Dementia and Driving

There is no question that a person who gets lost when taking a walk should not be behind the wheel of a car and thus there is no question that a person with full blown dementia should not be driving. However it is tricky to say exactly when a person’s dementia has gotten to a point where it is no longer safe for them to drive. When in its early stages, dementia barely inhibits a person at all, and thus makes it no more dangerous for them to be behind a wheel than as with any other person. So when exactly is it that the license should be taken away… how do we tell, and how do we handle this situation with care?

Well I just read an amazing article that breaks it down into a 30 point scale which essentially says that any person that scores above a 26 on this scale is no longer fit to drive. Some of the credential on this scale is as follows:

• Clinical Dementia Rating Scale score 0.5 or higher (Level A)
• Caregiver rating of patient’s driving ability as marginal or unsafe (level B)
• Recent history of traffic citations (Level C)
• Recent history of accidents (Level C)
• Reduced driving mileage–less than 60 miles per week (Level C)
• Self-reported avoidance of driving situations (Level C)
• Minimental status scores of 24 or less (Level C)
• Aggressive/impulsive personality behaviors (Level C)

More on this subject can be found by reading the Evaluation and management of driving risk in dementia. Which can be found here:

http://www.neurology.org/cgi/content/abstract/74/16/1316

and by reading my source blog found here:

http://www.kevinmd.com/blog/2010/05/patients-dementia-stop-driving.html/comment-page-1#comment-134545

Academics Blogs

About SilverCensus:
SilverCensus is an unbiased senior living and health services resource where consumers are educated on options, facilities & rights. Our services are completely free for seniors and their caregivers as well as Hospital Case Managers & Social Workers who are committed to proper discharge.  Clients include assisted living residences, rehabilitation facilities, skilled nursing homes, home healthcare agencies, HUD developments & independent living communities.  We also provide free VA assistance for Veterans and their spouses.  Our Care Managers are standing by 24/7 at 888-776-1311 or through the web at: SilverCensus.com


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Life Insurance

There are a lot of life insurance companies out there and they all advertise on the same base principle of helping your loved one after you pass. For only so much a month, we guarantee so much money at time of death. Well to be frank, this whole set up is essentially a scam, and here is why:

A life insurance company, is in fact, a company (go figure right). What this means is that there goal is to make a profit. Meaning that there goal is to get more money coming in then they have money going out. So, per client they insure, the client is going to end up paying more to them then they will pay to the clients family upon decease, if the client dies at all while under the coverage.

Now, one can imagine that this could balance out to not be that terrible of a thing if the profit margin isn’t that great. However, every time you see an ad on TV, or hear an ad in the radio, that is more money that comes from our “monthly payments”. All the employees they hire get paid from these funds as well, in addition to the high CEO paycheck. When all is said and done, if life insurance was truly “worth it”, then these companies would not stay in business.

Now there are different kinds of life insurance, and some promise help for retirement, but these plans are even worse. If you are worried about an accident keeping your family financially secure in case of one, then term life insurance is the way to go. Though whole life insurance does provide some return on investment, it is only about 2.5% annual, which is a fraction of what a healthy market portfolio would provide. If one invests the difference in cost between term and whole insurance over the period of the term, they will find that when the term is up, and if they find themselves still breathing, their investment return will most likely already cover what the whole insurance return would have been. At this point the person can be their own life insurance.

Essentially, the trick is to invest wisely and save carefully. Remember that any company out there has the goal to make money.

Health Blogs

About SilverCensus:
SilverCensus is an unbiased senior living and health services resource where consumers are educated on options, facilities & rights. Our services are completely free for seniors and their caregivers as well as Hospital Case Managers & Social Workers who are committed to proper discharge.  Clients include assisted living residences, rehabilitation facilities, skilled nursing homes, home healthcare agencies, HUD developments & independent living communities.  We also provide free VA assistance for Veterans and their spouses.  Our Care Managers are standing by 24/7 at 888-776-1311 or through the web at: SilverCensus.com


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Happiness

Relearning to have fun, enjoying your freedom, not stressing over your appearance, and just not stressing in general; I have written about many things over the past couple months, but all of these topics have essentially one goal, and that is to try and help us to find happiness.

The quest for contentment is one in which we are all continuously on and even when we find it, we then oftentimes become overly obsessed with keeping it. We can become so obsessed, that we forget what it is we were trying to do in the first place and lose the once found happiness in the process. This can very oftentimes be seen in relationships when jealousy and possessiveness develop.

When a person says happiness comes from within, this saying holds true on many levels… However, the way it best rings true, or at least is easiest to understand, is that once happiness is found to not become obsessed with protecting the objects that you think are making you happy. This act alone will end the very thing being “protected”. Instead remember that even though you are enjoying your situation, the happiness you are feeling is coming from you.

Enjoy your freedom and retirement and go out and play Golf if you can. If that is not a possibility, solve a puzzle or toss a ball around. Go to the beach, the park, or take a stroll. Just live and play like a child again, for no other reason aside from it’s fun and you can. Let your external reward or the productivity achieved be your own happiness. :)

Lifestyle Blogs

About SilverCensus:
SilverCensus is an unbiased senior living and health services resource where consumers are educated on options, facilities & rights. Our services are completely free for seniors and their caregivers as well as Hospital Case Managers & Social Workers who are committed to proper discharge.  Clients include assisted living residences, rehabilitation facilities, skilled nursing homes, home healthcare agencies, HUD developments & independent living communities.  We also provide free VA assistance for Veterans and their spouses.  Our Care Managers are standing by 24/7 at 888-776-1311 or through the web at: SilverCensus.com


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Doctors Knowing the Costs

It is true that they are responsible for most of the decisions made about how to treat our conditions and they act with all the knowledge they’ve accumulated on scientific technique, disease, and treatment.. But believe it or not, when it comes to the cost a doctors two cents is worthless. Nowhere in a doctors training do they learn the prices of the treatments they do, nor do they have understanding on how the insurance companies work and what we will be paying. They are trained specifically just to act on scientific and medical standing.

This leads to little compassion when it comes to understanding patient decision when factoring in the financial burdens of these treatments. When a doctor is told it’s an expensive operation, does that mean it’s expensive for the patient, the country, or the insurance company? These are things that are important for doctors to understand if they are going to be advising patients in which direction to move.

Luckily for us, even doctors have become somewhat concerned with their total lack of information as to how much procedures cost and what it costs us to undergo them. New classes have been added in order to help educate upcoming doctors on the costs and processes that go into funding and billing. This way hopefully the doctors of the future will be able to advise us on both what is best for our health and our wallets.

http://www.kaiserhealthnews.org/Stories/2010/May/04/Teaching-Doctors-The-Price-Of-Care.aspx

Health Blogs

About SilverCensus:
SilverCensus is an unbiased senior living and health services resource where consumers are educated on options, facilities & rights. Our services are completely free for seniors and their caregivers as well as Hospital Case Managers & Social Workers who are committed to proper discharge.  Clients include assisted living residences, rehabilitation facilities, skilled nursing homes, home healthcare agencies, HUD developments & independent living communities.  We also provide free VA assistance for Veterans and their spouses.  Our Care Managers are standing by 24/7 at 888-776-1311 or through the web at: SilverCensus.com


...a Goliath-SilverCensus Company

“Wanting” to Retire

Choosing when to retire is a decision that takes a lot of planning, timing, and thought… but how does one know when the right time to retire is? Well, this question is actually pretty easy to answer… When they want to and when they can. Heh, of course the answer has questions that come with it such as when can they, but the part I am going to focus on is the, when do they want to part.

Deciding when a person wants to retire is more complicated than one might think. It seems easy enough as most people think they understand their desires just fine, but the truth is I don’t feel that’s the case. Especially as it seems man people work well off into the ages past when they could have been retired.

Well first, let’s think about what it means to be retired. TO be retired means, quintessentially, to be free! It means you no longer are tied to one place because you have to go somewhere every day. It means you no longer HAVE to wake up at 6 in the morning nor do you have to go to bed at 10 at night. It’s at this time one can truly just relax and enjoy themselves. Do things that they’ve always wanted to do and not have to worry about making it into work the next day, oversleeping, or missing class.

Now each and every person out there is going to have different requirements to life when it comes to retiring, based on how much it is they feel they need. There are some people in this world that live essentially retired their whole lives, as they do not desire to have all that much. They work hard enough to cover their basics such as food and shelter… maybe gas and a little extra spending money, but that is mostly it. They work to be free, which is really what we are all doing if one considers retirement freedom.

With this in mind, be careful when finding luxuries you feel you need, for every luxury comes at a cost and that price takes away just a little bit more of your freedom. Whether you are saving money for retirement, or just working hard enough to remain mostly free… In either case, every luxury desired takes away just a little bit more of our free time.

So again, when does a person “want” to retire? Well the answer to this should mostly be always! IF a person is lucky enough to love their job, then they are basically never truly working, or always retired :) .

Lifestyle Blogs

About SilverCensus:
SilverCensus is an unbiased senior living and health services resource where consumers are educated on options, facilities & rights. Our services are completely free for seniors and their caregivers as well as Hospital Case Managers & Social Workers who are committed to proper discharge.  Clients include assisted living residences, rehabilitation facilities, skilled nursing homes, home healthcare agencies, HUD developments & independent living communities.  We also provide free VA assistance for Veterans and their spouses.  Our Care Managers are standing by 24/7 at 888-776-1311 or through the web at: SilverCensus.com


...a Goliath-SilverCensus Company