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I don't get it. I tend to be a proactive sort of person, always anticipating the "what if" scenarios. So, I go to assisted living facilities to see what is out there. I go to nursing homes, same thing. But then I realize, I can't make reservations like for a hotel, so I ask myself why am I going through this process?


Well, I know if I don't, no one will help me with this process. I have no family whatsoever. Friends of my age have their own issues to deal with. I sort of feel like I am going in circles. How do "I plan" when I can't make reservations of a place I may like? And if I like one, I don't know how well I'll be when I do need their services. I don't want to have to do this research, homework, preliminary stuff, when I am very sick or even immobile. Am I making any sense? Yuk!!!


In short, being solo, how the heck do I prepare? Do I have to wait for a catastrophe? Then it will be too late for me to prepare or do anything.

When my mom broke her back the first time, it was the first time we noticed memory issues. I knew right then and there that it was not going to get better. I toured all the AL places here by myself. I got in contact with an elder care attorney. My mom did recover from the back but not so much the memory. She would appease me and visit these places for open house or lunch, but she refused to discuss moving. Well, it took two years. In that time, she broke her back again, six ribs and multiple falls. It took her breaking her hip and the doctor at the rehab to see what us kids saw for a couple of years. The doctor refused to sign off on her living alone. One because the hip was still a problem, but mostly because of her memory. She's now in a lovely AL. She has a nice apartment, does activities and has friends. In the end, I want her safe, clean and fed. They do that.
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Reply to darts1975
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You mention that you “can’t make reservations” even if you find a place you like, but that may not necessarily be true! My mom was diagnosed with Alzheimer’s Disease and, over the course of a few years, my sister & I recognized that, at some point, she would not be able to live independently in her own home. Early on, before the AD was very advanced, we tried to talk to her about future living arrangements. But, she absolutely refused to discuss any option other than living by herself in her own home, managing her own affairs. We soon realized that mom would never participate in making a choice from the options available and that my sister & I would have to make the choice ourselves. We visited the available ALFs in town, only visiting those that had a Memory Care Unit, as we knew that would eventually be needed. We learned that we were able to “reserve” a spot by putting down a fully refundable deposit. So, we made that decision and put the deposit down. The policy was that if, for any reason, mom did not move into that facility (death or relocation or choosing a different facility), the deposit was totally refundable. The caveat was that mom could only move in IF there was a vacancy. If no vacancy, she would be put on the waiting list. But, she would remain at the top of the list, always getting first rights of refusal until she was ready to move in. Putting that deposit down took such a weight off of our shoulders! We were so worried about what would happen, what we would do, where mom would go when the inevitable event would finally happen! Making the decision & putting down the deposit gave us the peace of mind that we had a plan and that at least we knew where mom would go. Well, about 15 months later, an event occurred (wandering, getting lost, falling & hospitalization) that resulted in a hospital doctor saying she could not be discharged back to living home alone. The facility stepped right up and we had mom moved into her new place within 3 days! So, my advice is to go ahead and tour the available facilities and if you find one that really feels good and feels right for you, ask if they take deposits. You may be surprised!
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Reply to Dementia5ux
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Neverage4ever: Retain an attorney.
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Reply to Llamalover47
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Reply to DaughterByLaw
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Your first step (and this was MY first step too) is to clearly articulate (and get in writing) an Advanced Health Directive, naming a proxy who you authorize to advocate for you wishes. Then, secure a DPOA -- someone you trust to manage your money and other assets on your behalf. That way, when you NEED long-term care services (of any sort) you'll have specific allies to see to your needs, especially if at that time you cannot speak for yourself.

After that, be sure to have regular, specific and even difficult conversations with these named allies so that as your ideas form (and possibly change) about how you want (or wish) the future of your life to unfold, they'll know what your thinking and what genuinely matters to you.

Finally, take action now to be as ready for the "catastrophe" as you call it. I just call it "the event" because it could be as common as a fall with serious injuries or a stroke or a life-altering diagnosis. Whatever your "event" might be, help yourself become as resilient as possible for whatever is next -- this could mean working on your wellbeing in arenas like your financial wellbeing, your physical wellbeing, your emotional wellbeing, etc. Who do you want to BE when your "event" occurs. When you know the answer to that question, you can focus your energy on making choices that support that healthy and well-prepared journey. Wishing you all the best as you move forward.
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Reply to Pathfinder
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I think it is great to " shop around"! When I was looking for a place for my Mom, and then, some years down the road, my husband, I looked. I would go in to the facility as a visitor and just look at the immediate interior. I would find the office of a either the receptionist or a social services worker and inquire about having a tour. They give guided tours a lot, so don't be shy.
They will sometimes let you see common areas on your own, but prefer to show you rooms and explain the different sections of the facility and tell the type of patients that are there, i.e. Alzheimers patients are hopefully all in the same section. Go around just prior to lunch and they may provide you with lunch. It's good to know how the food is. Take note of the area for TV watching, the resident lounge, the dining room and the overall condition of the interior. Some will have an on-site salon. Look for whar appears to be overcrowding. The better facilities won't fill to capacity, but keep some empty rooms so that they can do roommate matching. It's OK to say that are looking for your own future. Their representative may tell you that your Physician will have to be involved to declare "reason to treat", so that will have any proper medication since you won't be able to take any medication should you be admitted. They always have transport provided to take you to and from medical appointments. There will be a physician that makes rounds ... referred to as a Hospitalist oftentimes. They will treat for general needs.

Hope this firsthand experience is helpful!
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Reply to Nane48
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As someone solo you are going to need to act before you need to act.
Trying to anticipate doesn't work except to know the basics.
Where to start?
With a visit to an elder law attorney. There you will go over options for management of your affairs when you are no longer able to manage them. You will have choices and should start sooner than later. You can have many money managers but likely the best for someone in your position is a Licensed Fiduciary. This person acts for you when you cannot do so any longer to pay your bills, keep track of finances and accounts, give you a spending account, report to you monthly the status of your affairs. Because Elder Law Attorneys work with them when they have court cases in which an elder has ended up in court due to no family, they are familiar with them and their fees, and have a list when needed.
Speak to your banker as to how to manage your accounts now and in the future.

The best laid plans of mice and men, as the saying goes, as we cannot predict and it's difficult to set things in place but you can find organizers for anything these days; just have to pay for them.
And read, read, read. There are so many books of advice.
Right now you are trying to operate out of all the fears of "what if". And if you currently have no will, no POA, no advance directive you are right to do so.

Start asking to tour Assisted or Independent living options.
Go to any Senior Support Communities such as The Village, On Lok in SF, and senior centers wherever YOU happen to live. All areas have them and they have good adisors often enough whether legal or financial or social worker types. You can share your concerns with others attending knitting, bridge, lectures and whatever else. You will get support and learn as you go.
Good luck to you.
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Reply to AlvaDeer
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Contact an elder care attorney. Also,
A Place For Mom from its website may help.

My sister from Texas who is a retired social worker visited me in CA to seek CCRC places near me two years ago. The average cost the Bay Area is $4,000, about twice my income. All is self pay unless Medicare eligible.

I am almost 70 and we decided that I stay independent where I am until my early eighties to relocate since I am also alone. Unless an unexpected event happens. Update on where to go is Texas where my family lives.

I say Good Luck
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Reply to Patathome01
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I, too, am a planner.
You can actually make a plan - a living will, designating your preferences.
Keep in mind, choosing a care facility you like now, that facility can change over time, new ownership, new management, new staff, so that it may not be as appealing at an unknown future date in time.

Have you considered an assisted living facility which offers different levels of care housing, where you would move in and live with some independence while you are mobile, you will meet new friends and get to know the staff, and will have more eyes on you, more people to check in on you regularly, so that if and when something does happen, someone is there to respond and get you the help you need. The level of assistance provided changes as your needs change.
As you become less mobile, less independent, you have someone to come in and help. When it comes time for you to require skilled nursing, having an adjoining or neighboring nursing home will make it easy to transfer.

So, do your research, and make your plan. Create a living will, which can be done without designating a healthcare proxy. Make sure this document is in a prominent spot, hanging on a wall near your bed, or somewhere that first responders will see it. Provide your primary doctor with a copy.

I care for my immobile husband, who has dementia and is unable to communicate (due to stroke). I worry about something happening to me, heart attack, a fall, so I created an Emergency Information Packet, clearly labeled, hanging on the wall near my husband's bed. It contains emergency contacts, a brief summary of his medical condition, his doctor information, and medical POA, listing his son as secondary, if I am unable to make decisions for him. If he had a DNR, that would be included as well. If I am unable to care for him, he will need to be admitted to a skilled nursing facility.
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Reply to CaringWifeAZ
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Start by looking for a Continuing Care Community.
You may not need help now and are an independent person. But we all know that can change in a heartbeat. (literally and figuratively)
In Independent Living you can continue your current activities and possibly get involved with even more. (and may Communities have "Sister" communities that you might even be able to stay at if you are traveling.)
when you feel you need more help that what is provided in Independent you can easily transition to Assisted.
As you age if you need Memory Care or Skilled Nursing that would also be available.

I would urge you to talk to an Elder Care Attorney to make sure that all the legal stuff you need done is done.
They can help with putting proper POA's in place and making sure that your Advance Directives are in order.
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Reply to Grandma1954
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I am so sorry to hear you are alone in this issue. All of the advice here sounds good.
Maybe you can get ready to go to an assisted living place now? They have activities and socializing. But I only suggest this if you can afford a good one with a good reputation. Best of luck. ❤️
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Reply to Tiger8
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Call your County Office of Aging and see if they can help. Even Adult Protection Services maybe able to help.

How much money you have will determine where you go. Assisted Livings and Memory cares are private pay. So are independent living places. If you have the money there are Communities that start with Independent living, when ur ready, you transition to AL or MC. If needed, eventually Long-term care. You could talk to an Elder Lawyer to see if they can help. Maybe a Care manager that can help you make decisions.
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Reply to JoAnn29
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Since you are still young, you still have time for planning. Hopefully, this will get you on the right path, and you can then ease into any direction that is suitable for your situation.

Allow Medicare.gov to be your friend. There is a lot of information available on their website that can assist you with your plan. In this case, for would want to look at Medicare.gov Care Compare; you can even ask your primary care doctor about this possess because usually your doctor is going to be involved in some capacity.

You do want to do some financial planning: reviewing insurance documents, understanding out-of-pocket costs, and what is covered. Consider applying for Medicaid early if needed, because it is a long application process. I do agree that you should consult a Medicaid planner or elder law attorney.

Because of your situation, you would want to consult someone about your options when it comes to a living will and power of attorney ( medical and financial).

Your finances will be a big part of this journey, and there are many paths you can take. But knowing where you are currently financially will allow you to focus on what needs to be done and when you will need different services. You may even be in a position where you can utilize home care insurance.
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Reply to aecagent61
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I'm single, never married, no children and I'm 66 and alone. If something happens, so be it! I'm not going to worry about something that I won't have control over. If the time comes for placement, why would I care ? I'm trying to get through the here and now. Maybe later, I can think about it but not too hard. I feel like I've aged 20 years after being a caregiver and I'm not ready to worry about the what ifs or whens. I could leave tomorrow, God forbid, but what sense does it make to worry? I'm trying to be optimistic about everything and as long as I live each day, doing what I want, I'm content with being alone. Enjoy life, don't push yourself into the grave.
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Reply to JuliaH
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I can understand being frustrated when trying to plan for a major life event. May I ask how far ahead you anticipate moving into the nursing home?
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Reply to aecagent61
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