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4 episodes with continuing care retirement communities
2 episodes with continuing care retirement communities
2 episodes with continuing care retirement communities
2 episodes with continuing care retirement communities
2 episodes with continuing care retirement communities
2 episodes with continuing care retirement communities
3 episodes with continuing care retirement communities
2 episodes with continuing care retirement communities
What is a CCRC? On this episode we discuss some of the basics for retirees and soon to be retirees to understand about Continuing Care Retirement Communities. Glenn is available for in person and online meetings if you'd like to discuss or strategize about your personal situation. Simply give us a call at (336) 291-3535 or visit ScheduleSomeTime.com to get on his calendar. As always, please remember to click the “Share” button to share our podcast with friends, family and colleagues. Investment advisory services offered through Horter Investment Management, LLC, a SEC-Registered Investment Adviser. Horter Investment Management does not provide legal or tax advice. Investment Adviser Representatives of Horter Investment Management may only conduct business with residents of the states and jurisdictions in which they are properly registered or exempt from registration requirements. Insurance and annuity products are sold separately through Roadmap Financial Consulting, LLC. Securities transactions for Horter Investment Management clients are placed through AXOS Advisor Services, Charles Schwab & Co. Inc., and Nationwide Advisory Solutions.
This week, we're covering continuing care retirement communities and medical expenses.
In this episode, Kristen and Mike sit down with Nicole Mashburn, CEO of Villa Marin, a Continuing Care Retirement Community in Northern California. Nicole shares her journey into senior living leadership and her philosophy on authentic leadership. With over 20 years of experience, Nicole offers valuable insights on fostering a collaborative team environment, handling leadership challenges, and the importance of self-awareness. She discusses how her upbringing shaped her leadership style and emphasizes the power of vulnerability and empathy in the workplace. Listeners will gain practical advice on how to lead authentically, create a positive work culture, and find purpose in their careers.Highlights:How Nicole stumbled into senior living and found her passion for combining business with service to others.The importance of doing the right thing in business, even when it's challenging.How Nicole's leadership style has evolved through self-awareness and learning from past experiences.The power of modeling authenticity and asking team members what they need to succeed.The impact a leader's attitude can have on thousands of people by the end of the day.The Four Agreements and how they shape Nicole's leadership style.Advice for mentoring and supporting young leaders in their careers.The importance of purpose in aging and how it relates to servant leadership.Final advice for new leaders: Be yourself and find the right environment where you can thrive.About Nicole:Nicole Mashburn is the CEO of Villa Marin Homeowners Association, a premier Continuing Care Retirement Community in San Rafael, California. With over 20 years of experience in senior housing and long-term care, Nicole brings a wealth of expertise to her role. Her career spans leadership positions at Cogir, Etros, Discovery Senior Living, and Sagora Senior Living, where she consistently drove revenue growth, improved occupancy rates, and fostered high resident satisfaction. Known for her innovative approaches to community development and team leadership, Nicole is passionate about creating environments where both residents and staff can thrive. Her leadership philosophy emphasizes authenticity, empathy, and adaptability, with a focus on building meaningful relationships within the community. Follow her on LinkedIn: https://www.linkedin.com/in/charlotte-nicole-dodson-63568b260/Links & Resources Mentioned:The Four Agreements by Don Miguel RuizRadical Aliveness modelVilla Marin (Nicole's community)The Greatest Generation by Tom BrokawPodcast Website: www.loveandleadershippod.comInstagram: @loveleaderpodFollow us on LinkedIn!Kristen: https://www.linkedin.com/in/kristenbsharkey/ Mike: https://www.linkedin.com/in/michael-s-364970111/Learn more about Kristen's leadership coaching and facilitation services: http://www.emboldify.com
TRIGGER/CONTENT WARNING: weight, dieting Dina and fellow Registered Dietitian Lisa Ciarametaro, founder of The Wellness RD, dish about working with the senior population, the unique nutritional needs and treatments for healthy aging, and the importance of advocating for both patients and the dietetics profession. Lisa Ciarametaro, RD has been working with the adult population for over 20 years in a variety of settings including hospitals, SNFs (skilled nursing facilities), and long-term care communities. She currently works at a Continuing Care Retirement Community as the Director of Nutritional Wellness for the campus. Learn more about Lisa on her website: www.thewellnessrd.com ---- DISCLAIMER: The purpose of this podcast is to entertain, educate, and inform, but it is not to be taken as medical advice. Please seek prompt, qualified medical care for any specific health issues and consult your physician or health practitioner before starting a new fitness regimen, herbal therapy, or other self-directed treatment. Join our mailing list to stay connected, stay informed, receive exclusive offers, and be a part of the DishWithDina community: https://forms.gle/VgDMkU8JDnBPywvh9 If you enjoyed this podcast, please subscribe, leave a review, and share it with others! You can also submit listener feedback or request to be a guest on a future episode by completing this form: https://forms.gle/7UZ2kEPDHjBgLhRU9. Help support this podcast for as little as $0.99/month: https://podcasters.spotify.com/pod/show/dishwithdina/support --- Support this podcast: https://podcasters.spotify.com/pod/show/dishwithdina/support
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In this episode, Wade Pfau and Alex Murguia are joined by Rob Cordeau to discuss Continuing Care Retirement Communities (CCRCs). They provide an overview of what CCRCs are and how they relate to long-term care planning. They also explore how CCRCs can be an alternative to long-term care insurance and the different financing models for CCRCs. The conversation covers topics such as the large upfront costs of CCRCs, the benefits of living in a CCRC, and the options for refundable entrance fees. Rob Cordeau provides insights into continuing care retirement communities (CCRCs). He clarifies that purchasing a CCRC is not a real estate purchase but rather a contract to live in the community throughout one's life. The entrance fee varies based on the size and features of the apartment, and there are different types of contracts, including non-refundable and refundable options. Rob also discusses the financial aspects of CCRCs, such as the relationship between entrance fees and ongoing cash flow, the potential tax deductibility of entrance fees, and the importance of financial due diligence when choosing a CCRC. Takeaways CCRCs are retirement communities that offer various levels of care on one campus, including independent living, assisted living, and skilled nursing care. CCRCs can be an alternative to long-term care insurance, especially for those who want to downsize and plan for their long-term care needs. There are different financing models for CCRCs, including large upfront costs with lower ongoing monthly costs or lower upfront costs with higher ongoing monthly costs. Some CCRCs offer refundable entrance fees, where a portion of the fee is returned to the resident or their heirs upon moving out or passing away. CCRCs are not real estate purchases but contracts to live in a community throughout one's life. The entrance fee varies based on the size and features of the apartment. CCRCs offer different types of contracts, including non-refundable and refundable options. Financial planning is crucial when considering a CCRC, including modeling the affordability of entrance fees and monthly service fees. Some entrance fees may be tax deductible, depending on the contract. Due diligence is essential to assess the financial stability and reputation of a CCRC. CCRCs may not be suitable for individuals who prefer independent living in their own homes. Buyer's remorse is rare among individuals who have thoroughly considered and chosen a CCRC. Chapters 1. Introduction and Overview of CCRCs 2. Exploring Different Financing Models for CCRCs 3. Understanding Refundable Entrance Fees in CCRCs 4. Understanding the Dynamics of CCRCs 5. Financial Underwriting and Considerations for CCRCs 6. Different Types of Contracts Offered by CCRCs 7. Financial Planning for CCRCs 8. CCRCs vs. Independent Living: Choosing the Right Option Links The Retirement Planning Guidebook: 2nd Edition has just been updated for 2024! Visit your preferred book retailer or simply click here to order your copy today: https://www.wadepfau.com/books/ This episode is sponsored by McLean Asset Management. Visit https://www.mcleanam.com/roth/ to download McLean's free eBook, “Is a Roth Conversion Right For You?”
When many reach retirement age, they choose to move into a community with others like themselves, perhaps a place that allows them to stay put while transitioning to long-term care in the future. Those places can be expensive, so where do you go if you don't have the money?
When many reach retirement age, they choose to move into a community with others like themselves, perhaps a place that allows them to stay put while transitioning to long-term care in the future. Those places can be expensive, so where do you go if you don't have the money?
As Baby Boomers and those on the cusp of retirement search for their next chapter, Continuing Care Retirement Communities (CCRCs) or Life Plan Communities emerge as a noteworthy option. In this episode, Phil sheds light on the key aspects you should consider when determining whether these communities are a suitable choice for your retirement. Here's some of what we discuss in this episode: 1:40 – Some background on CCRCs 5:28 – Questions to ask when considering a CCRC 11:31 – Personalizing your living space + contracts 15:25 – Is the CCRC accredited? 17:12 – When should someone consider a CCRC? 18:05 – Potential cons of a CCRC For more, visit us online: http://philstaxhacks.com Watch the video podcast on YouTube: Phil's Tax Hacks and Other Retirement Facts
On this new episode of the Our 2 Cents podcast, Steve kicks things off by recapping his recent live interview about financial preparedness on WGN news. Then, he and Gabriel take a comprehensive look into Continuing Care Retirement Communities and how they are emerging as a noteworthy option for many retirees.Recap of Steve on the News:We hear about having money for a rainy day — how much is a good amount to have saved up?Should you prioritize saving or paying off debts?What documents should you keep protected?Why is life insurance important to have?Exploring Care Opportunities in Retirement:Why would someone want to consider a Continuing Care Retirement Community (CCRC)?What are the financial benefits and considerations with these types of facilities?What kinds of amenities are offered at CCRCs?How should the quality of care be evaluated?
SeniorLivingGuide.com Podcast, Sponsored by: Parrish Healthcare
What is a CCRC which is the acronym for Continuing Care Retirement Community? As CCRC's are gaining ground in senior living/housing across the country and the concept is somewhat unique, knowing your options as you age is extremely important. We are joined by Teri Brant with Buena Vida Estates, the only CCRC located in Brevard County, Florida. Teri sheds light on what seniors and their families should look for when considering CCRC options, what questions to ask, as well as how pricing models typically work in CCRC's. Join us on this episode for everything from A-Z on Continuing Care Retirement Communities and why they may be a viable option in senior housing.SeniorLivingGuide.com Podcast sponsored by Parrish Healthcare/Parrish Medical CenterThe background music is written, performed and produced exclusively by purple-planet.com.https://www.purple-planet.com/*SeniorLivingGuide.com Webinars and Podcast represents the opinions and expertise of our guests. The content here is for informational and educational purposes. It does not necessarily represent the views, recommendations, opinions or advice of Fairfax Publishing/SeniorLivingGuide.com or its employees
According to the Age Well Study by The Mather Institute, residents of life plan communities reported more healthy behaviors and scored higher on positive measures of emotional, social, physical, intellectual and vocational wellness than did older adults living in the community at large The costs and entry fees of these communities create confusion! Join us for a live & interactive discussion to better understand the costs and benefits and a tech solution for evaluation! Tripp Higgins, President of myLifeSite m: 716.200.3564 w: www.mylifesite.net e: tripptripp@mylifesite.net View the on-demand recording and chat
NAFA recently published the Best Practices and Guidelines document, Filtration for Continuing Care Retirement Communities. Patrick Rosenthal, CAFS (lead author of this NAFA Guideline) will educate HVAC and air filtration professionals on what facility managers need to know about clean air in continuing care retirement communities. Download 2023 Best Practices and Guidelines Webinar Filtration for Continuing Care Retirement Communities Slide Deck Download Filtration for Continuing Care Retirement Communities Best Practices and Guideline About NAFA Air Filtration Best Practice Guidelines: What's the difference between ASHRAE has Standard 52.2 and NAFA's Best Practices and Guidelines? The American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) has minimum standards for air filtration. Organizations like the National Air Filtration Association (NAFA) go beyond these minimum standards. NAFA publishes best practices and guidelines for several facility applications based on the experience and expertise of their membership, as well as current mandates and research provided by governmental and scientific communities. HVAC and air filtration professionals should use NAFA's Best Practices and Guidelines as a tool to educate their clients on how to protect their facilities' occupants. --- Send in a voice message: https://podcasters.spotify.com/pod/show/nafahq/message Support this podcast: https://podcasters.spotify.com/pod/show/nafahq/support
Have you given some thought to where and how you'd like to live in your retirement years? Many insist on staying in the family home – without thinking about logistics of stairs and navigating the bathroom in later years. Maybe you'll just downsize to a smaller home. Others decide to move into a senior community, making new friends in these settings with like-minded and active adults. The latest enticing option is Continuing Care Retirement Communities, which offer initial living in townhomes or condos, while guaranteeing acceptance for one or both spouses into assisted living or even memory care as the need might arise. This is a financial, as well as logistical and emotional decision, as many of these CCRCs require a large up-front deposit, typically funded by the sale of the family home. Guarantees are involved, but you need to read the fine print. You'll find an explanation and details in Terry's recent column. On this podcast, we will speak with Dana Smith, Chief Marketing Officer for Lifespace Communities (https://www.lifespacecommunities.com/), a non-profit company that has 18 communities in seven states, ranging from Florida to Texas, and Illinois to Kansas. As you'll hear in this podcast, Dana has the answers to so many questions, ranging from how to get that deposit back to what happens if you run out of money. And she has tips on what to look for and what questions to ask if you are considering moving to a Continuing Care Retirement Community.
This weeks episode kicks off the "Architecture and The Community" theme. The whole idea of this theme is to really explore how architecture and the community are so intertwined and how architects can be more present in communities. So my guest today is Tulia Scott, a Trinidadian born architect who studied and worked in both the US and the Caribbean is an Associate, Project Manager with Moody Nolan. She is a FAMU alumni who graduated with an M.Arch. and has 20 years combined experience in Architecture and Interior Design with a broad range of experience in Award winning Libraries, Mixed Use Development, Religious, and Academic Buildings as well as in Feasibility Studies and Concept Design Projects. After more than a decade in the field she became an Enterprise Rose Architectural Fellow, working with a non-profit housing developer and operator of senior housing, Presbyterian Senior Living (PSL) in the North Eastern market. Tulia worked helping build their in-house design capacity and her own knowledge of housing using the Low-Income Housing Tax Credit (LIHTC) process and Continuing Care Retirement Communities. Tulia is a pragmatic thinker and a problem solver and focuses on equitable community development encompassing the design of both civic and educational buildings, housing and other support buildings which provide the vessels for our human experience. Her main goal is to help bring the benefits of architecture and design to the people and communities who need it most and help foster strategic partnerships with other entities and providers of services, which help sustain and enhance community life. Tulia is also active with community and professional groups like NOMA Atlanta currently serving as the Vice President of NOMA Atlanta. She is a graduate of the Christopher Kelley Leadership Development Program, Leadership Greenville Class 42 and 2017 Greenville Dreams Grassroots Development Program with training in community leadership and leveraging community assets. In her spare time, she enjoys participating in community events, photography, hiking and travelling. Of course Tulia makes the perfect guest to kick off such an important theme, I feel, which is architect and the community. As you go along and we uncover bits and pieces of Tulia's experience, you'll all come to find out that Tulia truly is a community oriented designer. I really admire her work and the way she carries herself in her leadership role at NOMA Atlanta. Without further ado, keep listening and get to know Tulia! Enjoy!! Community Project and Architect mentioned: Brian Lara Promenade, Trinidad and Tobago by Architect, Colin Laird
Listen in today as our host Kelsie Heermans sits down with an amazing group of forward thinking individuals that have been involved in designing a wonderful memory care community located within the campus of Meadowood. Meadowood is a Continuing Care Retirement Community located on a 135-acre campus in Worchester, Pennsylvania. This design and pictures can be found at McLean Memory Care on Haven Senior Investments website. Paul Nodreman, President and CEO and Regina Farrell, VP of Health Services and Chief Clinical Officer of Meadowood come together with Eric McRoberts, Partner and Kristen Novak, Senior Interior Designer/Director from RLPS Architects to discuss a carefully designed environment that has created amazing outcomes for the residents and staff at McLean Memory Care. Learn more about this design at https://www.rlps.com/projects/meadowood-mclean-memory-care/
Aging in Place - Continuing Care Retire Retirement Communities - Part 1 of 2 This week join Alyssa McNamara Reed, CFP® and her guest Lara Shea, CEO of RiverMead Lifecare, for a discussion about Aging in Place and Continuing Care Retirement Communities. Lara Shea has enjoyed working in senior living since high school. In fact, she was on RiverMead's opening team back in 1995, working for two years as a dining room server. Since then, Lara has worked her way up in the senior living field, working as an Activities Assistant, Sales and Marketing Assistant, Admissions and Marketing Director, Memory Care Director, Assistant Executive Director, CEO of Scott-Farrar at Peterborough and today as CEO of RiverMead. Lara was born and raised in Peterborough, NH. She received her bachelor's degree in Public Relations from the University of Rhode Island and her master's degree in Eldercare Administration from Lasell College in Newton, MA. Currently, Lara proudly serves on the following boards - LeadingAge Maine and New Hampshire and chairs the Education Committee, Monadnock Employee Forum, ConVal High School Region 14 ATC Regional Advisory Committee and South Peterborough TIF Advisory Board. In addition, she is an adjunct professor at Franklin Pierce University. Lara and her husband Jamieson live in Peterborough. Alyssa McNamara Reed, CFP®is a financial planner with a passion for the intersection of taxes and investing. Alyssa works with motivated savers, beneficiaries of estates, business owners, divorcees, and pre-retirees. McNamara Financial is an independent, family-owned, fee-only investment management and financial planning firm, serving individuals and families on the South Shore and beyond for over 30 years. COME SEE WHAT IT'S LIKE TO WORK WITH A FIDUCIARY. http://mcnamarafinancial.com/
Aging in Place - Continuing Care Retire Retirement Communities - Part 2 of 2 This week join Alyssa McNamara Reed, CFP® and her guest Lara Shea, CEO of RiverMead Lifecare, for a discussion about Aging in Place and Continuing Care Retirement Communities. Lara Shea has enjoyed working in senior living since high school. In fact, she was on RiverMead's opening team back in 1995, working for two years as a dining room server. Since then, Lara has worked her way up in the senior living field, working as an Activities Assistant, Sales and Marketing Assistant, Admissions and Marketing Director, Memory Care Director, Assistant Executive Director, CEO of Scott-Farrar at Peterborough and today as CEO of RiverMead. Lara was born and raised in Peterborough, NH. She received her bachelor's degree in Public Relations from the University of Rhode Island and her master's degree in Eldercare Administration from Lasell College in Newton, MA. Currently, Lara proudly serves on the following boards - LeadingAge Maine and New Hampshire and chairs the Education Committee, Monadnock Employee Forum, ConVal High School Region 14 ATC Regional Advisory Committee and South Peterborough TIF Advisory Board. In addition, she is an adjunct professor at Franklin Pierce University. Lara and her husband Jamieson live in Peterborough. Alyssa McNamara Reed, CFP®is a financial planner with a passion for the intersection of taxes and investing. Alyssa works with motivated savers, beneficiaries of estates, business owners, divorcees, and pre-retirees. McNamara Financial is an independent, family-owned, fee-only investment management and financial planning firm, serving individuals and families on the South Shore and beyond for over 30 years. COME SEE WHAT IT'S LIKE TO WORK WITH A FIDUCIARY. http://mcnamarafinancial.com/
Advisors Jim Ciprich and Melissa Weisz of RegentAtlantic join Charlie Jordan to take a deep dive into Continuing Care Retirement Communities aka CCRCs. We discuss who might benefit from a CCRC, the timing of that decision, the cost and contracts involved, how to pay for them, and success and horror stories. If you or your aging parent are navigating the decisions around senior housing and care, this is a great resource! Enjoy! To subscribe to our monthly email newsletter, The Retiring Well Connection, and to download your free copy of The Elements of Retirement self-assessment, visit us at https://www.brightworth.com/retiringwell. We will answer listener questions on a future episode of the show. If you have a question for us to tackle, please email us at retiringwell@brightworth.com. Bios and contact information for today's guests can be found here: Jim Ciprich: https://regentatlantic.com/team/james-j-ciprich/ Melissa Weisz: https://regentatlantic.com/team/melissa-weisz/
Richard Creighton began his blog, “Living with Alzheimer's: A Real-Time Account of Dementia Caregiving,” the day his wife Kate was diagnosed in 2011. His goal was to keep a record of their experience for their children. He and Kate cared for family members together for 24 years, which included both his parents and his in-laws throughout various illnesses. Now he cares for her, deep into her dementia, at home with the assistance of paid caregivers. Richard and Kate recently made a major life change, leaving their home of many years to start anew at a Continuing Care Retirement Community, where they can age in place. Richard made this decision to make life easier for himself and for Kate, and to make sure their children's responsibilities for their care would be minimal. He wanted a plan for an easy transition to the last chapter of their lives. In addition to his blog, which he writes under a pseudonym, Richard is also an AlzAuthors Associate, creating videos for our Dementia Caregiving During COVID video series. In this episode we talk about making a residential move late in life, their traumatic bout with COVID-19, how he keeps himself active and busy while caring for his wife at home, and what he's got in his “Caregiver Toolbox” that may also be helpful to other caregivers on the dementia journey. Read Richard's AlzAuthors post: https://alzauthors.com/2019/01/15/meet-blogger-richard-creighton-living-with-alzheimers/ Watch Richards's Dementia Care During COVID videos: https://alzauthors.com/covid-19/ Start reading “Living with Alzheimer's: A Real-Time Account of Dementia Caregiving” now! http://livingwithalzheimers.com/ Connect with Richard Creighton Blog: http://livingwithalzheimers.com/ Twitter: https://twitter.com/LivingWthAlz Each season our podcast brings you six of our authors sharing their dementia journeys. Please subscribe so you don't miss a word. If our authors' stories move you please leave a review. And don't forget to share our podcast with family and friends in need of knowledge, comfort and support on their own dementia journeys. AlzAuthors is a 501(c)(3) charitable organization totally reliant on donations to do what we do. Your generosity will help cover our many operating costs, which include website hosting and maintenance fees, service charges to keep things running smoothly, and marketing expenses to promote our authors, expand our content, improve our reach, and more. Our ongoing work supports our mission to lift the silence and stigma of Alzheimer's and other dementias. To sustain our efforts please visit https://alzauthors.com/donate/ . Thank you for listening.
Episode 26: Justine began working at RiverWoods as part of the pre-opening team in June 1994. Her tenure at RiverWoods began as the Director of Accounting, with growth into the role of CFO in 1997, COO in 2005 and President/CEO in 2007. She became CEO of the RiverWoods Group in 2012. Justine is a certified public accountant in the state of New Jersey and formerly served as Trustee and Treasurer of the Board of Directors for Leading Age of Maine and New Hampshire. Justine has lectured at the University of New Hampshire and is a frequent speaker at local, regional, and national industry conferences on topics including strategic management, growth planning, culture development, and financial oversight. Links:RiverWoods Group website: www.riverwoodsgroup.org What's Next?Want to know more about RiverWoods' way of life? We want to hear from you! Share your questions with us at info@seniorityauthority.org or find us on your favorite social media platform. Cathleen ToomeyLinkedin:Cathleen ToomeyWebsite:Seniority AuthorityFacebook:Seniority AuthorityInstagram:seniorityauthoritySubscribe to our podcast + download each episode on Stitcher, Apple Podcasts, Google Podcasts and Spotify.
In today's interview, Senior Care Consultant, Annalee Kruger, outlines the vast number of considerations to consider as a family plans for the care of an aging family member. In this interview, she reveals the pro-active key solution to how any family can avoid the stress, burnout, and financial peril of being a caregiver to a family member. Her own road to recovery was made easier by this proactive planning after being hit by a school bus. She emphasizes how essential it is for everyone, regardless of age, to have financial and legal documents about their wishes in place in case of their death or incapacitation, as life can drastically change direction in a heartbeat.About Annalee KrugerAnnalee Kruger has devoted her entire career to seniors and their families. Her long-term care career spans more than twenty-eight years and includes work as a Social Worker and Executive Director in Continuing Care Retirement Communities. As a result, she fully understands the impact of medical crises on family relationships, compassion fatigue, and the value of proactive planning.As President of Care Right Inc., she and her team provide concierge aging planning consulting and coaching services to families with aging loved ones across the nation by leveraging technology. Care Right develops, implements, and oversees a customized plan while offering support and guidance to the entire family unit. Care Right recently launched the Care Crusade, a nationwide campaign to improve healthcare outcomes for all.Annalee is also an Amazon best-selling author of the book, The Invisible Patient: The Emotional, Financial, and Physical Toll on Family Caregivers.Contact Annalee KrugerVisit her website at https://www.carerightinc.com to set up your free 30-minute consult, or check out her Facebook page at https://www.facebook.com/carerightincorp.Buy her book, The Invisible Patient, on Amazon at https://amzn.to/3sJEnJg.Join her Care Crusade Campaign here.Source: https://businessinnovatorsradio.com/senior-care-consultant-annalee-kruger-reveals-how-creating-an-aging-plan-can-help-families-avoid-friction-stress-and-financial-overwhelm
If moving into a Continuing Care Retirement Community is something you are considering, it's important to know about the various types of contracts available to residents. This series covers extensive or full-care, modified life care, fee-for-service, rental, and refundable contracts.If you missed any of our past episodes, you can hear them in your favorite podcast app, just click here and choose your player. Get this briefing hands-free: Subscribe free to this show as a daily Alexa Flash Briefing! Enable the skill here then say, "Alexa, news." The opinions voiced in this material are for general information only and are not intended to provide specific advice or recommendations for any individual. See acast.com/privacy for privacy and opt-out information.
If moving into a Continuing Care Retirement Community is something you are considering, it's important to know about the various types of contracts available to residents. This series covers extensive or full-care, modified life care, fee-for-service, rental, and refundable contracts.If you missed any of our past episodes, you can hear them in your favorite podcast app, just click here and choose your player. Get this briefing hands-free: Subscribe free to this show as a daily Alexa Flash Briefing! Enable the skill here then say, "Alexa, news." The opinions voiced in this material are for general information only and are not intended to provide specific advice or recommendations for any individual. See acast.com/privacy for privacy and opt-out information.
Ned Spieker joins Sam Zell, Gerald Hines, Art Gensler, Ron Terwilliger, and Leonard Wood as part of our industry legends series on Leading Voices in Real Estate. Like many of our guests, Ned came out of the Trammell Crow Company, where he had been then their youngest partner, and established and built their West Coast Division. He spun his team out in 1987, founding Spieker Properties and taking the company public as a REIT in 1993. As one of the most respected CEOs among REITs at the time, Ned led Spieker Properties to aggregate more than 40 million square feet of office and industrial properties in California and the Pacific Northwest. In 2001, Spieker Properties sold to Sam Zell's Equity Office Properties Trust as a top of the market trade for more than $7 billion. Ned has since gone on to become one of the most active developers and owners of Continuing Care Retirement Communities in California. Ned shares stories from throughout his successful real estate career, including his ongoing focus on the value of partnerships and a decentralized approach to the business.
Experiencing Financial Contentment with Dominique Henderson, CFP® | Get Better Results in Your Life
Welcome to another episode of the Conversations for Financial Professionals podcast where we are shaping the next generation of financial advice. Today we have Annalee Kruger. Annalee you have devoted your entire career to seniors and their families. It all started by helping care for your grandparents when you were young. Then you were an Activities Assistant in an assisted living community while she earned her degree in Social Work. Then as a Social Worker and Executive Director in (CCRC's) Continuing Care Retirement Communities. During your 25+ year career, you've grown to understand the impact medical crisis has on family relationships which led you to start your own company, Care Right Inc., in 2011 which provides concierge services to families with aging loved ones and where you help families across the globe develop their Aging Plan. You're also putting the finishing touches on your first book, The Invisible Patient: the Family Caregiver. Welcome to the podcast! Show Highlights: 0:00 Meet Analee Kruger 1:58 How Has the Pandemic Affected Seniors 4:54 What is a Caregiver? 6:57 How Can Financial Advisors Support Caregivers? 9:30 Psychology of Financial Planning 15:22 What Does “In Crisis” Mean? 21:16 Isn't This What Long Term Care is For? 25:49 Financial Plan vs. Aging Plan 35:07 Annalee's Book 47:00 Words of Wisdom Resources: Interested in connecting with Annalee to check out her programs? Click here. Are you a current or aspiring financial professional? Click here to receive my 10 Tips for jumpstarting your career. Listen to previous podcast episodes, clicking here. To receive a newsletter digest of Jumpstart community happenings, click here. Subscribe to the podcast by clicking here. Want to connect with me? Join my exclusive “tribe” by clicking here. Want to collaborate? Click here. Thanks again for listening, reading, and watching!
Richard Creighton began his blog, “Living with Alzheimer's: A Real-Time Account of Dementia Caregiving,” the day his wife Kate was diagnosed in 2011. His goal was to keep a record of their experience for their children. He and Kate cared for family members together for 24 years, which included both his parents and his in-laws throughout various illnesses. Now he cares for her, deep into her dementia, at home with the assistance of paid caregivers. Richard and Kate recently made a major life change, leaving their home of many years to start anew at a Continuing Care Retirement Community, where they can age in place. Richard made this decision to make life easier for himself and for Kate, and to make sure their children's responsibilities for their care would be minimal. He wanted a plan for an easy transition to the last chapter of their lives. In addition to his blog, which he writes under a pseudonym, Richard is also an AlzAuthors Associate, creating videos for our Dementia Caregiving During COVID video series. In this episode we talk about making a residential move late in life, their traumatic bout with COVID-19, how he keeps himself active and busy while caring for his wife at home, and what he's got in his “Caregiver Toolbox” that may also be helpful to other caregivers on the dementia journey. Read Richard's AlzAuthors post: https://alzauthors.com/2019/01/15/meet-blogger-richard-creighton-living-with-alzheimers/ Watch Richards's Dementia Care During COVID videos: https://alzauthors.com/covid-19/ Start reading “Living with Alzheimer's: A Real-Time Account of Dementia Caregiving” now! http://livingwithalzheimers.com/ Connect with Richard Creighton Blog: http://livingwithalzheimers.com/ Twitter: https://twitter.com/LivingWthAlz Each season our podcast brings you six of our authors sharing their dementia journeys. Please subscribe so you don't miss a word. If our authors' stories move you please leave a review. And don't forget to share our podcast with family and friends in need of knowledge, comfort and support on their own dementia journeys. AlzAuthors is a 501(c)(3) charitable organization totally reliant on donations to do what we do. Your generosity will help cover our many operating costs, which include website hosting and maintenance fees, service charges to keep things running smoothly, and marketing expenses to promote our authors, expand our content, improve our reach, and more. Our ongoing work supports our mission to lift the silence and stigma of Alzheimer's and other dementias. To sustain our efforts please visit https://alzauthors.com/donate/ . Thank you for listening.
05-12-2021 Brian Gordon
Are you or someone you know considering living in a retirement community? What should you know ahead of time? What kind of costs might come with that? Read more and get additional financial resources here: https://doncashpodcast.com/podcast/what-you-need-to-know-about-continuing-care-retirement-communities/ What we discuss on this episode: 0:37 - Spring has sprung! 1:57 - Senior living communities struggling financially. 5:14 - What if you don’t like it? 6:24 - How has COVID affected these communities? 8:18 - Are people usually satisfied living in these communities? 10:15 - What suggestions does Don have when considering a CCRC? 12:24 - What questions should you ask and assess? 18:50 - Cash Connection: Collecting Social Security as a widow? 22:51 - Getting to Know You: What did Don do with some raffle winnings?
Lori Shaffer, Director of Sales at Morningstar Living’s Moravian Hall Square in Nazareth, PA joins us. Gene and Lori discuss Continuing Care Retirement Community’s and the many questions that come with finding the right care for loved ones. Gene answers tons of listener questions: Local financial advisor sentenced to 17 years in prison!?!How does the IRS know if you’re investing in Bitcoin?What should she do with $70,000 from the sale of her house?He wants to retire soon and his life partner will still work. How do they put this all together?Lots more listener questions Two New Free Services Have your current life insurance policies analyzed to see if they fit you or could you do betterHave your current annuities analyzed to see if they fit you or could you do better Added to These Free Services Social Security and Medicare Review with our SS/Med expert Mr. Mark BacakLong Term Care Review with our partner Mr. Mike PompeiReverse Mortgage Review with our partner Tiffany ShuttaEstate Planning Document Review with an attorney in our office Free Second Opinion Meetings Do you have questions about your financial situation?Are you on track to reach your financial goals – particularly your retirement goals?What should you be doing right now? Schedule a free second opinion meeting with a More than Money advisor? Call today (610-746-7007) or email (Gene@AskMtM.com) to schedule your time with us.
Dr. Mike Mitchell of Covenant Living at Inverness Village discusses downsizing, retirement and end of life care. In the early 90's senior care services were like just renting an apartment and some were purely nursing homes where medical care at a very basic level was on-site. It changed in the 1990s and early 2000's to Life-plan Communities and CCRC which stands for Continuing Care Retirement Communities. It is a community where almost everything a retiree would need and everybody who enters is an independent resident. They live in either an apartment or a cottage and whenever they need a medical service, entertainment or fitness consultation they don't need to go outside the community to have it because everything is on-site, and these are things that are offered in Inverness Village. It is important to be prepared for these things because everybody will go to the retirement stage and would consider downsizing. To be prepared, start visiting places like this. Don't wait until there's a health emergency because you cannot plan too soon. To schedule a FREE real estate specialists consultation please contact Darryl Baskin of Baskin Real Estate Specialists powered by eXp Realty. DARRYL BASKIN Baskin Real Estate Specialists, eXp Realty Email: darryl@darrylbaskin.com Tel: 918 258 2600 Tel: 918 732 9732 Thinking of Selling? Get your FREE Home Valuation complete with local comparables instantly. https://www.homeguidetulsa.com/sell.php Looking to Purchase? Search thousands of current listings directly from our local MLS. https://www.homeguidetulsa.com/index.php?advanced=1&display=&custombox=&types[]=1&beds=0&baths=0&min=0&max=100000000&rtype=map#rsl
In this latest episode of Off Your Rocker: A SeniorVu Podcast we shine the Community Spotlight on this special Continuing Care Retirement Community. Though we are more than seven months into this coronavirus pandemic, Ascension Living Alexian Village is still moving in new residents. Their COVID-19 protocol is reviewed often and provides a safe routine to help keep current residents virus-free and help new residents move into the community safely.
A family from Ascension Living’s Alexian Village talks about what life is like in this beautiful community that sits atop Signal Mountain in the Cumberland Plateau near Chattanooga, Tennessee. Beth and her daughter Elizabeth join host Valissa Smith of SeniorVu along with Alexian Village Executive Director Terry Thompkins for a candid conversation as we shine the Community Spotlight on this Continuing Care Retirement Community.
Warren Spieker and Zeke Griffin provided an overview of various types of senior care communities and share their views on what seniors should look out for to settle into a good one as per their requirements. They also shared the changes they see during COVID-19 and how it may look down the line. Warren E. Spieker is Managing Partner of Continuing Life LLC. Continuing Life provides business services and support for Continuing Care Retirement Communities (CCRCs) in California. Zeke Griffin is the Executive Director of Stoneridge Creek in Pleasanton, a Continuing Care Retirement Community that is home to over 800 residents.
Today I got the chance to talk with Nick Bottaro about a few different topics ranging from senior living to USPS to dog rescue. Check it out! http://newjersey.news12.com/story/41944233/new-jersey-lawmakers-call-for-more-protections-for-postal-workers-during-pandemic Contact Nick at https://www.linkedin.com/in/nick-bottaro-7963a85/ https://www.fellowshipseniorliving.org http://www.wagsrescue.com/index.php Contact John at https://www.linkedin.com/in/john-freitag-54509088/ https://myallamericanhospice.com/ Join Senior Healthcare Professionals at: https://www.facebook.com/groups/SeniorHealthcarePros https://www.linkedin.com/groups/12326854/
Brian Ott discusses in detail the best way to find the best continuing care retirement communities.
David, Karen, Bret, and Joe return to "Live With Thrive" this week for a discussion of the year-end crunch and Thrive's December workshop schedule! They also welcome special guest David Reibstein to discuss age 55+ Communities and continuing care scenarios for retirees.
Episode 288: Hear the benefits and shortcomings of the all-inclusive Continuing Care Retirement Community. The Money Doctors also debunk six dangerous retirement myths.
The Homestretch - 101+ tips for navigating assisted living & nursing homes
In this episode we share details about the Silver Tsunami and how unprepared the United States is. You'll discover what Independent Living vs. Assisted Living vs. Continuing Care Retirement Communities and also what a facility is vs. a home or “boutique.” For more visit www.homestretch101.com.
Ann discusses options for senior living including Continuing Care Retirement Communities and multi generation living and how long term care policies can factor in.
We welcome Ahana Muth of The Oaks - Whitaker Glen to the program to explain Continuing Care Retirement Communities and various levels of care. We also chat with Anne Browning of Homewatch Caregivers to discuss in-home safety and a special charity event.
We welcome Ahana Muth of The Oaks - Whitaker Glen to the program to explain Continuing Care Retirement Communities and various levels of care. We also chat with Anne Browning of Homewatch Caregivers to discuss in-home safety and a special charity event.
Make It Last with Victor Medina - Legal & Financial Retirement Planning
As seniors age, one of the biggest decisions to face is whether to stay in your home or find someplace that can help you care for yourself for the rest of your days, especially if...
Moving to a retirement community is a big step and can be tough decision for some. Get a better understanding of what Continuing Care Retirement Community is and the advantages they offer. Learn what makes them special and why it might be the right fit for your situation. To learn more about Continuing Care Retirement Communities and Messiah Village, please go to the show notes for some helpful links and articles. Thanks for listening. www.Messiahvillage.org/whyseniorliving www.caring.com/articles/7-benefits-of-a-continuing-care-retirement-community www.caring.com/local/continuing-care-retirement-communities www.lifeplancommunity.org/
Tom Ford, executive director of The Cardinal at North Hills (a KISCO Community), explains what a continuing care retirement community is. Dr. Melanie Mintzer of Generations Family Practice also joins us to discuss family medicine and heart health.
Tom Ford, executive director of The Cardinal at North Hills (a KISCO Community), explains what a continuing care retirement community is. Dr. Melanie Mintzer of Generations Family Practice also joins us to discuss family medicine and heart health.
Today's featured guest is Rick Jackson from Riverside Health System. Rick is the Executive Director of the Riverside Center for Excellence in Aging and Lifelong Health, which helps older adults and their families make informed decisions about their health and wellbeing. Their services range from providing geriatric assessments, to teaching individuals with chronic conditions how to manage their symptoms, to providing a haven of resources and education for caregivers. They make a complex system of services more easily accessible through education, referrals and individualized, person-centered services, tailored to the unique needs of aging adults and their families. Rick is also the Executive Director of ChooseHome, which is Riverside's Continuing Care at Home program, which allows qualified individuals 60 and older to live in their homes, while providing them with the resources of a health system so that they can stay healthy as they age. In addition to these programs, Riverside Health System, which is based in Virginia, operates a medical center and three Continuing Care Retirement Communities. On today's show, Rick shares how Riverside is personalizing care for older adults and the role that technology, and specifically LivWell Health, have played in helping more adults age healthily and safely in the setting of their choice.
Dementia, Dining & Dignity Today we will have an interesting conversation with Patrick Nickleson who has over 35 years of experience in the restaurant and hospitality industry, from Culinary Director for a Continuing Care Retirement Community, Corporate Culinary Director to opening dining services for three new senior living properties. Patrick's wife and business partner, Dawn Nickleson will join us as well. Dawn is a graduate of Le Cordon Bleu in Patisserie & Baking and has been a Pastry Chef in fine dining, bakeries and catering. She too has worked in senior living and is currently Director of Food and Nutrition at a skilled nursing and transition care facility. You will hear their passion in their voices which I'm sure had something to do with the name of their company - Passion for Dining and Nutrition. You can reach Patrick and Dawn via email or by phone at 651-231-1433. Fantastic Food Makes For Memorable Moments For additional information check out Alzheimer's Speaks Join us on our Cruise Become a Dementia Friendly Organization or Community Contact Lori La Bey for your next Keynote
Today's featured guest is Denise Rabidoux, President and CEO of EHM Senior Solutions. EHM Senior Solutions is a not-for-profit organization with a history dating back to 1879. Formerly known as Evangelical Homes of Michigan, EHM operates senior living, Medicare At Home and private-duty LifeChoices Programs. EHM is one of the industry leaders in the movement of what is called Life Plan Communities, formerly known as Continuing Care Retirement Communities (or CCRCs) without walls. These programs allow healthy active older adults to maintain their independence at home, but also enable them to make arrangements for long-term care in the event of a change in their acuity. Throughout its long history, EHM has always worked to stay focused on the client and involve them in the organization's transformation. They've made it a priority to listen to the customers' voice above their own, especially during times of strategic planning and discernment. Denise has led the organization for the majority of its transformation from a focus on skilled nursing centers and nursing homes to what EHM is today. She's known nationally for her ability to work with a team of employees to transform existing programs and build new ones that focus on technology and innovation and a high-tough approach to the array of services and solutions that EHM Senior Solutions provide. From serving 660 seniors in 2000 to nearly 6,000 seniors each year today, EHM is committed to saving individuals no matter where they are on life's journey and no matter where they call home.
Nerd Stalker interview with Marion McGovern, we focus on her new fascinating book, "Thriving in the GIG Economy, How to Capitalize and Compete in the new world of work". Some of the topics covered in the episode: Sizing the gig economy, getting a lay of the land Building your independent brand The Nasty little employment problem The Employee experience as an independent The Future of the gig economy To learn more about Marion go to: http://marionmcgovern.com/ Marion McGovern is the Founder and CEO of M Squared Consulting, one of the first gig economy companies; and Founder of Collabrus Inc., an Independent Contractor Compliance firm. Now, she works with CEOs through The Alliance for CEOs,. She is a Board member of CPP, the owner of the Meyers Briggs Type Instrument and The Front Porch, a Continuing Care Retirement Communities enterprise.
HS 355 Video: Managing the Retirement Income Plan - V1610 - Rebrand
On the July 5, 2016 episode of Boomer Generation Radio, the guest for the hour is John Diffey, who retired recently as president and CEO of Kendal Corporation, the Quaker-based provider of continuing care retirement communities in the Northeast and Midwest. Kendal is the principal sponsor of Boomer Generation Radio. Over his 40-year career, Diffey has served on the Board of Directors of the 6000+ member nonprofit association LeadingAge, as chair of its committee on Continuing Care Retirement Communities, as a founding co-chair of its leadership development program, as President of its North Carolina affiliate, and as Vice Chair of the Continuing Care Accreditation Commission. Based on his contributions to the field, John received LeadingAge's highest recognition in 2006, its Award of Honor. He also has served on numerous other boards in both the for-profit and not-for-profit sectors. John received his MBA from Emory University in Atlanta, and his B.A. (History) from Duke University, Durham, N.C.
On the July 5, 2016 episode of Boomer Generation Radio, the guest for the hour is John Diffey, who retired recently as president and CEO of Kendal Corporation, the Quaker-based provider of continuing care retirement communities in the Northeast and Midwest. Kendal is the principal sponsor of Boomer Generation Radio. Over his 40-year career, Diffey has served on the Board of Directors of the 6000+ member nonprofit association LeadingAge, as chair of its committee on Continuing Care Retirement Communities, as a founding co-chair of its leadership development program, as President of its North Carolina affiliate, and as Vice Chair of the Continuing Care Accreditation Commission. Based on his contributions to the field, John received LeadingAge’s highest recognition in 2006, its Award of Honor. He also has served on numerous other boards in both the for-profit and not-for-profit sectors. John received his MBA from Emory University in Atlanta, and his B.A. (History) from Duke University, Durham, N.C. Boomer Generation Radio is sponsored in part by Kendal Corporation, a Quaker-based provider of continuing care retirement communities in the Northeast and Midwest, airs on WWDB-AM 860 every Tuesday at 10 a.m., and features news and conversation aimed at Baby Boomers and the issues [...] The post Boomer Generation Radio 7/5/2016: John Diffey, past president/CEO of Kendal Corporation appeared first on Jewish Sacred Aging.
今日はＣＣＲＣについて話します。特に、日本政府が行おうとしている日本版ＣＣＲＣに着目します。 ＣＣＲＣとは、Continuing Care Retirement Communityのことです。医療や介護といったケアサービスを伴う、高齢者が自律的に暮らして行く終の棲家となるコミュニティを意味します。このラジオ番組に出演されている馬場園先生が、以前に高齢者健康コミュニティと名前を付けていらっしゃいました。有職者会議では、生涯活躍の町と名付けています。要するに、元気な高齢者が自分の趣味や経験を活かし、地域と一緒に元気に活動しながら、医療や介護を含めた総合的なサービスを受けられる住まいです。もともとは、コミュニティを大切にするアメリカの宗教活動から始まったものと聞いています。人間の生き方を実現し、それをビジネスとして動かして行くというところが、非常にユニークかつアメリカ的のように思います。 高齢者にとっては、自分が住んでいるところを離れなくてもよいという点で、安心を覚えます。たとえば入院した際には生活が一変しますし、病院そのものを変えなければならないこともありえます。あるいは施設に入った場合には、自宅という拠り所から切り離されることとなります。病気の時や介護の時、そして元気な時のそれぞれにおいて場所を変えて行くのと、変わらない終の棲家があるのとでは、安心感が随分違います。 これを日本にも導入しようということで、日本版ＣＣＲＣが検討されています。しかし何が日本版で何がＣＣＲＣかという点については、実は未だよくわかっていません。日本とアメリカとでは、法人制度が全く異なります。日本には医療法人や社会福祉法人などのいろいろな法人形態があります。また、株式会社がどこまで手を伸ばしてもよいか、病院がマンションを経営できるのかなど、事業主体をどうするかといった点においても、いろいろと難しい話が出てきます。このように制度的にアプローチしようとすると、何をもって日本版ＣＣＲＣと言ったらよいのか難しくなります。 ただ、大切なことは、何を実現しようとしているのかという点です。単にマンションやプールを作って「どうぞ使ってください」とするのとは異なり、継続的にサービスを提供する終の棲家として在り続ける必要があります。そうしたことができるような体制をつくるためには、自律的な生き方を尊重した上で、現状の縦割りではなく、総合的に考えて行かなければなりません 日本でも、地域包括ケアシステムが既に存在しています。これは、医療や介護をばらばらにするのではなく、地域として包括的にこれらのサービスを提供しようというものです。また、サービス付高齢者住宅は、高齢者のためのサービスを付した住宅です。厚生労働省と道路交通省が一緒になって作っています。しかしこれらは、元気な時用の住宅です。現在ではさらに、介護医療が必要になった時も踏まえて、総合的に考えようという方向で進んでいます。制度が日本とアメリカとでは異なる以上、運営主体をどうするか、事業をどう動かすかという点が、今後議論の焦点になってきます。特に東京に人口が一極集中している現状、地方創生という大きなテーマの中で取り扱って行かなければなりません。高齢者の問題と東京の問題が絡まり合う中、どうやってこれらの問題を解決するのか、注目したいところです。
今日は、具体的に私たちが作りあげた「日本版ＣＣＲＣ」について説明したいと思います。 前回少しご紹介しましたが、ＣＣＲＣというのは"Continuing Care Retirement Community"の略で、元々アメリカで作られたシステムです。住民が「自立して生活できる段階」から、「特別な介護が必要な段階」を通じて人生の終局まで同じコミュニティで住居・生活・介護・看護・医療サービスを総合的に提供していくサービスです。つまり、「エイジング・インプレイス」という同じ場所で年を重ね、最期まで過ごせる仕組みです。 この仕組みがこれからの日本にとって非常に大切になってくるのではないかということで、現在注目されています。今日はその内容をさらに詳しく掘り下げていきたいと思います。 日本版ＣＣＲＣというのは、今の高齢者のケアのあり方を抜本的に変えるというのを目的としています。人間というのは、心のあり様が非常に大事になってくるため、そこにアプローチするようなケアを行わないと高齢者もその家族も、それからその人々を支援する人たちも幸せになれない、自己肯定感が持てないだろうと思います。何が大事かというと、その「理念」が大切です。高齢者が何を望むかというと、出来るだけ病や障害を避けて、自分で出来ることは自分でして自立して生活していくことを望んでいるといえます。 しかし、今の世の中ではなかなか希望が満たされません。これは要するに日本の障害を持つ高齢者のお世話というのはお嫁さんに委ねられていて、福祉施設に入所させると後ろ指を指されてしまうというような時代があったことと関係していると思います。ところが1973年に老人医療無料化が起こり、病院であれば周囲も高齢者を入居させることを許容するようになりました。そのため次々と老人病院が建設され、地域で高齢者をケアするということは少なくなっていきました。そして病気や障害を持った高齢者は、長期間病院ですごし、病院で最期を迎えるという病院完結型の人生を送るようになりました。しかし一貫して日本の高齢者はそのようなケアのされ方を歓迎していたわけではありません。自宅で亡くなりたいと考えている方たちもたくさんいるわけです。 長期入院の何が悪いかというと、結局の所、寝てる所と生活している所が同じであるという点や、常に管理されているという環境が体も動かさないし、話もしない、頭も使わないといったように不活発になり、機能が衰えていくという「廃用症候群」に陥りやすくしています。それに関しては私も非常に強い問題意識を持っていました。やはり理念がないからこんなケアをやっているんだと思っていたため、まずその理念を作ろうと思いました。「日本版ＣＣＲＣ」の理念というのは、高齢者の生活が継続出来るようにケアを行い、自分の人生で起こった事を前向きに肯定して統合することを支援するということを理念にしようと考えたわけです。理念を生かすための三大原則として、「本人の意思の尊重をする」、本当に自分がどうされたいか、例えば病院とか施設にずっといたいかということを本人の立場になって考える。高齢者の人たちを視察すると、大体高齢者というのは決まり言葉があります。「早くお迎えに来ないかな」。そう言いながら、健康食品をとり、毎日１万歩歩くというような生活を送っている人の本音はいつまでも自立していたいどはないでしょうか。それをこちらが分かってあげる必要があると思います。 次に、その「残存機能を活用した自立支援」です。足に不自由があっても自分でトイレに行けるようにするような仕組みを作るとか、パーキンソンでも、手が震えても可能であれば自分で食べたいわけですから、手づかみでも食べられるような料理を考案する。最後は、「生活とケアの連続性の維持」ですから、出来るだけ環境が変わらないように工夫すればいいのです。以上のような三大原則があればで、高齢者も自分の思うような終末期が送れるのではないかと思います。 そのためにはハードとソフトの両面が大切です。「ハード」は「自立しているときの住まい」、「支援があれば何とか自立できる人の住まい」「殆ど自分で動けなくなった住まい」が別々に必要だと思います。適切な住まいがあった上で、それに対して「生活支援」、「健康支援」、「介護医療サービス」を提供する複合施設が必要だと思います。この２つをネットワークで結んで地域包括ケアシステムと言い、地域で全てのケアに必要なサービスを完結できる機能を満たす高齢者のケアが出来ます。 現在の仕組みの中では、「予防」はお金にならないためなかなか取り組まれていませんが、予防も組み込んでいくことが可能ではないかと思います。それからどうしても心に対するケアとしては薬が重視されていますけれど、一緒に過ごすことや、あたたかい声かけの方が認知症の高齢者でも穏やかになるのではないかと思います。こうした環境を提供することで高齢者の生活の質の向上に貢献出来ると思います。こうした考え方が広まり、ハードやソフトが用意されていけば、どこでも高齢者の意思が尊重されて変化していくニーズに対応して、同じ場所で継続的にケアを行っていくことが出来るようになると思います。 日本版ＣＣＲＣというのは現在の高齢者のケアを改善し、高齢者が自分の意思を反映させた終末を送れるためのシステムです。重要なのは理念、そしてハード、そしてソフト。それとやはり社会がこの日本版ＣＣＲＣが大事だと考えてくれることだと思います。
今日は、「地域創生と日本版CCRC」というテーマでお話したいと思います。 私は、九州大学大学院医学系学府で「医療系管理学」を教えています。もともと内科医をやっていましたが、今日の様に薬だけで治るという事はなかなか難しい生活習慣病やメンタルヘルスの病気、あるいは高齢者に多い病気に対応する為には、医師1人で取り組むのではなく、仕組みを作っていかなければならないと思っています。 今日は、現在内閣府が進めている「地方創生」、これは人口が急減、超高齢化という我が国が直面する大きな課題に対して、政府一体となって取り組み、各地域がそれぞれの特徴を生かした自立的で持続的な社会を創生出来ることを可能にする試みのことを言いますが、現在日本が取り組んでいる「地方創生」についてお話していきたいと思います。 今、内閣府が一番頭を抱えているのが「人口の減少」です。人口の減少により労働力が失われ、活性化が阻害されます。その他にも日本では「社会保障費」というのが非常に大きな問題になっています。これは若い人たちが高齢者を支える仕組みですが、若い人がどんどん減っていくと、日本の社会保障を支えることが出来なくなる可能性があります。 そのため、今どこに注目がされているとかというと、地方の人が大学入学や就職のため首都圏に出ていくと、東京圏では「再生産率」と言う「子供を作る確率」というのが非常に低くなります。そのままそこで高齢になるまで進むと将来の社会保障費というのがかかってしまいます。そのため、地方で職業の場を保障して、そこで仕事をして子供を産み育てるという事が出来ると人口減にも歯止めがかかり、社会保障費の問題もかなり軽減できるのではないかと考えているわけです。 そこで、今「日本版ＣＣＲＣ」が注目を集めています。 ＣＣＲＣというのは米国に住む、Continuing Care Retirement Community です。1995年に私達が日本に初めて紹介しました。ＣＣＲＣというのは、住民が「自立して生活出来る段階」から、「寝たきりで特別な介護が必要な段階」を通して人生の終局まで同じコミュニティ内で住居、生活、介護、看護、医療サービスなどを総合的に提供していくサービスのシステムのことです。高齢者というのは非常に環境の変化に弱いというのが分かっていました。例えば日本でも自分の母親が認知症になったなどの理由で、自分の家に引き取ったり、病院や施設に入院、または入所をさせると認知症が急に進行したり、鬱状態になったりすることがよくあります。それを私たちは「トランスファー・ショック」と呼んでいます。学問的には、「トランスファー・ショック」というのは、適応能力が低下した高齢者の環境が大きく変化すると精神的な落ち込みが起こる現象のことです。そして不活発になって認知症が進行し、孤独に苛まれて悲しんだりします。そして不活発になるということは、つまり動かなくなるということなので、「歩く機能」など様々な機能が落ちていきます。しかし、ＣＣＲＣでは、こうしたことを見越して同じ場所でケアすることで、老後も環境を変えなくて済むため、トランスファー・ショックは起こらないわけです。 こうしたＣＣＲＣの日本版が現在注目を集めています。日本では少しでも障害があるとなかなか自立支援をしてもらえません。多少認知症があり、忘れることが多くなっても、支援的に周りの人が働いてくれる人がいれば、引き籠らずに様々な活動が出来ると思います。生活や人生が中断しないで最期まで暮らせる仕組みを作るというのがＣＣＲＣの利点の１つです。 それから２つ目が、ＣＣＲＣというのは地方で作る方がコストは安く済みます。都市部の人達がそういうＣＣＲＣに移動してくれれば、人の流れが出来て地方創生に叶うことになります。 ３つ目が２つの意味で都市圏の高齢者問題の緩和に繋がります。１つは首都圏の高齢者が移住してくれるという点。もう１つは地方の若者達が首都圏で介護労働するのではなく、地方にいたまま労働することが出来るという点です。 さらに、日本版ＣＣＲＣには「コンパクトシティ」という考え方もあり、高齢者が点々と点在すると、そのケアに交通費だけでも非常にお金がかかります。それを例えば駅の周りに集めて高齢者住宅を作ってＣＣＲＣとしてケア出来るのであれば非常にコストの削減にもなります。そういうことも首都圏だけではなく、地域の問題解決にも貢献出来るのではないかという風に考えられています。 現在、日本において「高齢化の問題」と「人口減少の問題」というのは非常に深刻な問題ですが、高齢者のケアの在り方を変えることによって、この２つの問題を解決に導くことが可能になると思います。
This is a 41 minute episode of Living Care Radio dedicated just to communities - Independent Living, Assisted Living, Memory Care and even Skilled Nursing. In this episode, Darol Tuttle overviews the Living Care Radio show and marketing opportunities with the show and the law firm. He then discusses big changes in the VA Aid and Attendance program and offers important tips to be prepared when the new law is passed. The rest of the episode highlights promotions that Living Care Radio is run and interviews with guests to include a Continuing Care Retirement Community and an Assisted Living Community. Darol concludes by an invitation: let's partner!
In this exciting episode of Living Care Radio, host Darol Tuttle, lays out resources to help listeners find information, resources and advice regarding VA benefits, Medicaid and COPEs and even housing options for Seniors who need help. One resource is the website for the show, www.livingcareradio.com, in which all of Darol's articles are posted as well as prior episodes. Another great resource is Darol's personal website, found at www.daroltuttle.com. Darol Tuttle is a Tacoma, WA elder law attorney with offices in Kirkland, wa. In the first segment, Darol laid out that the cost of long term care in Washington state is high and rising. The average cost of a private room in a nursing home in Washington state is $102,200 per year. Traditional planning does not work to help seniors pay that cost. Listen to the episode as Darol explains why most planning does not work and how to avoid making planning mistakes that jeopardize your estate. For the remainder of the show, Living Care Radio hosted Franke Tobey Jones, a Continuing Care Retirement Community located in Tacoma, Washington. Franke Tobey Jones was on the show live with Alex Newman, Senior University Director, Michelle Matz, Senior Director of Residential Accommodations and Christine Hall, Senior Director or Marketing and Public Relations. Listeners learned that a "Continuing Care Retirement Community" differs from most communities because it includes far more options all the way from Independent Living to Skilled Nursing and even hospice. As such, the resident may in most case stay at Franke Tobey Jones without worrying that he or she will be required to leave their homes if their health changes. As a Continuing Care Retirement Community, Franke Tobey Jones offers multiple Independent residences for active retirees, with the peace of mind of lovely Assisted Living, 24-hour Health Care and Memory Care facilities steps away. Life Style Options Independent Living Duplexes – Enjoy a modern home in a comfortable neighborhood with all the conveniences and security of a community. Duplex residents enjoy all the benefits of the Franke Tobey Jones campus while living in a more private, residential setting. Garden Apartments – This is condo style living. 1, 2 and 3 bedroom apartments —all maintenance-free, inside and out. The custom building includes elegant parlors, soaring ceilings, a grand staircase, elevator, library, sunroom, lounge with wet bar and big-screen TV and piano—all designed to be extensions of your home for entertaining or personal leisure. A Concierge will answer your questions and make sure your needs are met. Tobey Jones Building – Independent Living with Services. The Tobey Jones building offers apartment living in a comfortable, secure and convenient atmosphere. We have described residence in the Tobey Jones building as “independent living with services,” because residents receive three meals daily in a lovely dining room with waited service and weekly housekeeping. Assisted Living Lillian Pratt Building – Residents retire in style and comfort in the Lillian Pratt building. The gracious setting is matched by impeccable care and services. Lovely, private studios and one-bedroom apartments are available, each with one bathroom and an emergency call system. Skilled Nursing Health Care Center – This family-like center boasts a unique and friendly atmosphere and provides our residents and their families with a multitude of amenities and the peace of mind of the most qualified clinical staff around. Both private and semi-private rooms, each with 1 bathroom, are available in our “private pay” Washington State Licensed skilled nursing area. Memory Care – Our Place Our Place is a specially designed, newly-built, home-like residence for seniors with early stage Alzheimer’s and dementia. Under the direction of a Licensed Nurse, Certified Nursing Aides and Activity Coordinators, the Our Place day is structured to maximize the quality of life for residents.
Continuing care retirement communities can be a great option for many people. I can move into one community that can meet all my needs, from independent housing to assisted living to nursing home care as I need it. In Show 18 of his monthly elder law podcast, Yale Hauptman, a practicing elder law attorney, provides an overview of CCRCs, the pros and cons. So often, he sees people enter into these financial arrangements without closely examining the 40+ page contract that typically the resident must sign. The contracts often require a large upfront financial commitment. What will the CCRC agreement cover? What won’t it cover? What happens if you run out of money? What if the facility runs out of money? If you are considering a CCRC for yourself or a loved one you’ll definitely want to tune in first. Click here to listen To subscribe to our podcasts click here Please send us your feedback
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