State Guardianship Systems Require Expedited Reform

State Guardianship Systems Require Expedited Reform


Recent news articles spotlight egregious acts conducted by court-appointed guardians against the older individuals entrusted in their care. These reports highlight some of the worst situations occurring within a system that requires expedited improvement, now.

AARP has long fought for state laws to protect older individuals—and their assets—from abuse, and to make sure guardians—public, private, and family caregivers—have the information they need to do their job. Over the past 4 years alone, AARP State Offices across the country have passed more than 45 guardianship-specific laws to address this serious issue.

But more needs to be done, including clamping down on the bad actors by increasing court monitoring, oversight and training of guardians, and mechanisms to follow up with protected individuals.  Specifically, AARP believes reforms must emphasize, at minimum:

  • The Individual: Every individual has different needs and preferences. State laws should emphasize individualized guardianship plans and require courts to order less restrictive options for individuals who are capable of making their own decisions.

 

  • The Guardian: State laws must spell out the duties and responsibilities of a guardian, providing a standard for decision-making focused on the expectations of the person under guardianship, and outline standards of practice and training requirements.  It also must provide a detailed procedure for getting rid of bad actors.

 

  • The Courts: State laws should guide judges to use the least restrictive option available when considering cases for guardianship, including supported decision making, and focus on court oversight and monitoring to help prevent abuse and exploitation.

AARP will continue to work, on a state by state basis, to urge policy makers to ramp up reform of the adult guardianship system because no elder should face abuse or exploitation, especially at the hand of the person tasked with their protection.

For now, if you suspect abuse of a protected individual by a guardian, here’s how to get help:

If you have a story to share about your experience as a guardian for an older individual, we encourage you to visit aarp.org/iheartcaregivers.

To sign up for updates on AARP’s advocacy efforts in your state, click here.


Elaine Ryan is the vice president of state advocacy and strategy integration (SASI) for AARP. She leads a team of dedicated legislative staff members who work with AARP state offices to advance advocacy with governors and state legislators, helping people 50-plus attain and maintain their health and financial security.

Photo: iStock/LPETTET 



Source link

Thank You, Nurses.

Thank You, Nurses.


During National Nurses Week, I am making a special effort to say, “thank you,” to all the nurses in my life, and I invite you to do the same. Each and every day, in communities across the country, nurses help their patients to get and stay well.  They use their incredible skills to comfort us in difficult times, and care for us when we’re at our most vulnerable.

For America’s 40 million family caregivers, nurses often become even more heroic as they help us care for our parents, spouses and other loved ones. For me, Nurse Sue was an invaluable member of our family’s team. Her assistance was critical to keeping my Mom safe at home.

Family caregivers often share their stories with us on I Heart Caregivers and the @AARPadvocates Facebook page.  It seems many also have their own versions of Nurse Sue:

Judith: “I could not have been my mother’s caregiver without all the care and advice given to me by the nurses. THANK YOU ALL.”

Nana: “When my husband was alive the nurses were angels. They really took care of my husband in our home, especially the hospice ones, they were just awesome.”

Barbara: “Where would we be without them [nurses] to care for us & our families when we need them?”

Dolores: “Nurses are in a league of their own! They do such wonderful work and it often goes unnoticed. I have a lot of admiration for nurses!”

Nurses heal. Red tape doesn’t. 
That’s why AARP is fighting to cut through the red tape that prevents nurse practitioners—and all advanced practice registered nurses—from doing their jobs. Right now, 28 states still have outdated rules that restrict nurse practitioners from using all their skills and training to provide primary and preventative care, including:

  • routine health care such as diagnosing and treating patients,
  • management of chronic conditions,
  • ordering lab tests,
  • prescribing medications
  • performing annual exams
  • and much, much more

Keep in mind: nurse practitioners have master’s or doctoral degrees and advanced training, so they can give patients the care we count on. By modernizing state rules, patients, family caregivers—and our loved ones—will have better opportunity to receive the care we need, when and where we need it.  And, yes, this means: at home and in our communities.

To all nurses, again, I give you my thanks.  Your caring helped make me a better, stronger family caregiver. For that, alone, I am grateful.

Where does your state stand when it comes to rules that allow nurse practitioners to do their jobs?

Sign up to get involved and help AARP cut the red tape.


Elaine Ryan is the vice president of state advocacy and strategy integration (SASI) for AARP. She leads a team of dedicated legislative staff members who work with AARP state offices to advance advocacy with governors and state legislators, helping people 50-plus attain and maintain their health and financial security.



Source link

AARP Public Pension Guide Breaks Down Complex Issue for Elected Officials

AARP Public Pension Guide Breaks Down Complex Issue for Elected Officials


Pop and his grandaughter

My pop was a bus driver for 25 years.  Once in retirement, I would have loved my Mom and Pop to relocate to D.C. to live with me. But they loved their life and community and wanted to age in their own home – just like millions of Americans.

Luckily, pop had a public pension, which gave him and my mom the financial security they needed to retire with confidence and dignity—and to keep living independently in their own home.  Pop worked hard and counted on having his pension for their financial security. Firefighters, nurses, teachers, and other public employees all across America also count on their public pensions.  

Exactly for this reason, it’s critical that our elected officials and those who advise them understand how public pensions operate. This helps them meet the needs of employees and retirees, as well as employers and taxpayers.

To help with this effort, AARP has created a new public pension resource, Understanding Public Pensions: A Guide for Elected Officials, coauthored with the Center for State and Local Government Excellence.  We hope that many state and local policymakers will get the chance to review the guide, prior to making changes to their states pension plans, in particular.

The guide provides key facts about public pensions. It also discusses the important role policymakers play in making sure their state and local pension plans are well designed and adequately funded. This helps ensures they can meet the goals of all stakeholders, including:

  • attracting and retaining employees
  • workforce management
  • retirement security
  • keeping pension costs manageable


The guide also reviews:

  • Options for public pension plan design
  • The importance of adequate financing
  • How to develop a sound pension funding policy
  • Important considerations when making changes to a pension plan
  • The effects of various proposals on the workforce and employees, and resulting financial impacts

Fighting for You
AARP is working to make sure that state and local policymakers have the information they need. This helps support strong public pensions which:

  • Enables our firefighters, nurses, teachers and other public employees to have financial independence in retirement
  • Promotes financial security which keeps people from requiring costly public services to meet their basic needs as they age


This is why AARP’s state offices from Oregon to Colorado to South Carolina to Rhode Island continue to advocate for a defined benefit pension as an important means for ensuring financial security in retirement.

This guide is the third in a series of public pension resources recently supported by AARP. The other reports, which examine how state governments have pre-funded their pensions and review significant changes made to public pensions in recent years, can be found here.


Elaine Ryan is the vice president of state advocacy and strategy integration (SASI) for AARP. She leads a team of dedicated legislative staff members who work with AARP state offices to advance advocacy with governors and state legislators, helping people 50-plus attain and maintain their health and financial security.

 



Source link

AARP Volunteers Are Fighting For You

AARP Volunteers Are Fighting For You


During National Volunteer Week I’d like to stop and say thank you. Thank you to the thousands of AARP volunteers who are fighting for families as part of our multi-state advocacy campaigns across every state, D.C., Puerto Rico, and the U.S. Virgin Islands.  By giving your time and energy to advocate for the 50-plus and their families, you’ve helped to:


Here are snapshots of just a few of our incredible volunteers.

Pat from Connecticut
Pat helped AARP Connecticut champion the CARE Act, a new law that supports family caregivers when their loved ones go into the hospital and as they transition home. Recently she had a caregiver thank her for her work. Pat shared,

“She (the caregiver) said, would you go back to AARP and all the volunteers there and tell them thank you. Thank you for standing up for the seniors. Thank you for standing up for the people of Connecticut.” Pat continues, “And then I realized that’s why I volunteer.”

Pat from CT

Earl G. from Ohio

“I believe that AARP performs an essential service for members and all Ohioans to make sure they receive a fair shake on the issues we support and I am happy to volunteer my time for this important work.”

Earl represents AARP and the interests of Ohioans 50-plus in his service on the Public Utilities Commission of Ohio (PUCO) Telecommunication Study. He’s working to make sure Ohioans only pay what’s fair and justified for reliable utility service.

Monica S. from Florida

“The needs of caregivers vastly outweigh the resources we have today.   We are seeing the tip of the iceberg of the caregiver crisis.   I am a proud AARP volunteer addressing this issue.”

When it comes to supporting family caregivers, Monica’s doing it all. She advocates for more support for family caregivers and their loved ones at the state capitol, organizes conferences, recruits for events, is helping to build a caregiving coalition and much more.

Julia from Texas
Julia is fighting for more support for family caregivers—a subject near and dear to her heart being a caregiver herself.

“I am so glad that AARP for this legislative session is trying to work in this area especially to give caregivers some measure of support.”

(function(d, s, id) { var js, fjs = d.getElementsByTagName(s)[0]; if (d.getElementById(id)) return; js = d.createElement(s); js.id = id; js.src = “http://connect.facebook.net/en_US/sdk.js#xfbml=1&version=v2.3”; fjs.parentNode.insertBefore(js, fjs);}(document, ‘script’, ‘facebook-jssdk’));

Julia the caregiver

"When you're married and your significant other gets ill, you truly experience what it means to be a caregiver," says Julia of San Antonio.

Posted by AARP Texas on Monday, April 10, 2017

 

Mike and Marilyn Worner with Sen. Nichol Poolman

Michael and Marilyn W. from North Dakota

During the 2017 legislative session Michael and Marilyn have enthusiastically worked to support family caregivers.  One bill they helped pass was recently signed into law and will help family caregivers get some of the relief and resources they need.

Even more impressive, Mike and Marilyn live 200 miles away from the state capitol. Yet, they have made multiple trips to Bismarck to help fight for family caregivers.

 

 

Thank you to Mike, Marilyn, Earl, Monica, Julia, Pat and ALL our amazing AARP volunteers who devote so much of their time and energy to help others.

Would you like to volunteer with AARP? Visit aarp.org/getinvolved.

 


Elaine Ryan is the vice president of state advocacy and strategy integration (SASI) for AARP. She leads a team of dedicated legislative staff members who work with AARP state offices to advance advocacy with governors and state legislators, helping people 50-plus attain and maintain their health and financial security.



Source link

Family Caregivers Need Support From Hospital to Home

Family Caregivers Need Support From Hospital to Home


Having a loved one in the hospital can be a stressful and emotional experience — especially if you don’t have the support you need. Each day, 40 million family caregivers help older parents, spouses, children with disabilities and other loved ones live independently at home. They help with bathing and dressing, manage finances, stand by their loved one’s side when they go into the hospital, care for them when they return home, and so much more.

Some family caregivers, like Jerry, who cared for his wife, Faith, receive the support they need to smooth out the transition from hospital to home.

“Prior to discharge the charge nurse told me I would need to watch and listen, because I would be the caregiver at home. My wife had shoulder replacement, so I needed to know how to assist in removing and attaching the shoulder brace. She reviewed all medications with me as far as to when my wife needed to take them etc. She changed my wife’s dressing and told me to do it the same way and told me I needed to go to a pharmacy and purchase 4″ x 4″ gauze and 2 in. wide paper tape. She made sure I understood it was paper tape so the tape didn’t irritate the skin etc.”

Unfortunately, this isn’t the experience of all family caregivers.

Mary didn’t receive instructions on her mother, Eartha’s, medications after a hospital stay. After a medication that was supposed to be short term was given to Eartha long term, she suffered irreversible kidney damage. Mary was then given the choice to put her 82-year-old mother on dialysis or take her home on hospice.

When Cheryl’s husband Alphus was discharged, the family was given no instruction on the medical tasks they needed to perform, including managing multiple medications and cleaning his PICC line. Cheryl learned by trial and error — and unfortunately one of these errors led to Alphus being hospitalized, again.

The consequences can be grave when family caregivers don’t have the support they need as their loved ones go into the hospital and as they transition home.

That’s why AARP developed a model bill called the CARE Act, short for Caregiver Advise, Record, Enable Act. This commonsense, no-cost solution is now law in 32 states, D.C., Puerto Rico and the U.S. Virgin Islands. The CARE Act calls upon hospitals to:

  1. Record the name of the family caregiver when a loved one enters the hospital.
  2. Notify the family caregiver prior to the loved one’s discharge.
  3. Provide the family caregiver simple instruction of the medical tasks they will be performing when their loved one returns home — like managing medication.

 

State update
As the 2017 state legislative sessions progress, states continue work to pass the CARE Act:

  • In Kansas, Kentucky, Montana and North Dakota, the CARE Act has passed one chamber of the state legislature and is being considered by the second chamber.
  • In Iowa and Missouri, the bill has been introduced in the state legislature.
  • In Tennessee, regulations are in progress that would put the CARE Act into effect.


In the states that have already passed the CARE Act, we’re educating family caregivers about this new law and how it can help them when a loved one goes into the hospital. We’re also continuing our advocacy by making sure caregivers know whom to contact if their loved one doesn’t receive the benefits of the CARE Act, and we are making sure that state agencies are notifying hospitals about the law and are effectively implementing it. In addition, we’re studying how leading hospitals are putting the CARE Act into action and sharing these promising practices with others hospitals.

Stay tuned throughout the year for more updates on how the CARE Act is helping family caregivers nationwide.

Check out where your state stands


Elaine Ryan is the vice president of state advocacy and strategy integration (SASI) for AARP. She leads a team of dedicated legislative staff members who work with AARP state offices to advance advocacy with governors and state legislators, helping people 50-plus attain and maintain their health and financial security.



Source link

Pin It on Pinterest