• October 7, 2013 /  Estate Planning Thoughts

    financeThis is one of the basic items for estate planning. When in the mood, one thinks about a will or a trust or who to name as executor (will) or successor trustee (trust), putting the house into the trust, who gets what precious and valuable items, how to divide the estate among the family beneficiaries (if they receive anything at all) and what to do at the end of one’s life but the beneficiary of a company retirement plan or IRA or SEP IRA or even a simple bank account frequently gets overlooked.

    Here is an article from Market Watch on Yahoo Finance that might stir you to action if you haven’t looked at it previously.

    Enjoy!

    Serving Auburn, Lincoln, Roseville, Rocklin, Sacramento, and the counties of Placer, Sacramento, Sutter, Yolo, Yuba, El Dorado, Nevada and even Humboldt.

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  • October 3, 2013 /  Special Needs

    Here is an article from Ken Covinsky on Kevinmd.com.

    smiling nurse I too, have found that not only are the nurses and doctors in an assisted living and skilled nursing have a lack of concise or correct information to the recent care of their patient in a hospital but also the patient’s primary care doctor (PCD) lacks the same information! Each time I have had my client come back to their respective communities, I have had to readdress the medications given them with their PCD as well.

    In advocating on my client’s behalf, I request the attending physician in the skilled nursing community work with my client’s PCD. The PCD usually does not want to “interfere” with the skilled nursing doctor but, as far as I am concerned, the PCD are the ones who know my client’s medical history the best and are most likely to better understand their needs.

    Serving Auburn, Lincoln, Roseville, Rocklin, Sacramento, and the counties of Placer, Sacramento, Sutter, Yolo, Yuba, El Dorado, Nevada and even Humboldt.

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  • September 26, 2013 /  Dementia

    Urinary Tract Infections and DisorientationUrinary tract infections (UTI) can cause serious health problems. A urinary tract infection is caused when bacteria in the bladder or kidney multiplies in the urine. Left untreated, a urinary tract infection can lead to acute or chronic kidney infections, which could permanently damage the kidneys and even lead to kidney failure. UTIs are also a leading cause of sepsis, a potentially life-threatening infection of the bloodstream.

    According to the National Institutes of Health (NIH), the population most likely to experience UTIs is the elderly. Elderly people are more vulnerable to UTIs for many reasons, including their overall susceptibility to infections due to the suppressed immune system that comes with age and certain age-related conditions.

    The normal symptoms of UTI’s are urine that appears cloudy or bloody, a strong or foul smelling odor, the frequent need to urinate, painful urination, or low grade fever. A UTI in the elderly can be mistaken for disorientation, confusion, a delirium like state, agitation, or hallucinations.

    I have found that there is a high likelihood that if these symptoms develop suddenly that there may be a UTI involved. I also look for a UTI to develop if there has been a recent surgery, especially on the hips.

    This was true of a case I took on where my client had been declared by the attending doctor to be without capacity, had lost her appetite and the staff was recommending palliative care. I spoke with a couple of people who knew her for a long time and noted that she seemed to have lost her memory and reasoning functions rather rapidly. She had just had a major surgery (hip), and been in a skilled nursing community for a month. As her newly appointed agent for her medical power of attorney, I asked for her records and determined that they had not completed a urine test on her so I ordered one. The next day they reported she had a bladder infection (part of the UTI) and put her on antibiotics. After a full week of medication the UTI was gone and she had significantly recovered memory and reasoning abilities. The doctor completed a reassessment (he used the mini-mental exam) and she passed thus “regaining” capacity.

    Not everything is this easy nor do I always have such a wonderful outcome but it is worth evaluating the patient/family member/friend starting with the simplest things (UTI and/or major surgery) before going to the more complicated treatments.

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  • September 4, 2013 /  Resources

    seniors brew festPlacer County’s finest wineries, microbreweries, cuisines, chocolates, live music, raffle, silent auction.

    The Fall Wine & Brew Fest is a fundraising event that supports the vital senior services and programs provided to Placer County seniors, helping them to remain independent and in their home for as long as possible.

    • When:   Saturday, November 2, 2013
    • Time:    5:00 p.m. – 9:00 p.m.
    • Where: Ridge Golf Club and Events Center, 2002 Golf Gourse Rd., Auburn, CA

    Tickets are $40 each in advance and $45 at the door.

    Visit the Fall Wine & Brew Fest website for more information.

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  • August 29, 2013 /  Special Needs

    I had a blind guitar instructor in college. He knew his way around campus (Sac State) and was more than proficient playing the guitar. He didn’t need help, taught me the right way to “guide” him (he held on to my arm) when he needed help in negotiating or was lazy in using his stick, and amazed me with his independence.

    One day he was teaching me a fancy lick on the guitar and all of a sudden he “disappeared”. I mean, not physically but mentally…personality left. He was quite for a few moments and then asked, “Where am I, who are you?” I asked him if he was okay and he started getting agitated so I told him my name and that we were in his house. He asked what was going on and why he couldn’t see anything. At that moment I remembered that sometimes when someone “blanks” out that it could be a form of epilepsy.

    the arc logoI don’t know why I should think of that right then but I decided to “play along” with him. I told him that the lights went out, we were waiting for them to come back on and that, in the meantime, I was playing guitar for him. So I asked if I could continue and he was okay with that.

    When he “came back” he again, asked what happened. This time I used his name and asked him, “Is that you?” Answering in the affirmative he asked if I understood what just happened. I told him that I guessed that he had an epileptic episode and he confirmed it. He was pleasantly surprised that I would know that and apologetic that he hadn’t told me that he had seizures in the past but hadn’t had any for a couple of years. He was the best guitar instructor I ever had and miss him and his corny jokes.

    The point is that I was prepared and that is one of the messages of The Arc organization. They want the public to understand and be prepared for including those with intellectual and developmental disabilities into their world. They also advocate on their behalf and provide resources.

    Please visit the national website http://www.thearc.org/who-we-are and then go to the state site http://www.thearcca.org/ and finally our local site in Roseville http://www.thearc.org/.

    Serving Auburn, Lincoln, Roseville, Rocklin, Sacramento, and the counties of Placer, Sacramento, Sutter, Yolo, Yuba, El Dorado, Nevada and even Humboldt.

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  • August 27, 2013 /  Miscelleaneous

    Social Security Benefits for Same-Sex CouplesSocial Security is now processing some retirement spouse claims for same sex couples and paying benefits where they are due. See: http://ssa.gov/pressoffice/pr/doma-statement-pr.html and http://ssa-custhelp.ssa.gov/app/answers/detail/a_id/2488/related/1.

    I serve the counties of Placer, Sacramento, Sutter, Yolo, Yuba, El Dorado, Nevada, and even Humboldt.

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  • August 20, 2013 /  End of Life Issues

    Man and woman planningI was reading Ashlea Ebeling, a Forbes staff writer, the other day by way of a suggestion from Elise Baker, an attorney in Rocklin Ca., on the topic of Payable On Death (POD) accounts.

    POD accounts are set up so that when the owner dies the funds automatically go to the beneficiary (hence; Payable on death). The beneficiary is not able to access the funds while the owner is alive (with or without capacity) and it avoids probate. They can be a great estate planning tool but…

    Like everything, this tool needs to be carefully used. Ashlea shared a couple of scenarios where it was the wrong tools are not used correctly. If you have a question about this please contact your estate planning attorney, they may help make settling your estate go smoother…which is what I do on your behalf.

    I serve Placer, Sacramento, Yolo, Yuba, Sutter, El Dorado, Solano and even Humboldt counties and your first consultation is free.

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  • July 19, 2013 /  Basics

    walk to end alzheimer'sDementia is a reorganization of the brain resulting memory loss, hallucinations, and general breakdown of bodily functions. Alzheimer’s disease is one specific subset of dementia. The Alzeimer’s organization (www.alz.org) reported July 17, 2013 that those who notice memory loss or issues with decreasing ability toward organization may actually be sensing the onslaught of dementia far in advance of what any test would show.

    Visit www.alz.org for more information. There are some articles from papers around the country reporting the study.

    If you live in the Sacramento area their fundraiser “Walk to End Alzheimer’s” will take place October 5, 2013 at the State Capitol (South Steps) at 8:00am. Contact: Sacramento Walk to End Alzheimer’s 31915 Rancho California Road #200-438 Temecula, CA 92591

    In the Yuba City area the Walk takes place September 21, 2013 at the Feather River Parkway 8:00A.M. Contact Ericka Smith Phone: 650.962.8111 Email: esmith1@alz.org

    I currently serve clients in the counties of Placer, Sacramento, Yolo, Yuba, El Dorado, Solano and Humboldt. Depending on the situation, I can serve clients in other counties as well.

    Please call 916-220-3474 for your first hour free consultation.

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  • July 12, 2013 /  Basics

    fiduciaryAccording to Wikipedia, “A fiduciary is a legal or ethical relationship of trust between two or more parties. Typically, a fiduciary prudently takes care of money for another person. One party, for example a corporate trust company or the trust department of a bank, acts in a fiduciary capacity to the other one, who for example has funds entrusted to it for investment. In a fiduciary relationship, one person, in a position of vulnerability, justifiably vests confidence, good faith, reliance and trust in another whose aid, advice or protection is sought in some matter. In such a relation good conscience requires the fiduciary to act at all times for the sole benefit and interest of the one who trusts.” https://en.wikipedia.org/wiki/Fiduciary, July 12, 2013

    Again, according to the Professional Fiduciary Association of California (PFAC), “A fiduciary as trustee has the responsibility of carrying out the terms of a testamentary or living trust. The trustee is usually a person named by the creator of the trust, but in some cases, the trustees cannot carry out his or her duties because of incapacity or death. If there is no successor trustee who can serve, the court has the responsibility of appointing a trustee, usually someone nominated by the trust beneficiary who then safeguards the assets and invests them according to the Uniform Prudent Investor’s Act (as set forth in the Probate Code). Professional trustees working under the UPIA are held to a higher standard than others. The fiduciary as conservator is the person who is legally appointed to manage the conservatee’s estate and/or person. A conservatorship is a legal tool designed to provide management for the financial and/or personal affairs of individuals deemed by the court to be physically or mentally incapacitated, often because of dementia.” http://www.pfac-pro.org/ohana/website/index.cfm?p=118001 July12, 2013

    In order to be a member of PFAC, professionals must be licensed, agree to adhere to the code of ethics, and demonstrate a commitment to their own professional skills by completing continuing education units annually.

    Licensing is processed and monitored through the Department of Consumer Affairs; Professional Fiduciary Bureau (http://www.fiduciary.ca.gov/). My number is #387.

    Trustees manage money, and oftentimes, difficult people and situations. When money is involved, beneficiaries and trustees sometimes have disagreements, and family arguments can be among the most rancorous. There are plenty of traditional families, blended families, dysfunctional families that are faced with an abundance of problems and issues when a parent dies or becomes incapacitated and there is money in an estate to be protected and invested. Sometimes non-professional trustees mismanage or neglect their trustee duties, and sometimes he or she may ignore the directions of the trust. Beneficiaries get angry, get an attorney and go to the probate court for resolution. That resolution often names a private professional fiduciary as the new trustee. Many attorneys, accountants and estate planners, who know good private professional fiduciaries, sometimes suggest a professional be named as trustee when a new trust is written.

    I currently serve clients in the counties of Placer, Sacramento, Yolo, Yuba, El Dorado, Solano and Humboldt. Depending on the situation, I can serve clients in other counties as well.

    Please call 916-220-3474 for your first hour free consultation.

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  • June 24, 2013 /  Basics

    help

    I am not an expert. I, like many, am learning. I use resources, I refer people to resources, I take classes, go to seminars and attend groups sessions to gain knowledge and learn from others experiences. What makes a licensed professional Fiduciary different, and me in particular, is that we advocate and serve for a living. There is a bit more experience we have when it comes to administering Trusts and acting as Conservators for person and estate so that gives us familiarity of routine and potential problems/issues that will be faced.

    What I try to do on my website is to give you hope, encouragement and tools to use in your caregiving and/or administration.  There are many people who choose not to use my services or that of my fellow Fiduciaries because, well, because they just want somebody they know to do the work, and you…you may be one of those honored to serve but clueless or just needing some help in performing your service so why should I keep information to myself? I don’t and won’t!

    I have been taking classes and going to seminars on two subjects recently to increase awareness and learn how to serve my clients who are beneficiaries in a Special Needs Trusts or are LGBT (Lesbian, Gay, Bisexual, Transgender). I will be sharing what I learn and how this knowledge has helped me serve my current clients (and my future clients as well).

    While my office is in Lincoln CA, I serve Placer, Sacramento, Sutter, Yolo, Solano, El Dorado, Yuba counties. Depending on what is required I can also serve counties like Humbolt and beyond.

    Call for your free consultation. 916-220-3474

    Yours in Service,

    Michael

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