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The information discussed and/or provided is not intended as legal advice and persons should not rely on anything posted on this blog. Please also be advised that no attorney-client relationship is established until the firm has been contacted by telephone and an appointment made to discuss your situation with us.

Fall Prevention for the Home

May 14, 2012

Each year, thousands of older Americans fall in their home.  Many are seriously injured and some become disabled.  Approximately one-third of the elder population over the age of 65 falls each year, and the risk of falls increases proportionately with age.  At 80 years, over half of seniors suffer falls annually.  Although alarming, these documented statistics are lower than the actual number since many incidents are
unreported by seniors.

Falls are often due to hazards that are easily overlooked, but easy to fix.  This list will help you identify and fix those potential hazards in your home.

Floors

Look at the floor in each room.  When you walk through a room, do you have to walk around furniture?  If so, ask someone to move the furniture so your path is clear.

Do you have throw rugs on the floor?  Remove the rugs or use double-sided tape or a non-slip backing so the rugs won’t slip.

Are there papers, books, towels, shoes, magazines, boxes, blankets, or other items on the floor?  Always keep objects off the floor.

Do you have to walk over or around wires or chords (like lamp, telephone, or extension cords)?  You should coil or tape cords and wires next to the wall so you can’t trip over them.  If needed, have an electrician install another outlet.

Stairs and Steps

Are there papers, shoes, books, or other items on the stairs?  Pick up all items on the stairs and keep clear.

Has the stairway light bulb burnt out?  Ask a friend or family member to change the bulb.

Is the carpet on the steps loose or torn?  Make sure the carpet is firmly attached to every step, or remove the carpet and attach non-slip rubber treads to the stairs.

Are some steps broken or uneven?  Fix loose or uneven steps.

Are the handrails loose or broken?  Is there a handrail on only one side of the stairs?  Fix loose handrails or put in new ones.  Make sure handrails are on both sides of the stairs and are as long as the stairs.

Do you have only one light switch for your stairs (only at the top or at the bottom of the stairs)?  Have an electrician put in a light switch at the top and bottom of the stairs.  You can get light switches that glow.

Kitchen

Are often-used items on high shelves?  Move items in your cabinets.  Keep things you use often on the lower shelves at or around waist level.

Is your step stool unsteady?  If you must use a step stool, get one with a bar for holding.  Never use a chair as a step stool.

Bathrooms

Is the tub or shower floor slippery?  Put a non-slip rubber mat or self-stick strips on the floor of the tub or shower.

Do you need some support when you get in and out of the tub or up from the toilet?  Hire a carpenter to install grab bars inside the tub and next to the toilet.

Bedrooms

Is the light near the bed hard to reach?  Place a lamp close to the bed where it is easy to reach.

Is the path from your bed to the bathroom dark?  Install a night-light so you can see where you are walking.  Some night-lights go on by themselves after dark.

Other Precautions to Avoid Falls

Exercise regularly.  Exercise makes you stronger and improves your balance and coordination.

Request your doctor or pharmacist to look at all the medicines you take, even over-the-counter medicines.  Some can make you sleepy or dizzy.

Have your vision checked once a year by an eye doctor.  Poor vision increases your risk of falling.

iPad Applications for Seniors

May 8, 2012

The iPad series is a popular line of tablet computers designed, developed, and marketed by Apple, Inc. The iPad is primarily used as a platform for audio and visual media including: books, newspapers, magazines, photographs, movies, music, games, web content, and other applications.

Application software, also known as an “app,” is software that is downloaded from Apple’s App Store that is designed to help the user perform specific tasks. Depending on the application, some are free and others cost money. Currently, there are over 500,000 different apps available for download.

The following is a list of four free apps that may be of interest to seniors:

Mint.com (Free)
Mint.com allows you to track, budget, and manage your money all in one place, so you can see expenditure categories and where you can save money. Open a Mint.com account, add your bank, credit, loan and retirement account information, and Mint.com will automatically pull in and categorize your transactions. It’s safe, secure, and easy to keep your personal finances organized. If you don’t have an iPad, then you can also use Mint.com on your computer.

▪ View all of your accounts including: checking, savings, credit cards, investments and retirement.
▪ Transactions are automatically categorized–no need to enter your own transactions.
▪ Easy to understand graphs show you where your money is going so you get a clear picture of your spending and your net worth (iPad only).
▪ Know how much you have left to spend–Mint.com creates a customized budget based on your actual spending.
▪ Add manual transactions at the time of purchase so you can track cash spending.
▪ Avoid late fees and monitor cash flow by setting up bill reminders, alerts and advice sent right to your device.
▪ View your data even without a wireless connection (iPad only).

AARP (Free)
Now you can take the AARP experience with you on the go. With the AARP app, you can save money, stay informed, and share favorite content with your friends.

▪ Easy access to AARP member benefits and discounts now with a stored copy of your membership card on your mobile device.
▪ Read the latest articles from AARP in a mobile-optimized format and access offline.
▪ Watch video clips from AARP’s video library.
▪ Share interesting content with your friends on Facebook and Twitter.
▪ Join AARP or renew your membership.

WebMD (Free)
WebMD helps with your decision-making and health-improvement efforts by providing mobile access 24/7 to mobile-optimized health information and decision-support tools including WebMD’s Symptom Checker, Drugs and Treatments, First Aid Information, and Local Health Listings. WebMD also gives you access to first aid information without wireless internet access. This is critical if you do not have internet access in an emergency. Personalize your app by saving drugs, conditions, and articles relevant to you through secure access and easy sign-in. WebMD has been downloaded over six million times on iPhone and iPad platforms since its initial release in October 2008.

Allrecipes (Free)
Allrecipes is a fun and easy way to find recipes. Recipe details are easy to view. Each recipe shows the ingredients, directions, nutritional information, and reviews. You can even scale recipes to get the perfect number of servings for your needs. When you are ready to start cooking, you can enable, “Cook Mode” for an easy view of the most important recipe details on one screen.

▪ When you already know what recipe you want, use powerful search options to access more than 45,000 member tested recipes.
▪ Search by ingredients to specifically include or exclude.
▪ Dietary filters like gluten free, high fiber, low fat, low carbs or low sodium.
▪ Search recipes by type, cooking method or prep time.
▪ Filter your results by popularity or member rating.

These are just a handful of applications that seniors and their families may find useful.

The attorneys at Martha C. Brown & Associates, LLC assist families with their estate, financial, long-term care, veterans’ benefits, and special-needs planning issues.

VA’s Best-Kept Secret

April 30, 2012

The Veteran’s Aid & Attendance Benefit has often been called “The VA’s best-kept secret.”

This non-service-connected pension benefit is specifically meant to help wartime veterans with unreimbursed medical expenses. Your spouse is even eligible, if qualified.

Medical eligibility for this benefit is determined by any one of three factors:

1) You are over 65.
2) You are permanently disabled and unable to work.
3) You are home-bound and in need of regular attention. You don’t have to be in your own home, however. You can be at
home, assisted/supportive living or in a nursing home. The program is based on financial need, so there are income and
asset limitations.

You also have to meet certain service and financial criteria to qualify.

The program allows for the following benefit amounts (2012 figures):
Married wartime veteran – Up to $2,019 per month tax-free
Single wartime veteran – Up to $1,703 per month tax-free
Widowed spouse of a wartime veteran – Up to $1,094 per month tax-free

To get this benefit, though, you need to understand how the VA views income. They use a system called Income for VA Purposes (IVAP). The formula used to calculate this figure is gross income minus recurring medical expenses (UMEs). This includes doctor’s fees, dentist’s fees, Medicare premiums and copayments, health insurance premiums, transportation costs to physician’s offices, assisted living facilities charges and in-home aides.

At Martha C. Brown & Associates, LLC, we help people to become eligible for and even file for VA or Medicaid benefits. We have also helped them with comprehensive estate planning, wills, trusts, powers of attorney, asset protection, and long-term care planning.

We know the ropes and we’ll get you through. We’re just a phone call away.

Light It Up Blue—An Autism Awareness Initiative

April 23, 2012

“Light It Up Blue” is a unique global initiative to help raise awareness about the growing public health concern of autism. Iconic landmarks around the world were physically bathed in blue light earlier this month to raise awareness. Participating landmarks included: Mackinaw Bridge in Michigan, Edmonton City Hall in Canada, Pyramids of Giza in Egypt, Bangladesh Prime Minister’s House, the Hungarian Parliament Building, and many others.

With April being Autism Awareness Month, corporations such as Microsoft, Twitter, Barnes & Noble, and others are helping to celebrate the global “Light It Up Blue” awareness campaign. A series of digital, mobile, and technological applications were created to help people with autism, their families, and to raise general awareness.

Autism Speaks is the nation’s largest autism science and advocacy organization dedicated to funding research into the causes, prevention, treatments, and a cure for autism. An Autism Speaks text-messaging service will support the online “Light It Up Blue” campaign. Users can text “LIUB” to 30644 to get access to additional content, information, and news. Autism Speaks has launched a video blog that features music by Kyle Cousins, a musician on the autism spectrum.

Microsoft released a series of free office templates based on the Autism Speaks 100 Day Kit for families of individuals with autism. These templates can be found on the Autism Speaks partner page at http://office.microsoft.com/en-us/PN102834214.aspx. These templates include a contact list for medical and service professionals, medication information and history, a child progress tracker, among others.

Twitter donated an online advertising campaign to raise awareness and encourage the world to Tweet about “Light It Up Blue” via the hashtag #LIUB.

Barnes & Noble created a special landing page at www.bn.com/autism in celebration of Autism awareness month and the “Light It Up Blue” campaign. Visitors to the page can see recommendations from Autism Speaks, Nook apps for autism, and other autism resources.

CareZone helps families dealing with autism. On their website www.carezone.com members are provided a safe place to get organized, store important information and coordinate with family members and other helpers. CareZone and Autism Speaks are working together to help families with managing an autism diagnosis. As part of the partnership, CareZone is donating accounts to Autism Speaks, free of charge ($180 value) for a limited time. Once an account is created online, access can be gained on any device.

HandHold Adaptive, a family-run business founded by parents of a boy with autism, has created portable tools that help manage life with special needs. They make the premier apps iPrompts and AutismTrack for mobile devices. On April 2nd, for World Autism Awareness Day, they offered their AutismTrack app for free. AutismTrack is a powerful, portable data tracking tool for parents of kids with autism. It allows users to easily track any behavior, therapy, medication, diet or supplement and report progress to their doctors. For more information visit their website at http://www.handholdadaptive.com/.

The Social Express is a revolutionary social learning software for children and young adults with autism, Asperger’s Syndrome, ADHD, nonverbal learning disabilies, and other social-cognitive challenges. The software helps children to think about and manage social situations through video modeling, enabling them to build social-emotional skills and develop the meaningful relationships they need throughout their life. The Social Express offered a 75% discount for their software on April 2nd. Their website is www.socialexpress.com.

Lamar Digital Advertising donated all available digital billboard space to Autism Speaks for three months to help increase participation in “Light It Up Blue” and the Autism Awareness Month campaign. Digital billboards supporting Autism Speaks initiatives began running nationwide in mid-March and will continue through May 31st.

April 16th is National Healthcare Decisions Day

April 10, 2012

Monday, April 16th marks the 5th Annual National Healthcare Decisions Day. Join Americans from across the country to discuss future healthcare decisions and complete advanced directives. All across the country, health-care facilities, health-care professionals, chaplains, the legal community, and many others are participating in a collective effort to inspire, educate, and empower the public and health-care providers about the importance of making advanced healthcare decisions and providing tools for these decisions. Attendees of the NHDD events will learn about and complete a Health-Care Directive. The locations and times are listed below to discuss and complete your Health-Care Directive with a professional. Convenient locations are available in the St. Louis metro area. For additional information, please call Brigid Fernandez at 314-962-0186 or visit www.nhdd.org.

Meramec Bluffs (Lutheran Senior Services)
From 10:00 am – 2:00 p.m.
1 Meramec Bluffs Drive
Ballwin, MO 63021
Contact: Maggy Spencer
636/923-2315
mspencer@lssliving.org

Hidden Lake (Lutheran Senior Services)
From 10:00 am – 2:00 p.m.
11728 Hidden Lake Drive
St. Louis, MO 63138
Contact: Becky Zimmer
636/448-1418

Aboussie Pavilion
From 10:00 am – 2:00 p.m.
4635 Ridgewood Ave.
St. Louis, MO 63116-1442
Contact: Casey Mulvany
314/352-2280
cmulvany@aaboussiepavilion.com

South County Senior Center
From 10:00 am – 2:00 p.m.
225 Lemay Ferry Rd.
St. Louis, MO 63125
Contact: Pamela Guest
314/631-8698
lemay@mid-eastaaa.org

Santa Maria Senior Apartments
From 10:00 am – 2:00 p.m.
Cardinal Ritter Senior Services
12565 Santa Maria Court (Office)
Hazelwood, MO 63042
Contact: Kathy Eichhorst
314/739-0897
keichhorst@ccstl.org

St. Agnes Apartments
From 10:00 am – 2:00 p.m.
2840 Wisconsin
St. Louis, MO 63118
Contact: Jennifer Horenkamp
314/664-0959

St. William Apartments
From 10:00 am – 2:00 p.m.
1979 Hanley Road
Dardenne Prairie, MO 63368
Contact: Valentina Adams
636/695-4200 X11

Holy Angel Apartments
From 10:00 am – 2:00 p.m.
33455 DePaul Lane
Bridgeton, MO 63044
Contact: Sharon Burr
314/298-9505

Kirkwood Public Library
From 10:00 am – 2:00 p.m.
140 E. Jefferson Ave.
Kirkwood, MO 63122
Contact: Lynn Bosso
314/821-5770, Ext. 1011
lbosso@kirkwoodpubliclibrary.org

ST. CHARLES COUNTY
Breeze Park (Lutheran Senior Services)
From 10:00 am – 2:00 p.m.
600 Breeze Park Drive
St. Charles, MO 63304
Contact: Maggy Spencer
636/923-2315
mspencer@lssliving.org

JEFFERSON COUNTY
Jefferson County Library
From 10:00 am – 2:00 p.m.
Arnold Branch – in the Café
1701 Missouri State Road
Arnold, MO 63010
Contact: Myra Hill
636/296-2204
mhill@jeffcolb.org

April is Autism Awareness Month

April 4, 2012

April marks the beginning of Autism Awareness Month and is timely with the Center for Disease Control’s recent announcement of high statistical prevalence of autism in the United States. The Autism Society has celebrated National Autism Awareness Month since the 1970s in order to highlight awareness and the increasing concerns about autism. The United States recognizes April as a public education opportunity about autism and issues within the autism community.

Autism is a general term used to describe a group of complex developmental brain disorders—autism spectrum disorders—believed caused by a combination of genetic and possible environmental factors. Generally, these disorders are characterized, in varying degrees, by social and behavioral challenges, and repetitive behaviors. The Center for Disease Control recently reported the current prevalence rate for autism in the United States is 1 in 88 children. When possible, early recognition and intervention with autism offers the best and most optimistic solutions for families with autistic children.

The History of National Developmental Disabilities Month

March 26, 2012

On February 26,1987, President Ronald Reagan signed into law that March would be designated as “National Developmental Disabilities Month.” At the time, President Reagan called for the American people to build understanding and encouragement and to provide new opportunities for people who have developmental difficulties and disabilities. People with developmental disabilities are capable of leading fulfilling, productive lives but may need help from society and government.

The initial proclamation came about because the word “retardation” has negative and hurtful connotations. In addition to proclaiming March as “National Developmental Disabilities Awareness Month,” the name of the agency dealing with issues related to developmental disabilities was changed from “The Office of Mental Retardation” to its current title, “The Office for Persons with Developmental Disabilities.”

In recent years, President Barack Obama signed a law, dubbed “Rosa’s law”, which removes terms such as “retarted” from previous federal legislation. Unfortunately, changing terminology does not adequately address the complex issues concerning individuals with developmental disabilities. The removal of derogatory labeling is a small step forward for the disabled community.

Self-Advocacy’s Growing Momentum

March 12, 2012

Today, the expectations of individuals with special needs are radically different from those of previous generations. They plan to participate in community life to the fullest extent possible, based upon their individual capabilities. And this attitude is mirrored by many family members. A growing self-advocacy movement stresses the intention of individuals with disabilities to construct lives answering to their personal needs and preferences, which may differ from what others envision for them.

Self-advocacy is as pertinent to non-verbal individuals with severe cognitive disabilities as it is to those with Asperger’s. For some, this means choosing to have a career and live independently. For others it may mean being consulted on diet, dress and social activities. In some cases, assistive technology, such as voice synthesizers or computers can facilitate communication. In other cases, family and professional caregivers can observe non-verbal cues in order to interpret wishes.

Here in St. Louis, Missouri, I have noted resistance to teaching self-advocacy within the special education system, despite demands from parents. Self-advocacy is so important to the building of self-confidence and assertiveness that it should be included in every child’s IEP (Individualized Education Plan). It should be central to the transition planning intended to prepare teenagers for adulthood.

Individuals with disabilities are often critical of the paternalistic attitudes of educators, the legal and medical establishments, and government officials. Part of the problem is that the public often has unreasonably low expectations of those with special needs. Many self-advocates have strong, informed opinions concerning government benefits, transportation options and the stereotypes that continue to challenge them daily. It’s presumptuous to assume that decisions affecting their lives should be made without including their perspectives.

I fear that a great conflict is emerging, given the current budget discussions at all levels of government. Hard won social services that have been designed to equip individuals with special needs for self-directed lives are being cut back. The U.S. government recently reported that, since the late nineties, the number of children and teens with developmental disabilities alone has jumped by 17 percent. As these young people enter adulthood, they will increasingly demand their right to self-determination. What will it say about us as a society if we do not equip this generation with the educational tools and social services necessary to achieve their birthright?

It’s National Developmental Disabilities Awareness Month

March 5, 2012

March is National Developmental Disabilities Awareness Month. This offers an opportunity for increasing education, awareness, community inclusion, and paves the way toward improving the quality of life for people with developmental disabilities. Usually, a lack of knowledge, misunderstanding and discomfort sometimes results in isolation of citizens and disconnection of community.

Everyone at Martha C. Brown & Associates is proud to celebrate the valuable contributions people with intellectual and other developmental disabilities are making every day as neighbors, coworkers, friends, and family members.

Fortunately, society’s treatment of people with developmental disabilities has progressed significantly. Parents are no longer pressured to send their children away to institutions and have more resources to assist their children. When people with disabilities are welcomed into local neighborhoods, workplaces, churches, and schools, everyone wins. Our goal is simple: an awareness and understanding of these individuals’ unique abilities.

Through education and support, many fears and false public assumptions are replaced with awareness, understanding, and greater inclusion. Let us celebrate the contributions that individuals with developmental disabilities are making throughout the month of March and strive to create more inclusive communities.

Martha C. Brown & Associates, LLC assist clients with Estate Planning, Elder Law and Probate in St. Louis City, St. Louis County, St. Charles County, Jefferson County, Franklin County and the surrounding areas including Arnold, Ballwin, Barnhart, Bellefontaine Neighbors, Black Jack, Bonne Terre, Brentwood, Bridgeton, Cedar Hill, Chesterfield, Clayton, Crestwood, Creve Coeur, Crystal City, Des Peres, DeSoto, Ellisville, Farmington, Fenton, Festus, Ferguson, Florissant, Fredericktown, Frontenac, Hazelwood, Herculaneum, High Ridge, Hillsboro, House Springs, Imperial, Kirkwood, Ladue, Lake St. Louis, Manchester, Maplewood, Maryland Heights, Mehlville, Normandy, O'Fallon, Olivette, Pacific, Pevely, Richmond Heights, St. Ann, St. Charles, St. Clair, St. Peters, Ste. Genevieve, Sunset Hills, Town & Country, University City, Union, Valley Park, Washington, Webster Groves, Wentzville , Wildwood.