Most Common. The 4. Post Retirement Challenges. Dementia VS Depression. Family Law Resources. Using Yoga. How to Know Spot the Differences

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1 TM The 4 Most Common Post Retirement Challenges Family Law Resources Wills and Probates Dementia VS Depression How to Know Spot the Differences Tips For Saving on Household Goods Using Yoga To Combat Artiritus Plus! Hazards in the Home: Preventing Accidents

2 Money Matters ii EsteemedLiving.com Your Money 2014

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4 4MOST COMMON POST-RETIREMENT Challenges You May Face There are plenty of reasons to rejoice about retirement more time to spend with your family, the ability to travel more and the opportunity to pursue your true passions. And today s retirees can also appreciate the fact that on average, people continue to outlive previous generations. iv EsteemedLiving.com Your Money 2014

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6 Most people enjoy retirement even more than they expect. A recent study by The Hartford and the MIT AgeLab confirmed that 64 percent of people less than 10 years away from retirement said they expected to feel happier in retirement. And when those who were already retired were surveyed, 77 percent said they were happier in retirement than they were when they were working. But that doesn t mean retirement comes without its challenges. Through his research on the topic, Dr. Robert Pokorski, chief medical strategist for The Hartford s individual life insurance business, has identified the four most common nonfinancial challenges that most retirees face: Addressing these challenges Climbing health-care costs. Health problems are more common during retirement, and the associated costs are often much higher than expected. Widowhood. It s not pleasant to imagine life after the death of your spouse but three in four married people are widowed for five years or more. Needing long-term care for a chronic illness. Many retirees don t plan on the need for chronic care but three in five men and four in five women will need care later in life. Outliving your retirement savings. More people are living to age 90 and beyond, and that s a good thing. However, this means retirement savings have to last a longer period of time. Given these many challenges, most people find it difficult to save enough to guarantee financial security during retirement. Fortunately, there are new options that address these common issues. Medicare supplement insurance can help address the challenges of rising healthcare costs. Medicare supplement insurance pays for some health care not covered by Medicare, according to Pokorski. Ways to address the other challenges Pokorski identified are available through new life insurance and annuity products that provide greater financial flexibility to help meet changing financial needs as people age. There are life insurance policies on the market that can provide funds for chronic care needs or be tapped as a source of cash during retirement. Any lifetime benefits taken from these products during life will reduce the remaining death benefit available to the policy s beneficiaries. Annuities can be a source of guaranteed income that can last as long as the retiree lives. More information on these types of products can be found at vi EsteemedLiving.com Your Money 2014

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9 Looking For Value: WITHOUT SACRIFICING QUALITY I f there is one thing that the recent health care debate made clear, it is that Americans are unwilling to trade quality for economy when it comes to their health. But with the growing shortage of primary care physicians in the United States and an aging population, one trend born in underserved areas of the country may have the ability to cut costs without sacrificing quality: the use of non-physician professionals, such as physician assistants and nurse practitioners, in primary care facilities. Physician assistants and nurse practitioners can provide clear benefits for the financial side of the health care industry. When patients see a physician assistant or nurse practitioner instead of a physician, medical practices are able to serve more patients for a lower cost while receiving the same amount in reimbursement for many procedures. This is because the non-physician professionals are paid less than physicians, yet many services are reimbursed the same, regardless of which practitioner provides the care. Using non-physician professionals can increase the effectiveness of the clinic s providers by allowing the physician assistant or nurse practitioner to take care of less complicated patient issues and leaving the physician to treat the more complex cases, Marta E. Urdaneta, Ph.D., chair of the healthcare management program at the Savannah, Ga., campus of South University. Urdaneta says that in rural and other under-served areas, non-physician professionals have been providing care for years, but the pattern is increasing even in more dense and affluent areas. But are patients comfortable with being treated by medical professionals without MD behind their names? Doris Parrish, RN, Ph.D., nursing program director at South University s Savannah campus, says that Americans have a growing acceptance of care provided by non-physicians. Patients are not only becoming more used to receiving care from nurse practitioners and other non-physician providers, but they aren t seeing any reduction in the quality of care, says Parrish. And, in fact, patient satisfaction scores are very good for both physician assistants and nurse practitioners. Recent studies, including ones published in the journals of the American Academy of Physician Assistants (2006) and the American Academy of Nurse Practitioners (2007), have found that in routine situations, patients trust the technical competence of physicians and non-physician providers alike. But patient satisfaction is about communication as well as competence. And since physicians usually have responsibility for more patients than nonphysician providers do, a nurse practitioner or physician assistant may have more time to talk to patients - and to listen to them. Being able to navigate the complex diagnoses and treatment options in modern medicine is important. And since non-physician professionals work under the supervision of a physician, they can seek advice and confirmation of decisions when necessary. That kind of teamwork is the key to quality care, says Urdaneta. As each member of the team focuses on an aspect of care from their professional perspective, it is vital that all work together in order to provide seamless, quality service without unnecessary costs or complications. As physician assistants and nurse practitioners become more common throughout the country, patients are beginning to embrace the idea of the team approach to health care and the notion that costs can be cut without a decrease in quality. Your Money 2014 EsteemedLiving.com ix

10 Money Matters Diabetic Friendly flavorvia contains no juice non-carbonated zero carbs zero calories sugar free caffenine free vitaman infused refreshing envigorating water...just better! Over 30 flavors to enjoy! Diabetic Drink Provides a healthy blend of sugar-free, caffeine free and vitamin packed (B3, B5, B6 & B12) flavoring in a refreshing non-carbonated fruit drink that everyone will enjoy. Visit flavorvia.com for more information x EsteemedLiving.com Your Money 2014

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12 Dementia or Depression: Recognizing the different symptoms in seniors? Dementia or depression? Do you know the differnce. Both ailments that are often associate with getting older, but neither is a certainty. It is possible to age without experiencing either dementia or depression, but one or both is often seen in ones senior years. There have been tremendous gains in the treatment and outcomes of dementia and depression when recognized and treated. The challenge for caregivers is that their symptoms can be easily confused. They may share the symptoms of: memory problems sluggish speech and movements low motivation isolation sleeping too much or too little However, they each have some unique identifying symptoms and presentations. A person with dementia may: Appear confused or disoriented Have difficulty with short term memory A person with depression may: Have difficulty concentrating, not care to concentrate A person with dementia may: Have physical difficulty with speech and motor skills. A person with depression: xii EsteemedLiving.com Your Money 2014 May be slow to speak or do things A person with dementia: May not notice or recognize memory problems A person with depression: May worry obsessively about memory problems No matter if your loved one is suffering from depression or dementia, it is important to notify your loved ones doctor. Early treatment is key with both to regaining some quality of life for your loved one. If it is depression, then with treatment, they may completely recover their normal functioning and ability. If it is dementia then the process may be slowed or halted with new treatments for certain types of dementia. If you suspect depression, take a look at last weeks article How you can help overcome senior depression, for some holistic ways you can help your parent or loved one. If you suspect dementia, then medical intervention is the next step. In either case, it can be helpful to make a careful record of the reasons and evidence and present it to your loved ones doctor so they can work with you toward diagnoses and treatment..

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