What are family caregivers worth? As the credit card commercial says, they are priceless. But they also have a financial value. And calculating that value is important as we consider ways to help them. For example, before Congress creates new government supports for family members who help aging parents or other relatives with disabilities, it will want to know if [...]
Most of us, most of the time, want to age at home. But the reality is not everyone can, or should. Sometimes staying in your own home as you become increasingly frail is a poor choice. It can be lonely and even dangerous. It can burn out family caregivers. And it even can be more costly than other options, especially [...]
Sometimes, you just have to say what is crashingly obvious. And when it comes to older adults aging at home, here it is: If seniors are going to avoid a nursing home, they need a safe, affordable alternative. Without one, they may die prematurely. And even if they live, they will almost surely need institutional care, which may be a [...]
What do family caregivers really do? What is their day like? Remarkably, though there are tens of millions of children, parents, and spouses in the US helping millions of frail older adults and younger people with disabilities, we know very little about their daily experiences. In an effort to better understand what it is like to care for a relative [...]
Congress has finally renewed the Older Americans Act—a key piece of the social safety net for seniors. It is good that, after a decade in limbo, the law finally has been reauthorized. But before you break out the balloons and champagne, remember that keeping programs alive on paper is not the same as paying for them. And the government safety [...]
Discharge planning is often a broken link in the chain of care for hospital patients. Older adults and others with complex care needs nearly always need follow-up after they are discharged. They’ll almost certainly have to take new medications. They may need bandages changed after surgery, or physical therapy after a stroke. Unfortunately, they and their families rarely get the [...]
We all want to live at home as we age. But while we may not want to admit it, getting the support we need can be much tougher at home than in a nursing home or assisted living facility. For all their problems, nursing homes or residential care facilities can be an efficient way to deliver care to many people [...]
Older adults may be better off living in age-segregated communities than in neighborhoods or buildings filled with young adults or families with kids. They may have better support, access to more services, and even a better sex life. That, at least, is the conclusion of University of Florida professor Stephen Golant, an environmental gerontologist and expert in the housing of [...]
Family caregivers are invisible. Those children, spouses, or other relatives who provide personal assistance to loved ones with physical or cognitive limitations are often taken for granted or even ignored. But without them, our system of long-term supports and services would collapse. Frail elders and younger people with disabilities would get sicker. Hospitalizations would increase. Medicare and Medicaid costs would [...]
Should the aides who provide home care for frail elders and younger people with disabilities receive a living wage and decent benefits? If they do, how can families, who often are unable to afford care today, be expected to pay those higher wages and benefits? Should the market be allowed to set these prices, or should government intervene through minimum [...]