Lonnie Stewart delivered his presentation on “A Toolbox for Aging in Community” on Tuesday, October, 29 at the Village Temple. As part of that talk he provided several handouts which we are making available below. Everyone who attended received a File of Life refrigerator magnet that holds important medical/emergency information (N2N will be providing these to people who come to lectures and events in the future).
The talk centered on recent research reporting on five events that adults feared may jeopardize their desire to age in community: falls, hospitalization, loss of a partner/spouse, challenges with maintaining the home, and cognitive decline/dementia. Most people agree that these are events that could derail goals to live in the community (versus living in an institutionalized setting such as a continuing care retirement community, assisted living, or in a skilled nursing facility), but individuals overwhelmingly do not plan for such events. This lecture was centered around what planning can be done now.
We were introduced to a web site, www.planyourlifespan.com, that guides the reader step-by-step in creating a document to share with others that expresses wishes such as – where you would want to go for rehabilitation if you could not go home after a hospitalization – who you would want to walk the dogs (feed the cats) – who you trust to pay your bills…
Among other information, Lonnie showed the Medicare web site that rate skilled nursing facilities (also known as “subacute rehabilitation”), introduced Lower East Side Hatzalah as a volunteer ambulance service one can call when you want to be taken to a specific hospital, and talked about what Medicare and Medicaid cover as far as home services and where you can get a consultation regarding long term services through NYC’s Department for the Aging (“NY Connects” in NYC).
Other topics that were discussed: useful additions and alterations to make apartments more age-in-community friendly, the importance of talking with others about your wishes, medical alert systems for falls and for loved-ones with dementia that may wander, automating most bill payments to avoid missed payments, embracing the use of adaptive equipment (walkers, rollators, bedside commodes, shower chairs) to allow for aging-in-community.
Feel free to peruse the resource documents below and the notes from the lecture.
Lecture handout: this is a .pdf document of all of the lecture slides
MOLST or Medical Orders for Life-Sustaining Treatment is a document that is is generally for patients with serious health conditions. It is helpful to see what choices it contains. The MOLST form is a medical order form that tells others the patient’s medical orders for life- sustaining treatment. All health care professionals must follow these medical orders as the patient moves from one location to another, unless a physician or nurse practitioner examines the patient, reviews the orders, and changes them. The MOLST form is printed on hot-pink paper and follows the patient through all stages of care (including ambulance/EMT encounters). We are providing a MOLST form here for information only – it is valuable to understand what it contains.