Why is there no catastrophic long-term care insurance? It could benefit millions of middle-income people who are able to pay for a few years of services and supports on their own but need to protect themselves against the risk of a very long period of need that would impoverish all but a handful of us. Even though catastrophic coverage is a [...]
Two major new studies have turned the popular perception of dementia on its head. For years, we’ve heard that Alzheimer’s disease and other forms of dementia are on the rise—a prediction that strikes fear in the hearts of both the public and policymakers. But these new reports conclude that dementia rates may be falling, and suggest that some forms of [...]
Being a family caregiver is a lot harder than it used to be. Providing personal assistance, such as help eating or bathing, is tough enough. But now, many family caregivers are acting more like nurses. They have to manage medications, change dressings on wounds, and even monitor and operate medical equipment, from home dialysis to mechanical ventilators. According to a new survey by the AARP Public Policy Institute [...]
You can't escape the seemingly ubiquitous news stories about the latest cure for Alzheimer's. There is only one problem: None of them are true. Some are simply frauds. But many are over-hyped interpretations of serious research. You know the story...In what may be a major breakthrough in the battle against Alzheimer's disease... Over at Changingaging.org. Dr. Al Power wrote a terrific blog post [...]
People often say that the patients most at risk in the U.S. health system are the elderly who suffer from multiple chronic diseases. But it may be that a subset of these seniors—those with chronic disease who also need personal assistance with routine activities—are in the most jeopardy. An important 2011 research paper finds they are the most costly to care [...]
The overuse of antipsychotic drugs “is one of the most common and longstanding, but preventable practices causing serious harm to nursing home residents today,” Toby Edelman of the Center for Medicare Advocacy told the Senate Aging Committee last week. She said these drugs are often used off-label (that is: for purposes other than the ones for which the FDA approved [...]
Assisted living and other residential care facilities are looking more and more like nursing homes. About one in four provide skilled nursing services, between half and two-thirds offer case management, and-- at least among larger facilities---two-thirds offer their residents physical or occupational therapy. More than one-third of residents will make an emergency visit to the hospital and more than one [...]
On Monday, a presidential advisory group set a goal to prevent and effectively treat Alzheimer's Disease by 2025. There is much to like about this proposal, but it should come with a consumer warning: There is a lot less to this plan than meets the eye. Let's start with the good news. This initiative is potentially an important step forward as [...]
Yesterday, I participated in an AARP program with several authors of books on caregiving. One fellow panelist, the novelist Walter Mosley, was wonderfully provocative as he reflected on what he calls “the great equalizing effect of great age.” Mosley, whose mother was Jewish and whose father was black, put it this way: “White people become black people when they can [...]
On Thursday, I'll be participating in an ambitous program sponsored by AARP where 10 authors will discuss their experiences and views about the challenges of family caregiving. Most of us have had the personal experience of caring for family members and know about the subject first-hand. Some of our books, such as my own Caring for Our Parents, use the personal stories of caregivers to describe the nation's [...]