Elder Law is a legal discipline that addresses the needs of aging seniors as well as individuals with disabilities. Our elder law services blend Estate Planning with a focus on long-term care planning and advocacy. We believe that estate planning is not just about what happens after you die but needs to address how you will live as you age. Long-term care planning must address health care needs, family dynamics, personal values and the resources available. We address the financial burden of the cost of care by advocating for and maximizing our clients’ eligibility for government benefits, including Medicare, Medicaid and Veterans’ benefits. Our firm goes beyond traditional planning to guide our clients in locating appropriate care, coordinating private and public resources to finance care, and advocating for their rights.
Areas in which WanderPolo & Siegel assists clients include:
Long-term care planning is the comprehensive process of helping clients and their families prepare for challenges that may arise from aging, illness and disability. Our staff assesses current finances and health care needs, and develops a plan to address the likely needs a client will have during their long term care journey. This plan is centered on asset preservation and planning for long-term health needs. We preserve assets through identifying and planning for third-party payer sources, ensuring the correct level of care and the transfer of assets. We prepare for future care needs by outlining issues that are clients currently face and our Care Coordinator provides insight into disease progression and potential challenges that our clients may face down the road. We consult with clients regarding options for long-term care, advise them on placement options, funding sources and services available through government and private agencies. We also review admission agreements to ensure that residents and family members are protected.
We offer Life Care Planning to forge a long-term relationship between our firm and our clients to offer continued guidance, advocacy and support as changes occur in health, finances, and lifestyle.
Many clients wait until they need nursing home care before consulting an elder law attorney. However the delay can be costly. Pre-crisis planning has many advantages:
Unfortunately, sometimes clients do not seek counsel until it is too late to prepare estate and health planning documents. When issues of capacity arise, there may be no one able to access accounts or make medical decisions. In these cases, we assist clients in obtaining guardianships or conservatorships to address the healthcare decision-making and financial needs of their disabled loved ones.
Guardianship and conservatorship are obtained through petition in the Superior Court. With our extensive experience handling these matters, our firm can help you maneuver the legal system and help keep costs down.
One of the hardest things for our clients to talk about is planning for end-of-life care. This includes appointing agents to make decisions concerning healthcare and making decisions that express wishes regarding life-prolonging measures and treatment. We help individuals and families gain control of the dying process and maintain independence through the end of life.
The goals of care for a patient’s healthcare plan are an important part of the comprehensive understanding of the patient’s medical condition, expected prognosis and the patient’s specific goals such as wanting to spend time at home with family, wanting to get treatments that allow the patient to live until a loved one’s wedding or wanting to be comfortable and pain free regardless of length of life.
Since 2011, Practitioner Orders for Life-Sustaining Treatment (POLST) have become available in the state of New Jersey. POLST is an approach to improving end-of-life care in the United States, encouraging doctors to speak with patients and create specific medical orders to be honored by health care workers during a medical crisis. It is a standardized, portable, brightly colored single page form which is immediately recognizable and can be used by doctors/advanced practice nurses(APN) and first responders including paramedics, fire departments, police, emergency rooms, hospitals and nursing homes.
POLST is designed for seriously ill patients or those who are medically frail with limited life expectancy, regardless of their age. It was designed in response to seriously ill patients receiving medical treatments that were not consistent with their wishes. The goal of POLST is to provide a framework for healthcare professionals so they can provide the treatments patients do want and avoid those treatments that patients do not want.
The POLST form complements an Advance Directive and is not intended to replace that document; an Advance Directive may still be necessary to appoint a legal healthcare decision maker and is recommended for all adults, regardless of their health status. POLST is a set of medical orders that help give seriously ill or frail elderly patients more control over their end-of-life care.
POLST is signed by both the doctor or APN and the patient or their surrogate. Filling out a POLST form is entirely voluntary. However, New Jersey law requires that medical orders contained in a POLST be followed by healthcare professionals and provides immunity from civil or criminal liability to those who comply in good faith with the patient’s POLST.
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