Phone: 08456800225
Email: enquiries@nobilis.co.uk

Wednesday 21 December 2011

Many deaths from diabetes are preventable. Learn how

24,000 people died unnecessarily in 2008/09.  The cause was complications from diabetes which were entirely avoidable.

In this article from Nobilis you can learn more about a very common condition which can be far more serious than people imagine.
Discover:

·         The warning signs of diabetes
·         How the condition is diagnosed
·         What treatments are available
·         How you can help yourself and your loved ones manage or even avoid diabetes

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Monday 12 December 2011

Are Strokes Easily Diagnosed?

Like so many serious medical conditions, strokes can generate great fear and confusion.  That’s why Nobilis is providing a series of articles to demystify this important area of healthcare.  When you are better informed you are better able to deal with medical problems when they occur.

Today you can learn about the procedures for diagnosing strokes and what patients can expect in hospital.  You will also find out how important rapid diagnosis is for those suspected of suffering a stroke.

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Tuesday 22 November 2011

Which surprising test spots health problems early in the elderly?

Ensuring the elderly have regular eye checks is not only about making sure they can see clearly.  Eye examinations can spot a range of health problems which have nothing to do with the eyes, enabling treatment before any other symptoms appear.

This helpful article from Nobilis takes you through the importance of eye tests for the elderly, explaining:

·         Why we tend to neglect these tests
·         Helpful preparations before an examination
·         Who qualifies for free eye tests
·         Which diseases can be spotted early through eye tests
·         What you can do to help elderly relatives who wear glasses

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Monday 14 November 2011

Are treatments for dementia dangerous?

Dementia causes a lot of fear and there have been many stories in the papers about the dangers of medications used to treat it.  At Nobilis we are always striving to help the community gain a better understanding of the issues surrounding old age.  Consequently, this article from our Information Centre explains the options for treating dementia. 

You will discover:

·         The importance of talking about the condition
·         The two basic types of drug medication
·         The controversy around the ‘chemical cosh’ and what the Government is doing about it
·         The numerous non-drug treatments available

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Friday 4 November 2011

Dementia – Assessment & Diagnosis

Dementia causes considerable fear amongst the elderly and their families, but although most types are incurable, early diagnosis can make treatments far more effective at slowing its development and maintaining good levels of mental functioning.
 
The unfortunate truth is that the majority of dementia sufferers remain undiagnosed.  In Hampshire it is estimated that only 44% of those with dementia have been diagnosed and in Dorset this is as low as 26%.  Clearly this has serious implications for the long-term mental health of those unaware they have the condition, which is why it is important to be alert to the symptoms and seek medical advice if you feel there is cause for concern.

Read the full article here: http://www.nobilis.co.uk/feeds/information-library/dementia--assessment-and-diagnosis.aspx

Friday 28 October 2011

What are the options if you have to give up driving?

Having to give up driving can be a traumatic experience for the elderly.  However, if you know the many alternatives for transport it can make the transition much easier.

In this article from Nobilis you will discover:

·         The help available with the costs of public transport
·         The public and voluntary schemes designed to help the elderly get out and about
·         The options for scooters
·         How to help with shopping

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Monday 24 October 2011

Improve health & quality of life for the elderly

We tend to think of exercise as a young person’s activity, but it can be vital in helping the elderly stay fit, independent and happy.

In this helpful article from Nobilis you will learn about:

·         The particular benefits for the elderly of exercise
·         How to begin exercise for older people safely
·         The charity which can help with professional exercise classes which are safe and fun!

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Tuesday 18 October 2011

The importance of a Power of Attorney

A power of attorney (POA) or letter of attorney is a written authorisation to represent or act on another's behalf in legal, financial or health affairs, or some other legal issue. For people who lack the mental capacity, or in time may become unable to make important decisions, it’s important for someone else to be appointed to do it for them.It’s why the Mental Capacity Act 2005 was introduced to enable people to choose someone to manage financial, property and even health and welfare decisions on their behalf. When the Mental Capacity Act came into force in 2007, Lasting Power of Attorney (LPA) replaced the previous Enduring Powers of Attorney (EPAs), although EPAs made before that date are still valid. EPAs only need to be registered if the Donor has since lost capacity.

Read the full article here:
http://www.nobilis.co.uk/feeds/information-library/the-importance-of-a-power-of-attorney.aspx

Monday 17 October 2011

Do you know how important it is to care properly for elderly people’s feet?

Foot care is vital to keep the elderly mobile and can even be a way of spotting health problems before they become serious.

In this article from Nobilis you will learn:
·         Why it is so important to look after the feet of the elderly
·         The problems which can develop with untended feet
·         How to care for feet
·         How to cut toenails properly
·         The help available to older people unable to look after their own feet.

You can read the article by clicking on this link:


You can also find many other useful articles on elderly care at our website, www.nobilis.co.uk.

Falls - a real danger for the elderly

Every year, 1 in 3 elderly people suffer a fall. They are one of the leading causes of death, injury and hospital admissions among the elderly population, so it’s important to understand what causes them, and what steps can be taken to reduce the risk of it happening.
 
Nobilis have produced an article helping you understand falls in which you will learn:
  • Why do falls become more frequent in old age?
  • Top tips for a safer home
You can read the article by clicking on this link:
http://www.nobilis.co.uk/feeds/information-library/falls---a-real-danger-for-the-elderly.aspx

You can also find many other useful articles on elderly care at our website, http://www.nobilis.co.uk/

Friday 14 October 2011

If you need to wash an elderly person we have a helpful guide

Whether on a long-term basis or as a temporary measure, it’s important to know the proper procedures for washing an elderly person.

This is not only something that presents physical challenges, it can also be upsetting for the person being washed.

That’s why Nobilis has produced a down-to-earth article which takes you through the basics so you can feel confident taking on this important aspect of personal care.

You will learn:
• The importance of maintaining good hygiene in the elderly
• How to deal with fears of washing
• How to give a bed bath
• How to handle oral hygiene
• How to wash an elderly person’s hair

You can read the article by clicking on this link:
http://www.nobilis.co.uk/feeds/information-library/a-guide-to-washing-an-elderly-person-and-bed-baths.aspx

You can also find many other useful articles on elderly care at our website, http://www.nobilis.co.uk/

Learn How to Challenge Refusal of Funding for NHS Continuing Healthcare

NHS Continuing Healthcare is an extremely valuable benefit.  If you suffer from serious conditions which require ongoing treatment then the NHS will arrange and pay for it, enabling you to stay in your own home.

If you believe you are entitled to NHS Continuing Healthcare but have been refused, this helpful article from Nobilis guides you through the process for challenging that decision.  We’ve taken a complex procedure and broken it down into clear, easy-to-follow stages.

You can read the article by clicking on this link:
http://www.nobilis.co.uk/feeds/information-library/nhs-continuing-care--challenging-a-refusal-of-funding.aspx

You can also find many other useful articles on elderly care at our website, http://www.nobilis.co.uk/

Thursday 13 October 2011

Loneliness is the Hidden Killer for the Elderly. Find out how to Tackle it…

Isolation is a growing problem amongst the elderly.  This doesn’t just risk depression, it can also affect physical health.

If this is something which concerns you there is a helpful article from Nobilis about the problem of loneliness in the elderly.  You can learn about:
• The health problems caused by isolation
• How to spot the signs of loneliness in the elderly
• The steps you can take to deal with isolation

You can read the article by clicking on this link:
http://www.nobilis.co.uk/feeds/information-library/isolation-in-the-elderly--the-hidden-dangers-of-loneliness.aspx

You can also find many other useful articles on elderly care at our website, http://www.nobilis.co.uk/

Do You Know the Serious Risks of Depression in the Elderly?

Depression is a medical condition which can have serious consequences.  The elderly are far more likely to suffer from depression yet it’s not always easy to spot.

That’s why Nobilis has produced a helpful article which guides you through the signs, risks and treatment of depression in the elderly.

Learn:
• The symptoms to look out for
• The difficulties associated with dementia
• Strategies for preventing and beating depression

Even if someone you care for doesn’t suffer from depression at the moment, you can learn how to improve aspects of their life which will help ensure they never do.

You can read the article by clicking on this link:
http://www.nobilis.co.uk/feeds/information-library/depression-in-the-elderly.aspx

You can also find many other useful articles on elderly care at our website, http://www.nobilis.co.uk/

Wednesday 12 October 2011

The elderly and driving

If you have an elderly parent who drives you’ve probably wondered about the time when they may not be safe on the road any more.

In this helpful article from Nobilis you will learn about an organisation which can help.

Find out:

1.      How to get your parent’s driving professionally assessed
2.      How to do this for free
3.      The options for keeping your parent on the road
4.      How to deal with your parent giving up driving

You can read the two articles by clicking on these links:

Do you need to act? 

What are the options?

Wednesday 14 September 2011

Elderly Parents Who Won’t Wash – Dealing with Personal Hygiene

Of the many concerns facing the children of elderly parents, personal hygiene is one of the most difficult to discuss. It feels like a very private and frankly embarrassing issue, but although this is a sensitive area there are strategies to help you find a way forward.

Understanding Personal Hygiene Problems in the Elderly

The key to solving any problem lies in understanding it. If you don’t get your head around the reasons for your elderly parents taking less care over their personal hygiene you will find it far more difficult to reach a solution.

In fact, there are many possible reasons for the elderly refusing to take baths or showers.

Read the full article here:

http://www.nobilis.co.uk/feeds/information-library/elderly-parents-who-wont-wash--dealing-with-personal-hygiene.aspx

Monday 5 September 2011

Financing Home Care – Social Service Funding

Home care services are increasingly used by the elderly and infirm to help maintain their independence and ensure wellbeing and security within their own home.

When you feel you may be in need of such services the question of funding is one of the first concerns. It is possible you may be able to receive help from your local authority, but this will depend on both your needs and personal finances. There are also several options for how such help could be offered.

Local Authority Care Assessment:

The starting point for assistance from social services is the community care assessment. This is completely free and confidential. Importantly, your local authority is obliged to carry out this assessment regardless of your financial circumstances.

The care assessment is generally conducted by a social worker who will visit your home to assess your needs. This is not about carrying out lots of tests or invading your privacy; rather it involves listening to your views and wishes, learning about your day-to-day life and assessing how the council could help.

Read the full article here:  http://www.nobilis.co.uk/feeds/information-library/financing-home-care--social-service-funding.aspx

Friday 2 September 2011

Mum or Dad Won’t go to the Doctor – Getting Elderly Parents to Visit their GP


You’re becoming worried about your parent’s health. It may be failing memory; it could be aches or pains you feel aren’t quite right, or maybe you want the doctor’s opinion about whether your elderly parent should stop driving. Whatever the concern, your mum or dad just refuses to visit the doctor.


“I don’t want to bother him.”

“It’s nothing to worry about.”

“Stop fussing!”

These are all very familiar and frustrating responses. The fact remains, though, that the problem is still there and you don’t know what to do, so here are some suggestions about tackling this sensitive issue.

Read the full article here: http://www.nobilis.co.uk/feeds/information-library/mum-or-dad-wont-go-to-the-doctor--getting-elderly-parents-to-visit-their-gp.aspx

Thursday 25 August 2011

How to Start a Conversation with Elderly Parents about Care Needs

As parents grow older our concerns steadily build. Can they cope? Are they at risk? Does something need to be done?

Often, though, one of the most difficult problems is actually talking about it! We’re all too aware of the fact our parents are independent people and won’t like the idea of family ‘interfering’.

We know they have pride which can be hurt and perhaps most of all we know they spent years caring for us, making a conversation about reversing that role seem very daunting indeed.

Yet it does no good putting it off or ignoring it. Sorting out help where it’s needed and planning sensibly for the future are important priorities, so there are strategies families can adopt to raise these issues sensitively with elderly parents in ways that are more likely to be productive.
Read the full article here: http://www.nobilis.co.uk/feeds/information-library/how-to-start-a-conversation-with-elderly-parents-about-care-needs.aspx

Wednesday 24 August 2011

Care at Home – What are the Options?

When age or illness make living in your own home a challenge it creates worry and stress for the entire family. You don’t want to leave your home or lose your independence but deep down you know something has to be done.
Fortunately there are many options available meaning you don’t need to take the extreme step of moving into a care home. As a society we are all living longer and consequently many services have been set up which provide the support you need to stay in the home you love.

Home Care Services

The first and most important step is to find a trusted home care provider. This will give the essential support you need to remain safe and comfortable in your own home. Home care services are incredibly flexible and can be adapted to your particular circumstances.

When you take on home care services a professional carer comes to your home to deal with day-to-day tasks. This ranges from personal care for you, such as washing and dressing, to household jobs, such as cleaning, cooking meals and shopping. Whether your needs are for just half an hour a week or 24-hour live-in care, there are providers who can help.

Read the full article here: http://www.nobilis.co.uk/feeds/information-library/care-at-home--what-are-the-options.aspx

Tuesday 23 August 2011

Am I Entitled to Attendance Allowance?

Age and illness can place all sorts of restrictions on your life. You may find it difficult to get washed and dressed and even walking around can be demanding. Dealing with these limitations can be difficult and before long it becomes clear you need help. Fortunately, in many cases the state is able to assist with the expense of this, meaning at least money doesn’t have to be an additional worry.

Attendance Allowance is intended to help pay for the costs of care and supervision, making it possible for you to cope with the daily tasks of looking after yourself. It is solely for people over 65, so if you are younger you should apply for Disability Living Allowance, which is actually more generous and can continue after the age of 65.

Attendance Allowance is different from many other benefits because it is not means-tested, so your savings and income are completely irrelevant to the decision about eligibility. It’s also tax-free and you can receive it even if you haven’t made National Insurance contributions. This means it’s a benefit which often goes unclaimed by people who could be entitled to it, so...

Read the full article here: http://www.nobilis.co.uk/feeds/information-library/am-i-entitled-to-attendance-allowance.aspx

Monday 22 August 2011

Getting the Elderly Online – Improving Quality of Life

Let’s be honest, apart from mobility aids we tend to assume the elderly and technology don’t make for a good mix. We think they’re unwilling to embrace new things and come from a generation which struggles with programming the video.

We’d be wrong. Facebook an elderly-free zone? Definitely not – over-65s are the fastest growing age group there. Online dating a younger person’s game? Think again – over 50s are joining Match.com faster than any other age group.

Society is slowly waking up to the fact that the internet is a place which can benefit everyone and that the elderly are using it more than ever.

It’s no wonder, since this is the generation which has most to gain. Many parents bemoan the fact their kids spend too much time online and ought to be outside playing and being active. For the elderly, opportunities for going out can become more restricted, making the benefits to be had from surfing much greater. So it’s time for the young to start bemoaning the fact their elderly parents aren’t spending time online! Indeed, you should do everything you can to make that happen!

Read the full article here: http://www.nobilis.co.uk/feeds/information-library/getting-the-elderly-online--improving-quality-of-life.aspx

Friday 19 August 2011

Warning Signs in Elderly Parents – Changes to Look For

Everyone changes. You’re not the same person you were ten years ago and we all have moments when we think how great it would be to turn back the clock to days when we were fitter.

However, such change is natural and we accept it. With elderly parents, though, the situation is not quite the same. We know they are going to find life progressively more challenging, but we’re also aware there is a difference between the problems of natural ageing and other, more serious changes. The stumbling block is knowing when to raise concerns that something could be a sign of medical conditions in need of treatment.

This is made all the more difficult by many changes being so gradual you barely notice them, particularly if you see your parents on a regular basis.

Read the full article at http://www.nobilis.co.uk/feeds/information-library/warning-signs-in-elderly-parents--changes-to-look-for.aspx

Thursday 14 July 2011

OBR warns of big tax rises as population ages

Hot on the heels of the Dilnot report recommending additional spending on elderly care to the tune of an extra £1.8 Bn per year, the FT today discussed a report released by the Office of Budget Responsibility.  The OBR reported:
  • Pressures from an aging population would require a tax rise of £22 BILLION per year in 2016, if the UK is to achieve a reduction of its public sector debt from 84.5 to 40% of GDP by 2060.
  • This increase reflects increases in Health, Long term care, and state pension.
  • The OBR also conceded that its projections were extremely sensitive to different assumptions, the most important of these is the assumed modest rise in health spending.  With a rate of health spending growth closer to the historical average, this would add a further 5% of national income by 2060
Clearly this would suggest that the "unmentionable issue" of ongoing state funding for long term care for an increasingly elderly population cannot continue to be pushed onto future generations through increased tax.  I have spoken in my last post about the very real need to unlock some of the property equity gains to self-fund care, but this only applies in the short term. 

So what is the longer term solution?  Many people are still unaware that there is a pensions change being phased in over a few years from 2012 that will require compulsory contribution pension to a "Personal account".  Starting at 1% each, this will grow to 3% contribution by the employee and 5% by the employer.  I believe that this is wholly inadequate, and we need to have genuine debate about the need for greater self reliance in our retirement years, and reducing the dependance on the state for care (as I have oft expressed I think that this can only be provided on a low-quality, low-price basis with increasing rationing).

Being Australian, I look to my experience there.  (There it is called supperanuation).  Briefly:

1.   The government in 1992 recognised the coming major demographic shift and introduced a similar compulsory contribution regime, of 9% (employer funded) and this is to shortly grow to 12% from 2013.
2,   The taxpayer-funded age pension still provides core funding for retirement. The Australian state-funded age pension differs from its counterpart in most other western countries, being both modest (27.7 per cent of average wages for a couple) and means-tested (against both the income and the assets of the recipient).   This policy ensures the age pension in Australia will remain frugal and targeted, and Australians seeking a comfortable retirement lifestyle need to save for it.
3.   Pension savings enjoy various tax benefits. Contributions are deductible (within limits) against taxable income; earnings on investments in superannuation funds are taxed at concessional rates; and superannuation monies drawn down in retirement are lightly (or zero) taxed.

In the UK I believe we will need a much higher level of individual pension savings before we can adequately meet the retirement needs of our ageing population.  As politically unpalatable as the issue may be, I think the OBR report shows that time is running out to address the issue.  Continuing to think solely in terms of taxation rises to fund continued state-provision have gone beyond simply delaying the pain, they now represent a major issue to the whole UK economy.  Please, will someone in government take this issue by the horns?

Wednesday 13 July 2011

Elderly and Driving – Do You Need to Act?

It’s a difficult decision. You know how much driving means to your mum or dad. It provides freedom and independence; it improves quality of life; and very importantly, it is a matter of pride.
Yet you’re also beginning to suspect age or illness could be making driving hazardous for your parent – and consequently for other drivers and pedestrians.
As with so many decisions you make in relation to family, it’s hard to detach yourself from the emotional issues. This can apply to both sides of the argument because it’s not just the fear of taking away something important from your parent. The news features alarming stories of the confused elderly driving the wrong way down motorways and even tragic tales of older drivers running over their own partners in driveways by pressing the accelerator instead of the brake or selecting reverse by accident. Of course such stories can make you worry, but the important thing is to consider the question in a balanced way.
There are many people in their twenties who are far more dangerous than drivers in their eighties or nineties who are still perfectly safe behind the wheel. In fact, by taking an active concern you could make differences which keep your mum or dad driving for many years to come.
So, what should you focus on and what action can you take?

Older Drivers Checklist

Eyesight
Probably the most common problem for elderly drivers is vision. Make sure your parent has regular check-ups with the optician and if glasses for distance viewing are needed they wear them! Various eye conditions such as cataracts, macular degeneration, glaucoma and diabetic retinopathy can all have an impact and often because deterioration is gradual it may not be obvious to the sufferer. It could be an idea to suggest your parent doesn’t drive at dusk or night-time if eyesight isn’t what it used to be.
Hearing
It’s easy to overlook how important good hearing is for older drivers. Make sure your parent’s ability to hear is adequate for safe driving.
Physical Ability
Even with power steering, driving requires a good level of dexterity and strength in both arms and legs. This may be an area to consider if you notice any weakness or problems with movement. Sometimes just making sure parents get enough physical activity can help strengthen muscles and dexterity, extending their driving life.
Also take a look at how your parent sits in the car. We all shrink a little with advancing years! Does the seat need to be raised or moved closer to the wheel? Is the rear-view mirror properly adjusted?
Diseases
If your parent suffers from a disease consider the impact of any symptoms on driving. Alzheimer’s disease creates confusion whilst those with severe diabetes could fall into a coma. If you have any concerns you should discuss them with your parent’s doctor.
Prescription Drugs
Medicines obviously help people, but even very common drugs have side-effects to consider. Feeling drowsy or having a slowed reaction time can create serious problems on the road, so read the leaflet that comes with your parent’s medication carefully and discuss any effects they have noticed.
Crucially, if your parent is taking various different medications – some of which their doctor may not be aware of – the interaction of these drugs can cause unexpected side-effects. It’s worth writing down everything your parent takes and checking with the doctor whether any problems could be created.

What Can I Do to Check Mum or Dad’s Driving?

Considering all the above is important, but the bottom line is what your parent is like on the road, so what should you do?
Think While You’re a Passenger
If you don’t normally ride as a passenger with your parent it’s a good idea to find a reason. You can, of course, just tell them you’d like to see how they’re getting on with driving, but you have to judge how they might react to that. It could be that making it seem like a ‘test’ will make them nervous and affect their driving.
You should think about all aspects of their driving:
  • How confident are they on the road? Are there any signs of confusion?
  • Do certain driving situations cause difficulty, such as junctions or roundabouts?
  • Do they keep a good road position? Consider drifting within lanes or coming too close to parked cars.
  • Do they indicate and turn/change lane in a safe manner?
  • Do they keep a safe distance from the car in front?
  • Is driving speed good? Remember very slow drivers can also create a hazard.
  • Do they find it easy to turn the steering wheel or change gear?
  • Do they scan the road properly, including using mirrors?
  • Can they reverse safely?
  • Can they cope with very bright or dim light?
If you have any concerns then it’s time to talk. Often this can just be a matter of reminding them about good driving practice to keep them and others safe. After many years of driving we all fall into bad habits! If it’s more serious then you have to consider as a family what’s best and consulting the doctor may once again be important – not least because this helps take out the emotional element for both you and your parent.
Check the Car
Now and again just take a quiet look at your parent’s car. Have there been any scrapes or dents? This could be a sign of driving difficulties.
You should also make sure the car is fully roadworthy – check tyre pressures, treads and oil levels.
Take Positive Action
Talking through your concerns is a positive thing to do and can actually help keep your parent on the road. If you have seen issues which worry you then act. Constructive advice for your mum or dad can improve their driving and did you know many driving schools offer courses for older drivers? This can be the perfect way to sort out those problems and help your parent keep his or her independence.

My Parent Ought to Give Up Driving – What Should I Do?

All of the above should help you in coming to a decision, but if you feel it really is time for your mum or dad to stop driving this is incredibly difficult, so how should you approach it?
Firstly, be sure. Mild problems should not lead to overreaction. Remember what a difference this will make to your parent’s life.
It’s important to deal with this as a family, so make sure everyone’s on board. There is no perfect way to raise this with parents – so much depends on the personalities involved – but the important points are:
  • Stress how this is a question not only of their safety, but that of other road users and pedestrians.
  • Talk though the specific facts which have led you to this decision.
  • Make sure you include positive alternatives. Maybe the family can pull together to ensure plenty of people are available to drive them. Have clear information about the schemes in your area to help the non-driving elderly, such as volunteer hospital drivers. The more you can provide options to reduce damage to their lifestyle the better.
  • Involve the doctor. He or she will provide the objectivity which may help convince your parent it’s time to hang up the keys.
  • You could be surprised. In many cases elderly drivers have had concerns themselves or even had frightening near-misses which they haven’t shared. Sometimes a loved one raising their own concerns can be the push they secretly wanted to call it a day.
The bottom line is that given the choice of limiting your parent’s independence or seeing them badly hurt it becomes clear there’s actually no choice at all.
Do all you can to help your parent stay driving safely on the road, but when it’s clear that time’s up you can’t afford to put it off. The difficult decisions are almost always the most important ones.

Honest and Caring Advice

At Nobilis the elderly matter, but so do their families and we do all we can to support everyone in the difficult situations brought on by age.
If this article has raised questions or concerns you would like to discuss our friendly team has a great deal of experience. Whether your loved one is being looked after through our in-home care service or not, we’re happy to take some time to discuss any issues you may have about elderly driving problems.
Have a supportive and informative chat with us on 0845 680 0225

Elderly Parents – Planning for the Future

Growing old brings many challenges – not only for the person experiencing the difficulties of age. Looking after the needs of your parents when they are no longer able to do so for themselves can be demanding, especially if you have your own children to care for.
That’s why it’s wise to start planning ahead. Organisation and forethought can save you time and stress, as well as making it easier for your mum or dad. The more you can set in place before it’s needed, the more you will smooth out the bumpy journey we all face in one shape or another.

It’s Good to Talk!

Whilst it may not seem like a tempting prospect, talking these issues through with your parents is one of the most helpful things you can do. This makes sure there is clarity about what needs to be done and in the end will prove very reassuring for all concerned.
No one likes to think about the time when they won’t be able to look after themselves, but just as disease won’t magically go away without treatment, old age brings difficulties that won’t disappear by not thinking about them. Preparing for all possibilities is just like prompt medical treatment – it makes things better sooner.
If your mum or dad would find it easier to talk about such matters with someone else that’s fine. It can be very emotional for both you and them to talk about these issues, so perhaps sort this out with a trusted friend or relative.
However you handle it, make sure you address the following areas:
  • Be clear about what your mum or dad wants. What scares them about the future? Knowing this can help you build in reassurance. What are their needs – the most important things to provide for and prioritise to give them the quality of life they want?
  • Find out what preferences they might have for housing. If living at home isn’t possible, what would be the preferred alternative?
  • Following on from this, what is the financial situation? The average care home costs £36,000 a year and in the south this can be £50,000. Those with over £23,250 in capital (which can include property) will receive no state help with these costs so it’s worth clarifying your mum or dad’s finances and perhaps seeking professional advice.
  • Medical care has many implications. The time could come when you have to make decisions on behalf of your mum or dad. Consequently it’s important for you to understand their wishes.

Legal Planning for the Elderly

We live in a legalistic world and sorting out legal issues can be very time-consuming. You don’t want to deal with that during difficult times, so get it sorted now. Make sure your parent has:
  • A legally drawn-up will that’s fully up to date.
  • Lasting power of attorney. This gives you or someone else the legal power to make decisions on behalf of your parent if he or she is unable to do so. This relates particularly to housing decisions and finances.
  • Advance directives. Power of attorney for healthcare allows you to make medical decisions if your parent can’t whilst a living will sets out your parent’s wishes for medical care.

Researching Support Services for the Elderly

Your mum or dad is likely to need support from many areas in their later years so find out now what the possibilities are in your area.
  • Make a list of all the services available for the elderly and infirm, whether council or private.
  • Talk with homecare businesses, such as the friendly team here at Nobilis, and visit a few care homes to be clear what the options are.
  • If you don’t live close to your parent, make sure you have all useful contact details, such as doctors, solicitors and home care agencies. Even with the internet, having a local phone book is handy. You should also establish a neighbour or volunteer who is happy to check in on your mum or dad in case of a problem.

Don’t Neglect Yourself!

When the time comes for you to become responsible for your parent’s care it is vital for you to establish structures to protect yourself. The process can be time-hungry and stressful but so many sons and daughters feel they can’t put themselves first sometimes.
The truth is, you have to. It’s not making your parent any less of a priority; it’s simply making sure you are at your best. If you’re run down, stressed and neglecting your own needs you’re going to be far less effective at helping your mum or dad.
So build this into your planning. Work out realistically what you can do and sort out who can deal with the rest. That might be friends and family, it might be local services such as in-home healthcare, but if you draw up your plans now you won’t feel you have to take it all on when the time comes. This will make things better for you and your parent.

Honest Advice

At Nobilis we obviously provide in-home care, but as part of our reference bank this article is not intended simply as a sales pitch. At the heart of our service is recognition of the difficulties faced by families when their loved ones can no longer look after themselves. It was personal experience of this which led to our founders establishing the company.
That’s why we have put together these articles and whether you are thinking of using our services in the future or not, we’ll be happy to give you any advice you want about this daunting area.
No one wants to think about the possible difficulties looming darkly ahead, but you can lighten the horizon with a little planning. Call us now if you’d like help with that. No charges, no obligations, no hard sell – just people who understand what it’s like and know how to deal with it.
Telephone – 0845 680 0225

Friday 8 July 2011

Why I don’t think the Dilnot report matters

Social care has been in the news a lot lately, which is great as this important issue is rarely on the mainstream political agenda.  Why not? Because for politicians there is no political “win”.

There is an uncomfortable fact that no-one wants to address – the state cannot afford to pay for the level of elderly care we would want for our relatives.  Firstly, there is a demographic bubble in the form of the baby boom generation now retiring, leaving fewer earning and tax-paying adults to fund any state-funded care.  Secondly, post retirement life expectancy has dramatically increased, with more and more of use expected to live to 90+, expectations around the quality of care provided have also risen.  This is not the war-years “stiff upper lip”, “mustn’t complain” generation, this is the “go,go dancing, rock and roll generation” who have grown up with choice and plenty.  Lastly, the public sector is already running an ANNUAL deficit of around £100 billion pounds, with an estimated total debt expected to pass £10 TRILION by 2015, (passing the benefits of spending onto oneself now, onto your children and grandchildren to pay, in higher taxes)

So what is the situation for elderly care right now?

Well, if you have a primary medical condition you will be covered by the NHS.  The reality is that the cost of the NHS has risen from around £2200 per year in 1999 to more that £4500 per family per year today.  As the elderly demographic demands more support, this is expected to double again, so this itself is a huge issue for debate.  If your condition is simply being old and frail (including dementia), you usually do not get NHS funding.  This is then called Social Care and is the remit of the local council. 

My experience of council-funded care has not been a happy one.  Firstly, if you have more than £23,250 in assets you do not quality for council-funded care. Secondly, as social-care budget are squeezed, the allocation of care has been reduced to only those with the most severe needs, leaving many “out in the cold”.  In fact, many studies have shown that lower-level support provided at an earlier stage prevents hospitalisations and larger costs later, but councils generally do not consider this as saving the NHS money is not part of their remit, and besides they only look at this year’s budgets.  Thirdly, they have commissioned services over many years on the basis of the cheapest price.  Witness the results in the 2009 Panorama special “Britain’s Home Care Scandal”.  Fourthly, even if you do qualify for support, many councils are able to charge a client a fee up to the cost of the care provided.  (So you are in effect paying for the care anyway, so what not source it yourself!)

I would also urge you to read this article, where a client is being forced to use incontinence pads at night, because the local council will not fund support for her to use a commode at night.  I believe this is a fundamental issue of human dignity, however this has gone to the Supreme Court and sets a dangerous precedent that local authorities can provide the level of care they want to pay for, rather than that needed by the client.  Where do you think council-funded care will go from here?

So what has Dilnot proposed?

It recommends that the government sets a cap on an individual's contribution towards his or her own care costs over their lifetime, with the government meeting any costs above the cap. Dilnot suggests a range for the cap of between £25,000 and £50,000, but thinks £35,000 was the most appropriate and fair figure.

In addition, people should pay towards their living costs such as food and accommodation, but again a cap should be set on this. The commission suggests a cap of between £7,000 and £10,000 a year.

Dilnot also recommends that the means-test upper limit should be raised to £100,000 from the current £23,250, allowing people to keep more of the assets they have built up over the years.

And how much would his recommendations cost?

Dilnot’s own estimate is an additional £1.7 billion per year.  I would suggest all of the factors at the start of this article would almost guarantee it will be a lot more than that.  In the current climate I can’t really see how the Chancellor can progress.  Despite “cross party talks”, “serious consideration” and “open debate in parliament”, I think this report may go the way of any number of similar reports into long term care funding over the last few decades, quietly shelved.

So where then?

I think there are two choices:

As a society we decide it is an important enough issue to keep it a main-stream agenda item, and commit to the huge financial outlay as a society.  Or, we acknowledge that there is an individual and family responsibility at work here.  Many of the baby-boomer generation are sitting in properties that have hugely appreciated in their lifetimes, but they do not wish to unlock that value to pay for their care, instead hoping to “pass it on”.  Previous proposal around death taxes have been a means for the State to obtain this value, with the aim of funding a broad social elderly care system.  My observations, again, are that the state is ill-equipped to provide this service, and its track record is clear, let alone the “friction” costs of collecting such taxes, employing managers and consultants etc.

Alternatively, and this is what we at Nobilis are seeing more of, is that the adult children who have a genuine concern for their parent’s welfare and are not willing to put their faith in a council-based system, but are arranging and paying for this care themselves.  This allows them to preserve their parent’s house/asset if that is important, but in reality most simply want their parents to remain as comfortable as possible in their own homes with dignity.  Some do this with the assistance of partial value-realisation through equity-release, while still gaining the benefits of their parents living at “home”.

While I think there will also be a real need for a “safety net” for the worse off in society, I believe the Dilnot recommendations have been naive, and leantoo far in preserving the assets of those who could afford to pay for their own care, passing on the additional costs to future generations.  The assumptions of a state-run system of social care also fill me with dread, as I have seen how this path to the lowest quality/cheapest price this will provide no dignity to my parent’s generation.

Monday 9 May 2011

New Site

We are developing a new site, as part of an improved digital strategy.  This will allow our clients to have more up-to-date information.
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