What is Long-term Care?

Long-term care is a term that describes a wide range of care needs and ways of providing that care. It includes services that meet medical and non-medical requirements for people who cannot fully care for themselves for long durations of time. Long-term care is typically very individualized and may be provided formally by a professional, informally by friends and family members, or both. Whether provided by professionals or family, long-term care has associated costs that can become a burden. Planning for long-term care needs and how to pay for them can help to save money while ensuring that the person receives all the care they need.Formal facilities that provide long term care go by various names:  residential continuing care facility, assisted living, nursing home, home for the aged, and personal care facility, to name a few. The level of care a person requires impacts which types of facilities are appropriate and whether or not the facility will admit that person. For example, a physically fit person with advanced dementia may be appropriate for an assisted living memory care facility; on the other hand, a cognitively healthy person who is entirely dependent for daily physical needs may require nursing home care. In addition to residential facilities, there are also a wide range of in-home caregiving services that can help meet the person’s needs and postpone their transition into residential care.What is Long-Term CareInformal LTC is often provided, especially in its early stages, by a family member who is willing to provide personal care, meals, laundry services, housekeeping, and transportation services to and from appointments. Informal LTC providers are frequently the adult children of the person needing care. They are often called the “sandwich generation” because they are simultaneously supporting their own children and their aging parents. The stress of providing practical living and emotional care, financially supporting two sets of generations, and taking care of themselves and their own spouses can become overwhelming and have negative effects on the provider’s self-care and well-being. It is a difficult decision to make, but at some point formal LTC becomes necessary for some parents.What does it mean to plan for long-term care? A long-term care plan involves evaluating the current situation, making educated predictions about future care needs, and considering the costs of those expected care needs. Many families are blown away by the high cost of formal long-term care (easily several thousand dollars per person per month) and have no idea how they will manage to pay for it. Starting early and consulting an experienced professional can help avoid surprises and make sure that a sustainable plan is ready to be implemented when the time comes. A Life Care Planning law firm, which employs both legal and care professionals, is a good place to start assessing needs and planning for the future.Check out next week’s blog for more information about how to plan for a parent’s long-term care needs.

Amelia Crotwell, JD

Amelia Crotwell, founder and managing partner at Elder Law of East Tennessee, has guided families through long-term care and special needs challenges for nearly two decades. Specializing in Life Care Planning and special needs trusts, Amelia also collaborates across all areas of elder law, including wills, trusts, Medicare, Medicaid, probate, and veterans benefits planning. Certified as an Elder Law Attorney since 2011, she is president-elect of the Life Care Planning Law Firms Association and co-chair of their strategic planning committee. Amelia is deeply involved in the Special Needs Alliance and a prominent member of the National Academy of Elder Law Attorneys. She played a key role in founding the Tennessee chapter of NAELA, serving as its first president. A member of the Tennessee Bar Association and past chair of its Elder Law Section Executive Council, Amelia also dedicates time to pro bono work and community education. She earned her J.D., summa cum laude, from the University of Tennessee College of Law and teaches Elder Law there as an adjunct professor since 2018.

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Placing a Parent in Long-term Care

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What is a Care Coordinator?