Tuesday, March 14, 2017

New Alzheimer’s Association Report Shows Growing Cost and Impact of Alzheimer’s Disease on Nation’s Families and Economy

Total annual payments for Alzheimer’s care surpass a quarter of a trillion dollars
Deaths from Alzheimer’s increase dramatically while deaths from other major causes decrease
Strain of providing Alzheimer’s care harms caregivers’ mental and physical health

CHICAGO, March 7, 2017 – For the first time, total payments exceeded a quarter of a trillion dollars ($259 billion) for caring for individuals living with Alzheimer’s or other dementias, according to data reported in the 2017 Alzheimer’s Disease Facts and Figures report, released today by the Alzheimer’s Association.
The report also includes new research on the disease’s impact on caregivers, such as family members. “This report details the physical and mental damage many people experience when caring for someone with Alzheimer’s,” said Beth Kallmyer, MSW, Vice President of Constituent Services for the Alzheimer’s Association. “It also reveals how this burden disproportionately affects women, who tend to spend more time caregiving, take on more caregiving tasks and care for individuals with more cognitive, functional and behavioral problems.”
More than 15 million Americans provide unpaid care in the form of physical, emotional and financia support for the estimated 5.5 million Americans of all ages living with Alzheimer’s dementia. In 2016, Alzheimer’s caregivers provided an estimated 18.2 billion hours of unpaid care – a contribution to the nation valued at $230.1 billion.
The Facts and Figures report illustrates that the strain of caregiving produces serious physical and mental health consequences. For instance, more than one out of three (35 percent) caregivers for people with Alzheimer’s or another dementia report that their health has gotten worse due to care responsibilities,  compared with one out of five (19 percent) caregivers for older people without dementia. Also, depression and anxiety are more common among dementia caregivers than among people providing care for individuals with certain other conditions.
“As the number of people with Alzheimer’s continues to grow, so do the impact and cost of providing care,” said Kallmyer. “While we’ve seen recent increases in federal research funding and access to critical care planning and support services, there’s still an urgent need to support research that can bring us closer to effective treatment options and, ultimately, a cure.”
Caring for someone living with dementia often falls on women, who make up two-thirds of Alzheimer’s caregivers. New findings highlighted in the report show that of all dementia caregivers who provided care for more than 40 hours a week, 69 percent are women. Of those providing care to someone with dementia for more than five years, 63 percent are women.

Soaring Cost, Prevalence and Mortality
The report provides an in-depth look at the latest national statistics and information on Alzheimer’s prevalence, incidence, use and costs of care, caregiving and mortality.
The report shows that, for the first time, total annual payments for health care, long-term care and hospice care for people with Alzheimer’s and other dementias have surpassed a quarter of a trillion dollars ($259 billion). Additionally, despite support from Medicare, Medicaid and other sources of financial assistance, individuals with Alzheimer’s or other dementias still incur high out-of-pocket costs. The average per person out-of-pocket costs for seniors with Alzheimer’s and other dementias are almost five times higher than average per-person payments for seniors without these conditions ($10,315 versus $2,232).
Although deaths from other major causes have decreased, new data from the report shows that deaths from Alzheimer's have increased significantly. Between 2000 and 2014, deaths from heart disease decreased 14 percent, while deaths from Alzheimer’s increased 89 percent.

Prevalence, Incidence and Mortality
·         Of the estimated 5.5 million Americans with Alzheimer’s dementia in 2017, 5.3 million people are age 65 and older and approximately 200,000 are under age 65 (younger-onset Alzheimer’s).
·         Barring the development of medical breakthroughs, the number of people age 65 and older with Alzheimer’s dementia may nearly triple from 5.3 million to 13.8 million by 2050.
·         Every 66 seconds, someone in the U.S. develops Alzheimer’s dementia. By mid-century, someone in the U.S. will develop the disease every 33 seconds.
·         Approximately 480,000 people—almost half a million—age 65 or older will develop Alzheimer’s dementia in the U.S. in 2017.
·         Two-thirds of Americans over age 65 with Alzheimer’s dementia (3.3 million) are women.
·         Alzheimer’s is the sixth-leading cause of death in the U.S. and the fifth-leading cause of death for those ages 65 and older.
·         Alzheimer's remains the only disease among the top 10 causes of death in America that cannot be prevented, cured or even slowed.

Cost of Paid and Unpaid Care
        Total national cost of caring for those with Alzheimer’s and other dementias is estimated at $259 billion (excludes unpaid caregiving), of which $175 billion is the cost to Medicare and Medicaid alone.
        Total payments for health care, long-term care and hospice care for people with Alzheimer’s and other dementias are projected to increase to more than $1.1 trillion in 2050 (in 2017 dollars).
The 2017 Alzheimer’s Disease Facts and Figures special report, titled “Alzheimer’s Disease: The Next Frontier,” highlights advances in research that may allow for the diagnosis of Alzheimer’s disease before symptoms of Alzheimer’s begin. By using biomarkers, researchers and clinicians will be able to improve how we identify and diagnose Alzheimer’s disease. The Special Report appears in the April 2017 issue of Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association.

About 2017 Alzheimer’s Disease Facts and Figures
The Alzheimer's Association 2017 Alzheimer's Disease Facts and Figures report is a comprehensive compilation of national statistics and information on Alzheimer’s disease and related dementias. The report conveys the impact of Alzheimer’s on individuals, families, government and the nation’s health care system. Since its 2007 inaugural release, the report has become the preeminent source covering the broad spectrum of Alzheimer’s issues. The Facts and Figures report is an official publication of the Alzheimer’s Association.

About the Alzheimer’s Association
The Alzheimer’s Association is the leading voluntary health organization in Alzheimer's care, support and research. Our mission is to eliminate Alzheimer’s disease through the advancement of research, to provide and enhance care and support for all affected, and to reduce the risk of dementia through the promotion of brain health. Our vision is a world without Alzheimer’s. For more information, visit the Alzheimer’s Association at alz.org or call the 24/7 helpline at 800-272-3900.


Reprinted from: http://www.alz.org/documents_custom/facts-and-figures-2017-news-release.pdf

Wednesday, March 1, 2017

Making it Easier to Keep Aging Relatives in Their Homes

by Kevin Graham on August 26, 2016

When we were younger, there’s no doubt many of us thought of our parents as the equivalent of Superman and Wonder Woman. If we ever got into any difficulty or personal struggle, they were there to lend physical and emotional support.
When those who are important to us start to slow down, it’s natural to want to provide the best support we possibly can for those who have stepped up for us time and again over the years.
Nursing homes and assisted living facilities are certainly viable options, but you may find that you want to keep your parents in their home. If possible, why not keep them in the place where they feel most comfortable? This post is all about resources to let seniors age in place rather than leaving their home and community.

Determine the Type of Care They Need

Anne Sansevero is a gerontological nurse practitioner and aging life care professional with over 30 years’ experience in the field. She runs HealthSense, a company dedicated to helping people with eldercare management strategies She said the most important thing to do to get started is to determine what type of assistance is needed. The best person to answer that is someone specializing in aging life care.
“The doctor won’t always be able to tell you that,” she said. “Doctors know a lot about disease processes, they don’t necessarily know about the bigger picture of needs.”
An aging life care professional will be able to evaluate needs in the home and in the community based on the doctor’s diagnosis. It’s also key to have someone familiar with the programs in your area do the evaluation as they should have the best understanding of local resources. Depending on the situation, they may also do periodic reevaluation.
Sansevero gave an example based on someone with Alzheimer’s. In the beginning stages, there are short-term memory changes. A person who is still fairly functional with activities of daily living might only have trouble remembering to take their medication. There are fairly cheap technological solutions to this including reminder apps. In a couple of years, if an individual starts to wander and get lost, then you could look into more constant supervision at that time.

Making Home More Accessible

Before we go further into types of care resources that are available, we need to discuss some basic home modifications for seniors you may be able to do to make living a little easier as your loved ones age.
You can install items like grab bars and nonskid mats that help to reduce the risk of falls in the shower. Having a lower tub-shower threshold will also help because you don’t need to take as big of a step up in order to get in and out. You may also be able to secure a relatively inexpensive shower seat.
A big part of this includes removing barriers. Widening doorways for wheelchairs and walkers could become important as well as having everything on one level. The current home may not be set up for this and it could require more extensive modification. In some cases, you might have to find your loved ones a different home to accommodate their aging.
At this point, it obviously becomes a bit more of an expensive proposition. Let’s take a look at some ways to pay for this.

Financial Planning

Once you know what type of care is needed and you’ve done everything that can easily be done to remove barriers in the home, now it’s time to look at ways to pay for care.
First, let’s look at a couple of cold, hard facts to see what we’re up against.
Amanda Lambert is an aging life care professional who runs Mindful Aging, an eldercare resource website.
She said a good home care aide can cost as much is $20 – $30 per hour depending on where you live, and if you hire privately through an agency. If you have to hire a nurse, that cost might start at $50 and go up. A certified nursing assistant (CNA) might fit somewhere in the middle.
If you have family support, they may be able to help keep the cost down by providing some care themselves.
The type of aide that can perform the services may depend on the state you’re in. Some states allow personal care attendants to do more tasks than others. In certain states, for example, personal care attendants are allowed to administer medication in one state while another requires a CNA.

Save Where You Can

There’s a certain amount of expense to all of this care, but before you go paying top dollar for everything, it’s important to be able to take a look at economical or free resources in the community.
Sansevero said that she provides a list of resources for clients when the evaluation is done. Your aging life care professional should be able to help you. Besides that, you can take a look at your local Area Agency on Aging. There also may be nonprofits dedicated to helping seniors in your area as well as religious groups. Take a look at charities dedicated to the particular malady from which your relative is suffering.
Medicare may also pay for certain specific treatments after a hospital stay if they’re needed in the short term. For example, they might pay for three in-house visits per week from a physical therapist for a maximum of 90 days. Personal care activities such as bathing and dressing wouldn’t be covered if that was the only thing they needed help with.
If you’re a veteran or a surviving spouse, there may be resources available to you through the Veterans Affairs Administration.
In this area, Lambert said a long-term care policy might be helpful. They pay as long as a medical need exists. This is periodically reevaluated.
Medicaid may also cover some services that Medicare doesn’t, but there are strict income and asset limits. If you qualify for Medicaid, there may be additional resources on your local county level you can find.

Finding the Money

Fairly early on, you need to start thinking about a strategy to help pay for all of this. Unless you’re independently wealthy, it’s a fairly sizable investment for your relatives and possibly yourself.
Lambert said it’s important for people to get in touch with a financial planner or attorney that specializes in eldercare planning.
“If they’re looking to the possibility that they may need to qualify for Medicaid down the road, a good financial planner will do an estate plan that keeps that in mind and is able to protect some of those assets so that they won’t be counted against Medicaid,” she said.
One option you might take a look at if you don’t want to spend all of your resources to qualify for Medicaid is a reverse mortgage. If you have a ton of equity in your home or even own it free and clear, this can be an excellent option to allow you to get money based on the equity in your home and your age. You still own your home, so you can stay there, without having to make a mortgage payment.*
Reverse mortgages are also a nonrecourse loan, meaning your heirs only have to pay back what they can get from the sale of the property. They have the option of refinancing into a normal mortgage if they want to keep the house.
If you would like to take a look at reverse mortgage options, check out our friends at One Reverse Mortgage.
The best option for you will depend on both the medical and financial situation you’re dealing with. Carefully consider all avenues before making any decision.

Reprinted from:  https://www.quickenloans.com/blog/making-easier-keep-aging-relatives-homes