Tips 2 Seniors | Meet the Author: Diane Masson

Speaker, Blogger & Senior Living Expert

ErikSogn_2014-07-26_Headshots_0039Diane Twohy Masson shares her personal and professional experience to help seniors and their families navigate the Silver Tsunami.

 

The author spent two years exploring senior housing options with her mom before finding the ideal Continuing Care Retirement Community. After enjoying eight successful years in an independent living setting, her mom suffered a fall and the onset of dementia. This daughter helped transition her to assisted living — in the nick of time. Seven years later, even this expert struggled making the dramatic decision to move her mom long distance into a skilled nursing community.

 

Diane Twohy Masson has worked in Senior Housing since 1999 and is an award-winning Certified Aging Services Professional (CASP) with a B.S. in business management and a minor in marketing from Central Washington University. She can share behind the scenes insider tips and advice after mystery shopping 300 senior living communities. Diane and her teams have helped thousands of seniors move into multiple styles of senior living, but she learned the hardest move is helping your own parent.

 

Diane Twohy Masson is the best-selling author of “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” available at Amazon.com with a 5-star rating. The book is required reading at George Mason University as a part of its marketing curriculum. Within this book, the author developed a sales method with 12 keys to help senior living providers increase their occupancy.

 

She enjoys public speaking, golfing, traveling, Disneyland, bird watching, writing, hiking, camping, reading, scripture study, and spending time with her family.

My Personal Story…

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Tips 2 Seniors Blog

Articles & Resources for Seniors by Diane Masson

“Your Senior Housing Options,” Channel 6 Interview with Diane Masson

“Your Senior Housing Options,” has a simplistic title, but what’s inside this new book can save you months of research time.  Hear Diane Masson’s interview of how her mother and in-law’s faced the pivotal decision to plan ahead or wait until a crisis.  Learn the pitfalls from transitioning from your home to senior housing.  Understand what questions to ask, insider tips and dirty secrets revealed.  The decision to stay home requires caregivers.  Prevent elder abuse by determining if a home care agency is reputable, before they move into your home.  You are just not looking for today’s needs, but for your future care.  Discover key differences between rental facilities vs Continuing Care Retirement Communities.  Do you have enough financial resources if you need to be in a higher level of care for an extended period of time?   Please enjoy my new interview.  For more info: Www.Tips2Seniors.com  Diane Masson is a senior housing expert, the author of two books and regional marketing director for two debt-free Continuing Care Retirement Communities in Southern CA: Freedom Village in Lake Forest and The Village in...

Worthless Power of Attorney?

It’s hard to be an advocate for a senior for years on end. I advocated for my own mom (with vascular dementia) for over 10 years, until I recently lost her. Advocacy is not an easy job and it can entail sleepless nights of concern. It’s vital to select a Power of Attorney (POA) who currently knows you well enough. If you can no longer speak on your own behalf, your POA needs to know if you are over medicated or sedated just by looking at you. They need to know your baseline so they can help you and reverse the issue or accelerate an outcome in a timely fashion. The POA’s main purpose is to comply with your wishes that were indicated before you became incapacitated. They should always protect your best interests both mentally and physically. Over medication is a growing problem for seniors. I have heard many stories of hospitals overmedicating seniors. My own mother-in-law was over sedated in the emergency room. She has Alzheimer’s. They had no room in the psych ward and she was drug restrained for three days and two nights in the emergency room. Sigh… It has taken us four months to get my mother-in-law off Haldol. Psychotropic drugs and dementia do not mix well. Her POA thought the doctors understood what they were doing tapering off the medication. Unfortunately, my mother-in-law’s doctor admitted to knowing nothing about psychotropic drugs and was relying on others to advise her. Gulp… What a mess! We are talking about seniors’ lives… Neither the doctor nor the POA knew what to do about my mother-in-law’s medications...

New RESOURCE BOOK for SENIORS

It is important that seniors make a plan while they are healthy and well OR they will find themselves in a situation where family members have to “put them someplace.” My in-laws waited for a health care crisis that you can read about HERE and the adult children were forced to “put them” in more supportive environments. The doctor told my father-in-law that he needed 24/7 assisted living care and another doctor required that my mother-in-law with Alzheimer’s move into a secured memory care simultaneously.  How do you find a good retirement community, assisted living, memory care or skilled nursing care? “Your Senior Housing Options,” gives tips and advice on exactly what questions a senior needs to ask in order to determine if a senior living provider is great or mediocre. Almost every week I speak to 50 to 75 seniors about their future health care and housing options. Two months ago, I created a new presentation based on my book, “Your Senior Housing Options.” What an impact it has made. Seniors share how grateful they are for clear and concise information that they can apply immediately in making a decision for themselves. This is my passion and I want to help seniors make a wise choice. The book articulates the costs and consequences of the various senior living options. I share the ramifications of waiting too long and how a senior can save money and stress by planning ahead. Seniors can take away valuable tips they can utilize immediately as they begin to research and explore long-term health choices. Most seniors have no knowledge of how to select...

Irreversible Consequences of Drug Restraints in Memory Care?

Adult children just want their parent with dementia to be okay. Most do not have a clue on psychotropic (mind altering) medications or how they work. Families rely on professionals to recommend doses and medications for their senior parents. If a professional doctor or memory care community says that our mom or dad needs these medications, we tend to accept their wisdom. We are programed to not question authority. Yet when a parent is sedated in a drugged stupor over an extended period of time, more adult children are starting to ask why. At this point it can be too late for a senior with dementia. Psychotropic medications can have a lasting affect on a senior with dementia. Seniors may never be able to return to their baseline, before taking psychotropic drugs. My mother-in-law was given Haldol and now does the Haldol shuffle. It is a continuous stand up, walk, sit down and then it starts all over again. It is so sad to watch and they can’t stop. A professional told me it’s like their skin is crawling and they have to keep moving to make the feeling go away. When we recently brought my mother-in-law her favorite Greek food for lunch, she sat down in front of her favorite foods at the table and then immediately stood back up and started the Haldol shuffle again. She had no desire to eat her favorite foods. It has taken four months for the family to get her off the Haldol. My sister-in-law had to physically take my mother-in-law to her primary care physician and demand for the Haldol to...

Comatose in Memory Care (Three memory cares in four months?)

My mother-in-law who got over drugged in the hospital several months ago is now in her second memory care community in Seattle. The first high-end memory care community in downtown Seattle wanted to follow the doctor’s recommendations of sedation. It took me three days to get the drugs reduced by half after I saw my overmedicated mother-in-law. Then the second memory care community promised our family that they would get her off the reduced Haldol dose. We believed them and paid a hefty community fee (a one time move-in fee) Sigh… It’s been almost two months in the second Memory care. We had an unproductive care conference about two weeks ago. When the family talked about changing the psych drugs the conversation led to considering Amy as a candidate for hospice because she was not eating. What? It turns out one of the drugs she began in the hospital was also an appetite suppressant. She was overmedicated in the hospital because there were no rooms in the psych ward, so my mother-in-law stayed in the emergency room for three days and two nights. Getting the picture of sedation now? My sister-in-law is on the warpath. She is demanding changes for her mom and talking about moving her to a third place. Will it help? The second memory care called my husband to see if they could save the move out. He simple said, “You have known that the family wanted my mom off the Haldol. How many phone calls and faxes have you made to the doctor to make that happen?” The administrator started to back pedal. My sister-in-law...

Unresolved Mom Issues at Death

Here is a painful subject that I am going to bring up. Hundreds of people have reached out to me in the last week since my mother passed. So many of them shared a story about their own mom passing. Some were wonderful experiences that they will treasure and others were not. Sudden deaths are very hard. Every personal death I have experienced in my life was sudden, except for my mom’s death. You can read about my mom’s passing experience HERE. You either had a loving caring parent or you did not. This article is for those who did not. Many vulnerable sons and daughters were abused by either their mom or dad, sometimes both. We live in world that accepts dysfunctional families now. Family abuse that was hidden in the 1950’s and 1960’s can now be accepted in the mainstream. There are resources and counseling available so abused children (who have become adults) can acknowledge the abuse and move on. My mother was abusive to all her young children. You can read my article MEAN MOM, NICE MOM and DEMENTIA HERE. A wonderful counselor changed my life for the better and his recommendation is explained in my article MEAN MOM, NICE MOM and DEMENTIA HERE. My mom and I enjoyed over 20 years of a good adult relationship. I forgave her. Many of you know I have advocated for my mom’s care needs for the past 10 years. So what happens if an abused adult son or daughter still has unresolved issues at death with mom? Do they go to the funeral? Do they have a free pass not...

Advocacy for my Mom Until Death

My mother’s blood sugar spiked to 400 on Monday and 520 on Tuesday. She was fighting a UTI and ecoli. At 92, her body tried to fight it off. The doctor said the antibiotics would either work in two days or she would go down hill fast. It was the later. The care ambassadors and nurses at Freedom Village were amazing. I lost count after twenty-three staff came in to say good-bye and provide loving care. One care ambassador said, “I’ve known your mom for two years and she was my family.” Another said, “Everyday she would greet me in the hall and compliment what I was wearing that day.” My favorite was someone reminding me of her love of cats and how she usually had one with her or would respond to the mechanical one that meowed, purred and moved. Her face would light up with joy. My mom lived in a higher level of care for nine years. Seven years in assisted living and almost two years in skilled nursing in Lake Forest, CA. Six years ago, a doctor made a comment that her life was not worth living because she had dementia and couldn’t remember anything. I replied, “How many of your patients said thank you and complimented you today?” The doctor sheepishly said, “Only your mom.” I said, “Then she still is fulfilling her purpose isn’t she?” The doctor backed off and gave the best care until my mom left that Seattle hospital. Through nine years of advocacy for my mom, I have done the best I was able, making decisions with the knowledge that...

Do You Know Someone With Dementia That Drives?

What about you? Does one of your loved ones have dementia and still drive? Dementia drivers are jeopardizing other citizens walking in crosswalks and driving. My father-in-law was driving with a diagnosis of macular degeneration. He justified his actions by only driving in the daytime and limiting himself to a 5-mile radius to run errands and go the doctor. As his dementia progressed he got lost driving home within this radius. He chose to give up driving on his own. A friend told me about my mother driving several years ago. They said, “I saw your mom driving today, she can’t even see over the steering wheel. She is looking through the steering wheel in order to see the road.” I was horrified. This was completely unsafe. I still vividly remember the last time I drove with my mom. She was straddling two lanes (on the same side of the road). She said, “Diane, I know this looks bad, but I know exactly what I am doing.” I was terrified.  It was the beginning  of her dementia. A resident of a senior living community drove into another resident’s balcony. As he was parking the car, the senior hit the gas instead of the brake. After backing up, he made the same mistake again and rammed the balcony a second time. Afterwards, he was disoriented and could not remember how the accident happened or why he hit the gas twice. He did not give up his car keys after this incident. The resident whose balcony was destroyed requested to have the parking place right outside his apartment home, because he...

“Doesn’t Medicare Pay for Long-term Care?”

Many seniors believe Medicare will take care of everything. It is an unfortunate perception that is inaccurate. Two days ago, I was presenting senior living options to a group of seniors. One senior raised their hand and asked how Medicare fit in the picture of paying for senior housing. Here was my answer, “You have worked hard your whole life to have Medicare insurance. Most seniors have Medicare, a HMO and supplemental insurance. These will help you pay for doctors, hospital stays and up to 100 days of skilled nursing care (if you have a qualifying hospital stay).  Medicare will not pay for any long-term care such as support in an assisted living community, long-term skilled nursing care or memory care.  (I know this was a short version of a long answer.) Many seniors were surprised…here is some info from Medicare: “At least 70 percent of people over 65 will need long-term care services and support at some point. ‘Medicare and most health insurance plans, including Medicare Supplement Insurance (Medigap) policies, don’t pay for this type of care, sometimes called ‘custodial care.’ Long-term care can be provided at home, in the community, in an assisted living facility, or in a nursing home. It’s important to start planning for long-term care now to maintain your independence and to make sure you get the care you may need, in the setting you want, in the future.”  This is a quote from the official Medicare and You 2014 Handbook, page 63. Have you encountered this misperception that Medicare will pay for long-term care? Diane Twohy Masson’s new guide book for seniors, “Your Senior Housing...

Witnessing a Mini-Stroke (TIA)

My sister-in-law witnessed my father-in-law, Bill, having a mini-stroke (TIA) this week. What a heartbreaking story. She was sitting with him in the living room and noticed his face droop on one side. Then his speech became garbled. It was over in two minutes and he could talk fine again. He had no idea it happened.    She was understandable traumatized and wanted to talk about it. My husband and I are 1000 miles away and applaud her efforts to care for my father-in-law in her own home till he passes.  We both think she is a saint.  Through my Internet research it says a TIA is a mini-stroke. TIA’s can be warnings that a bigger stroke can be coming. In my mom’s case, she has had so many TIA’s that she has been diagnosed with vascular dementia. I have never personally witnessed a TIA with my mom.       I guess you could say we were lucky it was only a TIA with Bill. Unfortunately, my father-in-law is now on hospice. Hospice is comfort care, so the goal is no hospitals or ambulances if at all possible. Every caregiver, family member and senior living professional should know the signs of a stroke and what to do. Stokes can cause permanent damage. If you get someone to a hospital in time, it can reverse the affects of the stroke. Go to www.strokeassociation.org to learn more. They say you should act FAST! FAST stands for: face drooping, arm weakness, speech difficulty and time to call 911. Have any of you encountered or witnessed a TIA or stroke? Diane Twohy Masson’s new guide...

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