Tuesday, November 19, 2013

Protected Party Statutes Provide Extra Protection to California Seniors


California has very strong laws protecting seniors - both in the civil realm and in the criminal realm. As soon as any California resident reaches the age of 65, he or she is considered to be a "protected party". Jaime Levine, Directing Attorney for Elder Law & Advocacy's Senior Legal Services program explains what this means for seniors, and describes one statute that gives seniors and their advocates access to heightened damages and lower thresholds in terms of what constitutes a wrong against a victim.

One statute Levine describes as particularly effective in assisting seniors who have been taken advantage of is Civil Code 禮3345b. This statute establishes that any "protected party" who would be successful in a civil cause of action, is eligible to receive significantly elevated damages if a judge believes that the senior was targeted due to their vulnerability.

Says Levine, "It is a very effective tool for any attorney who represents victimized seniors. When I write a demand letter, for example, I often structure it in such a way so as to make it clear that the risk of not returning wrongfully kept property will be potentially very expensive for an opposing party who refuses to comply."

A common scenario for ELA's clients is that a "friend" of a senior with resources will request a loan - often with no intention of paying it back. When the "friend" defaults, the senior will seek out legal assistance. If it appears to be a case in which the senior is being victimized due to their age, ELA's attorneys will write a letter that states that if the money is not returned within 14 days, ELA will advise its client to consider legal action to recover the full amount of the loan - a penalty equal to triple the amount owed on the loan under 禮3345b, plus attorney fees, and any other available damages.

"The proposition of potentially losing a multiple of what the borrower actually owes the senior citizen, puts enormous pressure on a possible defendant to settle immediately," explains Levine. For this reason, using 禮3345b in conjunction with the "protected party" status of seniors is very effective, as further demonstrated by ELA's excellent success rate in recovering assets without having to resort to litigation.

This genre of statutes often brings up questions such as whether or not singling out seniors can detrimentally affect them because they will be, in some way, infantilized. Says Levine, "This is not something that I have seen. In fact, I have experienced the opposite; seniors are empowered by laws that give them additional damages in cases where they are being victimized due to age-related vulnerability."

Anecdotal experience is not data, of course; but Levine, over the past 11 years of his practice and time with ELA, has assisted over 10,000 clients. Elder Law & Advocacy's Senior Legal Service Program has assisted over 40,000 seniors during that time period.

Levine states that "I cannot recall a situation in which seniors were negatively impacted by the "protected party" legislation in California. In my experience, tough senior financial elder abuse laws serve to effectively enable private bar attorneys to achieve remarkable success without having to resort to litigation. They also allow for civil remedies to compensate for the always-overstretched resources of the criminal justice system."

For more information on Civil Code 禮3345, see the text of the statute below:

禮3345. (a) This section shall apply only in actions brought by, on behalf of, or for the benefit of senior citizens or disabled persons, as those terms are defined in subdivisions (f) and (g) of Section 1761, to redress unfair or deceptive acts or practices or unfair methods of competition. (b) Whenever a trier of fact is authorized by a statute to impose either a fine, or a civil penalty or other penalty, or any other remedy the purpose or effect of which is to punish or deter, and the amount of the fine, penalty, or other remedy is subject to the trier of fact's discretion, the trier of fact shall consider all of the following factors, in addition to other appropriate factors, in determining the amount of fine, civil penalty or other penalty, or other remedy to impose. Whenever the trier of fact makes an affirmative finding in regard to one or more of the following factors, it may impose a fine, civil penalty or other penalty, or other remedy in an amount up to three times greater than authorized by the statute, or, where the statute does not authorize a specific amount, up to three times greater than the amount the trier of fact would impose in the absence of that affirmative finding:

(1) Whether the defendant knew or should have known that his or her conduct was directed to one or more senior citizens or disabled persons.

(2) Whether the defendant's conduct caused one or more senior citizens or disabled persons to suffer: loss or encumbrance of a primary residence, principal employment, or source of income; substantial loss of property set aside for retirement, or for personal or family care and maintenance; or substantial loss of payments received under a pension or retirement plan or a government benefits program, or assets essential to the health or welfare of the senior citizen or disabled person.

(3) Whether one or more senior citizens or disabled persons are substantially more vulnerable than other members of the public to the defendant's conduct because of age, poor health or infirmity, impaired understanding, restricted mobility, or disability, and actually suffered substantial physical, emotional, or economic damage resulting from the defendant's conduct.

Interesting Facts to Know About Medical Jobs


Unlike jobs in other industries, jobs in the health care field are continuing to grow. Both medical jobs and administrative jobs in health care facilities are growing because people are living longer and baby boomers are aging and becoming in need of more health care. If you are just beginning to consider looking for a job in the health care field, you will find that you have many options. Some jobs will require college degrees or special certifications while other jobs are available as entry level jobs. Most health care jobs require at least a high school diploma or a GED.

A physician assistant is one of the fastest growing health care jobs. A physician assistant does most of the same things that a doctor does, but they do it while being supervised by a doctor. Schooling to become a physician assistant usually takes at least two to three years.

Medical secretaries are also in great demand. They perform administrative duties in health care facilities such as hospitals, clinics, doctors offices and nursing homes. Although formal training above a high school diploma is not always required, employers will look favorable upon medical secretary training or at the very least a strong administrative background.

Along the same lines as medical secretaries are medical assistants. Medical assistants not only perform clerical duties, but also do some medical procedures such as taking and recording the temperature and blood pressure of a patient. They may also take the medical history of a patient and some even draw blood. If you are interested in a career as a medical assistant you can usually finish training in ten to eighteen months time.

Of course, physicians, surgeons and registered nurses are in great demand as are licensed practical nurses and licensed vocational nurses. Some RNs, LPNs and VPNs work in health care facilities while others provide home health care. It can take anywhere from eleven to sixteen years to fully complete schooling as a physician or surgeon. You can become a registered nurse in four years and a licensed practical or vocational nurse in one to two years.

Pharmacy is another job industry that is growing. Since you actually become a doctor of pharmacy it will take approximately eight years of schooling beyond high school to become a pharmacist. Pharmacy technicians and pharmacy assistants also work in pharmacies. Pharmacy technicians work under the direction of a pharmacist. While certification is not always required, a potential employer will look favorably upon an applicant who is certified. The pharmacy assistant generally works with the public and does not work with medications. This is an entry level job.

There are also jobs associated with the health care field that you can train to do and work from your home. Medical billing and medical transcription are two such jobs. Medical billing clerks bill insurance companies for services received by the patient. A billing clerk works in hospitals, doctors offices, clinics and some are independent contractors who work from their home. Most billers who work from home successfully have had some training and or experience working in an office setting. Medical transcriptionists transcribe doctors notes and must be proficient in medical terminology as well as have good transcription skills. Training can usually be completed in less than eighteen months. Like a medical biller, some work in traditional settings while other transcriptionists work from home.

As you can see, there are many medical jobs to choose from. Whether you are just entering the job field or looking to make a change, health care offers so many options. It is up to you how much time and money you want to spend to complete training and land your dream job in the health care field.

Senior Centers - The Importance of Our Parents Staying Active and Social


Senior centers offer independence for aging adult. They play a very important role in the lives of seniors today. But most of all, senior centers allow seniors to become and remain social.

Socializing can help seniors with depression. I know, you will say, mom or dad will not go to a senior center. Then make it easy for them. Go along with your parent for the day. Make it an outing and then take them to lunch. Any aging adult who is 60 years old or older can join a senior center. You can also see the things that a senior center has to offer that mom or dad might be interested in or enjoy. Knowing that your parent is at a center can reduce the stress and anxiety you may have about your parents sitting home watching television all day or being alone. The main thing is to get them out and about.

Senior centers allow seniors to develop a social network. They can make and meet new friends. Senior centers offer programs and services like crafts, bingo, fitness, dances classes, travel to theatres, museums, computer classes, health screening, informational speakers, daily meals, birthday luncheons to celebrate each member's birthday and much more. Each senior center usually publishes a monthly calendar with a schedule of daily activities or programs. To get your parent started, sign them up at your local center and tell them that they do not need to go everyday. They can start once a week, playing bingo, let's say. This way they will not feel pressured. You will see that before you know it, mom or dad will be visiting the senior center on a daily basis. The phone calls you will get will be about all the fun things they did for the day, or the new friends they met. They will not have time to watch television at all.

After my father died my mom became withdrawn and depressed. She stopped wanting to go out of the house. My friend suggested I take her to a senior center. My mom who is 80 years old and did not want to go to a senior center. She said it was for old people, but once we got her to go, and she saw what the senior center was about, we encouraged her to join. She started going once a week. Now she is full of life, going everyday, less depressed and so much happier. She now looks forward to each day. She can never decide what to wear. She looks better and feels better it seems. Each month she can't wait to receive her calendar to see what's going on at the center. She has made some new friends that she looks forward to seeing.

I feel seniors centers are the best thing around for seniors today. They allow our parents to keep in touch with their peers and feel important and independent as well as give meaning to their lives. For information on a senior center near you contact your local township.

Monday, November 18, 2013

What to Look For When Considering an Assisted Living Facility


Last year we were faced with the responsibility of taking care of my 83 year old aunt. Now that a full year has passed, we have come to the decision that she can no longer live on her own.

What is Assisted Living Care for Seniors?

Assisted living is housing that is directed towards seniors who can no longer live on their own, but don't require acute care or skilled nursing. These facilities provide the following types of services: secure housing, nutritious meals, assistance with medications, occupational activities and transportation to medical appointments. They usually have on-site 24 hour staff to assist with the needs of their residents.

When considering an Assisted Living Facility, here are a few things to consider:

1. Housing - Will the resident need a small efficiency or full-size apartment? Consider the floor plan when making a decision to make sure it meets all the needs of the resident/patient.

2. Cost - The majority of facilities will only accept private-pay, meaning that they rarely accept government or state money. Can you or your family member afford this type of facility?

3. References - Ask for references from current residents and their families.

4. State Certification - Inquire with the state licensing agencies to see if the facility has any complaints or code violations.

5. Availability - Is there a waiting list? If so, how long until a unit becomes available?

6. Transportation - Does the facility provide transportation to the resident for medical and dental appointments?

7. Cleanliness - Is the facility and grounds surrounding the facility clean? Who does the cleaning for the residents? Who takes care of the grounds surrounding the facility?

8. Occupational Programs - Do they provide extra curricular activities and programs that the residents can participate in? If so, are they included in the cost or are they additional?

9. Staffing - What kind of medical staffing do they have? Is this staff available 24 hours a day?

We have been interviewing and touring facilities for the past few months. I hope these tips will help you when considering if an Assisted Living Facility is right for you or your family member.

Reducing the Risk of Injury in the Elderly Patient at Home


Being a visiting nurse for the last 25 years has given me the opportunity to work with many seniors in the comfort of their own homes. One of the things I love about home care is that people can't wait to get back home when they have been in a hospital or skilled nursing facility. Visiting nurses make that happen. Now that the baby boomer generation has started to retire, the next ten years will see a tremendous growth in the number of seniors living on their own in the community. And while retirement has its benefits, unfortunately aging also comes with added risks. For instance, did you know that the number one risk for a senior living on their own is a fall? Many of which can have devastating effects. Stepping on a wet bathroom floor, walking on uneven ground in the yard, slipping on a rug that is not skid proof all may seem minor, but for an elderly person it may mean the permanent loss of their independence.

An aging population faces progressively deteriorating eyesight, less speed and agility and perhaps an unsteady gait. All of which can contribute to a higher risk of a serious injury due to a fall. As we age bone density tends to lower thus increasing the risk of fracturing a bone when a fall does occur.

The following are some safety tips applicable to all homes but especially for seniors, particularly those living alone:


  • House slippers with nonskid soles are a must. People with diabetes should not walk barefoot as they frequently have diminished sensation in their lower extremities making it easier to unknowingly acquire an injury to the bottom of their feet.

  • Furniture needs to be arranged so that lamps with electrical cords reach an outlet with minimum wiring exposed. If you must use extension cords make sure it runs against the wall where it cannot be tripped over. The same for any telephone wires and oxygen tubing.

  • Stepstools with a hand rail is a must for reaching higher shelves. Be sure it is fully opened before climbing.

  • Stairways need to be well lit. Use a higher wattage bulb in those areas. Hand rails on both sides is recommended for an elderly person going between two floors.

  • Make sure throw rugs have a nonskid backing and all loose carpeting is secured. Check the backing periodically as it does wear down over time.

  • The danger of slipping on a wet or soapy surface is one reason the bathroom is the most hazardous room in the house. Grab bars and nonskid tub mats or abrasive stripping helps reduce fall risks. Shower benches are great for getting in and out of the tub.

  • Be sure the bedroom has lighting that can be easily accessed when getting up in the middle of the night. Night lights are great for reducing fall risks at night.

  • Phones that can be carried on your person or a call alert device is imperative for an elderly person living alone.

Remember, there is no place like home... just be sure those ruby red slippers have good rubber soles!

Hidden Spy Camera - Preventing Nursing Home Elder Abuse


For millions of Americans the issue of aging parents and where and how to house them has become huge. And the bad news is it is only going to get worse. With more baby boomers getting to retirement age, a big demand is being placed on nursing home and assisted care facilities and especially their staff personnel. So far the existing system is strained to say the least.

What this leads to is nursing homes, assisted care and long term facilities sometimes making compromises when it comes to hiring staff. A missed background check, a missed reference check and worse add up to unqualified personnel being employed there. And home care caregivers and domestic help-OMG!

Even if you use an employment agency, there is no guarantee the person they send you is qualified-maybe just a warm body!

What can you do to protect your senior loved ones? Over one out of three assisted care facilities report some form of abuse or theft from patients. Seniors with dementia and Alzheimer's are particularly vulnerable.

In a home care situation the figures largely are undocumented so we really have no idea. I get anecdotal evidence from customers that are scary to say the least. I hear stories of trusted housekeepers stealing from the home; stories of new caregivers who are incompetent and are in the U.S. illegally; theft, elder abuse and more.

One way to prevent or catch the bad guys is to install a hidden spy camera. That is a small hidden camera with built in DVR that records images on an 8 GB SD card for easy retrieval and play back. Just remove the card and plug it into your computer and see what happened when you weren't there.

These new hidden spy cameras are disguised as everyday household items like an air freshener, alarm clock, wall clock and more-14 in all. No one would ever suspect that inside these working products is a camera and DVR to record video too.

Some new models are considered body worn applications making audio recording legal. They are disguised as a car key remote, wristwatch, ball point pen and stick mini camera. They all have a camera, microphone and DVR just less memory on the SD card. Of course these are less likely to be of assistance in a nursing home or for in-home surveillance but they do have their place.

When you need to keep an eye on a caregiver at a nursing home or caregiver and domestic help at your home to prevent nursing home elder abuse this is the best way to do it.

Negative Effects of Medical Malpractice


Every year, medical malpractice is a serious problem for thousands of people across the country. Procedure occurs when a heath care professional fails to provide a patient with a standard quality of care which results in injury or harm to the patient.

Medical malpractice can take place in any health facility by any type of medical personnel that can include doctors, nurses, hospital workers, dentists, eye doctors, surgeons,etc. An article published in the Journal of the American Medical Association (JAMA) noted that 'every year in the United States 12,000 patient deaths occurred due to unnecessary surgery, 7,000 deaths were caused by medication errors in hospitals, and 20,000 deaths resulted from other errors in hospitals.' The Journal of the American Association for Justice stated that a decade ago 'as many as 98,000 people died every year from preventable medical errors, costing the nation an estimated $29 billion dollars.'

That can result from a number types of mistakes such as anesthesia errors, birth errors, defective drugs, or products, medical experimentation, improper diagnosis, medication errors, nursing home abuse, surgical errors, wrongful death, failing to take appropriate medical action, and much more.

Medical malpractice can negatively affect all aspects of one's life, from the physical and emotional damage to serious financial hardships. Such hardships can include:

- Loss of Work
- Loss of Wages
- Permanent Disability
- Loss of Quality of Life
- Loss of Future Wages
- Soaring Medical Expenses
- Long Term or Life Long Medical Expenses
- Chronic Pain
- Disfigurement
- Emotional Trauma

When a death occurs as a result of negligence, or other liability, the surviving dependents or beneficiaries may be entitled to monetary damages in order to help pay for medical costs and other expenses incurred by the family of the victim.

'Medication errors are among the most common medical errors, harming at least 1.5 million people every year,' says a new report from the Institute of Medicine of the National Academies. The reported also reported that 'extra medical costs of treating drug-related injuries occurring in hospitals alone conservatively amount to $3.5 billion a year.' These costs have resulted in an increase in health insurance premiums.

Even after receiving sufficient information from patients, medical professionals can still make an incorrect diagnosis resulting in personal injury or death. If you feel that you have suffered an injury as a result of medical error, you may be able to file a medical malpractice claim. The best way to determine if you have a claim is to consult with an attorney that specializes in this claim.

If medical malpractice has been confirmed, you will still have to prove that resulted in injury or harm. If a attorney has proven injury or harm, then you may be compensated for:

- Medical Expenses (Current and Future)
- Rehabilitation
- Pain and Suffering
- Special health Care Assistance Devices and Equipment
- Care and Assistance in the home
- Loss of Wages (Present and Future)
- Travel expenses
- Punitive Damages

It is often difficult to know if you need a medical malpractice attorney. When you file a claim, your health care provider's insurance company may attempt to compensate you for the least amount possible. If you think you are the victim of malpractice, consulting with a lawyer that specializes in malpractice will help determine if there is a case. An experienced medical malpractice lawyer can help you recover compensation for many different types of losses due to the negligence of another working in the health care field.