of communities that specifically serve U.S. military Veterans: VA nursing homes and state Veterans homes.VA nursing homesA nursing home is a residential long-term care facility that helps people who need significant assistance with personal care tasks, like bathing, dressing, eating, and other activities of daily living. These facilities also staff skilled nursing professionals, like registered nurses and other skilled care professionals. They can provide skilled care, like wound care, medication administration, and other nursing tasks. While there are many nursing homes around the U.S., VA runs its own nursing homes, also called VA Community Living Centers, that cater to U.S. military Veterans.In order to live at a VA nursing home, the Veteran needs to meet certain eligibility criteria, such as their service-connected status, level of disability, and income. The Veteran must also be enrolled in the VA health system and be medically and psychiatrically stable.Depending on the Veterans service-connected disability and financial status, they may be responsible for a copay. VA social workers and case managers can advise interested Veterans, and applicants can complete the Application for Extended Care Benefits (VA Form 10-10EC) to apply for residency.State Veterans homesState Veterans homes are residential communities that provide varying levels of care, like independent living, assisted living, memory care, skilled nursing, and adult day health care. The state where the facility is located owns and operates the community.A benefit of living at a state Veterans home is that most residents are U.S. military Veterans. Some state Veterans homes may admit non-Veteran spouses and Gold Star parents, while others may admit only Veterans. This allows residents to bond through having the common experience with the military, which can foster and support strong relationships. Not only do the residents better understand one another, but the staff are also trained on unique issues that Veterans may face, such as PTSD, depression, and other common challenges that can result from time served in the military.Interested Veterans must apply for residency. State Veterans homes are located throughout the country.Help at home for VeteransMany Veterans choose to live at home, but even if they do not live in a VA residential community or a senior living facility, they may still need care services and support to live independently. There are a number of services that help Veterans who live in the community rather than in a facility. From adult day health care and respite care to homemaker services and even end-of-life care at home, VA offers a range of services to eligible Veterans. Lets take a look at those services now.Adult day health care (ADHC)Veterans who live at home may live alone or with a family member. Adult day health care (ADHC) services could be just what the Veteran and their caregiver need to live successfully at home. VA adult day health care programs operate during the day and serve as a place for Veterans to go and receive care services and socialization. They can also access care from visiting and on-staff professionals. Social workers, nurses, therapists, and other health care professionals offer their services to program participants.Veterans can utilize this program as often as needed, whether a few days per week for part of the day or on a full-day schedule. ADHC programs can be found at VA medical centers, state Veterans homes, or other organizations if none exist in the Veterans area. The programs can also offer family caregivers a much-needed respite from caring for the Veteran. The caregiver will know that their Veteran loved one is in good hands and getting the specialized care they need, all while the caregiver can have time for themselves or take care of other life responsibilities.If a Veteran is eligible for community care and meets the clinical criteria for the service, and if there is an ADHC program in the area, the Veteran can participate. VA care managers can guide interested Veterans on the application process and explain the potential copay the Veteran may have based on their disability status and financial information.Respite careVeterans with family caregivers, like spouses or adult children, may benefit from utilizing VA respite care program services. Respite care benefits both the individual and their caregiver because the individual receives care that the caregiver normally provides, allowing the family member to take a break from their usual caregiving responsibilities. VA respite care is convenient because Veterans and their families can access the services in a few ways. Veterans who live at home can have a respite caregiver travel to the home to provide services. The Veteran can also attend a VA adult day health care program if there is one in their area. For longer periods of care, the Veteran can receive respite care services at a nursing home. This option may be suitable for Veterans whose caregivers need to be away from the Veteran for a few days due to a trip or another responsibility. Veterans may qualify for VA respite care services if they meet the criteria and if these services are available near them. Services vary by location. The Veteran may be responsible for a copay based on their disability status and financial situation. VA case managers can help interested Veterans determine eligibility, learn if they have a copay, and apply for the service.Home-based primary care (HBPC)VAs home-based primary care (HBPC) program can offer invaluable help to Veterans who find it difficult to leave home for medical care. This service brings health care to the Veterans home if they live within 40 miles of a VA medical center. Medical professionals, such as physicians, nurses, therapists, dietitians, and other health care professionals, can provide services in the Veterans home. Veterans who are enrolled in the VHA Standard Medical Benefits Package are eligible to receive home-based primary care if the service is available in their area and they meet the clinical criteria. VA case managers can help Veterans learn whether they meet the requirements and whether there is a program in their area.Skilled home health careSkilled home health care can be an important part of a Veterans recovery from an injury or hospitalization. The skilled home health care program provides skilled nursing services to Veterans transitioning home from a hospital or skilled nursing facility but still needing care at home.If a Veteran is eligible for community care and meets other criteria, they may qualify for the skilled home health care program. VA case managers can help determine eligibility and assist the Veteran in applying for the service.Homemaker and home health aide programIf a Veteran needs help with activities of daily living and maintaining their homes cleanliness, the VA homemaker and home health aide program may be a great fit for their situation. Through this service, the Veteran receives care through a VA-approved home care agency that sends caregivers to the Veterans home. Typically, these caregivers can help with light housekeeping, meal preparation, and assistance with bathing, dressing, and other activities of daily living.Veterans eligible for community care may qualify to participate in the homemaker and home health aide program. VA case managers can help Veterans determine whether they qualify and will have a copay in addition to helping them receive the services.Home hospice careVeterans can receive home hospice services during their final stage of life. As with typical hospice services, providers help manage the patients symptoms while the patient is no longer seeking curative treatments for their illness or condition. In addition to symptom management, the Veterans family and loved ones can receive grief counseling services.This service is part of the VHA Standard Medical Benefits Package. Enrolled Veterans are eligible for home hospice care if their physician determines theres a clinical need. Hospice care requires no copayments from the Veteran. Palliative careAlthough palliative care also aims to manage chronic conditions and maximize quality of life, it should not be confused with hospice care. The main difference is that patients can use palliative care services while receiving curative treatments, whereas those receiving hospice care cannot. Through the VA palliative care program, Veterans work with doctors, nurses, social workers, and other professionals to manage pain and other symptoms associated with one or more chronic conditions. The palliative care program is part of the VHA Standard Medical Benefits Package. A Veteran may be eligible if they demonstrate a medical need for it. VA social workers can help determine potential copays and processes for initiating this type of care.Home telehealth assistanceThe home telehealth assistance program allows Veterans living at home to use technology to monitor their health and communicate with their health care providers. With remote patient monitoring, health care providers can access real-time data about the Veteran patient. Phone visits and video communication can allow Veterans who are homebound or live far from their providers to contact doctors quickly and as needed.Veterans can talk with their health care provider at the nearest VA medical center about the home telehealth assistance options in their area.Veteran-directed careVeteran-directed care is more of an approach to how the Veteran chooses to receive their care than a specific type of care. Many Veterans receive care from VA-directed health care providers, but through Veteran-directed care, the Veteran chooses their care service providers. They are responsible for hiring, managing, and paying their providers with the budget they receive. This program fosters autonomy and allows the Veteran to take the lead on who provides their care.To participate, the Veteran must be eligible for community care and meet health requirements. VA social workers can work with interested Veterans to determine the individuals eligibility and inform them on how to get started.Whether a senior Veteran wants to live at home or in a long-term care community, they can turn to VA to receive the care they need.