Tuesday, April 10, 2018

GETTING A PET CAN IMPROVE AGING IN PLACE

Are you wondering how you are going to care for your pet as you age in place? Are you wondering if you should adopt a pet as you age in place? This guide will help you decide on the best choice for you. Studies have shown that owning a pet can be physically and mentally beneficial for people of all ages. In the case of senior citizens, “just 15 minutes bonding with an animal sets off a chemical chain reaction in the brain, lowering levels of the fight-or-flight hormone, cortisol, and increasing production of the feel-good hormone serotonin. The result: heart rate, blood pressure and stress levels immediately drop. Over the long term, pet and human interactions can lower cholesterol levels, fight depression and may even help protect against heart disease and stroke” (Byrne, 2015).

Pet Adoption for Seniors


If you are mostly immobile, a cat may be the best option because you don’t have to walk them. A small dog that uses pee pads or a caged animal may also be a good option. Senior dogs and cats are better for the elderly because they are more calm, quiet, and less maintenance. Be sure to have the pet checked out by a veterinarian. A pre-existing illness or disease could drain your bank account or make you sick. For those seniors who want a dog, there are many reasons to be wary of jumping into pet adoption too quickly. The lack of mobility and inability to drive to and from the vet, groomer, or pet store worries them. The initial costs are usually high. They also worry that if and when there comes a point when they can no longer care for the dog, that the dog might be taken to a shelter and eventually euthanized. Many seniors feel like their worsening health condition is a burden, and a pet might possibly add to that.

Top 6 Reasons Seniors Should Adopt a Pet

There are numerous reasons for adopting a pet. From companionship to security, pets can provide seniors a better quality of live and improve aging in place. Finding the right pet for you or your family member is easy, and the benefits can be far-reaching.


Matching Older Dogs with the Elderly


Pets for Seniors in Illinois created an adoption program that matches senior dogs and senior cats with senior citizens. They worked out solutions to the issues that seniors have with pet adoption, and the program is very successful. The program pays for most of the adoption fee, chooses calm and housebroken older dogs, and provides support every step of the way. If the animal is not a good fit, the organization will take back the pet and refund any fees. Other humane shelters around the nation are trying to replicate this model.

Pet Therapy for Seniors


 Those who work caring for the elderly say that pets pull withdrawn seniors out of their shell, provide mild activity and cardio through walking and grooming the pet, and offer a way to feel needed and connect with the world. Pet therapy can also help with Alzheimer’s Sundowners Syndrome. Nighttime can be very confusing and disorienting for folks with Alzheimer’s disease. This is when some Alzheimer’s patients try to run away or leave their home. A pet can prevent this issue by keeping those with Alzheimer’s connected and occupied.
“Animals’ non-verbal communication and profound acceptance can be soothing for those with difficulty using language; some may even connect with memories of their own treasured pets”
“Animals’ non-verbal communication and profound acceptance can be soothing for those with difficulty using language; some may even connect with memories of their own treasured pets” (Byrne, 2015). Pet therapy has shown to improve appetite, social interaction, brain stimulation, and tactile activity. The unconditional love of a dog brings healing and meaning to a sometimes lonely stage in life. Ask your doctor, physical therapist, or social worker about any pet therapy programs in your community. Just because you give away a pet or choose not to take one into your home, it doesn’t mean that you can’t visit with other family pets or receive pet therapy. There are pet therapy home visit services all over the country. Alliance of Therapy Dogs and Therapy Dogs International are volunteer-run organizations with outposts all over the world. A local volunteer will come to your home and bring a trained service dog that is very well-behaved. The dog can play, cuddle, and perform commands during a half hour or one hour session.

Service Dogs for Seniors


For seniors with disabilities, a service dog might be the best option. “The Americans With Disabilities Act (ADA) of 2011 defines service dogs as those trained to do work directly related to a person’s disability.  Emotional support animals and dogs used as crime deterrents are excluded from this definition.  A service dog is expected to accompany a person with a disability at all times” (Wang, 2013). Service dogs go through extensive training to remain calm and help their owner with mobility issues. Service dog skills include: opening doors with a strap, pushing doors closed, helping their handler dress and undress, helping those in wheelchairs sit up straight & place feet and arms on footrests and armrests, preventing falls, and retrieving wheelchairs and walkers. It’s amazing the tasks these dogs can do! In an emergency situation, service dogs are trained to perform life-saving tasks, like retrieving medication, calling 911, opening the door for EMT and first responders, running to get help or barking for help after identifying an emergency, and laying down on their handler’s chest to help them cough or breath better. For hearing impaired owners, service dogs are trained in alerting their handlers to the presence of other people or particular sounds, retrieving dropped objects, carrying messages, and warning that an unseen vehicle is approaching. For visually impaired owners, service dogs are trained in avoiding obstacles like moving vehicles, signaling change in elevation, locating objects on command, and retrieving dropped objects. Find the right service dog for you. Pets often increase the amount of exercise pet owners get versus non-pet owners. More exercise isn’t always a good thing for older people with injuries and susceptibility to falls. There are also some nonprofits in existence that will help elderly folks care for their pets when walking their dog multiple times a day or cleaning out the litter box is too burdensome. Look to see if there is one in your area.

The Cost of Pet Ownership


 It is important to make sure you have the funds to adopt a pet. Puppies have been known to cost upwards of $800 in their first year for healthcare, food, toys, and everything else that goes into pet care. Are you able to spend over $500 a year on your dog or cat? If not, a bird or fish might be a better option. In some cases, it may be necessary to make the heartbreaking decision to give up a pet. Elderly people give up their pets for several different reasons. They might not be physically able to care for them anymore, they might not be allowed to have a pet in their assisted living facility or nursing home, they might rather spend their time traveling, or they might actually be relieved to no longer have the responsibility.

The Risks


 What you don’t hear about very often are the dangers of owning a pet as a senior citizen. “Over 86,000 people per year have to go to the emergency room because of falls involving their dogs and cats, and these fractures can be devastating for the elderly,” said Judy Stevens, an epidemiologist with the Centers for Disease Control and Prevention (Seliger, 2012). If you think about it, you might know someone (maybe yourself) who has fallen trying to care for a pet.

Some studies even find that the more attached an elderly person is to their pet, the more depressed they are. This could very well be a correlation, not causation, but it is something to consider if you are prone to depression or mental illness. Some doctors studying seniors and their pets believe that the death of an animal can affect an elderly person’s depression in a more severe way. Life can be isolating as you age, and the death of pet could add to this stress. Other studies have found that if you have a strong social network, having a pet makes no difference in your happiness level. These opposing studies create conflicting views on the subject, so it is wise to just do what’s best for you.

You know yourself better than anyone, so be honest about whether keeping your pet or adopting one is a good idea or not. Create a pros and cons list. Many doctors believe that the benefits outweigh the risks, but they might not for you. See if you can find a co-caretaker for your pet. Is your mobility good enough to not fall when picking up a dog that is running circles around you? Is it hard for you to bend down to their level to clean up after a cat or dog? Asking a loved one or volunteer agency to take care of the more physical aspects of pet care can alleviate stress and susceptibility to accidents. If you don’t have a close family member or friend to do this, you might have to give away your pet. This is a hard decision, and your doctor and family can help you make it. The downside of pet ownership is a difficult subject to breach because no one wants to give up their beloved pet. Again, designating a trusted family member, neighbor, or friend to come check on you and your pet’s well-being is a great idea. If you have a grandchild or child whom bonds with your dog or cat, they might not mind coming over to let the dog out, or scoop out the cat litter. Don’t put yourself in danger of breaking bones simply because you are too proud to ask for help. Having a plan B and/or a pet helper may prevent injuries that lead to surgery, months of rehabilitation, and a lot of emotional stress.

How to Care for Your Pet While Aging in Place


Although, pets can do wonders for an elderly adult, the pet’s needs are important to keep in mind as well. In some cases, an elderly person may forget to medicate or feed their pet. They may get to the point where walking their dog is difficult. For these reasons, choosing a designated family member or in-home health aide that is willing to check on the pet and help take care of it would be ideal. Make sure you are taking care of yourself first and foremost (Remember the oxygen mask metaphor? You can’t take care of someone if you don’t care for yourself first). Some older folks go without food or necessities because money is tight, and they love their dog too much to let them suffer. Don’t be that person! Reach out to family members, friends, neighbors who care, or a nonprofit that provides assistance to aging pet owners. Veterinarians are good resources for finding pet care assistance. Your well-being should be top priority. Have a succession plan for your pet. If you are an aging pet owner, create a succession plan you are comfortable with early on. Designating a god-parent or guardian for your pet in case you become ill or unable to care for the pet, is the humane, smart path to take. This designated guardian could be a family member, friend, neighbor, or trusted pet adoption agency. If you do decide to give up your pet for adoption, an “open adoption” is best. Meet with your designated guardian beforehand, so that they can bond with your pet and see if they are really right for ownership. And, make sure that you will be allowed to visit your pet if you are able. If a family member or home health aide moves in to be a caregiver, they might not be able to take care of both you and your pet. A rambunctious, needy pet or a pet with multiple medications and a high maintenance routine may be too much work. Caregivers may not be willing to perform these tasks on top of other caregiving duties. This is a decision you will have to make together. Euthanizing a pet should be the last resort. Some older people believe that putting their animal down is the best option because the animal is so bonded to its owner that it would be too depressed to bond with a new owner. This is not normally the case. There are many options for adoption, foster care, and shelters that can take care of your pet. Keep your pet for as long as possible, but don’t be afraid to start the succession plan when you need to. Taking away a pet may cause an elderly person to deteriorate mentally and physically, so make sure to allow regular visits with the pet. Many older folks look forward to these planned pet visits.

Conclusion


Owning a pet while aging in place is certainly not for everyone. Ask your veterinarian, family members, and doctor if this is the right decision for you and your health. If you are healthy enough or your caregiver is willing enough to care for a pet, the rewards of pet ownership can be life-changing. An aging dog, cat, or even bird could be the best medicine and your best friend, all in one.

Full Article & Source:
GETTING A PET CAN IMPROVE AGING IN PLACE

Monday, April 9, 2018

Tonight on Marti Oakley's T. S. Radio: Abolishing Probate with Lisa Belanger







5:00 pm PST … 6:00 pm MST … 7:00 pm CST … 8:00 pm EST
Join Marti Oakley with Luanne Fleming and Robin Austin as we host Atty. Lisa Belanger from Massachusetts..

Lisa has just organized The People's Center for Law & Justice and is working to end the probate/guardian system that is operating across the country. Lisa's organization will also work to counter bogus legislation which is actually intended to worsen the problems with professional, for-profit guardians and the ensuing plundering of estates.

We will also discuss the difference between public and private guardians...is there actually a difference?

A recent bill in Massachusetts offered by the former AG of Mass., would have given immunity to virtually every person involved in these guardianship scams. Even those the former AG identified as having committed "ordinary negligence" would have been immune from prosecution under this bill. Subsequent letters to the former AG asking him to define just exactly what ordinary negligence is, have gone unanswered.

LISTEN to the show live or listen to the archive later

Marti Oakley: Minnesota Boomers Express Fear of Doctors

“Attendee’s reported that when they were hospitalized, they were given sedatives (chemical restraint) against their will. Add to this that many talked about the callous treatment they received by hospital staff, including at times (but not often), physical abuse. Virtually all in attendance were concerned that if they were hospitalized, they would never return home.”

At a recent local meeting here in Minnesota with approximately 60 elderly individuals, 60 and over, several things caught my attention that I found alarming. The recent revelations about the lack of oversight, concern, and ongoing abuse, neglect and exploitation of seniors in nursing homes was paramount, many fearing or believing that at some point they would end up in one of these houses of horror.   Reports of a senior in an assisted living facility, who had died two days prior without anyone noticing, must have terrorized these people even more.




Full Article and Source:
Marti Oakley: Minnesota Boomers Express Fear of Doctors

One of America’s most popular drugs — first aimed at schizophrenia — reveals the issues of ‘off-label’ use



The first warning came a dozen years ago, when the Food and Drug Administration accused the drug company AstraZeneca of “false or misleading” information about health risks in the marketing material for its blockbuster medication Seroquel, an antipsychotic developed to treat schizophrenia but increasingly prescribed “off label” for insomnia.

What followed was an onslaught of litigation by state attorneys general, who charged AstraZeneca with fraudulently promoting Seroquel for unapproved uses, and by individual patients, who claimed that it had failed to alert consumers about some of the drug’s most pernicious side effects. Although the company never admitted wrongdoing, by the end of 2011 it had paid out more than $1 billion to settle many of the cases.

Another product might have been derailed, but not Seroquel. Despite generic competition and lingering lawsuits, AstraZeneca’s annual reports show Seroquel remained a blockbuster, with $3.6 billion in sales from 2014 to 2016. In the drug’s titanic success and its strong link to off-label prescribing lies a cautionary tale — about the sometimes conflicting forces within health care, the relationship between medications and marketing, and the limits of regulatory protections.

Full Article and Source:
One of America’s most popular drugs — first aimed at schizophrenia — reveals the issues of ‘off-label’ use

NY Judge Leticia Astacio Gets Pay Raise After Working 213 Out of 214 Days

Rochester City Court Judge Leticia Astacio has received a pay raise, increasing her compensation to $187,200.

An agreement issued by the Commission on Legislative, Judicial and Executive Compensation Board is responsible for the pay increase. It is the final of four installments agreed upon for all judges working in New York. This process began in 2015.

Chief Administrative Judge Craig Doran confirmed Monday that Astacio is still not showing up for work as directed.

Astacio did report for work on Tuesday, February 27 for one day– and has not been back since. Judge Doran sent a letter to Astacio on February 23, ordering her to return to work at the Hall of Justice on February 26. Prior to this, she had not reported to work since August 31.

Astacio was assigned to handle legal work that did not put her on the bench. She subsequently provided Doran with a doctor's note, stating that she could not work.

The Rochester City Court judge was charged with DWI in February 2016 after she was involved in a car accident on Rt. 490 West while on her way to court to handle criminal arraignments. She was sentenced to 60 days in jail, three years probation, and six months with an alcohol ankle monitor in July 2017.

The New York State Judicial Conduct Commission has remained largely silent on whether it will or will not take up the case of Astacio's position of the bench.

Source:
After not working 213 of 214 days, Judge Astacio receives pay raise

See Also:
Editorial: Astacio Case Shows Need to Reform How New York Disciplines Judges

NY Judge Arrested, Led From Courthouse in Handcuffs

Judge Astacio Arrested, Sent to Jail Until Thursday's Hearing

Illinois Woman Arrested for Financial Exploitation of Disabled Person

A Franklin Grove woman was charged Wednesday with financially exploiting a disabled woman.

Dixon police arrested Tina M. Parks, 53, on two counts of financial exploitation of a disabled person, one instance ranging between $300 and $5,000 and the other for less than $300.

The felony charges carry sentences of 2 to 5 years and 1 to 3 years, respectively. The exploitation took place on March 30 and 31 when Parks, “standing in a position of trust or confidence ... knowingly and by deception or intimidation” used the disabled person’s assets, according to court documents.

Full Article and Source:
Franklin Grove Woman Arrested for Financial Exploitation of Disabled Person

Sunday, April 8, 2018

Georgia Probate Judge Indicted After $430K Goes Missing


WALB.com, South Georgia News, Weather, Sports

A Georgia probate judge has been indicted on charges of racketeering and theft by taking after nearly half a million dollars was stolen from the Atkinson County Probate Court's Office.

Probate Judge Marjorie O’Brien was arrested on January 27, 2017, and charged with one count of theft by taking.

An investigation was launched into the possible theft of funds by the Georgia Bureau of Investigation at the request of Superior Court Judge Howard McClain on January 17, 2017.

During the investigation, the GBI determined O’Brien had stolen approximately $430,000 from the Atkinson County Probate court's Office between 2010 and 2016.

On Monday, O'Brien was indicted by an Atkinson County grand jury on two counts of racketeering and 81 counts of theft by taking.

Atkinson County Sheriff David Moore says the whole situation caught him completely off guard.

"It's like a kick in the stomach. One it's a small county, everybody knows everybody. We may talk about you, but we still like you. It was hard. It's hard for a lot of people," said Moore.

The case is being prosecuted by the Georgia Attorney General's Office.

Texas Probate Judge Kelly Cross Disputes Claim Made by County Clerk

In a letter sent this week to the San Antonio Express-News, Probate Court No. 1 Judge Kelly Cross disputed a claim made by Bexar County Clerk Gerry Rickhoff about events that preceded a horrific double-homicide.

Rickhoff was “totally wrong,” Cross wrote, when he stated that a mental health warrant to detain Casey Farrell Marshall was denied because of a lack of bed space. Cross, who has not responded to multiple requests for an interview, implied in the letter that the warrant was denied for failing to meet “applicable criteria.”

According to police, Marshall killed his girlfriend, Andrea Gonzalez, and her 11-year-old daughter, Azriah, with a hatchet on the city’s Northwest Side on March 17 — two days after the warrant to detain him was denied.

I reported Rickhoff’s statement in my column this week, along with former associate probate-court judge Oscar Kazen’s reaction to it. Kazen, who is running to oust Cross in November, called the failure to detain Marshall before the killings “a breakdown of process.”

Rickhoff has declined to release the file on Marshall due to civil rights and privacy laws. After consulting with his staff and his attorney, however, the county clerk on Wednesday stood by his initial statement.

“I went and reread that file,” Rickhoff said. “And yeah, I’m going to stand by what I said. … I’m a truth teller. I don’t care if it hurts me. I’m going to tell the truth.”

He added, “I did meet with my staff on this issue and consulted with them. They indicated the truthfulness of my remarks.

Full Article and Source:
Judge Disputes Claim Made by County Clerk

Minnesota Department of Health Seeks Input on Elder Abuse Complaints







Taking another step to improve the efficiency and effectiveness of Minnesota’s elder care regulation, the Minnesota Department of Health (MDH) today issued a formal request for information (RFI) seeking stakeholder feedback on specifications and functions of a new electronic case management system to replace the antiquated system currently in use in its Office of Health Facility Complaints (OHFC).

Posted on the MDH website at Request for Information: Vulnerable Adult Abuse Case Management System (PDF), the RFI was developed in collaboration with the Minnesota Department of Human Services and Minnesota Information Technology Services. The process is designed to generate information that will be used in evaluating and contrasting various private-sector case management systems, potential pricing and possible options. MDH intends to make public the results of the RFI and discuss the findings with legislators prior to selecting any system.

“Minnesotans expect safe, quality care for their loved ones in long-term care settings, and they expect us to hold care providers accountable,” said Minnesota Health Commissioner Jan Malcolm. “Having a modern, highly functioning case management system in place is an important step toward ensuring that OHFC can do its work more efficiently and effectively.”

The RFI lists several features expected to be part of the new case management system, including:

  *Receiving and coordinating new complaints, including documentation and evidence;
  *Assessing complaints to determine urgency, jurisdiction and need for onsite investigation;
  *Real-time monitoring and updates on the status of each complaint and investigation;
  *Ensuring compliance with all state and federal deadlines;
  *Notification of all parties on complaint status, as permitted by law;
  *Tracking staff workload for future assignments and performance outcomes;
  *Tracking appeals and required activities; and
  *Providing easy access to publicly reported data for trends analysis and prevention.

MDH anticipates responses to the RFI document will come from two general categories: interested stakeholders (including legislators, consumer advocates, long-term care providers and family members) and interested vendors (non-profit and for-profit organizations with experience in design and implementation of case management systems). RFI responses are due by 4 p.m. on Friday, May 4, 2018. MDH will summarize results and post them publicly to the OHFC Project website later that month.

Source:
Press Release: MDH seeks input on new electronic case management system for elder abuse complaints