Great Article on Helping Seniors Make a Move

As a Senior Real Estate Specialist, I’m always asked for help with making the move for seniors a little easier.  I recently ran across this article that covers many of the aspects of senior transitions.  If you’re helping an older person make a move, this might help…

Last Updated: June 5, 2014

By Jeannette Franks, PhD

Moving seniors is never as simple as we’d like. You may think your job is done once the move date for your loved one is set. But your involvement will only continue, as she or he transitions to a new home and adjusts to the new surroundings. Whether nearby or at a distance, you are still one of the primary caregivers, regardless of the living arrangement. I’d like to offer some suggestions and guidelines that can significantly smooth the transition and promote harmonious living in a retirement or long-term care community.

Planning the Move and Setting up the New Environment

Most parents benefit more when you provide the actual physical assistance in packing and unpacking rather than your dos and don’ts about what to take and what to leave. Creating a new home can be a highly personal and potentially emotional process, and ensuring choices rather than issuing mandates about possessions is one method that may foster a better sense of identity and comfort for mom or dad in the new location.

It may be helpful to encourage a meaningful farewell from whatever place mom or dad is leaving. Whether it is the family home of many decades or a hasty move from assisted living to a higher level of care, your parent has established relationships with people and some sense of continuity of place in the familiar setting.

My friend Elaine M.1, a Seattle grief counselor in practice for many years, created her own ceremony when she moved. She held a dinner party in her house with family and a few close friends, and then they visited each room by candlelight, remembering special events, commenting on the changes over time, and saying goodbye. For her, this helped start a better beginning in the new community.

Establishing a Familiar Environment

When in doubt about what to take, it may be good to err on the side of hanging on to “stuff” a bit longer, even if space is tight, as it often is in a new setting. Possessions can be discarded later, after thoughtful contemplation. Don’t rush these decisions when moving seniors, especially if they seem difficult. I remember one retired university professor, Henry L., who ruthlessly culled his books, donating many valuable volumes to a library. He later lamented his decision and mourned his missing books. Even though he knew he may never have opened some of them again, they were long-time companions and he missed them profoundly.

When moving seniors, establishing a familiar environment, rather than buying the perfect new couch or carpet, can ease the adjustment. When my father moved to assisted living, I helped him arrange his bedroom so that when he awoke, his gaze met the same bookshelves, books, souvenirs, and family photos he had first seen when he awakened in the family home of 20 years. The living room was set up with the same old recliner, TV, pictures, and ornaments. He felt immediately at home, and it especially helped keep him oriented in the difficult process of mid-stage Alzheimer’s.

Working with Staff

Often, what’s your job, what’s their job, and what’s somewhere in between is unclear. You and your parent may have carefully reviewed a lengthy contractual document full of legalese, yet are uncertain as to the difference between a nurse, an aide, and a resident assistant, for example. Most of you who are moving seniors are dealing with a retirement community or long-term care community for the first time and it is not intuitively obvious what a social worker does or what the duties of an activities director are.

Primary Point Person

Ask your initial contact, often a marketing director, who your primary liaison person will be. I’ve visited almost 300 different retirement and long-term care communities, and personnel in all of them vary considerably, depending on number of employees and number of residents, style of elder care services, budget, and acreage.

You probably don’t want to stop the first person you see in the hall to take care of a housekeeping issue or to fix a leaky faucet. Find out who the main “point person” is. In many communities, the general manager or second in command to the top administrator will be that person. He or she can explain to you who to talk to in various circumstances. It might even be helpful to ask for an organization chart and even job descriptions, if available.

Conversely, it is important that the office staff knows who the primary “point person” within your family is. You want to be clear about whom to contact in case of emergency and who would be the backup to that family member, in case the primary family contact cannot be reached or lives at a distance.

Medication Management

In some communities, elder care services such as obtaining emergency medications are handled by staff. In other situations this may be up to a family member. Assisted living can be defined quite differently from state to state, and sometimes quite differently within the same city.

Try not to get a reputation for being “the difficult daughter” if you can possibly help it. I remember my dear friend Mary who was working hard to help her mother settle in comfortably to an assisted living community. The third day there she complained to one of the housekeeping staff that some soiled linens had not yet been removed from the bathroom. However, many communities provide fresh linens only on a weekly basis. Find out what the norm is for their elder care services.

Ask staff what you can do to help them do their jobs well. For example, taking my father out to lunch on the day they cleaned his room helped housekeeping to discharge their duties more quickly and efficiently. Then, if an unexpected mess occurred on a different day, they would have more time and good will to deal with it.

In a nursing home with round-the-clock staff, elder care services are not usually provided 24/7. The people on graveyard shift are there for emergencies and for routine care that must be provided in the middle of the night-for example, repositioning a resident in bed to prevent or to help heal bed sores. It’s usually unrealistic to expect staff to provide room service if mom wants a midnight snack. Find out what can be expected and what is considered above and beyond the call of duty.

Some residents in long-term care communities might benefit from an advocate, especially if you live at a distance and cannot be there on a regular basis. The national long-term care ombudsman program provides trained volunteers in every county who visit every facility on a regular basis (see http://www.ltcombudsman.org).

Your family member might desire a paid companion who has the time and motivation to make certain that your mom or dad has the best possible quality of life. I was visiting my mother-in-law once in a Florida nursing home with exceptionally high standards of care. But during my visit I heard a woman, undoubtedly with one of the dementias, calling out, “Help me-please help me!” I went in and held her hand, asking how I could help. She immediately became calmer and soon fell peacefully asleep. This was a busy skilled care facility and the staff simply did not have the time to just sit and hold someone’s hand. I did.

Get to know the staff who work directly with a family member-often the CNAs (certified nursing assistants), aides, and resident assistants or caregivers-and learn their names and what they do, both officially and unofficially. Thank them for a job well done at every opportunity. Written thank you notes are especially appreciated. When someone does an excellent job, I have sent that staff person a letter and a copy to their supervisor and sometimes nominated them for a caregiver award. The local Alzheimer’s Associations, State Pioneer Networks (seehttp://www.pioneernetwork.org/) and organizations such as the associations for homes for the aging (see http://www.aahsa.org/) for your state usually have recognition events, which are important because they help to improve care for everyone.

Most senior housing communities forbid or discourage tipping for their elder care services. Usually there is a scholarship or Christmas fund to which you can contribute. I have also bought holiday or birthday gifts for the people I felt were doing the most.

Every family is as different as a fingerprint and what works well for one might not work well in yours. Some families need additional help. If you find yourself needing guidance with the process of moving your loved one, there is a profession dedicated to assisting older adults and their families with the emotional and physical aspects of relocation. Senior Move Managers® have significant expertise in resources and approaches, personalizing their services to meet a loved one’s needs and preferences.  You can find one in your area here.

Most importantly, planning ahead when moving elderly parents and seniors and understanding the environment will always help families enjoy the community and maintain happy family ties.

Jeannette Franks, PhD, is a passionate gerontologist who teaches at University of Washington and Bastyr University; she is the author of a book on assisted living and numerous articles.

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Live Large Even in a Small Space

It seems that homes all over town just keep getting bigger and bigger.  Drive through any “hot” neighborhood and you’ll see dumpsters parked on the street, as the home gets a serious makeover.  Usually, this makeover means an addition or even adding a second (or third) floor.

But it wasn’t that long ago that large families grew up in small homes.  Look at the wave of 800-1200 sq. foot ranch and bungalow homes that make up all of Denver’s older neighborhoods.  Families with two. three, or four kids managed to live in a smaller home.  Of course, bigger is usually better if you can get it.  But if you can’t, then you definitely need a strategy for managing your stuff and your space.

The Real Estate Book recently ran an article with some good ideas:

realestatebook.com/transform-small-spaces-into-charming-places/

Sheds Add More Than Storage

One of my mountain listings was a neat old cabin that sits right on the edge of Mill Creek, not far from Idaho Springs.  It was great place, but with only two bedrooms, it was a bit short on space.  Her solution was to add a large shed as part of a carport.

At first glance when you opened it up, you expected it to be filled with mountain necessities like a snow blower, chainsaws, and shovels.  Surprisingly, it was, as she called it, “a party room.”

Instead of being strictly utilitarian, it was adorned with bright colored fabrics, Xmas lights, and a large Persian rug.  It was a pretty good sized shed, about 12×14 feet, about the size of a small bedroom. So there was room to “party.”

For a small home, the shed added some great space for not a lot of money.  Sheds that sized usually run less than $2000, depending on what you use for a pad. A concrete pad is always nice, but pressure treated wood skids or small concrete blocks can do a good job of keeping the shed floor above the soil and preventing quick deterioration. Insulation and a small heater can keeps thing warm.  A large window or skylight can do wonders for keeping the space bright and sunny.

Here’s a great article that sheds a little light on new ways to use your shed.

Can I Handle More Than One House?

As a Denver area Realtor, my answer for most problems is to buy a house.  As an attorney friend of mine once told me, “When all you have is a hammer, everything looks like a nail.”

More and more people are thinking about buying investment property.  The initial desire always seems to be fix and flips.  But frankly, if you can’t afford to go after homes well above $200,000, it’s tough to make much money on fix and flips.  The cheaper properties are in short supply and, usually, leave little margins on the flip.  More expensive properties bring greater reward, but with greater risk and the need for a bigger initial investment.

An alternative to getting into investment properties, particularly at the lower end of the spectrum, is either a fix and hold, or to purchase a home that doesn’t need work but that can be a solid rental.  Areas around colleges, hospitals, downtown, the airport, and large business centers can be great areas for rental property.  Experienced investors will tell you that accumulating property is a proven and generally reliable to amass wealth.  Over the long haul, investment property will usually appreciate, as well as bring in a monthly positive cash flow.

One way to get into purchasing investment property is with a self-directed IRA.  With that, you can roll over retirement funds into a managed account that can be used to buy real estate.  It’s a tricky way to access money to buy property.  It’s not that complicated to do and several area banks can handle managing the account.

But, like with most things, you need to figure out if this is a good fit for you.  Being a landlord comes with lots of challenges.  Of course, if you don’t mind giving up some profit, you can always turn your rentals over to a property manager.  That way, they can answer the phone in the middle of the night when the pipe breaks.

You might want to check out this article about being a landlord.

http://www.foxbusiness.com/personal-finance/2013/02/04/are-ready-to-be-landlord/

Hot topic: Your Furnace

Many homes around town use a furnace for hot (and cold) air throughout their homes.  What started a long time ago as a simple gravity fed and coal fired monster that resembled a cross between an iron lung and an octopus has evolved into a computer controlled, high efficiency piece of modern technology.

I remember when my company Main Street Theatres was operating the old Oriental Theatre over on 44th and Tennyson.  The theatre was heated by a boiler that was the size of a locomotive.  When that beast fired up, one glance inside and you knew that the Public Service bill was going to hefty.  I’m pretty sure it would have been cheaper (and probably more efficient) to burn dollar bills.

I recently switch my home furnace over to a high efficiency unit.  It cost close to $5000 to upgrade my furnace.  This furnace uses a DC motor that runs all of the time, constantly moving air through the house .  Oddly enough, this is the recommended setting.  I knew exactly when my old 1970’s furnace was starting up.  It would kind of rumble and in a few minutes warm air would blast out of my ducts like a hair dryer set on high.  Now, it just happens seamlessly… with no drama.  I forget that it’s even working, but my house is warm.  So, something must be happening.  I still haven’t figured out if I’m saving money.

If you’re interested in  an excellent explanation of modern furnaces, spend a moment with this article from Green Building Advisor.

http://www.greenbuildingadvisor.com/blogs/dept/musings/all-about-furnaces-and-duct-systems?utm_source=email&utm_medium=eletter&utm_content=fhb_eletter&utm_campaign=fine-homebuilding-eletter

Honey, You Need to Mow the Driveway!

It seems like every house should have something that amps up it’s cool factor.  If you have big bucks, there are things like in-ground pools, sunken living rooms, vaulted ceilings and home theatres that might raise your cool factor.  If you have a more moderate budget, the cool factor might need to be redefined.  You might have to settle for an aluminum Christmas tree or a high tech refrigerator, but that can be cool.

One thing that always ratchets up the cool quotient is a rockin driveway.  Back when the Parade of Homes only featured a dozen or so super houses, it seemed like there was always one that had a neat driveway.  The ones that had some combination of grass growing out of the cement always got lots of attention.  Hey, if you can get grass to grow out of your driveway (intentionally) you’re cool.

You can see some pretty great driveways in this article originally posted on Houzz.  The one thing about these organic driveways, you gotta mow them.  Isn’t it bad enough I have to mow the grass?  I’m not sure I want to mow my driveway.