• 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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  • 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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  • 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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