Tuesday, October 14, 2025

When Will Medicaid Pay for Nursing Home Care?

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Dear Savvy Senior,

What are the eligibility requirements to get Medicaid coverage for nursing home care?

Caregiving Daughter

Dear Caregiving,
The rules and requirements for Medicaid eligibility for nursing home care are complicated and will vary according to the state where your parent lives. With that said, here’s a general, simplified rundown of what it takes to qualify.
Medicaid Eligibility
Medicaid, the joint federal and state program that covers health care for the poor, is also the largest single payer of America’s nursing home bills for seniors who don’t have the resources to pay for their own care.
Most people who enter nursing homes don’t qualify for Medicaid at first, but pay for care either through long-term care insurance or out-of-pocket until they deplete their savings and become eligible for Medicaid.
To qualify for Medicaid, your parent’s income and assets will need to be under a certain level that’s determined by their state. Most states require that a person have no more than about $2,000 in countable assets that includes cash, savings, investments or other financial resources that can be turned into cash.
Assets that aren’t counted for eligibility include their home if it’s valued under $560,000 (this limit is higher – up to $840,000 – in some states), their personal possessions and household goods, one vehicle, prepaid funeral plans and a small amount of life insurance.
But be aware that while your parent’s home is not considered a countable asset to determine their eligibility, if he or she can’t return home, Medicaid can go after the proceeds of their house to help reimburse their nursing home costs, unless a spouse or other dependent relative lives there. (There are some other exceptions to this rule.)
After qualifying, all sources of your parent’s income such as Social Security and pension checks must be turned over to Medicaid to pay for their care, except for a small personal needs allowance – usually between $30 and $90.
You also need to be aware that your parent can’t give away their assets to qualify for Medicaid faster. Medicaid officials will look at their financial records going back five years to root out suspicious asset transfers. If they find one, their Medicaid coverage will be delayed a certain length of time, according to a formula that divides the transfer amount by the average monthly cost of nursing home care in their state.
So if, for example, your parent lives in a state where the average monthly nursing home cost is $5,000 and they gave away cash or other assets worth $50,000, they would be ineligible for benefits for 10 months ($50,000 divided by $5,000 = 10).
Spousal Protection
Medicaid also has special rules for married couples when one spouse enters a nursing home and the other spouse remains at home. In these cases, the healthy spouse can keep one half of the couple’s assets up to $120,900 (this amount varies by state), the family home, all the furniture and household goods and one automobile. The healthy spouse is also entitled to keep a portion of the couple’s monthly income – between $2,030 and $3,022. Any income above that goes toward the cost of the nursing home recipient’s care.
What about Medicare?
Medicare, the federal health insurance program for seniors 65 and older, and some younger people with disabilities, does not pay for long-term care. It only helps pay up to 100 days of rehabilitative nursing home care, which must occur after a hospital stay.
Find Help
For more detailed information, contact your state Medicaid office (see Medicaid.gov for contact information). You can also get help from your State Health Insurance Assistance Program (see ShiptaCenter.org), which provides free counseling on all Medicare and Medicaid issues.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

Mercy Health Foundation to Host Annual Gala on Jan. 18

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Runaway June will be highlighting the Annual Mercy Health Foundation Gala with a performance January 18, 2019.

Fundraiser will feature a performance by country music group Runaway June
Next month, break out your dancing shoes to benefit a great cause at the Mercy Gala, hosted by Mercy Health Foundation Oklahoma City.
The annual fundraiser will be held on Friday, Jan. 18, at 6 p.m. at the National Cowboy & Western Heritage Museum in Oklahoma City. This year’s event will feature dinner, a silent auction, a raffle, a special performance by country music trio Runaway June and an after party hosted by DJ Kirby.
Recognized by Billboard as the “Next Hot Trend in Country Music,” Runaway June is the first all-female trio in more than a decade to earn two Top 40 hits. The group also received a 2018 Academy of Country Music nomination for “New Vocal Duo or Group of the Year.” They just released their debut project for Wheelhouse Records and are preparing to join Carrie Underwood on tour in May.
“For more than 30 years, the Mercy Gala has been a way for the community to come together to help those in need receive medical services and we are so thankful for that support,” says Lori Cummins, executive director of the Mercy Health Foundation Oklahoma City. “And, we are thrilled to have Runaway June performing and DJ Kirby hosting our after party this year.”
DJ Kirby has a distinct style of mixing and blending classic party music spanning every music genre. He has performed with The Black Eyed Peas, Bon Jovi, Britney Spears, Maroon 5, Justin Bieber, Jay-Z, Justin Timberlake, Kid Rock and many others. He also has a mix show every Saturday on eight different radio stations across the country.
Because Mercy provides care to all patients, regardless of their ability to pay, all proceeds from the gala will support the charitable needs of patients at Mercy. Last year’s event raised more than $280,000 for programs like Mercy’s Project Early Detection, which provides free breast health services to uninsured or underinsured Oklahomans.
This year’s event will help support the charitable needs of patients at Mercy in Oklahoma City to include the Mercy Good Samaritan Clinic, Project Early Detection and other forms of patient assistance like help with medications, transportation, nutrition and more.
To learn more about the gala, to purchase tickets or to become an event sponsor, visit www.bit.ly/MercyGALA19 or call (405) 486-8944. Individual tickets are $200 and sponsorship opportunities are still available.

DARLENE FRANKLIN: LIVING INTENTIONALLY

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Darlene Franklin is both a resident of Crossroads of Love and Grace in Oklahoma City, and a full-time writer.

By Darlene Franklin

What would you do if you only had six months to live?
That question confronted me during a recent close brush with death. A blood clot had formed in my lungs. I filled a tiny red notebook provided by the hospital with thoughts on how to leave nothing important unsaid or undone.
Living intentionally is like carpe diem, seize the day. Don’t put off to tomorrow what is on my mind today. But it’s also not carpe diem. I’m not ignoring the future; I want to live life to the fullest today because tomorrow is uncertain.
I’m not talking about doing more. I’m talking what I choose to do. Yes, prioritize. After all, I won’t care if I have 100 unique book titles written before I die (although I hope to) but I will regret not sharing as much of myself as I can with my grandchildren while I am still able and they are still listening. My to-do list (which gets longeron a daily basis) will probably still have unfinished projects on it when I die, and that’s okay. God’s got it covered.
But there are things only I can do in the time where I am, in the place where I live, with the people around me. That’s where I want to make a difference while I can.
What did I add to my intentional living list? What last things did I want to make sure I focus on?
My relationship with God, my Father, my all in all, whom I will worship for all eternity. Since I want to see the world as He does, I need to spend time with Him every day..
My relationship with my family. To pour my unconditional love, joy and pride into them. To pass on our family legacy, things they won’t know if I don’t tell them.
My interactions with people. To grow in graciousness and friendliness, to make people a priority.
Using time wisely. Don’t accept opportunities because they exist. Accept them only after careful consideration.
My health. Take better care of my body, to prolong my days on earth or at least the quality of living.
My tasks. To be faithful in the jobs God has given me to do; to continue writing unless God gives me permission to stop.
While I do the above, I want to suck as much joy as possible from each day.
How about you? What would be on your list? Your priorities may be different than mine, especially if you’re at a different age or stage of life.
Having a clear view of what I want from each passing day, from every person I encounter, will make living intentionally easier. If I can get to the end of a day without regrets, so much the better. If I mess up, I confess where there’s sin, give myself grace where I just was thoughtless, and start over again,
The bigger question is, how do we get there? How do we avoid Blame Lane because we set ourselves up for failure?
Here’s a few tools I use:
Plan ahead. I realized I spent most of my visits with my grandchildren talking with their parents. I’ve started planning activities for us to do together. They bring things to share as well. We may read about trains, play a board game, write poems.while we talk about their lives, and mine. The planning allows for spontaneous moments that are the best of all.
Let go of schedules and allow life to happen. If someone drops by, invite them in for a visit. Human beings always trump things and work. I had to ask my grandson’s forgiveness when he broke a Christmas ornament. For a moment I lost sight of the fact the ornament was meaningless compared to his precious life.
Forgive myself when I mess up. God’s rule to forgive someone seventy times seven starts with me. When God has forgiven me, why can’t I forgive myself?
Let go of the small stuff.
Follow through. What made me examine my life in the first place?. Seek reconciliation with that person, take care of my health, spend more time with my family.
Keep track of your progress. I keep a record in my prayer journal, thanking God when I meet my goal, asking for help when I allow small things to get to me.
Examine your priorities periodically. Is there something I need to change?
When we live life intentionally, we’ll have fewer regrets when we reach the end.
You can find Darlene Franklin online at www.darlenefranklinauthor.com .

Let’s talk About it, Oklahoma! – Book series brings seniors together

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Diane Maguire, north district senior programs coordinator for the Salvation Army, says a new book club is bringing seniors together.

story and photo by Bobby Anderson, Staff Writer

A book club series offered by the Salvation Army is helping bring seniors together.
Diane Maguire, Senior Programs Coordinator, North District, began the book club last year that met once a month and brought in various scholars to discuss what participants would be reading.
“The group that was involved was very interactive,” Maguire said.
This is the second offering for the Salvation Army. The initial group wrapped up in November.
“Based upon feedback from a lot of seniors from the first one it just seemed they really enjoyed it,” Maguire said. “The whole thing is socialization here, even the book club the heart of it is socialization. I talked to a couple of the scholars and they mentioned this was an excellent series. Because they had already interacted with the group it just kind of fell in that this would be perfect.”
In December, the Salvation Army Central Oklahoma Command announced that it will host Let’s Talk About It, Oklahoma!. The series of reading and discussion programs are made possible through a grant from Oklahoma Humanities with generous funding from the Inasmuch Foundation and the Kirkpatrick Family Fund.
The Salvation Army’s Warr Acres Senior Center, 4301 N. Ann Arbor, will be the venue for the five-part series, Friendship. The series will explore the subject of friendship and its power to enrich and sustain our loves.
The titles in the series include: Jacob Have I Loved by Katherine Paterson; The Chosen by Chaim Potok; The Color Purple by Alice Walker; Turtle Diary by Russell Hoban; and Recovering: A Journal by May Sarton.
The first reading and discussion group is set for January 17th from 9-11 a.m. with Harbour Winn leading the discussion of Jacob Have I Loved. Participation is free, however seating is limited.
“We are very excited to be offering this reading and discussion program once again,” Maguire said. “The discussions and open dialogue our participants have been having, not only with the scholar, but also with each other are both interesting and thought provoking. I am extremely thankful to Oklahoma Humanities for investing in our senior population with this program.”
“This is how I view it: if it changes one life it’s impactful,” Maguire said. “You have seniors that love playing dominoes or love line dancing but then you have seniors who need to be intellectually stimulated because maybe of their background, love for reading or they can’t do the other things.”
“Some of them needed that intellectual challenge and that really answered to the stimulation they were looking for.”
The Salvation Army Central Oklahoma has been serving the elderly population for more than 50 years. There are currently four senior centers in the Oklahoma City metro area serving approximately 350-425 seniors each week.
The centers are open to anyone age 55 or older, free of charge. Wellness activities, lunch, Bible study, and reading and discussion groups are all a part of the current programming taking place.
The mission of Oklahoma Humanities (OH) is to strengthen communities by helping Oklahomans learn about the human experience, understand new perspectives, and participate knowledgeably in civic life. OH is a private 501(c)(3) nonprofit organization. As the state affiliate of the National Endowment for the Humanities, we strive to stimulate discussion, encourage new perspectives, and to actively engage people in the humanities disciplines such as history, literature, philosophy and ethics.
The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God.
The mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.
Nearly 183,000 Oklahomans receive assistance from The Salvation Army Central Oklahoma each year through the broadest array of social services that range from providing food for the hungry, relief for disaster victims, assistance for the disabled, outreach to the elderly and ill, clothing and shelter to the homeless and opportunities for underprivileged children.
About 83 cents of every dollar raised is used to support those services. For more information, go to www.salvationarmyokcac.org.
The Salvation Army Central Oklahoma Area Command is a proud partner agency of the United Way of Central Oklahoma.

OU College of Nursing Receives Grant to Provide Nursing Home Leadership Training

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(From left) Diana Sturdevant, Ph.D., R.N., and Teri Round, M.S., R.N.

Nationally, Oklahoma has one of the highest rates of staff turnover in nursing homes – 68 percent — a statistic that affects the quality of care that residents receive.
To address that problem, the Fran and Earl Ziegler University of Oklahoma College of Nursing is creating the Long-Term Care Leadership Academy, a training program that aims to develop leadership skills through education and mentoring for staff members at nursing homes across Oklahoma. The goal is that a resulting culture change will improve staff retention and the care that residents receive.
The program is funded by a nearly $400,000 grant from the Civil Money Penalties program, administered by the Oklahoma State Department of Health. When nursing homes are fined, that money goes to the Centers for Medicare and Medicaid Services, and part of it returns to the Oklahoma State Department of Health, where it can only be used for quality improvement projects that help residents of nursing homes.
“Improving the nursing home workplace culture by developing staff leadership skills is an important determinant of quality care for nursing home residents,” said Gary Loving, Ph.D., RN, interim dean of the OU College of Nursing.
Recent studies have shown staff turnover to be more important to nursing home outcomes than staffing or skill mix. Nationally, certified nursing assistants have the highest turnover rate at 51.5 percent, followed by registered nurses at 50 percent and licensed professional nurses at 36 percent. With an overall staff turnover of 68 percent, Oklahoma’s nursing homes lose significantly more employees than the national average of 43.9 percent. In addition, Oklahoma’s Medicaid reimbursement for nursing homes is one of the lowest in the nation, which adds to the difficulty of retaining good staff.
“It is extremely difficult to work on improving the quality of life and care of residents without adequate staff,” said Diana Sturdevant, Ph.D., RN, of the OU College of Nursing. “High turnover depletes limited resources and reduces productivity because of the added costs of hiring and training new employees.”
Sturdevant is leading the Long-Term Care Leadership Academy with OU College of Nursing colleague Teri Round, M.S., RN. The curriculum is being developed by incorporating evidence-based practices and the expertise of college faculty and nursing home experts.
The program will be geared toward three levels of nursing home employees. Level one consists of the director and assistant director of nursing and the administrator. Level two includes RNs and LPNs who have direct leadership responsibilities of co-workers. Level three consists of certified nursing assistants and their roles in affecting the quality of life and improved care for residents.
Four face-to-face regional meetings will be provided, with one day for each level’s education. The fourth day will be a half-day period for all three levels to practice the skills they’ve learned. Program topics include communication and teamwork, giving and receiving delegation, generational differences, person-centered care, culture change, co-worker engagement, retention and succession planning.
Leadership skills will be an important focus for nursing home supervisors, Sturdevant said. Nursing homes typically employ RNs as directors and assistant directors of nursing, and LPNs as charge nurses. They usually do not receive leadership training as part of their academic education.
“They often lack skills in conflict resolution, effective communication and inclusiveness,” Sturdevant said. “Many use an authoritative approach with top-down communication that does little to facilitate teamwork.”
Following the Long-Term Care Leadership Academy, staff members will continue to be mentored. They also will undertake projects designed to support culture change and to meet a need specific to each nursing home. Projects will potentially address antibiotic stewardship, infection prevention, antipsychotic medication reform and others.
“The OU College of Nursing faculty and staff have expertise in leadership training, development and implementation of quality improvement processes and systems change,” Round said. “We are excited to work with nursing home staff members across Oklahoma on meaningful ways they can retain staff and create a better culture for both employees and residents.”

Art Serves as Vehicle for Social Change in Two New Exhibitions

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by Kaylee Kain, Director of Communication

Art becomes the platform for discussion surrounding history, race, sex and injustice in The Westheimer Distinguished Visiting Artist Chair: Mildred Howard and Testimony: The Life and Work of David Friedman, both opening on Jan. 25 at the Fred Jones Jr. Museum of Art.
San Francisco-based artist Mildred Howard, who has achieved an international reputation for her collages and installations, will serve as the seventh Jerome M. Westheimer, Sr. & Wanda Otey Westheimer Distinguished Visiting Artist Chair. An exhibition of Howard’s work will open at the Fred Jones Jr. Museum of Art on Jan. 25 with a public opening at 7 p.m. Thursday, Jan. 24.
Mildred Howard’s work incorporates a variety of media to create nuanced examinations of gender, race, politics and other issues central to contemporary society. Through her use of collage, sculptural assemblage and large-scale installations, Howard blends American folk art and family photographs among other appropriated objects to explore these increasingly relevant issues of sexual harassment, racial oppression and class struggles found in America.
Her methods for creating these pieces is just as diverse as the themes behind them. Over the course of her influential career, she has not limited herself to any one medium. Her Casanova series is a perfect example of her versatility, in which she uses both collage and jacquard woven tapestry. The endless possibilities and combinations for multiple materials is what fascinates Howard most. “I started off with collage, and I love the mixture of materials,” says Howard. “That’s always interested me – patterns within patterns. You can make art out of anything. That’s my reason for using those materials, because I’m interested in history, because I’m interested in memory and in place, and looking at objects in other kinds of ways that what they were originally intended for.”
Her work in this exhibition provides a platform for discussion revolving around political and sociological topics currently making headlines in regard to the #MeToo movement and immigration, among others.
Also opening this month is Testimony: The Life and Work of David Friedman, which surveys the artist’s long career, with a focus on his series Because They Were Jews!, a visual diary of his time in the Lodz Ghetto in Poland and his internment at the Nazi concentration camp of Auschwitz-Birkenau.
Friedman(n) was born in Mährisch Ostrau, Austria (now Ostrava, Czech Republic), but moved to Berlin in 1911, where he studied under German impressionist Lovis Corinth. With the rise of Nazism, he and his family escaped to Prague in 1938, where he continued to paint for himself and sold artwork until 1941 when the family was deported to Lodz Ghetto. Most of the work from earlier in his career was lost, destroyed, or looted by Nazis.
In 1944, Friedman was separated from his wife and daughter, never seeing them again, and was transferred to Auschwitz-Birkenau. Friedman survived his internment at the infamous concentration camp and married fellow survivor Hildegard Taussig. After living in Israel for five years, the family immigrated to the United States in 1954, eventually becoming citizens and settling in St. Louis, where he worked as a commercial artist for an advertising company, later retiring in 1962. As a Holocaust survivor, Friedman found a new purpose in life to fight anti-Semitism and racial hatred by depicting the horrors he had witnessed and to show them to the world.
Testimony offers a glimpse into the lifelong effects of the Holocaust, but also serves as an affirmation of survival. An event is scheduled on Feb. 28 featuring the artist’s daughter, Miriam Friedman Morris, and Lorne Richstone, associate professor of music at OU, will honor the legacy of Friedman’s work and will include musical excerpts from Jewish composers who were lost to the Holocaust.
More information about these exhibitions and related programs is available on the museum’s website at www.ou.edu/fjjma.
The Fred Jones Jr. Museum of Art is located in the OU Arts District on the corner of Elm Avenue and Boyd Street, at 555 Elm Ave., on the OU Norman campus. Admission to the museum is complimentary to all visitors, thanks to the generosity of the OU Office of the President and the OU Athletics Department. The museum is closed on Mondays. Information and accommodations are available by calling (405) 325-4938 or visiting www.ou.edu/fjjma.
A new exhibition at the Fred Jones Jr. Museum of Art focuses on artist Mildred Howard (b. 1945) and her influential career. She has used a variety of media to engage in pointed yet nuanced examinations of the history and politics of gender, race and other issues central to contemporary society. Howard serves as the seventh guest artist in the university’s Jerome M. Westheimer, Sr. and Wanda Otey Westheimer Distinguished Visiting Artist Chair program. A native of San Francisco, Howard received her master of fine arts degree from John F. Kennedy University in Orinda, California, in 1985, and has worked in the Bay Area for the majority of her career. This exhibition will be on display Jan. 25 through April 7.
Mildred Howard (U.S., b. 1945)
Casanova: Style, Swagger, and the Embracement of the Other I, 2018
Jacquard tapestry, 72 x 54” Courtesy of Magnolia Editions and the artist
Testimony: The Life and Work of David Friedman surveys the career of artist David Friedman (1893-1980), from his early days in Berlin to his late career in St. Louis, Missouri. The exhibition includes portraits and landscapes as well as his powerful series Because They Were Jews!, a visual diary of his time in the Lodz Ghetto in Poland and his internment at the Nazi concentration camp of Auschwitz-Birkenau.Testimony is both an indictment of the horrors of the Holocaust and an affirmation of survival. This exhibition will be on display Jan. 25 through May 26.
David Friedman (Austria, 1893-1980)
Cattle Train to Auschwitz from the series Because They Were Jews!, December 1963, Charcoal, 18 x 24”
Copyright © 1989 Miriam Friedman Morris All rights reserved

ASK LISA – WALK BY FAITH: Surviving Retirement

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Harry and Betty Wales.

Harry and Betty Wales are quick to tell you that in 1954, when God called them to serve, He promised to provide for them in their faithfulness and He has always done so. Betty and Harry worked their farm in Iowa for 20 years. When they received their separate callings, both struggled against accepting God’s call and did not share the news with each other for several weeks. Harry was content in his role of farmer. Betty knew speaking to a congregation was not her gift. Betty laughed as she related her profound relief when Harry told her he had been called by God to the ministry; she then understood her role was to be by his side, standing shoulder-to-shoulder in the ministry. Harry preached to Nazarene congregations across the southwest for more than 40 years before retiring in Oklahoma City in 2000.
Throughout his ministry, Harry worked two jobs, enabling Betty to stay home with their two daughters. Together, they served the Lord living each day with the promise that God would provide for all their needs. Although retired, Harry has continued his ministry at the Warr Acres Senior Center (4301 Ann Arbor) for more than 18 years offering support through prayer, teaching Bible study classes, and sharing God’s word. Diane Maguire, coordinator at the Warr Acres center, describes Harry as the ‘chaplain’ of the center. He is always willing to share in joy or sorrow. Betty also continues serving others by making coffee at the senior center every morning, helping with lunch. Harry and Betty are truly extraordinary volunteers, goodwill ambassadors, and faithful to their calling.
In November 2018, Harry and Betty celebrated 69 years of marriage. At the glorious ages of 90 (90 is the new 70!) and 87, respectively, Harry and Betty remain firm in their faith that God will continue to provide. Falls have taken a toll on both Harry and Betty this past year. Harry can no longer remodel old houses to provide additional income or to make them habitable for his family. Hospitalizations and the need to be in a rehabilitation care unit with mounting medical bills add to financial concerns.
Unfortunately, working every day for more than 60 years does not guarantee you a comfortable retirement. Since retiring, Harry and Betty rely on the monthly financial support of their daughters, a pension from the church, and the graces of past congregations. When the air conditioning in their home went out this past summer, a former congregation stepped in to replace the irreparable system. Those who know Harry and Betty best, will tell you it is a joy and honor to help them. Their optimism and complete faith that God will provide shines in all they do. Because friends are doing yard work, helping them exercise, making minor home repairs and providing other needs, they are surviving retirement.
Surviving is defined as remaining alive. Merely surviving retirement is never the goal – it’s not how we envision ourselves living out our mature years. Surviving is not comfortable nor is it fun; surviving can be unnerving. Sadly, too many seniors merely survive retirement. The struggles are real, but you are not alone.
Advance 2-1-1 Oklahoma is an easy-access system designed to offer information about and referrals to community services for both those who need help, and those who provide help. Find out what is available by calling 211, or, try out the new text service “211OK” by texting your zip code to 898-211. In Oklahoma City, Sunbeam Family Services, Catholic Charities, Legal Aid, Neighborhood Services Organization and The Salvation Army are a few agencies that stand ready to assist seniors, as well as, more than 60 food pantries.
Senior News and Living OK has a dedicated phone line for you to ASK LISA questions or share information; please call 405-631-5100, Ext. 5 and leave your name, phone number, and a message regarding your concern.
AFTERTHOUGHTS with Lisa
About four years ago, I was in the emergency room with family members, discussing the dangers of falling with a gentleman and his wife. The gentleman and I had both fallen that evening and were waiting our x-ray results. My son walked in and asked, “Mom, how bad was your fall?” Without hesitation, the gentleman said, “Young man, it is inappropriate to use obscene language in present company.” Raucous laughter followed as he explained, “FALL” is our new four-letter word. All agreed that a “FALL” was to be avoided at all costs!
Winter weather is very unpredictable in Oklahoma; avoid wet or icy sidewalks and driveways. If you must be out in the weather take care of YOU; broken bones are no fun and recuperation is difficult!! Use your cane, walker, or a helpful arm when you must be out in the weather.

A promise fulfilled

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Missy Beckett and Stacy Wingfield make a difference in the lives of families through Promise Care Hospice.

story and photo by Bobby Anderson, Staff Writer

Hand-written cards.
The joy of simply being present with loved ones and making their day a little brighter.
The pride that comes with honoring a loved one who gave their life in the service of country.
These simple things have always been foundational for Missy Beckett.
As a registered nurse, Beckett has cared for people from all walks of life, all the while knowing that memories they create will last a lifetime.
It’s this approach that Beckett promised to keep as the director for the aptly named Promise Care Hospice service.
Promise Care is locally and privately owned and Beckett has worked with the owner more than a decade now.
The focus has and always will be personal.
“I want to be small,” Beckett said. “As an RN and the director I want to know everyone. I want to know who my team is talking about. I want to know every single person’s name. I want to know their families. I don’t want ever to be too big to not know why I’m doing this.”
Promise Care is comprised of an expert teams of caregivers consisting of registered nurses, physicians, home healthcare aides, social workers, chaplains, bereavement counselors and trained volunteers.
The palliative care offered eases pain and discomfort for all who experience it.
Social and spiritual support for both patients and their loved ones is bedrock.
Volunteers are often the lifeblood of a quality hospice experience.
That’s where Stacy Wingfield comes in. Promise Care’s volunteer coordinator hand picks those individuals with both the heart and compassion for the role.
Wingfield knows no paycheck could ever be equal both the service volunteers provide and the what they receive in return.
“They’ve gotten a lot of strength,” Wingfield said of her volunteers. “We have training all along the way. You don’t have to have any medical background at all. It’s very interesting the different areas. You could be a florist and want to volunteer to put arrangements together.”
“You could be a masseuse and maybe come do hand massages or an art student who wants to make cards and do crafts. There are so many different avenues.”
One of Wingfields volunteers is an author who comes in after book tours and takes her book into a home and reads while in costume.
“The older you get the more life has thrown at you and the more you do understand where people are coming from,” Wingfield said.
Beckett knew of a woman through healthcare that transportation circumstances had left her homebound. She decided to present her the opportunity to volunteer.
“It has changed her entire outlook on everything to be able to get out and visit and help and spend time with people,” Beckett said. “It’s super important for the patient to have a neutral person to be able to tell their fears. They’re not going to tell their family. Sometime they’ll tell us as a nurse but to have someone who can go in and spend four or five hours at the bedside and just watch TV or read or have a conversation it’s so important.”
“And it’s important for the family to get out of the house and get a break and we really encourage that.”
From the outset, Beckett has brought her staff out into the community when they’re not in patients’ homes.
Once a month you’ll find the Promise Care team working at a homeless shelter serving others.
Every year you’ll find Beckett and staff handing out turkeys with a local law firm.
“Our group is really unique. We like to get out and go do things probably a lot of other businesses don’t do together,” Beckett said.
Remembering the holidays are always packed with events, Beckett was scolded by her staff this year when she suggested they take December off from the shelter serving line.
“They got mad at me,” Beckett laughed. “We like to give back. I think for most of the staff we all have to have a paycheck but I think we’d all do this for free.”
Honoring loved ones is what Promise Care is all about.
And Beckett admits she has a soft spot for veterans.
“I’m a Lawton girl so veterans are near and dear to my heart,” she said. “My dad is buried at the national cemetery. People on our team are veterans so we want to honor them, too.”
It’s those little things along the way that most don’t realize that are actually the big things in life.
And it’s those moments that Beckett promises to make count.

Study shows dementia care model delays nursing home admissions, reduces Medicare costs

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A new research study co-authored by an OU Medicine physician shows that a comprehensive, coordinated care program for people with dementia and their caregivers significantly decreased the likelihood that the patients would enter a nursing home. The study also shows that the program saved Medicare money and was cost-neutral after accounting for program costs.
The research, conducted at the UCLA Alzheimer’s and Dementia Care Program, was designed to evaluate the costs of administering the program, as well as the health care services used by program participants, including hospitalizations, emergency room visits, hospital readmissions and long-term nursing home placement.
“The most striking finding was that patients enrolled in the program reduced their risk of entering a nursing home by about 40 percent,” said lead author Lee Jennings, M.D., assistant professor at the University of Oklahoma College of Medicine. Jennings began the project while on faculty at the Geffen School at UCLA and finished it after arriving at Oklahoma.
The study was published Dec. 21 in JAMA Internal Medicine.
The research focused on the UCLA Alzheimer’s and Dementia Care Program. In the program, people with dementia and their caregivers meet with a nurse practitioner specializing in dementia care for a 90-minute in-person assessment and then receive a personalized dementia care plan that addresses the medical, mental health and social needs of both people. The nurse practitioners work collaboratively with the patient’s primary care provider and specialist physicians to implement the care plan, including adjustments as needs change over time. A total of 1,083 Medicare beneficiaries with dementia were enrolled in the program and were followed for three years. The study compared them to a similar group of patients living in the same ZIP codes who did not participate in the program.
There were no differences between the two study groups in hospitalizations, emergency room visits or hospital readmissions. However, cost was another important element of the study. Participants in the program saved Medicare $601 per patient, per quarter, for a total of $2,404 a year. However, after program costs were factored in, the program was cost-neutral and might result in savings in other health care systems. That was good news to the study’s authors.
“The findings of this study show that a health care system-based comprehensive dementia care program can keep persons with dementia in their homes and in the community without any additional cost to Medicare,” said the study’s senior author, David Reuben, M.D., Archstone Professor of Medicine and chief of the UCLA Division of Geriatrics at the David Geffen School of Medicine at UCLA.
Jennings added that individuals with dementia typically have not received good-quality care. “Part of the reason,” she said, “is that the care takes a significant amount of time, which primary care physicians don’t have in abundance. In addition, pharmacologic treatments for dementia are limited, which makes community resources all the more important for both patients and caregivers. However, community programs tend to be underutilized.”
The intervention featured in the study addresses those issues directly. The assessment looks not only at what the patient and caregiver need, but also at their strengths, such as financial security, family assistance and proximity to community resources. It is designed to be interdisciplinary and to address the needs of both patients and caregivers.
“This study aligns with similar studies of collaborative care models for other chronic diseases, such as heart failure,” Jennings said. “It underscores that we need to be thinking differently about how we provide care to persons with chronic illnesses, like dementia. This study shows the benefit of a collaborative care model, where nurse practitioners and physicians work together to provide comprehensive dementia care.”

Be aware of scammers this tax season

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The Oklahoma City Police Department’s Triad program has been around for close to 18 years. Triad is a program which provides a joint approach to crime issues which affect older citizens and provides the enhanced delivery of law enforcement services to our more mature population. Triad sponsors crime prevention and victim/witness programs for older persons, offers reassurance programs for older persons to reduce fear and provide moral support; provides a forum for law enforcement and the community to share needs, concerns, and develop solutions. TRIAD unites senior citizens, sheriffs and local police to identify problem areas for senior citizens in order to develop and implement community-wide solutions.
The Oklahoma City Police Department started the Triad program in November 2001. Sheryl Presley is the department’s Triad coordinator and runs the Triad groups in the metro. Triad North meets the second Thursday of the month at 1:30pm at India Shrine. Triad South meets the third Thursday of the month at 1:30pm at Woodson Senior Center 3401 S May, and Triad East meets at our Springlake Station (4116 N. Prospect) on the third Monday of each month at 10:00am (except January & February when the meetings are bumped to the fourth Monday of the month). There are no meetings in September & December. Each meeting typically features a guest speaker who provides informative information. Current scams and frauds targeting senior citizens are also discussed.
Tax season is a time when we see IRS scam ramp up. Seniors are targeted primarily because they are viewed as easy prey. Usually the scammer will call from a number they have spoofed to make it look like it is the IRS calling. The caller will usually say something like they are with IRS and you owe them money. The victim, thinking that it is the IRS, reacts out of fear and suddenly believes that they had better pay the IRS. First, the IRS will never call you if you owe them money. Second, the IRS will not threaten you and tell you that you have to pay them right now. If you owe money to IRS, they will send you a letter in the mail. If you choose to ignore it, they will send you another letter. If you still ignore the letter, then the IRS will turn your case over to a collection agency. This type of scam is something we go over in our meetings with our Triad members and talk to them about what to do. You can also report the call to the IRS impersonation scam line at 1-800-366-4484 or website at www.tigta.gov.
Scammers also use a ploy known as phishing to obtain your personal information. Phishing scams are typically carried out by a scammer sending you an email that claims to be from a financial institution, business, or a government entity like the IRS. The email usually asks for personal identifying information such as your date of birth or your social security number. It is not uncommon for the scammer to ask for your credit card number or the PIN from you debit card. Never give out this type of information to anyone who requests it in the form of an email. Again, the IRS will not send you an email claiming that you owe them back taxes.
This is but one of several IRS scams of which senior citizens should be mindful. Over the past few years, we have seen a trend of thieves stealing identities to fraudulently obtain IRS refund checks. It begins when a scammer assumes someone else’s identity and then fills out a tax a tax return in that person’s name. The IRS then sends the scammer victim’s tax refund check, and since they have already assumed
the victim’s identity, they simply cash the check and pocket the money. Please remember that if something seems suspicious, always err on the side of caution and call police.
A great way for senior citizens in our community to stay current on the latest scams and threats is to get involved in Triad. Having knowledge of scams and crimes targeting the elderly is a great way to help yourself stay safe.
If you have questions regarding Triad, please contact Sheryl Presley at 316-4336. Sheryl is also available at no charge to give presentations on scams, identity theft, mail safety, neighborhood safety, personal and home safety, holiday shopping tips, purse safety, and elder abuse.

 

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