Thwarted by HIPPA rules? Persevere.
Protected health information can’t be disclosed to anyone but the patient or the patient’s authorized recipients. If you are the court-appointed Guardian of an incapacitated person, or you are a designated Agent under a Health Care Proxy or Health Care Power of Attorney, you may have encountered roadblocks in trying to get access to the records of the person you are acting for....
Family caregivers and decisionmakers in the complex care of dementia patients
Tha AARP and the National Alliance for Caregiving report that there are 40 million Americans taking care of family members with dementia such as Alzheimer’s Disease, cancer, and other debilitating chronic diseases, or physical disabilities, and that 25% of the caregivers are under 35 years old. The medical issues can be complex. There can be myriad medications to manage and the side...
Aging in Place: Make a Plan, Assemble your Team
“No matter what, please keep me out of a nursing home!” How often do people hear their parents say this, as the parents enter their most senior years. The reality is that aging in place is a complex but achievable endeavor for most people. Whether you are the person who hopes to “age in place,” or you are the person who will have responsibility to make it happen, you...
We Respect Our Aging Parents by Helping Them Plan for Future Needs
Could this be you? You’re in your thirties or forties, with several active children and a busy social and business life. You’ve got volunteer activities and school programs to keep track of. Your parents are in their seventies or eighties, have their own home, and appear to pay all their bills when due. You have no idea what your parents’ income or assets are because they don’t want to bother...
What are HIPPA forms and why do you need them?
What is known as “HIPPA” was enacted by Congress as the Health Insurance Protection and Portability Act of 1996. 42 USC 1320d-6. https://www.law.cornell.edu/uscode/text/42/1320d-6 It is designed to protect the confidentialiy of a patient’s medical information. The extensive federal regulations are found at 42 USC part 160....
What is Hospice care all about, really?
Palliative care is a specialized team approach to helping a patient to cope with the debilitating symptoms of certain serious complicated illnesses such as parkinsons Disease, heart failure, kidney failure, or COPD. The patient is receiving curative treatment and emergency room care during acute episodes of illness, and can receive dietary support, pain management, grief counselling, massage...
Understanding Alzheimers Disease and Creating a safe environment for aging
I just came across a great article in the Journal of Family Practice (January 2015) by Marisa Mendola PhD and Barry D. Weiss, MD, called “Addressing Alzheimers: A pragmatic approach.” JFP_06401_Article1 The article is, of course, addressed to physicians who may be noticing signs of cognitive impairment in their patients or who have been alerted that “there seems to be...
Governor has signed the CARE Act A2955
Yesterday afternoon, Governor Christie signed A2955, called the CARE Act. http://legiscan.com/NJ/bill/A2955/2014
The bill requires hospitals to ask patients to identify their intended post-discharge caregiver, and obligates the hospitals to provide information and instruction to the caregiver no later than 24 hours prior to discharge concerning the components of the discharge care plan and the...
Thinking of retiring? Review your estate plans
As you begin making your plans for retirement, don’t neglect to prepare or update your estate plan. Your plan may be decades-old, or maybe you never even signed any documents for a plan. It’s a good idea to start thinking about a variety of issues at this time. Here are some of them.
It’s important to sign a Durable Power of Attorney and Health Care proxy to designate the...
Basic estate planning is important for young adults with special needs
Do you have an emerging young adult in your family who is not under a guardianship? After their 18th birthday, you may want to consider having them meet with an attorney to discuss a durable power of attorney, health care proxy and a Will. People often say, “why do I need a Will?” or “isn’t estate planning for wealthy people?” The fact is that basic estate...