Attorney Patricia Bloom-McDonald works with people of retirement age and those approaching retirement age to help them with the preparation and discussion of the sometimes difficult end-of-life legal decisions and the documents that go along with protecting their legal rights.

Attorney Bloom-McDonald recommends to her clients that they work with a team of senior specialists such as an Attorney, Certified Public Accountant, Senior Certified Financial Planner, Geriatric Care Manager, Contractor familiar with Aging in Place, and a Reverse Mortgage Consultant – so they can learn about all community resources and receive the full spectrum of choices available to them and their families.

Our Elder Law Pages

Long-term health care can become quite expensive. It is important to talk about long-term health care as early as possible, before it becomes necessary. Whether it is a home-based care, community care, or a nursing home, all of us may face a time when we can no longer care for ourselves and need help in doing so. Waiting until an injury or illness forces the issue may not helpful because those plans will be made under stress and may be made to late. Planning ahead when you are still healthy is known as proactive planning. Waiting to make plans after you are sick is called crisis planning. Crisis planning is always much harder on the patient and his or her family. I can provide various ideas to protect you and your loved ones, should long-term health care become needed. There are many different types of long-term health care. Knowing what your options are can help you to decide which one may be best for you and your family.

Home-based Long Term Care

Long term care at home is often the first choice of those who have found themselves no longer able to provide their own care. The person is able to stay in his or her own home and have nurses and/or personal home health aides help them with bathing, dressing, and more areas of daily living. In many cases, the aides can even do housekeeping, shopping, and other chores for the person as well. Basic medical care may also be provided.

Community-based Long Term Care

Community-based care, such as day programs, offer families a chance to keep their loved one at home, while giving them an adult day-care choice for them during the daytime. This allows the family member a safe and stimulating environment for their loved one to stay during the day while the family goes to work, or manage other errands or chores. For the person needing care, there is the chance for social interaction with others to participate in games, art, music, and even field trips. Basic medical care such as blood pressure checks may be provided, but day care is not the best choice for those requiring round-the-clock medical care.

Senior Housing and Assisted Living Facilities

There are many communities that have apartment complexes catering exclusively to older adults who may need meals, transportation, house cleaning, and community activities. These are known as “senior housing.” Assisted living facilities are for those people who may benefit from being closely watched, and require more attention such as assistance with medications, bathing and getting dressed. Assisted living facilities will also offer transportation, social activities, housekeeping, and more.

Nursing Home Facilities

Nursing home care is the most comprehensive medical care that the long-term care patient can get outside of the hospital. The patient will receive 24 hour a day nursing care, help with eating, dressing, bathing, and more. A nursing home is an option for those who need constant medical care.

Continuing Care Retirement Communities

These facilities, or communities, may offer all of the amenities of Senior Housing, for the more healthy residents, Assisted Living for those who only need a little more assistance, and round-the-clock care for those who are no longer able to care for themselves, such as a nursing home. These facilities are a great idea for those whose long term care plan would allow them to stay in the same location during the various stages of their aging lives.