LITTLE ROCK, Ark. - Nearly 500,000 Arkansans play the role of caregiver for an aging parent or family member with a disability and they're not paid for that job. Legislation recently filed aims to make things a bit easier.
Herb Sanderson, associate state director for advocacy with AARP Arkansas, says the Arkansas Lay Caregiver Act would ease transitions from hospital to home, where caregivers provide services that used to be traditionally administered by professionals, such as wound-dressing changes and injections.
"Require the hospitals to let them know when somebody's going to be discharged ahead of time," says Sanderson. "Go over what needs to be done and, if necessary, demonstrate how it should be done."
Sanderson says hospitals support the legislation because quality after-care reduces re-admissions. He expects it will receive a hearing soon.
AARP research pegs the value of Arkansas caregiving at $4.5 billion a year. Sanderson describes the legislation as one step in recognizing the enormous commitment.
"Every day, this silent army performs a great labor of love, taking care of their parents and loved ones," he says. "They do it while working full-time or part-time; some are on-call 24/7."
Another way caregivers are being recognized is through AARP's "I Heart Caregivers" campaign, which encourages caregivers to share their stories. Experiences can be submitted online at aarp.org/iheartcaregivers.
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Dementia, a disease with profound effects on families, loved ones and caregivers, affects more than 55 million people globally, including 6 million in the U.S.
New research shows people can reduce their risks by making even small changes in their daily routines, for example, through exercise and eating more vegetables.
Sarah Lock, senior vice president for policy at AARP, said there are also important steps policymakers can take to make it easier for people to maintain healthy behaviors.
"When we do that, we can disrupt dementia," Lock asserted. "That's a really exciting possibility, given that so many of us -- as our nation is aging -- are facing that risk."
Dementia is the third-largest cause of death in the nation for people age 70 and older, and two-thirds of Americans have at least one major potential risk factor. People who smoke five cigarettes per day have a 16% higher dementia risk than nonsmokers. People with prediabetes face a 25% increased risk, which rises to 50% with full-blown diabetes. Prolonged exposure to air pollution is also a major dementia risk factor.
Other risk factors include alcohol use, depression, high body mass index, hearing loss, hypertension, low education, physical inactivity, social isolation and traumatic brain injury. Lock pointed out policies to reduce these risks can vary by state. For example, in Colorado, physical inactivity may not be as big of a
problem as in other states, but hearing loss is relatively high.
"We can suggest to policymakers that they focus on ways to help people screen and correct for hearing loss," Lock noted. "In Colorado, that might be a wiser use of public dollars, to go after the problem that seems to be biggest in your state."
Lock added the goal of the research is to offer people pathways to better brain health and to give older Americans more quality time with their loved ones. The findings were released by the new Dementia Risk Reduction Project, a collaboration between AARP, the Alzheimer's Disease Data Initiative and the University of Washington.
Disclosure: AARP Colorado contributes to our fund for reporting on Civic Engagement, Health Issues, Livable Wages/Working Families, and Senior Issues. If you would like to help support news in the public interest,
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Changes coming to Medicare in 2025 could be beneficial for Oregon residents who are eligible for the program.
Oregonians who qualify for Medicare are now in the open enrollment period through Dec. 7, which allows them to search for health coverage plans to best suit their needs.
Ryan Kibby, Oregon Senior Health Insurance Benefits Assistance project director for the Oregon Department of Human Services, said there will be expanded care options for dementia patients with the Guiding and Improved Dementia Experience or GUIDE program.
"Some of the resources available through GUIDE would include a 24-hour support line, caregiver training and up to $2,500 a year for respite services," Kibby outlined. "That's really just going to help benefit the people who are providing these family caregiver services."
There will also be expanded mental health benefits for people with Medicare in 2025. In 2023, nearly 920,000 Oregonians were enrolled in Medicare. People can get free help to find coverage through Oregon's SHIBA program, either on its website or at 800-722-4134.
Kibby pointed out another major improvement in 2025 is prescription drug costs will be capped.
"There will be a lower maximum to pay for covered drugs, under both Medicare Part D policies and Medicare Advantage drug coverage," Kibby explained. "The maximum amount that people will pay in 2025 is $2,000, and they won't have to pay anything for covered drugs once they reach that amount."
Prescription payment plans will be an option for people who cannot pay in full up-front. The out-of-pocket cost cap also eliminates a gap in coverage, known as the "donut hole," which some have experienced in the past. While Medicare cannot cover prescriptions specifically for weight loss, people can access these drugs for treatment of conditions like Type 2 diabetes.
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November is National Family Caregivers Month and AARP Wyoming is working to meet rising demand for caregiver resources.
About 58,000 Wyomingites provide needed care for sick or elderly family members or loved ones, estimated to be more than 54 million hours of unpaid labor per year, according to AARP Wyoming.
The group launched a "Care for Caregivers" series last year to help people navigate common issues like financial planning, safety and mobility, end-of-life decisions and more.
Stella Montano, volunteer president of AARP Wyoming, who helped develop the series and is a caregiver herself, said many people who take on such duties do not consider themselves caregivers but they should acknowledge the real workload the role can be.
"Have you noticed that maybe your parents are aging and you're assuming more responsibilities? Or has someone been diagnosed with something that you might have to have oversight of their medical needs?" Montano asked. "People don't believe they're caregivers. But they still have a lot of responsibilities."
The series was first offered in Sheridan and expanded this year to Casper, Newcastle and Cheyenne. AARP also offers resources on its website.
The structure of the workshops recognizes caregivers' needs. There are free meals for attendees and respite care offered on-site for loved ones brought along to a session. Montano noted they are designed to be as accessible as possible.
"I really stress to caregivers, to not do it alone," Montano urged. "There is help out there."
She added Sheridan's VA Medical Center has also tapped into the programming and began recording videos of the sessions this year, which will be available online soon.
Disclosure: AARP Wyoming contributes to our fund for reporting on Civic Engagement, Consumer Issues, Health Issues, and Senior Issues. If you would like to help support news in the public interest,
click here.
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