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

Evaluating Memory Care or Assisted Living Community Costs

Finding an affordable memory care or assisted living community can be a daunting task. Even this senior housing guru had to plan strategic questions before touring four memory care communities for my mother-in-law. See the questions HERE. My husband and I flew 1000 miles to Seattle. We only had two days to tour memory care communities in the Seattle area. This required researching the Internet, calling former senior housing colleagues for recommendations and scheduling tours before we left. The timing was tricky because our limited time included visiting with my husband’s mom. My husband created a spreadsheet to compare costs between these four memory care communities. The pricing is so complex that even someone working in the senior living field (like me) had trouble figuring out the monthly cost for my mother-in-law. Care points, care levels or all inclusive costs? Most assisted living and memory care communities seem to have a charge for room and board, then additional costs for care. Pricing can be very gray and feels like an illusion of smoke and mirrors. Care costs can be priced on a point system or a level system. My mother-in-law, Amy, was assessed at 223 points at her current memory care community. Care costs varied dramaticly.  Some of our tour guides were actually guessing what level of care or point total she might be, before a nurse could assess her. This is what makes pricing difficult to compare. The community recommends that you to move her in and then they will figure out the monthly price. Sigh… Here were the room and board costs of four memory care communities...

Drugging and Diapering Seniors??

Apparently drugging and diapering seniors in the hospital is common knowledge in higher levels of senior living care, such as assisted living, memory care and skilled nursing?!!? This is horrifying new knowledge for me. I am all about exposing dirty secrets in my new book, “Your Senior Housing Options.” So let me share what I have recently learned through my mother-in-law’s experience. My mother-in-law, Amy, has dementia and was cared for by my father-in-law for the last several years. Three days after he had a heart attack, she became psychotic. My husband and I had to hire a geriatric care nurse to help her because we live 1000 miles away. Learn more of the story HERE. It took over two weeks to get Amy admitted to the hospital (it’s a long story). Initially, we were relieved that she was going to get the psychotropic drugs she needed. Since Amy was in crisis mode, we didn’t dwell on her being diapered because of diarrhea. She’d had colon cancer 25 years ago and has self-managed her own colon care with diarrhea medications for years. Costs for Incontinence As she was in the process of transferring to a secured memory care, I was promised that they would be diligent about avoiding Amy’s trigger foods (that cause the diarrhea). My assumption was that she would surely regain continence again. This was vitally important, because incontinence can cost an additional $300 to $1,000 per month depending upon the assisted living community. My Mother-in-law Was Over Sedated We flew to Seattle to see Amy and to help find a reasonably priced memory care community for her....

New Book “Your Senior Housing Options” Available

“Your Senior Housing Options” is available now on Amazon.com. As we age, it’s never easy to face the prospect of what to do when we need living assistance. But the reality is that two-thirds of today’s seniors will eventually need long-term care, with 20 percent needing it for longer than five years. If you are a retirement-age baby boomer or senior, don’t wait for a health crisis to occur. You owe it to yourself—and your family—to plan for the future today. Although we’ve all heard horror stories, great facilities where residents are treated like gold are out there. How do you find them? You have to do your homework, ask the right questions, and look beyond the superficial to find what’s right for you. With experience as both an industry expert and a loving daughter, Diane Twohy Masson is passionate about helping seniors find the retirement community that fits their price range, lifestyle, and needs. This brand new guidebook offers a proactive approach to navigating the complex maze of senior housing options. It will help you understand the costs and consequences of the various possibilities including home care, independent living, assisted living, group homes, memory care, and skilled nursing care facilities. Order a copy of this valuable new resource by clicking HERE. A valuable source of information by someone who works in the trenches. Whether you or a loved one are currently facing challenges, or if you simply want to be prepared for what you may face in the future, this provides the necessary tools. Knowledge is power.          Steve Fairfax, Currently helping my neighbor who...

Finding Affordable Memory Care for Mom

My mother-in-law is currently in a secured memory care community. The price is very high – $6750 for 30 days of respite care. If we don’t move her within two weeks, the community fee for a permanent stay will be $10,000 and her monthly fee will be $9,000 a month. Are you kidding me? Who can afford this? She was living in her own home six weeks ago, but a crisis you can read about HERE has left her adult children scrambling to find a permanent solution for my mother-in-law. My husband, Chris, and I work in the senior housing profession, so who is better than us to evaluate the choices. We flew 1000 miles yesterday to be the experts on the ground in Seattle. We are going to visit three memory care communities today and one or two tomorrow. The best way to evaluate and compare retirement communities is in a short span of time. The crème always rises to the top. We can’t base our decision on what the community looks like, the size of the rooms or the wonderful sales person. We are going to dig deeper and ask the following questions of each memory care community: What is the staff turnover? We want to see longevity of staff – particularly in the administrator, nurse, caregivers and possibly the chef. Do the staff and residents look happy? We will talk to some of each. What will be my mother-in-laws quality of life? What programming is offered? How often does live entertainment come in the building? How will they minimize her anxiety? How many hours does the nurse...

Worried Sick 1000 Miles Away (part 2)

Last week I shared the trauma of an adult child witnessing two parents in crisis at the same time. You can read about that here. Originally my father-in-law, Bill, had been hospitalized from a heart attack and was now going to be discharged from a skilled nursing care community. My mother-in-law, Amy, has Alzheimer’s. She had a psychotic break after her husband Bill was hospitalized and was to be released from the locked psych ward at a hospital on the same day. The local children requested that their mother’s release be postponed till they settled the dad. So we had one week to find a quality memory care community that was secure (locked so a senior with dementia or Alzheimer’s can’t wander into the street and be injured or killed). My husband and I had done our homework to find a senior living community that would be appropriate for Amy (we started our senior housing careers in Seattle). Admission requirements Admission to any senior living community usually requires the senior, family and/or the Power of Attorney (POA) to fill out paperwork to show financially responsibility, an assessment of the future resident’s medical records and an in-person interview. Coordinating an admission from the hospital My husband, Chris, and I had coordinated with a locked memory care community that had an excellent reputation and was located by a local son. It was perfect. They called us on that Monday and told us they were full. Now what? They said no worries we have a sister community who has a room. We said okay. By Tuesday night the sister community had not...

Worried Sick 1000 Miles Away (part 1)

Aging parent’s decisions can drive us crazy or make us sick. When a parent with dementia stubbornly chooses to stay home, it can be heart breaking for the adult children. Watching a senior’s vitality fade is hard enough. But for an adult child to witness a parent’s poor hygiene, lack of nutrition by eating frozen dinners (not fresh food) and to see the absence of good judgment is tough and sad. Some of us never get sick. Yet here I am, literally worried sick about my in-laws. A month ago my father-in-law, Bill, had a heart attack. My mother-in-law, Amy, with dementia was left alone for the majority of three days and nights as the local children rallied around the dad at the hospital. They did make sure she had food and medications. My husband and I hired a geriatric nurse to evaluate and help Amy. The nurse was to be our eyes and ears, since we live 1000 miles away. By the time the nurse intervened, Amy had become psychotic and had trouble recognizing her own children. To make a long story short – my father-in-law never wanted to move to a retirement community or assisted living. He actually told my husband and I (working in the senior living business) that he understood that he would be waiting for a health crisis. Well a crisis is one parent in the hospital and we had two. Over the last month, Bill improved enough to graduate from the hospital, to rehabilitating in skilled nursing care, to living permanently with his adult daughter in her home. He was told by professionals...

Self-destructive, stubborn, selfish or stupid?

Don’t we all know a friend or parent who fits the description of self-destructive, stubborn, selfish or stupid? What do you do? Love them or fight them? How can you help someone who refuses to believe there is a problem? You can’t make a parent be compliant with his or her doctor and you can’t force a senior to move into a higher level of care. As seniors age, medical problems tend to increase. All sorts of progressive diseases can ravage a senior’s body and create havoc mentally and physically. Uncooperative Parent? My friend Grace’s dad has been defiant about his dialysis treatments for seven years. Dialysis is a medical procedure for people whose kidneys are failing. The treatment helps clean your blood and remove toxins from the body. If you refuse treatment you die a painful death. Richard is supposed to have dialysis three times per week. His pattern of behavior is to refuse treatment till he is in crisis mode and has to be hospitalized. Then he feels good, skips a treatment, toxins build in his body, and he goes back into crisis mode again. When Richard does not show up for his dialysis, they call his adult daughter who lives 45 minutes away. She used to drop everything including walking away from work to plead with her dad to accept treatment. Sometimes her waterworks of tears would be effective and other times he still refused treatment. Crisis calls every week for seven years is a long time. Anyone of us would be burned out. The police have called my friend and threatened her with elder abuse...

Hoarding Seniors and Walkers Don’t Mix

A hoarding senior who needs a walker is not a safe combination. As hoarders age, the clutter can make a senior fall. It can be practically impossible for an emergency crew to extract a fallen senior out of living room that is piled high with paper, extra furniture and trash. I know of a senior in my former senior living community that was wedged in between tiny pathways of books, magazines, unopened mail and clothing. A friend of mine is dealing with a senior hoarding situation. Her father-in-law can only navigate through four rooms and has to climb over stuff to get into his bed. This gentleman is 98 years old with dementia and requires a walker. Recently he injured his leg on a lawn mower that was in his living room. (You can’t make up this stuff.) More trip hazards included extension cords laying on the floor and throw rugs. Whenever his son tries to get rid of stuff the dad refuses. So there are three sofas in the living room and none are accessible. The son bought his dad a new flat screen TV and VCR. The new gifts were duct taped on top of the broken TV and VCR. When the dad received a new recliner for Christmas, it was positioned next to the old run down model. Every attempt to declutter is met with an irate senior who refuses to part with anything. He should not be in this cluttery filthy home with a walker. A daughter is enabling him by bringing him groceries and medicine. There are piles of crap everywhere and you can...

Flu – Better at Home or Senior Community?

It’s flu season and I unfortunately succumbed with a 100.8 temperature reading and a horrible cough. My husband, Chris, was sicker than I. As we nursed each other back to health, I thought about single seniors trying to manage flu symptoms alone in their home. What if a senior didn’t have enough groceries stocked at home? What if they were too weak to even make themselves a can of soup? Would they monitor their own temperature and take Tylenol every six hours?   What about drinking enough liquids? Will anyone check on his or her well-being? The flu has not struck at the Continuing Care Retirement Communities that I represent. It makes me feel good to know if one of our residents got the flu, in the independent living setting, room service could bring them a meal of soup, fruit and tea or what they need to start healing. If a senior resident wondered if they need to be hospitalized they could walk down the hall to the complimentary wellness clinic and ask the nurse. If they were really bad the senior resident could pull their emergency cord and a nurse or emergency medical technician would come help them. Wow! I did not have that luxury. Frankly, I could have used it Friday night when I considered going to the emergency room, because it was getting hard to breathe. Assisted living and skilled nursing support residents 24-hours a day, so if a senior got the flu, they have caregivers who can nourish them back to health. Some critics might say that a community setting promotes the spread of flu, with...

Seniors Choosing Isolation?

What a sad circumstance for seniors to be alone during the holidays. Is the isolation voluntary or involuntary? My poor mom has ecoli and was put into isolation at her skilled nursing community. Everyone has to wear a gown, gloves and a mask to enter her room. She will NOT get to dine with her fellow residents for four more days. Fortunately, she is more than halfway through her antibiotic and feels good now. She was in great spirits today and even invited me to stay for lunch! Some seniors become isolated as they age in their home like my in-laws. They refuse to move to a retirement community. Both have dementia and neither of them drives. They are 100 percent dependent on one local son to bring them groceries, take them to the doctor and socialize with them. Is this enough human interaction? I don’t think so. Other seniors determined to stay at home, use home care and become dependent on a single caregiver. Is this a healthy life? The rest of us interact with 10 or 20 people a day. What happens when someone only interacts with one person, day after day, month after month? Many years ago, my mom was in this situation and it was when the memory issues began. Every senior faces a choice to plan ahead by moving to a senior living community or wait until a health care crisis and live with the consequences. I hope and pray that more seniors chose multiple human interactions by moving to a senior living community. My mom started to thrive again after she moved to assisted...

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