Page 54 - Senior Link Magazine Spring 2023 - Online Magazine
P. 54

SENIOR RESOURCES








             GETTING THE MOST OUT OF






         NURSING




          HOME






          CARE









           By Lee Franks

              n my elder law practice, I often   maintain an ongoing role in their   decisions for the resident unless
              work with clients transitioning   loved one’s care but also to provide   the resident is incompetent, or the
          Ifrom home or assisted living      an opportunity for the family then   resident is competent but asks the
           to long term care in a nursing    to focus on the care and attention   agent to make a decision. The agent
           home setting. Commonly, my        that only the family or original   can only seek medical information,
           clients’ families find themselves   caregivers can provide.         and the agent should understand
           overwhelmed with selecting a                                        that he or she cannot make the
           facility, paying for the care, and   First, I want a nursing home   resident take medicine or submit
           adjusting their own caregiver     resident to have an effective     to treatment that the resident does
           roles to the new circumstances.   Medical Power of Attorney         not want, even if competency is in
           Frequently, family members        (MPOA), ideally one that complies   question.
           struggle with the feeling that    with Chapter 166, Subchapter D,
           they are abandoning their loved   of the Texas Health and Safety    Second, the resident should have
           one or breaking a promise to      Code. In addition to naming only   a broad HIPAA Release and
           keep the loved one at home or at   one agent, the MPOA should name   Authorization with the full names,
           least out of a nursing home. Even   at least one alternate agent, if not   addresses, and best phone numbers
           caregivers, who are more resigned   two or three. It should contain the   for everyone on the MPOA. The
           to the inevitable, worry that they   full names, addresses, and best   alternate agents generally cannot
           will have difficulties ensuring a   phone numbers (usually cell phone   obtain the resident’s medical
           satisfactory level of care for their   numbers) for the agent and each   information using only the MPOA.
           loved one. For those open to it, I try   alternate. Additionally, the agent   In addition, I advise including full
           to reframe the transition by having   should understand very clearly   names, addresses, and best phone
           them consider the facility staff as a   what powers the MPOA does   numbers for any other reasonably
           whole new crew of caregivers who   and does not grant. For example,   competent individuals who
           will enable the family not only to   the agent may not make medical   would likely visit the resident in






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