Elder Fraud & Abuse

Rocking the boat on your life’s voyage

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Forgive me, if you will, because I am going to start this blog piece by quoting some of the lyrics from Katy Perry’s song, Roar.  You may not have heard of this popular singer or if you have, you may not follow her career, but one of her songs resonated with me and challenged me, so thus begins a few of the lyrics:

I used to bite my tongue and hold my breath; scared to rock the boat and make a mess, so I sat quietly, agreed politely.  I guess that I forgot I had a choice; I let you push me past the breaking point; I stood for nothing so I fell for everything.

When was the last time you swayed in the wind of other people’s opinions and fearing ostracism, you swayed in silence even though you disagreed with those opinions being expressed around you?  What did that feel like?

You held me down, but I got up, already brushing off the dust.  You hear my voice, you hear that sound, like thunder gonna shake the ground; you held me down, but I got up; get ready ’cause I’ve had enough.  I see it all, I see it now…

How long did it take to break the hold that your silence had on you?  How much time passed before you got up and let your “you-ness” shine forth amongst the crowds – whether those crowds consisted of strangers or close loved ones?  What did it take for you to divert from the ebb and flow of popular opinion and launch your own?

I got the eye of the tiger, a fighter, dancing through the fire; ’cause I am a champion and you’re gonna hear me roar.  Louder than a lion, ’cause I am a champion and you’re gonna hear me roar.

Break out of the prison where your stifled opinions have placed you.
Break out of the prison where your stifled opinions have placed you.

The purpose of this open-ended article is to encourage some personal internal dialogue wherein you answer the above questions for yourselves and discern whether or not you’ve been stifling beliefs or opinions that define the essence of who you are, but which you’ve held to yourself because you don’t want to rock the boat.

What are you waiting for?  The author, Eckhart Tolle would say that Now is all you have.  You can’t go back and correct the past; it doesn’t exist anymore.  You can’t rely on there being a future.  All you have is the present moment, so do yourself a favor and stop denying who you are, and what you believe in.  Take it from someone who knows – you’ll like and respect yourself a whole lot more when the real you starts living.

Medical tourism – Alzheimer’s style

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More Alzheimer’s patients finding care far from home | Nation & World | The Seattle Times.  This article looks at the direction in which Alzheimer’s care may be shifting.  There are currently 44 million Alzheimer’s patients globally with 135 million projected by 2050.  Even now, Western spouses and family members are faced with an insufficient supply of qualified nurses and facilities, while other countries provide cheaper – and to some minds, better – care for those suffering from an illness for which very few effective treatments have been developed, and that is always fatal.

An enlargeable relief map of Thailand
(Photo credit: Wikipedia)

The treatment center that is the major focus of this Associated Press article is located in Thailand – the Baan Kamlangchay center.  Additional elder care options in other countries are mentioned, such as the Philippines, Eastern Europe, Spain, Greece, and Ukraine.  Cost is the driving force of those who are “exporting” (not my word) the elderly to these foreign countries.  One gentleman from Switzerland brought his 65-year old wife to Baan Kamlangchay because the monthly cost for her Alzheimer’s care ($3,800) is a third of what he would pay in his own country and he states that the staffing ratios are far better, and the activities more engaging.  In the Philippines, care is offered to Americans for $1,500 to $3,500 a month, compared to the average of $6,900 for a private room in a skilled nursing facility in the United States, according to the American Elder Care Research Organization.

Cost shouldn’t be the only consideration, however, when moving a loved one into Alzheimer’s or dementia care – and that applies to every country in which that care is available.  What are the training requirements for those who will be providing this disease-specific care for your loved one?  What type of governmental or social service oversight is in place to protect and advocate for the rights of those patients who can not advocate for themselves?  The latter question becomes extremely relevant when the patients’ families are not around to observe care on an ongoing basis.  In the previous paragraph I mentioned the man who brought his 65-year old wife from Switzerland to Thailand for care.  He is now faced with the very difficult decision of perhaps leaving his wife of 41 years in the facility, and returning to Switzerland to carry on the rest of his life.

That’s a decision unbearable in its emotional implications.

What are your thoughts?  Are you willing to become an expatriate should this medical need present itself in your life?

Disposable human beings

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Feds: DSHS neglected disabled to cut costs, may owe $16M | Local News | The Seattle Times.

You can’t open a newspaper these days without reading about budget cuts to Federal, State, and City services.  Memos are flying around these offices demanding across the board reductions or else!

The State of Washington figured out a way to save more than one million dollars and its Department of Social and Health Services is the brainchild of this impressive savings coup: deprive those with developmental disabilities the required services mandated by law that help them to function better in society.  The required services include physical and occupational therapy, personal-care training, speech therapy, guided behavioral norms, job skills, and recreation.

Two dozen developmentally disabled residents of Lakeland Village in Spokane, Washington – a state and federally funded long-term care facility – were denied these services for two years – most likely causing irreparable damage to these residents.  Let’s see – two dozen residents for two years – how many times was the law broken as a result?

41,231 times

How did they pull it off?  They moved a couple dozen residents from the intermediate-care facility of Lakeland Village into its nursing facility which is cheaper because that part of the facility does not have to provide the specialized services that the developmentally disabled residents need.  The relocated men and women received excellent medical care – most of which wasn’t called for – but they were deprived of all the quality-of-life services they needed most.  This violation of federal law means that the facility received federal funds in error – funds that were meant to cover legally mandated services at the facility.

When the investigation was launched and DSHS was told to provide documentation for the time period in question, there was little evidence that the specialized services had been provided.  In response, DSHS stated, “We didn’t make good documentation, or indeed, we didn’t provide some of them (documents).”  It is thought that the reason the paperwork wasn’t found, is that it doesn’t exist.

The State tried to cut its budget by $1 million by fraudulently withholding required care services.  The investigation continues while it is estimated that the federal government will penalize the State of Washington/the Department of Social and Health Services in the amount of $16 million.

English: Garbage bins in a row, during prepara...
(Photo credit: Wikipedia)

But you and I already know that the biggest price has already been paid by the disposed of human beings.

Sex in long-term care dementia units

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Bloomberg Businessweek posted a provocative article, Sex Among Dementia Patients Spurs Call for Policies, that will no doubt get the attention of professionals, and family members alike.  The attached article is well-worth the read, and I have a few comments of my own to add.

English:
(Photo credit: Wikipedia)

I acknowledge that sexual activities most likely occur in every long-term setting out there.  Consenting adults – even those with varying degrees of dementia – need touch and physical connection.  I think it’s fabulous that in spite of the limitations brought about by cognitive impairment, human beings still maintain the desire to give affection, and receive affection.  In some instances, affection may simply be expressed with hand holding or sitting next to someone, hip-to-hip.  Or perhaps a hug and a kiss are involved.  All of these actions are perfectly innocent without harm as long as all touching is consensual.

Some residents may express their need to give and receive affection with more intimate sexual activities, so if both parties are willing and able, I think intimacy is an important part of their well-being.

What about those patients who are already married to someone else?

English: Gender symbols for homosexuality (les...
(Photo credit: Wikipedia)

It takes an understanding and flexible spouse or partner to overlook the intimate activities of their cognitively impaired loved one.  The commitment made between the two parties years ago is a commitment that still resides within the deep recesses of that person’s being – but it’s a commitment that can not be drawn upon and reaffirmed because of memory impairment.  (I think it’s important to not assume that adulterous motivations are in play here.)  Marriage itself may be a concept that is no longer understood by the patient, and as is oftentimes the case – the visiting spouse exists as a friendly visitor, not the wife or husband that the patient used to know.

I can’t predict how I would feel if similar circumstances came my way in the future – my husband and I have not fallen into the cognitive impaired category – yet.  And you don’t have to agree with what I’ve stated above.  The sentiments I have provided come from my own personal beliefs, and from the perspective of having both worked in long-term care in my past, and having had family members who have lived in long-term care housing.

One last thing: As dementia care specialist Teepa Snow stated in the attached article, “No matter what you do, somebody’s going to see you as wrong.”  The issues of sex and intimacy touch many personal, religious, and ethnic biases and beliefs.  There are no completely right or completely wrong answers.  I’m simply thrilled that the long-term care industry has stopped pretending that geriatric sex isn’t happening, and that they are no longer treating it as a taboo subject.  I take comfort in that fact.

Trust your gut!

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We all have been granted a certain amount of intuition which sometimes tells us to do something and sometimes tells us not to do something.  A brief definition of intuition is “immediate apprehension or cognition.”  That’s exactly what happened to me today.  The following is a success story in trusting my gut.  This story is being told to encourage you to do the same thing – it’s not a story about me.

My husband had an errand to run today.  He wanted to go to the local Woodcraft store just south of downtown Seattle.  Sometimes he asks me to join him on these 100% man-errands and sometimes he doesn’t.  Today he did ask me if I wanted to go with him and even though I felt rather tired, I gladly decided to keep him company.  That’s the first step towards my gut being involved.

We live in a very rural part of a Seattle suburb and half the time we drive down Union Hill Road, and the other half of the time we take Redmond-Fall City Road.  Today we chose Union Hill Road.  That’s the second step towards my gut being involved.

At the top of Union Hill Road I noticed an elderly man walking along the side of the road (no sidewalks in this rural area) with something grasped to his stomach in front of him.  It seemed odd that this elderly man would be walking along this road but not 100% odd – but I made note of it.

Two hours elapsed etween that incident and our return trip back up Union Hill Road.  Approximately four miles from where we first observed the elderly gentleman 2 hours earlier that same elderly gentleman was on the side of the road, sitting on a boulder, holding a canvas bag in front of him.  My husband drove past him and when we did I said, “That’s the fellow we saw two hours ago at the top of the hill!”  We continued to drive up the hill and my gut was going berserk telling me to do something – that what I saw was not good.  I finally said, “Honey, you need to turn the car around, I don’t feel right leaving that man behind.  He’s been on the road for two hours and in this heat, he probably hasn’t even had a sip of water.”

We drove back down the road and only I got out of the car, not wanting to frighten the man by having two strangers, one of them male, approach him out of the blue.  I said, “Hello” while I was still a few feet away so that I didn’t startle him and he could see me walking towards him.  I crouched down to his level and asked him if he is okay.  He thanked me and told me he was fine.  I persisted.  “My husband and I saw you taking a walk two hours ago on this same road and I’m concerned that perhaps you might be tired, or perhaps lost?”

He told me he planned to walk into our suburban town’s downtown area which would have involved a very dangerous twisty road in which walking and cycling are not the safest mode of transportation.  I told him it wasn’t safe to walk the remainder of the road downtown.  “I am visiting from China and staying with my daughter.  I was hoping to find public transportation to get me downtown.”  I explained that in this rural area there is no public transportation.  I offered him my bottle of water, having cleaned off the spout prior to even getting out of our vehicle.  He thanked me and patted his canvas bag indicating that he had some.

“I am resting because my foot hurts.  I had hoped I would get public transportation downtown.”  “It sounds as though perhaps you should go back to your daughter’s house but that’s several miles away from here.  If we took you in our car, would you be able to tell us where your daughter’s house is located?”

He then pulled a piece of paper out of his pocket that had both English and Chinese writing on it.  “This is my address.  This is my daughter’s phone number.”  “Shall I call her and ask her to pick you up?  Is that what you would like me to do?”  “Yes, please.  You see I was hoping to find public transportation to take me downtown.”  (I was beginning to see a repetitive pattern of conversation here.)

I went back to my car and called his daughter while he continued to rest on the boulder.  I told her my name and that I was with her father and that it appeared he had been walking for some time and he would like her to pick him up.  I wanted to make sure that the daughter came quickly so I told her I would wait with her father until she arrived.  Fifteen minutes later, she pulled up with her mother, and both were extremely glad to have been reunited with the elderly gentleman.  Gut trusted, a happy ending ensued.

I know you’re all wondering why the daughter hadn’t gone out in search of her father since at least two hours had transpired since he left the house.  I don’t have an answer to that query, but I’m glad that:

  • my husband asked me to accompany him on his errand;
  • I gladly agreed to go;
  • we drove down Union Hill Road;
  • we saw the elderly man walking down Union Hill Road;
  • we saw the elderly man sitting down on the side of the road as we drove up Union Hill Road;
  • and I didn’t shut out the shouting of my gut instinct to check on the elderly man.

I also know you’re imagining all the horrible outcomes that could have happened instead of the good outcome that did transpire.  Me too!

But the good news is: no bad stuff happened because I trusted my gut.

Coffee is not hydration

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Dehydration and Dementia.  The attached article is a very thorough look at the importance of hydration in the elderly, and how to assure that a person with dementia – who may no longer feel the thirst response and/or does not know how to express his or her thirst – is properly taken care of.

in a hike
(Photo credit: Wikipedia)

My husband and I went for a hike last summer during which we encountered a gentleman who I would guess was in his early 80’s.  It was a warm, muggy day and my husband and I each had a 20 oz. bottle of water for our 3-mile hike.  The gentleman was reviewing his hiking map and we stopped to chat with him about the fork in the road and which path lead where.  “Sir, do you have a bottle of water that you can drink while on your hike today?”  “No – not needed; I have a thermos of coffee waiting for me back at my car.”  “I wonder, sir, with it being so hot and humid, if you might benefit from taking one of our bottles of water.  I would be happy to give you one we’ve not used yet so you’ll be comfortable.”  “That’s very kind of you, but I’ll be fine.”

So he went on his way but I told my husband I wasn’t comfortable with this fellow being on his own and could we please follow him at a distance to make sure he gets back to his vehicle.  And so we did – and he returned to his vehicle, and no doubt partook of his thermos of hot coffee.  Not very refreshing.

Coffee cup icon
(Photo credit: Wikipedia)

Although hot coffee and tea certainly contain water as part of their preparation, straight water – or even fruit juice – are a better option because of their lack of caffeine.  Years ago, when I would visit one of my aging family members, you could always count on him holding that quintessential cup of coffee in his hand throughout the day.  Regardless of the weather – no glass of water reached his lips – except perhaps when he took his daily vitamins or medications.  This message is directed to those who provide care for the elderly, those who have older family members, and perhaps this message is also directed towards you.  Drink good ol’ H2O.  It doesn’t have to be packaged in a fancy bottle, you don’t have to purchase it, it’s always available at the touch of the nearest faucet, and you can access 100% water faster than making a pot of coffee.

What are you waiting for?  Go get a glass of refreshing water!

Evil undercover: Alzheimer’s, Abuse, and the Elderly

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Alzheimer’s and the Elderly.

I’m attaching the above article from a fellow blogger.  He, like so many of us, find it difficult to fathom how anyone would take advantage of a vulnerable human being.  The very unsettling fact, however, is that incidents of abuse of the elderly occur and are far too common.

Whether the abuse is instigated by family members upon the elderly in the privacy of their home, or by “professionals” in long-term care settings such as assisted living facilities, nursing homes, or group homes – it happens.  Oftentimes such incidents go unchecked for months, or years, and are discovered only when a death occurs, or when someone with a conscience steps forward and complains to the authorities.  Those being abused either don’t have the ability to complain or they fear that doing so will make matters even worse for them.

Worse?  Residents fear that if they complain, they’ll be thrown out of the place in which they live – the place in which they receive the abuse.  I know that you and I are quick to say, “Fantastic!  What a great relief that would be if the person no longer lived with his or her abusers!”  We say that because we have not experienced what they have experienced; we have not heard the threats and vicious statements directed towards these vulnerable human beings.  These violated human beings don’t understand that abhorrent behavior is not normal because it’s all they’ve known.

These are older human beings who at one time were innocent children showing up on their first day of school; worried teenagers fretting over what to wear to the prom; young adults heading off to college and/or a career; husbands and wives, moms and dads … people just like you and me.  Now they’re nothing but broken, barely alive bodies who have been treated worse than a junk yard dog.

That makes me mad.

Pooped in your pants lately? How’d that feel?

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Were you eating breakfast in bed at the time? 

Or perhaps while sitting in the easy chair next to your bed, you tried your very best to ignore the urge to purge … but you couldn’t wait any longer for someone to assist you so you let it all out, leaving you in a shameful way, sitting in a mushy pile of excrement while a stream of urine puddled at the base of your chair.

Welcome to the life of a vulnerable adult living in a nursing home.  From coast to coast across the United States skilled nursing facilities (SNF) are filled with adults needing the greatest amount of assistance with their activities of daily living (ADLs) – toileting is one of those ADLs.

The following true scenarios occurred recently at a nursing home in a Seattle suburb, and at a similar facility in a suburb of San Francisco.

A handicapped toilet in South San Francisco, C...
(Photo credit: Wikipedia)

A man who is fully reliant on mobility assistance pushed the call button near his bed to register a need for assistance.  In this case, he needed to go “Number 1” and “Number 2” and had the audacity to require assistance while the staff was busy attending to other residents’ needs – but not his needs.  When a staff person finally entered his room an hour later, she did so to simply indicate that she didn’t have time to take him to the bathroom so he should just go in his pants.

A woman equally as vulnerable needed the assistance of a staff person upon waking in the morning and – knowing that breakfasts were brought around to the rooms at 7 a.m. – the 91 year old started to press her call button at 6 a.m. hoping to have her morning pee prior to the arrival of her breakfast tray an hour later.  That “luxury” was one that would not be afforded her; instead, a caregiver brought a breakfast tray to this patient in the seven o’clock hour and when the patient asked if she could receive help to the toilet prior to eating her breakfast, the employee told her to just go in her pants because no one had time to help her at that moment.

I can’t help myself – here’s another incident:  A staff person helps a woman to the toilet first thing in the morning.  The woman who is clothed in a lightweight nightgown finishes using the toilet and is ready to receive assistance back to her bed – but lo’ and behold, the staff person forgot to place the call button within close reach of the patient so she is not able to alert someone of her desire to go back to bed.  Enough time has passed that by this time the patient is shivering and screams for help – screams that went unnoticed for a quarter hour.  In desperation this elderly woman somehow managed to lean far enough forward to push over a metal trash pail which she then kicked repeatedly until someone finally arrived to see what all the commotion was about.

These stories don’t paint a very pretty picture do they?  They depict a low quality of life that no one deserves.

What does Quality of Life mean to you?

  • Eating at fine dining establishments?
  • Having a clothing wardrobe that rivals the catwalks of Paris?
  • Driving in a luxury vehicle that provides amenities previously only found in limousines?

For most of us, quality of life boils down to leading a dignified existence in which we are allowed to take advantage of the basic necessities of life.  For me, those necessities should include a safe living environment, sustenance, the inclusion of loving family and friends in my life, the freedom to make choices about matters that are important to me, and being on the receiving end of respectful behavior from those with whom I come in contact.

The most vulnerable among us should expect no less than those basic necessities, but “the system” isn’t working to guarantee those basics.  Try to imagine, if you will, your own grandparent, parent, spouse, partner, or other family member in any one of the above scenarios.  How comfortable are you with that type of day-to-day existence for them?  You’re not comfortable at all – as a matter of fact you’re feeling a bit uneasy about this whole subject matter.  I’m sorry to place doubt in your mind about the care your loved one is receiving but I’ll just bet that you need to get out of the comfort of denial you’ve been enjoying and into the eye-opening role of resident advocate.

Lack of caring = lack of care.  Nursing home management is a tough job to do correctly, but I know it’s possible because there are some reputable and well-run facilities out there – not perfect by any means, but fairly acceptable.  So yes, some nursing facilities employ stellar care staff but there are also those employees who just don’t give a damn.  “I go to work.  I go home after work.  I get paid.  What more do you want from me?”  Caring – that’s what we want.  You’ve chosen to work in this particular type of environment so don’t act like you didn’t know what you were getting into.  Withholding proper care for those who have no recourse but to depend upon you is not only unfair, but it’s illegal.  And how about answering these questions about your own aging prospects: Do you think you’ll somehow skip the journey into old age?  Do you not realize that you too will be as old as the patients whose care is entrusted to you?  What type of care will you hope to receive?  Does it resemble any of the scenarios I’ve illustrated above – or are you under the impression that you’ll be at a “Champagne and Chandelier” type of place where you’ll be waited on hand and foot?

Not gonna happen.

This article just scratches the surface of the sub-standard care that can be found in nursing facilities.  I only mention the toileting issue because it’s been front and center in my experiences with some of my acquaintances lately.  One place to start getting some positive traction where these matters are concerned is the National Long-Term Care Ombudsman Resource Center where you’ll find links to advocacy programs in your state.  Call those local representatives and report any concerns you may have about how your loved one is being cared for, or not cared for, in their nursing facility, assisted living facility, or group home.

If you act on behalf of your loved one, you’re also acting on behalf of everyone else in the facility because trust me – your mom isn’t the only one being neglected on her nursing home floor.

How’s your rubber band?

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Resilience.

I don’t know about you, but I need a dose of resilience right now.  I may not need it next week, or the week after, but I need it now.  I have a certain degree of the stuff, but I think some of it seeped out of my being.  As you’ll see in the very well-written article attached above, resilience means to jump back.

Rubber Bands
(Photo credit: Larry Rosenstein)

Taken a bit further in its definition, resilience is the ability to bounce and not break when difficulties weigh you down.  Being elastic; that sounds like a worthwhile goal.  Until you start feeling the inability to bounce back, you may not even realize that some of the stretch has gone out of your rubber band.

I also need a bit more courage: courage to do all that I need to do, want to do, and plan to do while I’m still able.  Courage comes from the Latin word, heart; to have rock-like inner strength.  Sometimes we go through life thinking that our courage is completely intact until we discover that it’s been compromised due to some event – or string of events – that have come our way.  Do you think that perhaps the only way to know if we’re fully stocked with the stuff is to undergo this sort of testing process?

Probably.

Diary of a Singaporean Cabby: An Old Lady with Dementia & Dignity.

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Diary of a Singaporean Cabby: An Old Lady with Dementia & Dignity.

The attached link, written by a blogger in Singapore, describes his experience as a cab driver when he picked up a woman with dementia who needed to get from Point A to Point B but who lacked the cognitive capacity to effectively do so.

Personally, I think he excelled at compassion and even though he feels he could have done more, I respect him for what he did do.  We don’t want to entertain the thought of someone who might have taken advantage of this woman but there are many who would have looked at this situation as an opportunity to exploit her vulnerability.

I congratulate you, Lim James, for showing all of us that goodness exists, and it exists in your soul.

Unconscionable Crime: Stealing from a family member with dementia.

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Are there worse crimes?  Of course.  Sexual and physical abuse come to mind.  But in this article the focus is financial exploitation.

English: Seattle Post-Intelligencer logo
(Photo credit: Wikipedia)

Here’s a headline, ripped from an August 26, 2012 Seattle Post Intelligencer (PI) article: “Son, wife fleeced dementia-stricken mom.”  Here’s the good news – the son, Ivan Ljunghammar, and his wife, Deborah Jean, have been charged with felony first-degree theft.   Here’s the bad news – this pair allegedly stole close to $513,000 dollars from Ivan’s 82-year old mother, facilitated by him being awarded control over his mother’s finances in 2007.

The victim and her husband (deceased) were very careful throughout their lives to make sure they had sufficient funds for when they truly would need them.  They did an amazing job and as it turned out, those funds were needed.  I guess her son and daughter-in-law figured they needed the money more.  Added to that atrocity, the daughter-in-law knowingly hired a convicted felon to care for her mother-in-law.  Who does that?  The morally corrupt – that’s who.  But I digress.

A desire for the parents’ estate compromises morality.

Although it’s true that strangers rob from vulnerable adults, family members do it more often than you can – or would care to – know.  It’s the vulnerable adult with dementia who is most often targeted by strangers and family alike, and the family members who “legally” have access to mom and dad’s funds are the most hideous criminals.  This family member becomes the Power of Attorney over finances and/or care needs for their mom and then abuse that “Power” by assuring mom that all is well and that she need not worry herself, all the while moving money away from mom’s accounts into their own.

Some financial exploitation is more subtle.

Moving mom or dad out of their current assisted living facility, in which the parents initially had carefully chosen to live, to a facility that is less expensive so that more money remains after mom and dad die.  Holding back the daily care a compromised adult may need.  Providing a bare minimum of personal belongings and clothing for their loved one – again, for the same reason.  Do I sound harsh and judgmental?  Gosh, I hope so.  My work with the older population for the past 12 years has created a jaded view of how some family members respond to the needs of their parents.  Thank goodness the percentage of good and loving family is greater than that of the bad and corrupt – but that does little towards softening the effects of a vulnerable adult’s emptied bank account when they need it most.

It’s unfortunate that media headlines are the primary thing that exposes elder fraud.

I know I personally don’t write about elder fraud enough in this Blog.  My article, Financial fraud against the elderly: it’s a family affair, does draw attention to some of the examples I’ve addressed in this Blog entry, and I guess the more sensational occurrences of elder fraud will make this crime more visible.  But I think the bottom line is that I want the impossible.  I want our elders to be respected, not exploited, and I really want family members to grow a conscience.

Important Article on Hiring a Caregiver Privately

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Important Article on Hiring a Caregiver Privately.

The senior care industry is a dangerous maze wherein even the well-educated and well-intentioned providers of care fail to put any “care” in their caregiving.  Whether at an assisted living facility or at home with private care, the path of least resistance is oftentimes the one taken and the accompanying attitudes reflect such feelings:  “Man, I just gotta get over this shift!  These people are driving me crazy!”  “I know, I’ll just stick her in front of the TV while I catch up on my Facebook posts/soap operas.”

Don’t worry everyone – I’m not saying that there are NO ethical, compassionate caregivers, there definitely are – but attention must always be focused on those who don’t provide stellar care because the vulnerable amongst us are at the mercy of their care people.  Those hidden in a private home are the most susceptible.  Why?  Because there are very few sets of eyes observing the day-to-day happenings.  At a facility, the existence of ongoing traffic – family members, visiting ministries, long-term care ombudsmen/advocates – provides some sort of monitoring that a private home does not and can not provide.

The attached article – link above – is quite thorough.  Please take the time to review it.

Baby Boomer gray divorce – I’m just not gonna take it anymore!

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Kind of like the movie “Network” in the iconic scene where the actor Peter Finch, as Howard Beale, says, “I’m as mad as hell and I’m not gonna take this any more!”

Gavel (PSF)
(Photo credit: Wikipedia)

What is often left out from that quote is the statement made just prior, “I’m a human being.  My life has value.”  I think some spouses in their 50’s through their 80’s decide that after decades of a somewhat dissatisfying, or perhaps an abusive, marriage they realize that they have a whole lifetime ahead of them and decide that they deserve better.  In an article from the AARP June 2012 Bulletin, one of the reasons for a late-in-life divorce centers around the fact that longer lives mean more years with an incompatible spouse.   And even though the overall divorce rate in the United States has decreased since 1990, it has doubled for those over age 50.

Jay Lebow, a psychologist at the Family Institute at Northwestern University says, “If late-life divorce were a disease, it would be an epidemic.”

Wow!!!!  I had no idea! I’m fortunate in that my second marriage at the age of 47 is still one in which I am very happy now twelve years later.   There are those, however, with whom I am acquainted who stick to the dictum of “in sickness and in health, until death do us part” even through an abusive relationship (verbal, physical or otherwise)  and, because they’ve been in it for the long haul, e.g., 30 plus years, they feel that they have no choice but to stay.

Why do those with abusive spouses – both male and female – cling to their marriage?

As I mentioned above – one reason is certainly the commitment to vows that were made at the height of a romantic relationship.  And there are other reasons.  An excellent therapist with whom I am acquainted who leads support groups for the abused told me that over the years, as abuse has prevailed in the household, the one being abused adjusts to each added level or intensity of abuse and becomes acclimated to each added degree.  Added to this unwarranted commitment to their abusive spouse, they fear the unknown, even though it may bring about an abuse-free life.   And without the help of good friends and powerful resources, a spouse in an abusive relationship may not have the tools that will give them sufficient confidence to make a decision that will benefit them the remainder of their life.

Divorcing later in life can often result in less time to recover financially, recoup losses, retire debt, and ride the ups and downs of the economy.

Some Baby Boomers out there have relished the security that their spouse or significant other has provided them in the form of financial stability.  They’re thinking that perhaps it’s worth putting up with this person with whom I am incompatible to guarantee a comfortable enough life until one of us dies.  Well – certainly that is a factor – but I personally believe that an individual’s life contains far more value than any bank account can provide.  If someone is feeling devalued in their relationship, they have short-changed the remainder of their life.  And if someone truly craves, absolutely longs for greater self-worth, nothing will stop them from satisfying that need.  I guess you have to look at the options and determine if you’re willing to go with it:

living in a mortgage-free home without financial concerns with someone who tears you down, or renting a one-bedroom apartment with thrift store furnishings, that frees you from a relationship that has prevented you from being your true, and valued self.

But who will take care of me in my old age?

A 2009 National Alliance for Caregiving/AARP survey found that 66% of caregivers were female, with women providing on average 22 hours per week vs. 17 hours for males.  In a divorce situation, “older men may make out better financially than women, but they don’t fare so well at finding someone to take care of them when they’re older.  They often don’t have alternative care networks the way women do,” says Andrew Cherlin, a sociologist at Johns Hopkins University.  When asked who they will turn to when they’re older, single men often cite paid help – a pricey and somewhat difficult option to find.  Some older divorced people have children or other family members who can assume the caregiving role, but not everyone does.

Gray divorce is occurring and there are certainly many factors to consider.  I guess I’m of the belief that a bad marriage is not better than living alone.  Whether you’re a Baby Boomer – or of any other generational group – only you can decide what you’re willing to sacrifice in order to obtain your sense of personal value.  As far as I know, we’ve only been given this one life. This is not a dress rehearsal and there are no do-overs. 

Your thoughts?

But how am I supposed to do THAT?

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But how am I supposed to do THAT?.

What a terrific article provided in the above link from the “Taking Care of Mom and Dad” blog site.  The information provided in this article is valuable, and as Kelli mentioned on her blog, it’s not just specific to the state in which it originated, Oklahoma.  The information provided is applicable everywhere because let’s face it – every caregiver pretty much needs the same questions answered and this site has many one-size-fits all solutions for all caregivers who are grasping to stay afloat on their caregiving journey.

This same website can also direct you to your own state’s valuable resources by clicking on the applicable section on the Homepage.  It’s as easy as that!  And don’t we all need something to be easy every once and awhile?

ABSOLUTELY!!!!!

Seattle Times: Seniors for Sale, Part 6

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In yesterday’s post, a Seattle Police Detective defined elder abuse as:

  • sexual abuse
  • physical abuse
  • financial exploitation
  • neglect

In Part 6 of Seniors for Sale: Placement perils and successes, Michael Berens, Seattle Times reporter, delves into the senior housing placement industry, focusing on one placement company that placed a client in a Tacoma-area Adult Family Home (AFH) with a history of safety and health violations – elder abuse –  even a fatal event, but because the placement company had not done its research, it was not aware of the home’s previous infractions and kept placing unknowing vulnerable adults in the home’s care.

Many of these placement service companies operate state-wide and/or nation-wide, and believe that there is no way that they can help as many people as they do if they are required to visit each and every home/assisted living option available to the public that they are trying to assist.  These companies are oftentimes characterized as Bed Brokers – an industry that is growing exponentially without much scrutiny or State controls.

CAVEAT: Just as in every assisted living situation – there are good senior housing options and there are bad senior housing options – so too there exist reputable senior placement companies, and not-so-reputable placement companies.

I personally think that these companies can be helpful to those looking for a senior housing option that suits their, or their loved one’s, needs.  I caution those using these agencies, however, to understand that not every option out there is listed with placement companies.  If a senior housing company does not choose to be listed with a placement service company, that option will not be offered, even if that particular housing option might be the very best choice for some families: cost-wise, location-wise, and even service-wise.

In a news update, Michael Berens’ article, State gets tough on referrals for elder care, we see that attention is now being directed at these placement referral companies in the hopes that those they serve – vulnerable adults in need of some sort of daily care – are protected from those companies who are simply aiming to make a profit at the most vulnerable time in an elder’s life.

As I mentioned in previous articles found in my blog category, Senior Housing, there are numerous resources available for those looking for senior housing for themselves or a family member.  Please go to that category and type in a search term in the space located on the right-hand side of the page to find the topic that interests you most.

Seattle Times: Seniors for Sale, Part 5

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Part 5, of Seniors for Sale: Hiding Harm: the human toll, is one example of the lack of reporting that goes on in some assisted living residential settings – in this case – an Adult Family Home (AFH).

When you watch the video link above, you’ll be shocked at how a particular accident happened – and its after effects on the victim –  and you’ll be horrified at how long it took before it was reported to the police.

Perhaps this statistic will provide a partial explanation:

only 16% of all incidents of elder abuse are reported.

The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

Not only are many caregivers not reporting incidents of abuse that occur; surprisingly, family members fail to get beyond the denial stage when they discover that their loved one just might be in danger in the very location entrusted to his/her care.  They can’t believe that the caregiving solution they found for their loved one has turned out to be disastrous in every way.

The police investigator for this case states the following:

We don’t tolerate domestic violence, but that’s not always the case with elder abuse.

The final episode of Seniors for Sale will be submitted tomorrow, Saturday.

Seattle Times: Seniors for Sale, Part 4

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Seniors for Sale, Part 4: Suspicious Deaths

It doesn’t get much worse than the video attached above.  Two suspicious deaths are the focus of this episode of the Seniors for Sale series.  The two cases discussed in this video occurred at the same Adult Family Home (AFH), Houghton Lakeview, located in a very swank area of Kirkland, Washington.  It goes without saying that this Adult Family Home was shut down.

The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

Family members whose loved ones died at the hands of these caregivers speak out about how the abuse was discovered, and how the State of Washington did, or did not, effectively respond.

One of the family members whose father died at the hands of the caregiver/owner of the Adult Family Home poignantly stated:

It’s unfathomable to realize that we were paying these people to abuse our loved one!

Conviction results (attached) of one of the suspicious deaths was reported by the same Pulitzer Prize winner, Michael Berens, who wrote the series, Seniors for Sale.

Seattle Times: Seniors for Sale, Part 3

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What Needs to be Done?  is the subject matter of Part 3 of  Seniors for Sale.  In this episode, the viewer is encouraged to do research about a facility, Adult Family Home or otherwise, prior to considering a move to that senior housing alternative.  In my article, “Avoiding the pitfalls of selecting Senior Housing,” I provide helpful resources that everyone can use in order to find out:

  • if any complaints have been filed against a particular home;
  • if the State issued any citations, and the nature of those citations;
  • if the Long-Term Care Ombudsman office received particular complaints and the nature of those complaints.
The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

No one has to go into this housing search blind.  Please view the very brief video provided in Part 3 of this Pulitzer Prize winning series by Michael Berens of the Seattle Times, then click on the attached article that I’ve provided for your assistance.  Although the links I provided relate to resources in the State of Washington, similar resources exist nation-wide.  Check with your State Ombudsman office or Department of Health and Social Services for your State’s equivalent.

Seattle Times: Seniors for Sale, Part 2

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I provide Part 2 of Seniors for Sale – Janice and Elaine.

The Great Seal of the State of Washington
The Great Seal of the State of Washington (Photo credit: Wikipedia)

The attached link connects you to Part 2 of 6 of this Pultizer Prize winning series written by Michael Berens of the Seattle Times.  Please don’t give up hope.  Once all 6 of these episodes have been provided – one per day – I will provide you with story outcomes and repercussions in the Adult Family Home industry in Washington State.  Keep in mind – as I indicated in my first submission –  although this horrific situation took place in the State of Washington, this type of abuse goes on in other states, and countries as well – whether in group homes, nursing homes, assisted living facilities or similar senior residential settings.

Are there stellar Adult Family Homes (AFHs) in Washington state?  Absolutely.  But of the 2,900 AFHs in the state, 446 of those were cited for major violations since 2010.  The industry certainly was not regulated well enough to avoid such violations.  That is changing.

Seattle Times: Seniors for Sale, Part 1

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My local newspaper ran an investigative report about the Adult Family Home (AFH) industry in Washington State.  Depending upon where you live, a similar  assisted living home may be called a Group Home.

The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

In Washington State, no more than 6 residents can live in an Adult Family Home.  These “businesses” popped up all over Washington State over the past several years as entrepreneurs realized how much money they could make taking in residents and charging thousands for rent and resident care.  At this writing, there are close to 2,900 AFHs in the state.  Since 2010, 446 of those were cited for violations of health or safety standards.  Caveat: there are many Adult Family Homes that are doing an extraordinary job, but it’s the bad ones that make the Headlines and that’s the way it should be.

June is Elder Abuse Awareness Month.  I thought it appropriate to provide Michael Berens’ series, “Seniors for Sale” in six parts this week, but I provide it with a warning that this Pulitzer Prize winning expose can be very difficult to read, and watch.  Nevertheless, awareness is key, so I hope all will benefit from his extensive work on this piece.  Whether you live in the United States, Singapore, the United Kingdom, or elsewhere globally, abuse occurs world-wide and it’s the vulnerable adults in this world who are its targets.

Seniors for Sale – I provide this link to Part 1 of the series – “Ann.”

Adjustment disorder: a long-term care facility side-effect.

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Duct-tape Moving Van

Think of a moving/relocating experience you’ve had with all of its inherent tasks of purging of items, packing what remains, and leaving all that is familiar as you move into uncharted territory.  In your new neighborhood you’re starting all over again to find: new friends;  a new supermarket with the best deals; perhaps the best school(s) for your children; a new church; and new ties to the community.  Not exactly an enjoyable experience.  It took you some time to adjust to your new community and feel that you fit in, didn’t it?

Now imagine doing the same thing as someone who is at least 70 years old with failing health, no family nearby, and perhaps with a compromised cognition level.  Vulnerable adults move into a long-term care (LTC) housing environment because of a condition, or combination of conditions, that make living independently no longer an optionBecause of this disruptive move, another disorder – adjustment disorder – makes their move a perilous one.

A loss of context in a new environment.  In my work as an advocate for vulnerable adults, I had the privilege of hearing a wonderful speaker, George Dicks.  At the time, Mr. Dicks supervised the Geriatric Psychiatry Service clinic at Harborview Medical Center in Seattle, WA.  He was also a contracted instructor for the University of Washington, teaching courses on Gerontology, Psychiatric Consultation, and Mental Health.  He emphasized that residents living in nursing homes and assisted living facilities struggle to look for context within their new environment.  For example, context is hard to come by when your daily bath occurs at 2:00 in the afternoon instead of in the morning or evening as was the case prior to the move.  And forget about finding comfort in routine because the demands on LTC staff are such that caring for numerous residents on their shift can’t possibly assure a routine on which the residents can rely.

Just providing care doesn’t mean that a staff person is caring.  Everyone who moves into a long-term care facility will have difficulties, but those who are cognitively impaired face an especially arduous adjustment.  As I previously mentioned, staff are hard pressed to provide individual care to their residents, and oftentimes are poorly prepared to handle the disorders that walk through the door.  Just getting through their daily shift is troublesome so trying to learn the habits and routines that are so vital for quality of life of the resident with dementia is a very time-consuming task.

a hand holding unidentified white pills
(Photo credit: Wikipedia)

Quite frequently, the only contact a staff person has with a resident is when they are making demands of that resident: “time to take your medicines Mrs. Jones;” “let’s get that soiled clothing changed Mr. Smith;” “open your mouth Mrs. Clark so I can feed you.”  Providing for  basic needs is not providing care.  Why?   Because the staff are requiring something of the resident.  There is no connection.  When a staff person interacts with a resident, absent a provision of care, that’s a better definition of care.

How to lessen the effects of adjustment disorder.  Those living in a long-term care housing situation oftentimes feel as though they left all their power, and all of their basic human rights, at the door.  They are constantly surrounded with reminders of their condition – all those other residents who look as lost and helpless as they do – and it seems that the only time anyone pays attention to them is when someone is demanding something of them in the form of providing some sort of assistance with their care needs.  If every staff person spent just five minutes of non-task-oriented time with each resident during their shift, those residents just might start feeling better about themselves.

  • Walk with a resident for a few minutes by simply accompanying them in the hallway and reassuring them along the way.
  • Play music the residents like in the common areas and in their rooms – and don’t assume that you know what they like to hear.  Take the time to find out what gets their feet tapping.
  • When you walk past a resident, greet them, smile at them, just as you would if you were in a social environment instead of a clinical environment.  Again, do so even when you’re not providing a care service.  Your friendly, heart-felt greeting may just make their day.
  • Start a dialogue with residents that allows them to open up to you about who they are; what their lives were like prior to arriving at the facility.  If you need to jot down some of their stories so you’ll remember them later, do so and continue the dialogue the next time you see them.  Wouldn’t it be a pleasant surprise to a resident when you asked them, “Tell me more about your grandson Charlie.  He seems like a real character!”  Wow – you were actually listening, and it shows.  Now you’re connecting with the resident.

If you are a staff person in a long-term care facility, can you put your grandma or grandpa’s face on your patients/residents faces thereby having a greater incentive to connect with those receiving your care?  Or if that doesn’t work for you, do what you must in order to add an element of care to those you serve.  Just because you’re helping the resident perform a task, doesn’t mean that you’re providing the care that they really need.

Retirement communities: the good and the bad.

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In the April 2012 issue of the AARP Bulletin, two articles caught my eye.  The first article, “To be a Bride Again at 100” (attached is the video link) celebrates the marriage of Dana Jackson, 100 years old, to her groom, 87 year old Bill Stauss.  This is a love story between two residents of a nursing home in Bowling Green, Kentucky.  This nursing home celebrated their love, and their death-do-us-part vows, in such a lovely way.  The management and staff of the nursing home exhibited a wonderful sense of community and support of Dana and Bill.  Whether they realized it or not, the staff at the Rosewood Health Care Center helped the newlyweds exercise their rights as long-term care residents.

The second article in the Bulletin’s column, What an Outrage, “Barred from a fine dining restaurant,”  shines a spotlight on a Virginia retirement community that not only did not exhibit a sense of community and support, but they quite literally violated the rights of a husband and wife living there.  When the husband’s care needs required him to switch to the skilled nursing care portion of the retirement community, while his wife remained in the independent living portion of the community, their meals together were abruptly stopped.  The wife could continue to dine in the fine-dining restaurant of the retirement community, but her husband was barred from doing so.  He and the other sixteen nursing care and assisted living residents were required to eat in their own separate dining room.

Harbor’s Edge retirement community had a couple non-fatal choking incidents involving three of its nursing care and assisted living residents in 2011 so a new rule was put in place segregating the more inform from the less infirm, even going so far as to ban the more infirm residents from attending events where food was served.  Keep in mind, residents in this retirement community make a sizable deposit to live there, to the tune of a half million dollars, PLUS a $5000 monthly fee.  I guess money doesn’t buy happiness but it sure should have bought these residents the right to eat where they pleased!

The outcome: the Virginia Department of Health was contacted and soon thereafter, the ban was lifted.  In Washington State, laws are in place to protect the residents of long-term care (LTC) facilities so that these residents can experience a dignified quality of life.  Vulnerable adult residents are guaranteed specific rights by law.  Revised Code of Washington )RCW) 70.129.020 Exercise of Rights, says in a nutshell that a resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility…The resident has a right to be free of interference, coercion, discrimination and reprisal from the facility in exercising his or her rights.  The remainder of RCW 70.129 further details all the civil & resident rights afforded vulnerable adults in the State of Washington.  If in your experience you suspect that someone’s long-term care resident rights are being violated, please contact the long-term care ombudsman program in your state by visiting the attached weblink for the National Long-Term Care Ombudsman Resource Center.

What great, and not so great, experiences have you had relative to long-term care residential living?  I would love to hear from you so we can celebrate the good, and expose the bad, for all of our benefit.

Financial fraud against the elderly: it’s a family affair.

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A trusted family member would NEVER financially exploit their loved one – right?

WRONG.

All classes of people, and most age groups, become victims of financial fraud.  The elderly, however, have been hit particularly hard.  A recent Puget Sound Business Journal article (a Washington State publication) provides some astounding statistics for the state of Washington:

  • reports of elder abuse grew by 30% in five years;
  • 4,121 cases were reported to Adult Protective Services in all of 2010 and that number was already reached by November of 2011;
  • the Washington State Office of the Attorney General only receives a fraction of the financial abuse cases because many go unreported; and
  • the National Center of Elder Abuse in Washington, D.C. states that only one in 25 cases of elder abuse are ever reported.

So who are the perpetrators?  These thieves are neighbors, caregivers (family related or not), best friends, and  trusted financial professionals.

But nationally, nine out of 10 financial exploitation cases involve family members. 

This type of abuse begins innocently enough “let me help you pay your monthly bills mother.”   The adult child becomes a signatory on the bank accounts, keeps up with mom’s bills, but also pays him or herself a little here and there and before you know it, mom doesn’t have the financial means to live out her days.  Certainly most family members are trustworthy and respectful of their elders and look out for their elders’ best interests but the statistics certainly paint a horrific picture, don’t they?  And what’s worse, if the elderly victim has Alzheimer’s or other dementia, it doesn’t take much effort for anyone – family or stranger  –  to enrich their own bank account while draining mom and dad’s.

It’s virtually impossible for government agencies to monitor cases of elder abuse.  The local agencies that help the indigent elderly are strapped financially.  Budgets are being cut resulting in decreased staffing, and caseloads that are unmanageable and overlooked – but not for lack of trying!

So what can you do to protect those vulnerable adult victims that seemingly go unnoticed in our local communities?  I provide some suggestions in my blog article, Elder Fraud: a few things you can do to protect your loved one.  This article assumes that family members are trustworthy and selfless in their interests.  Fortunately, that’s probably you, but obviously, elder fraud is a national problem so it’s vital that everyone be reminded of how easily thieves can take advantage of the older generation.

I’m certain this topic affects many of you and at the very least, angers the rest of you.  I covet your input and look forward to your thoughts on this matter.

Baby Boomers: what topics interest you?

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Irene writing on lanaiWhat do you want to read and comment on?  I thoroughly enjoy this blogging experience but it’s not satisfying enough for me to have a one-way written conversation.  My family would be the first to say that once I get going, it’s hard to shut me up.  (As of March 2016, I’ve posted 700 articles.)

But I want to enhance my own Baby Boomer experience with your wisdom, advice, successes, even failures.  It’s in those practical experiences that we grow the most.

So I sincerely covet your input as to what would draw you to my “Baby Boomers and More” Blog more frequently.  What topics interest you enough that you would provide comments and even contribute your own articles that I’ll press/link to my own Blog site?

Truth be told?  This is not just my site – it’s out there for everyone.  I hope you’ll be candid and honest with your input.  Bring it on – I’m good and ready for your Baby Boomer Blog ideas.

Elder Fraud: a few things you can do to protect your loved one.

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A senior citizen receives mail that promises her the opportunity to receive a $10,000 Sweepstakes check but first she has to send the organization a $25 check or she is told to wire money in order to receive the proffered $10K.  This same lonely person receives CONSTANT phone calls in which many demands are placed upon her to send money or they will come to her residence and cause her bodily harm.

It doesn’t matter how many times you tell your loved one to hang up when she receives one of these calls.  It doesn’t matter how many times you try to convince her that responding to the mail and/or the phone calls will not net her any positive financial results.  She always responds, and because she’s still able to mail a check or drive to Western Union and wire money to these nefarious people, she keeps doing so and finds herself in a heap of financial trouble.

Let’s consider the following mail fraud scenario:  at a long-term care (LTC) facility, the staff, along with the resident’s family members, changed the resident’s phone number numerous times and rerouted her mail to go elsewhere, but because of the persistence and trickery of these unscrupulous people, they always managed to get through the filters set up to eradicate them.  This particular resident’s apartment was finally searched by staff, at the suggestion of local law enforcement and with the permission of the resident, and what they found would make your blood boil.  This resident had shoe boxes full of “Sweepstakes” documents, and once the apartment had been cleaned out, over a dozen large garbage bags filled with documents had been removed.  Once this resident responded to these criminals by sending money, they had a victim upon which they could rely.

I’m not going to address the issue of identity theft per se which is another prevalent type of fraud exacted upon elderly adults.  Let’s concentrate on mail fraud which can certainly lead to identity theft.  With mail fraud, which eventually can lead to  “phone fraud,” the victim in question is oftentimes isolated, lonely, and as most senior citizens will tell you,  is worried about having enough money to get her through her later years.  The promise of a $10,000, or higher, windfall is just too good to resist.  Let’s be honest with ourselves – we can’t resist this type of temptation either.  If you’ve ever purchased a lottery ticket, and I’ve purchased many, you hope beyond all reason that this time the lottery ticket will have the winning numbers, because after all – somebody has to win!  When you’re a senior citizen and money is tight, why not hope beyond all hope that the $10K Sweepstakes could be real, as unlikely as that may seem to us?

 So how does one put safeguards in place to ward off these types of criminals?

My sister-in-law and my father in front of his desk.

If you live close enough to your elderly loved one, have a look-see around their living space.  Do you see any piles of envelopes that look suspiciously like one of these mail fraud schemes?  When my father lived in a one-bedroom apartment in an assisted living facility, as he left the room to use the bathroom and/or to take a nap, I did some Irene-sized investigative work.  I didn’t stop at simply looking at what was on top of his desk, I rummaged through the drawers.  I looked at his checkbook register for suspicious outgoing checks (there were a few.)  I tried to discern if there were any Sweepstakes letters from repeat offenders who thanked him for his previous money submission and asking for more – again, there were a few.  I know that this investigative activity reeks of privacy invasion but if that meant protecting my very generous father who was in the early stages of dementia – I was willing to do so.  And I didn’t stop there.  I cleared his desk of all but one or two Sweepstakes envelopes so he wouldn’t notice that absolutely everything was gone, and I stuffed them in my backpack and took them home to shred.  If you don’t live close enough to visit on an ongoing basis and suspect that your parent who lives in a long-term care facility is succumbing to this type of mail fraud, call a staff department head and ask him/her to have a look at what is visible on top of your loved one’s desk/coffee table.  You shouldn’t ask staff members to open drawers – that’s inappropriate and is actually against most facilities’ resident privacy policies.  Once you are aware of a concerning outcome, then you can take steps to provide personal intervention on your loved one’s behalf.  A phone call to the local Long-Term Care Ombudsman Office located near your loved one will initiate a complaint and that office will attempt to resolve this matter on behalf of the resident – your family member.

Phone fraud harassment – one step closer to elder abuse.

I became aware of a woman who received numerous calls a week from these scammers, threatening her with bodily harm if she didn’t wire the requested funds.  These criminals have no conscience whatsoever so they aren’t shy about yelling at the elderly victim; making fun of them when they cry on the phone because they’re afraid of the threats; calling the elderly person a loser and that they’ll never have enough money to carry them through the remainder of their pitiful lives.  As cumbersome as it may be, I strongly suggest you have your loved one’s phone number changed.  Only those who need to have the number: family, close friends, medical personnel, and facility administration, should be given the new number.  You may have to do this several times before the stream of fraudster phone calls come to an end.

Resources on which you can rely.

The AARP website has links to resources that are very informational regarding elder fraud.  Once you access their website you can link to the chapter that is active in your local area and you’ll find contact numbers for Fraud Fighter reporting.  Additionally, the Attorney General’s Office (Washington State website linked here) is very helpful.  Not only can you report cases of fraud through their website, you will also find a list of scams currently making the rounds.  Let’s not forget the U.S. Postal Service as well.    They have a postal inspection division that walks you through the steps of preventing and/or eliminating mail fraud.  I think once you start typing elder fraud into an internet search engine, you’ll find numerous links, such as The Elder Fraud Project, that will prove helpful.

Whatever you do – don’t sit idle and ignore the signs of mail fraud.  I can guarantee you that the scammers trying to acquire as much of your loved one’s money as possible are not idle – they’re hard at work to enrich themselves at your loved one’s financial expense.