Include Care Support in Your Retirement Planning

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You’ve seen them in commercials, whether for vitamins, retirement communities or a health club: A group of friends, silver-haired but model-thin and in top health, stride energetically across the golf course, or sit around the pool looking great in their swimsuits. They hop out of their RVs to go rock climbing with their grandchildren. They dance the night away.

This is the expectation many of us have about our senior years. No rocking chair for us! If we take care of ourselves, eat right, exercise and follow a healthy-aging lifestyle, we will surely escape the disabling conditions faced by previous generations, right?

The reality is, no matter what steps we take to avoid chronic illness and disability, there are no guarantees. Consider a recent analysis by the U.S. government revealing that nearly 40 percent of people aged 65 and older are living with at least one disability. According to the “Older Adults With a Disability: 2008-2012” report, these seniors are challenged by declines in hearing, seeing, memory and mobility. Many have difficulty walking and climbing stairs. Many are challenged by getting to the doctor’s office or shopping, and by self-care tasks such as bathing and dressing.

While these predictions are sobering, they shouldn’t discourage us from making lifestyle choices that promote healthy aging. Instead, the numbers should motivate us also to include the possible need for care in our retirement planning. Said demographer Wan He of the U.S. Census Bureau, “The statistics provided in this report can help anticipate future disability prevalence in the older population. The figures can be used to help the older population with a disability, their families and society at large plan strategies and prepare for daily life tasks and old-age care.”

Consider that many chronic illnesses—such as arthritis, osteoporosis and vision loss—cause disability, but don’t necessarily shorten our lives. If we’re lucky enough to live to a ripe old age, we’ll continue to wish for good quality of life, no matter our health challenges. So it’s important to create a plan for whatever the future brings us:

Get your legal and financial ducks in a row. With the help of your attorney and/or financial planner, learn about strategies and sources of payment for healthcare and long-term care, such as Medicare, Medicaid, retirement accounts, reverse mortgage and privately purchased long-term care insurance. Organize your financial affairs and create advance directives for healthcare.

Share your thoughts with family. Let them know about the plans you are making and your preferences for care. Earlier is better than later when it comes to having those conversations—especially concerning who would provide care for you, and who would make financial and healthcare decisions for you if you were unable to do so.

Give your home an accessibility checkup. It’s never too soon to consider whether your current dwelling would work if you or your spouse were to become disabled. Would you be able to get into and around the house if you were unable to climb stairs? What modifications and improvements could make life easier if you had arthritis or visual impairment? As you plan, you’ll be pleased to discover that today, the emphasis is on “universal design” that creates an accessible home for everyone, with clever elegance in place of an institutional look.

Learn about support services that would allow you to live life to the fullest even if you’re living with a disability. Check out your local senior and disability services agency. Far in advance of the time when you might need them, find out about retirement communities, assisted living, long-term care and memory care facilities in the area. And don’t forget that much supportive care can be provided in your own home. Skilled home nursing services and adaptive home medical equipment are available. And lower-cost, nonmedical in-home caregivers can provide:

  • Personal care and hygiene, such as bathing, dressing, grooming, toileting and assistance with transferring from bed to chair.
  • Housekeeping and laundry services.
  • Meal planning and preparation.
  • Transportation to health appointments, shopping and activities.
  • Medication reminders.
  • Socialization and companionship.
  • Memory care and supervision for clients with Alzheimer’s disease or other cognitive impairment.

For many seniors, professional in-home care is the ingredient that allows for maximum independence and highest quality of life. For extra peace of mind, hire through a reputable agency that performs background checks, handles taxes, carries liability insurance and can arrange for a backup caregiver if necessary.

It’s important to plan—not only for the future we want, but also for the future that life might bring us. Living with a disability doesn’t mean living an unfulfilled life. If you plan ahead, your future self will thank you, no matter what the future brings!


Right at Home, Inc. is a national organization dedicated to improving the quality of life for those we serve. We fulfill that mission through a dedicated network of locally owned providers of in home care services.

About Right at Home of Central New Jersey

Right at Home offers in-home companionship and personal care and assistance to seniors and disabled adults who want to continue to live independently. The Right at Home of Central New Jersey office is a locally owned and operated franchise office of Right at Home, Inc., serving the communities of Middlesex and Northern Monmouth Counties.

For more information, contact Right at Home of Central New Jersey at http://www.rightathome.net/monmouth-middlesex/,  732-967-0900 or by email at beth@rahcentral.com.

Reprinted with permission from Caring Right at Home eNewsletter, http://www.caringnews.com. Copyright, 2015, IlluminAge Communication Partners

U.S. Census: More Seniors Are Living With Disabilities; Fewer In Nursing Homes

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In June 2014, the U.S. Census Bureau released “65+ in the United States: 2010,” a major report about our nation’s seniors, based on data collected during the most recent census. Said the Census Bureau’s Enrique Lamas, “The findings, released with the National Institute on Aging (NIA) at the National Institutes of Health, provide the most detailed information available on the demographic, economic, and health and wellness characteristics of this rapidly growing dynamic population.”

A big focus, of course, is on the numbers. The report found that in 2010, there were 40.3 million people aged 65 and older. The percentage of our population aged 65 and older has increased from only 4 percent in the year 1900 to 13 percent today, and is projected to rise to more than 20 percent by the year 2050.

These numbers also mean a huge projected growth in the number of people living with disability caused by chronic, age-related health conditions such as arthritis, osteoporosis and other musculoskeletal disorders; heart disease and other circulatory conditions; diabetes; lung conditions; vision and hearing loss; and dementia such as Alzheimer’s disease. The report showed that among people aged 85 and older, 30 percent have difficulty dressing and bathing, 50 percent have difficulty doing errands alone and 53 percent have difficulty walking and climbing stairs.

For this reason, a large proportion of people older than 65 will need long-term care at some point. “65+ in the United States: 2010” defines long-term care as “assistance to people who have a prolonged physical illness, disability or severe cognitive impairment that hinders daily functioning. In contrast to medical care, which focuses on preventing, diagnosing and treating disease, long-term care provides assistance with essential and routine aspects of life.”

Where is this care being provided? With the aging of the population, more people are going to nursing homes for short-term rehabilitation and subacute care. But a decreasing percentage of seniors are opting to receive long-term care in a nursing home. The report states, “Americans 65 and older living in a nursing home fell 20 percent between 2000 and 2010, from 1.6 million to 1.3 million. Meanwhile, the share in other care settings has been growing.”

The alternative settings include assisted living facilities, which provide a more limited set of support services paired with greater independence. But most seniors prefer to receive care at home if possible; the report states that up to 90 percent of people older than 50 express this preference. More seniors with disabilities are living at home. They receive assistance from family members and friends, but the Census report reminds us that smaller families and a higher divorce rate mean a smaller pool of people who can help. (Along those lines, an October 2013 Caring Right at Home poll found that 75 percent of readers report they would have no more than two people who might help them if they were to become disabled.) This is one of the reasons that a growing number of seniors are taking advantage of professional in-home care.

Skilled healthcare services can be provided at home and are cost-effective. For example, according to the Census report, “Medicaid can provide home- and community-based services to three people for the same cost as one patient in a nursing home.”

Nonmedical supportive care services also help seniors successfully age in place—staying in their own homes while remaining active and independent. In-home caregivers provide:

  • Personal care and hygiene, such as bathing, dressing, grooming and toileting.
  • Companionship and stimulating activities in the home.
  • Support for healthcare management.
  • Housekeeping and laundry services.
  • Meal planning and preparation.
  • Transportation to health appointments, errands and pleasant outings.
  • Supervision and encouragement to help clients remain physically active.
  • Medication management.
  • Memory care and supervision for clients with Alzheimer’s disease or other cognitive impairment.

Learn More

Read the entire “65+ in the United States: 2010” report on the U.S. Census Bureau website.

For information on topics related to home care and healthcare, visit our Home Care and Healthcare Advocacy group on LinkedIn.

Right at Home, Inc. is a national organization dedicated to improving the quality of life for those we serve. We fulfill that mission through a dedicated network of locally owned providers of in home care services.

About Right at Home of Central New Jersey

Right at Home offers in-home companionship and personal care and assistance to seniors and disabled adults who want to continue to live independently. The Right at Home of CNJ office is a locally owned and operated franchise office of Right at Home, Inc., serving the communities of Middlesex County. For more information, contact Right at Home of Central New Jersey athttp://www.rightathome.net/middlesexnj/, 732-967-0900 or by email at beth@rahcentral.com.

Reprinted with permission from Caring Right at Home eNewsletter, http://www.caringnews.com. Copyright, 2014, IlluminAge Communication Partners