Religion Plays Role in Health Care Directive

According to a Wall Street Journal Health blog, research proves that advance communication of one’s wishes about end-of-life decisions to loved ones can greatly relieve stress on families placed in the position of having to make these intricate choices. Yet, most individuals lack some type of legal document naming a decision maker in case of incompetency. People procrastinate in completing these documents because they are usually very difficult to understand and can be very expensive. Additionally they lack flexibility to accommodate the patient’s values and preferences, such as religious views.

The U.S. system of medical ethics emphasizes the independence of patient decisions. Their decisions are only questioned if their judgment is impaired by medical or psychiatric illness. Any competent individual may refuse any type of medical treatment if desired due to their constitutional rights to privacy and liberty. In Louisiana, the law recognizes the right of a person to refuse medical care and to declare that in advance of a circumstance when the person may not be able to make or communicate that decision himself. The directive or “living will” instructs your physician regarding the circumstances in which you want to have life-sustaining procedures withheld or withdrawn.

Religion also plays a strong role in end-of-life decisions and many people want their religious views to be respected when they aren’t able to make decisions on their own. Within each faith, there may be a vast variety of beliefs that should be considered when directives are being used.

Some important issues that tend to have a religious standpoint include the following:
• Withholding of nutrition and hydration
• Cardiopulmonary resuscitation
• Comfort care and pain control
• Assisted suicide
• Intervention when a women is pregnant ( i.e. whether life of mother or child is given preference
• Last rites
• Organ donation
• Handling of body after death
• Disposition of remains ( i.e. cremation or burial)

It is important for a client to consider all of these issues so their values and beliefs are sustained when end-of-life decisions have to be made. Ideally, these issues need to be discussed with an attorney so important religious values can be incorporated into their living will. This is especially important when a client is a different faith from those carrying out his or her wishes, such as their attorney, family, or physician.

For more information on living wills, please contact us at 225-744-0027 or toll free at 1-855-88LegacyLA. The Legacy Center of Louisiana is a life caring law firm that provides legal services in the areas of estate planning, elder law, special needs planning and probate in the greater Baton Rouge area and throughout Louisiana. Also visit our website at www.legacycenterla.com.

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Are You Listening?

Remember when your parents were lecturing you on the rules for taking the car for a spin? Dad would put his face in front of yours and say, “Are you listening?” Of course you would say “sure” even though your mind was miles away on the adventure to come.

Today, as adults, the children who received the counsel and wisdom of their parents are facing a reverse situation in their lives. They are finding themselves concerned about their aging parents and what their needs will be as their health and mental abilities fail them. In some cases the children must take the role as parent in securing the safety and well being of an elderly family member.

Julie lives 600 miles from her mother. Knowing her mother’s health is frail and she lives alone, Julie calls her every evening after work. The conversation always goes like this;

“How are you doing today Mom, Julie asks?
“Everything’s fine”, Mother replies.
“Are you taking your pills?”
“Yes, everything’s fine.”
“Do you need anything?”
“Everything’s fine.”

Julie does not get much more conversation from her mother. Perhaps everything is fine, or perhaps Julie’s mother just wants Julie to think she can take care of herself. Even worse, mother could think all is fine and be forgetting her medication and not eating properly.

Is Julie really listening? ARE YOU LISTENING?

It may be time to put your face in front of your parent and listen.

Assuming that all is well and that your elderly family member knows and does what is best for them, may be putting them at risk.
Become a partner with them in their care. The best time to form the partnership is before a crisis happens.

Donna Schempp, a licensed clinical social worker and program director at the Family Caregiver Alliance, states that in talking to your parents, “The sooner, the better.” If you bring up the subject before your parents need any extra support, “then it’s not crisis driven,” she explains. “It’s not a way of saying, ‘Mom, Dad, there’s something wrong with you.”

A good way to begin is to sit with your parents and ask questions like, what are your concerns for the future. Do you want to remain in your home? Are you worried about losing your independence? Listen to their answers. You might relate your concerns as well, or you desire to be of help.

In becoming a partner in planning for care and helping your loved one, you need to know what legal and financial arrangements are in place. By asking, “What if you had a stroke, Mom, I would need to know where your medical and insurance documents are and what you would have me do in your behalf.”

The next step might be to accompany them to their doctor’s appointment so to understand what their medical needs are and help create a plan for future needs.

The National Care Planning Council’s book “The 4 Steps of Long Term Care Planning” gives the following list of most common services family care givers will provide for their parents.

• Walking, lifting, and bathing
• Using the bathroom and with incontinence
• Providing pain management
• Preventing unsafe behavior and preventing wandering
• Providing comfort and assurance or arranging fpro essional counseling
• Feeding
• Answering the phone
• Making arrangements for therapy, meeting medical needs, and doctors’ appointments
• Providing meals
• Maintaining the household
• Shopping and running errands
• Providing transportation
• Administering medications
• Managing money and paying bills
• Doing the laundry
• Attending to personal hygiene and personal grooming
• Writing letters or notes
• Making repairs to the home, maintaining a yard

There are many resources available to help families in caring for their elder parents. As you become involved you will know when it is time to bring in professional services to help or when the need to find new living arrangements is necessary.

Beginning now to talk, listen and plan together can make the journey more pleasant for everyone involved.

Ms. Melancon has engaged in the practice of law in Louisiana for the past 14 years. The primary focus of her practice is estate planning, special needs planning, elder law and probate. She is also accredited by the VA to give advice regarding veterans’ benefits. For more information, please contact her at 744-0027 or visit her website at www.LegacyCenterLa.com or her facebook page at: http://www.facebook.com/pages/Prairieville-LA/Legacy-Center-of-Louisiana/267942070212.

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Skilled Nursing Care in the Greater Baton Rouge Area

According to an article in the Chicago Tribune, Tom Barr needed a place to for his mother, Margaret Barr, who suffers from memory loss and dementia. Tom decided Margaret needed more help than her assisted living facility could provide as her symptoms grew worse. He decided to hire an around the clock caretaker, but soon her needs even outstripped that situation. Tom, like many who face this situation, felt helpless. Eventually Tom found a new memory loss facility in Vernon Hills, Illinois. The facility specialized in areas only for those suffering from memory loss. Barr claims the staff was friendly and professional and saved him the agony of finding a place he could trust to properly serve his wife’s needs.

Memory loss and dementia is an issue that many elderly persons will face. According to the Alzheimer’s Association, 5.4 million Americans have some form of dementia. The Association also reported that by 2050, 16 million people will have Alzheimer’s disease. Facilities for just individuals with memory loss are becoming more and more common. Most assisted living communities have added separate memory loss areas to their building so they can give these individuals the special care they require.

Many people can relate to how Tom Barr was feeling. Families want a peace of mind that their loved ones are in settings that accommodate their needs and well-being. Finding the proper care can be a tough and frustrating situation for many individual’s to face.

The Legacy Center of Louisiana is a life caring law firm that provides legal services in the areas of estate planning, elder law, special needs planning and probate. Legacy Center is unique that it not only provides these traditional legal services, but it also has the resources available to help families coordinate Skilled Nursing Center Care, Assisted Living Services, and Home Health Services for their loved ones. For more information about the Legacy Center or Skilled Nursing Care, please call us at 1-885-88-LegacyLA or visit us online at www.legacycenterla.com.

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Veteran’s Compensation Cost-of-Living Adjustment Act of 2011

Recently, the Department of Veterans Affairs passed the first cost-of-living adjustment since 2008 which has increased VA benefits by 3.6%. The Senate approved the Veteran’s Compensation Cost-of-Living Adjustment Act of 2011 which became effective on December 1, 2011 for benefits to be payable in January of 2012.

The 2012 Pension Figures are following:
Single Veteran: $1,703
Married Veteran: $2,019
Surviving Spouse of a Veteran: $1,094

Applying for VA benefits can be a challenging process and it is difficult to speculate what you will experience while filing for the Aid & Attendance Pension. Linda S. Melancon, an attorney whose office is located in Prairieville, LA (a suburb of Baton Rouge), practices in the areas of estate planning, special needs planning, elder law, and probate. She is also accredited by the VA to give advice regarding veterans’ benefits. For more information on VA Aid & Attendance Pension, please contact us at 225-744-0027 or visit our website at www.legacycenterla.com.

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Pearl Harbor Day

Today is the 70th anniversary of Pearl Harbor Day. On December 07, 1941, Japanese forces attacked America’s naval bases in Pearl Harbor, Hawaii. America declared war on Japan and we entered into WWII. The attacks on Pearl Harbor will always be a pivotal moment in American history. On this infamous day, we want to thank and honor all of our WWII veterans who bravely fought and died for our freedom.

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National Estate Planning Awareness Month

In 2008, Congress proclaimed the third week in October as National Estate Planning Awareness Week. The resolution noted “Many Americans are unaware that lack of estate planning and financial illiteracy may cause their assets to be disposed of to unintended parties by default through the complex process of probate.”

According to a WealthCounsel survey, nearly 70% of the respondents indicated that Americans fail to plan because they lack knowledge of why they should. More than 120 million Americans lose mass amounts of money and go through avoidable hardships because they do not properly plan and protect themselves for the future.

The Legacy Center of Louisiana is dedicated to helping Louisiana families leave a lasting legacy. Linda Melancon received her juris doctorate degree in 1997 from Louisiana State University Law School and has practiced Elder Law since 2006. The Legacy Center of Louisiana focuses on Elder Law, estate planning, estate administration, and probate and successions issues.

Each area of our legal practice is devoted in helping Louisiana families protect their estate. We take pride that we are not a conventional document drafting law firm, because we do our utmost to treat our clients like we want to be treated. We share the concerns and burdens of our Elder Law clients who are caring for a loved one, counsel our estate planning clients in ways to preserve the harmony that is easily lost upon the disability or death of a loved one.

Linda says “Estate planning is for everyone. It is for the young and the old, the healthy and the ill. Estate planning is life planning”. Don’t allow yourself or your family to be caught in a crisis. Visit www.legacycenterla.com or call 225-744-0027 for more information!

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October is Special Needs Law Month-2

The National Academy of Elder Law Attorneys, an organization of over 4200 attorneys nationwide who are dedicated to improving the quality of legal services provided to seniors and those with special needs, has designated October as Special Needs Law Month. In conjunction with this, NAELA attorneys are taking time to educate the public about what special needs law is and why it such a vital cornerstone to protecting our country’s special needs population.

Government programs are often critical for those with disabilities as they provide cash benefits as well as medical coverage and long-term care support and services. These programs are generally based on a person’s income level and financial resources. Therefore, if a special needs person inherits property or other assets, they may lose eligibility for these benefits. This issue is critical in Louisiana for two reasons. First, if a person does not have a will or trust, his property is distributed according to the laws of intestacy which divides the property among the descendants. Further, in Louisiana a person who is disabled and cannot take care of himself is likely a forced heir and entitled to receive a portion of his parent’s estate even if there is a will or trust which does not provide for him. Therefore, it is imperative to create a special or supplemental needs trust for the disabled person in Louisiana to avoid the loss of benefits.

A special needs trust must be designed specifically to supplement and not supplant government benefits. Money from the trust cannot be distributed directly to the person with the disability, but rather, must be distributed to third parties for goods and services to be used by a person with a disability. The special needs trust can be used for such things as out of pocket medical and dental expenses, eyeglasses, transportation, insurance, rehabilitation, materials for a hobby or recreational activity or trips, vacations or entertainment.

Besides insuring continued access to government benefits, estate planning for special needs persons is especially important because the needs of that person may be much greater than the needs of others who may inherit from you. Without a will or trust, assets are likely to be divided equally among heirs not leaving enough for the disabled person. There may also be a need to explore the use of life insurance to provide additional resources for the special needs person.

Another key issue for special needs trust planning is the selection of an appropriate trustee. A trustee will be the person who steps in and handles the disabled person’s assets and care when you are no longer able to do so. In some cases, this will be another family member or friend who is highly responsible and who will be able to take care of the special needs person. In some cases it may be a bank or other financial institution that will be named for this purpose. Obviously, the choice of a trustee to take over in this situation is a very important decision that must be made with much thought for the special needs person’s well-being.

These and many more difficult issues present themselves when planning your estate to insure the best possible outcome for your loved one with special needs. The result of failing to face these difficult issues can be disastrous, but the peace of mind of knowing that you have prepared for the inevitable will make facing these difficult issues worthwhile. While it is always important to work with knowledgeable professionals to assist with your estate planning, if you are planning for a loved one with special needs it is critical because the consequences of a mistake can be disastrous for that person’s future well-being.

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October is Special Needs Law Month

The National Academy of Elder Law Attorneys has designated October as Special Needs month. Elder law attorneys, nation-wide, provide an enormous amount of legal education to their local communities for those with special needs, their families, and caregivers. NAELA attorneys are committed to improving the quality of legal services provided to seniors and people with special needs and to offer legal support, guidance, and service to those within the community with special needs.

The Legacy Center of Louisiana advises parents and grandparents about estate planning for children with disabilities. People with special needs deal with very unique and complex situations requiring services and guidance to help improve their quality of life. That is why October is such an imperative time of the year. The Legacy Center of Louisiana is passionate about building awareness of the importance of planning for children with special needs. Linda Melancon has written numerous articles educating families with disabled children, such as 10 Tips for Helping Families with Special Needs. You can go to www.legacycenterla.com to read more educational articles about children with disabilities.

We hope you will join us this month in spreading awareness about special Needs Law Month. The more understanding and awareness can only enhance the lives of disabled people.

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PAY ON DEATH ACCOUNTS IN LOUISIANA

A “Pay on Death Account,” also known as a “Transfer on Death Account” (commonly called a P.O.D. or T.O.D. account), is an account at a financial institution that allows payment of the funds in the account to a designated person upon the death of the account holder. These accounts are common in states other than Louisiana and have been allowed in Louisiana since 1984. However, there is still much confusion regarding P.O.D. accounts among the public, financial institutions and even the court system. This article will attempt to address that confusion.

In the absence of a P.O.D. designation, funds held in bank accounts (with the exception of IRAs held at banks) pass at death to either the intestate heirs if the deceased has no will or to the legatees named in the will, if there is one. However, in 1984, Louisiana passed a law that allows a bank to pay to a beneficiary designated by the account holder the funds in the account at death of the account holder. Originally this law provided the beneficiary must be related to the account holder, but now he can name anyone as the beneficiary regardless of whether the beneficiary is related to him or not. Some, but not all, banks in Louisiana offer P.O.D. accounts to their customers. Similar laws also allow credit unions and savings and loans to also offer such accounts.

To create a P.O.D. account, the account holder must give a notarized affidavit to the financial institution naming who is to be the account beneficiary upon his death. The law also allows the bank to rely on this affidavit to disburse the funds to the beneficiary upon receiving a death certificate showing the account holder is deceased. The law further provides that the bank is not liable to the estate of the deceased or any heir of the deceased as long as they pay the account funds to the designated beneficiary. It also relieves the bank from any claims by a former or current spouse, an heir, a legatee under a will, a creditor or any other person who may have a claim to the funds. The law makes it very clear that the bank is protected from any liability from any claims by any person when they pay the funds in the P.O.D. account as authorized by the account holder.

Although this law protects the bank or financial institution when it pays a P.O.D. account, Louisiana’s substantive law on heirship was not changed by the passing of the P.O.D. law. In fact, the P.O.D. statute itself provides that it does not prohibit any right of forced heirship or the collation or collection of funds due any spouse, heir, legatee, creditor, or other person having rights or claims to funds of the deceased depositor. Therefore, it’s possible for a bank to pay the money in an account to the designated beneficiary while Louisiana’s substantive law provides that the money belongs to someone else. A common example would be a married person opening a bank account only in his or her name and depositing money earned during the marriage into that account. The account holder spouse has the right to designate someone other than their spouse as the P.O.D. beneficiary even though one-half of the money in the account belongs to their spouse according to Louisiana’s community property law. If this occurs and the account holder dies, the surviving spouse should have a claim against the beneficiary to get back their one-half of the money in the account and possibly a usufruct or right to use the other one-half in the account. The surviving spouse would not have a claim against the bank, however, as the P.O.D. statute limits the bank’s liability for payment. The same thing could occur if there are forced heirs or creditors who are entitled to estate assets.
As you can see, P.O.D. accounts have the potential to cause a great deal of confusion. Therefore, you should use extreme care when establishing P.O.D. accounts at your bank or financial institution. While there are circumstances where P.O.D. accounts may be warranted, the better practice is for you to integrate P.O.D. and other beneficiary-designated accounts into your overall estate plan. Failure to do so, may create conflict and/or litigation between the P.O.D. beneficiary and the legatees named in your will. When planning your estate, make sure you work with professionals who are familiar with all types of probate and non-probate assets to ensure your legacy will pass to your loved ones as you intend.

Ms. Melancon has engaged in the practice of law in Ascension Parish for the last fourteen years. The primary focus of her practice is estate planning, probate and elder law. For more information or to attend an upcoming estate planning seminar, call her office at 744-0027.

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Mysterious Heiress Victim of Elder Abuse?

Reclusive heiress, Hugette Clark, daughter of copper tycoon and former U.S. Senator, William Clark, passed away in May leaving behind an estate that is estimated at over $400 million. The estate included multiple homes and apartments, an extensive doll collection, an impressive art collection (including Claude Monet’s “Water Lilies”) and lots and lots of money. A great portion of that money was given to her attorney, Wallace Bock, and her accountant, Irving Kamsler. Both men were to receive $500,000 according to Clark’s will. In 2010, both men were also under investigation of mishandling Clark’s estate by the Manhattan District Attorney’s office. The findings of these investigations have not been released.
According to Ms. Clark’s family, around six years go they were instructed by Bock to longer contact her. Did Bock bar her family without her consent and was she a victim of elder abuse? Someday the facts may come out and we will know. But Clark isn’t the only one who may have fallen victim to elder abuse. The Administration on Aging defines elder abuse as any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult. If Ms. Clark’s finances were in fact mishandled, this would be considered elder abuse.
Unfortunately, approximately half a million cases of elder abuse are reported each year. This abuse is not limited to financial exploitation. Other forms of elder abuse can include physical, emotional, or sexual abuse, neglect or abandonment by caregivers, and healthcare fraud. If you think someone you know is a victim of elder abuse, get the facts and check the signs and symptoms at http://helpguide.org/mental/elder_abuse_physical_emotional_sexual_neglect.htm.
Fortunately, there is help for those who need it. All fifty states have passed some type of elder abuse prevention laws. The National Committee for the Prevention of Elder Abuse (NCPEA) is a valuable resource, providing information about prevention, what to do if you suspect abuse, and everyday helpful tips for caregivers. Their website is http://www.preventelderabuse.org/index.html. Or, if you’re a resident of the state of Louisiana, the Governor’s Office of Elderly Affairs is another great resource. They can be found online at http://goea.louisiana.gov/.

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