No Intubation’: Seniors Fearful Of COVID Are Changing Their Living Wills

For older adults contemplating what might happen to them during this pandemic, ventilators can be terrifying.

These machines pump oxygen into a patient’s body while he or she lies in bed, typically sedated, with a breathing tube snaked down the windpipe.

Older COVID patients often spend long periods of time on ventilators.  If they survive, they’re likely to be extremely weak, suffering from delirium and in need of months of ongoing care and physical rehabilitation.

For some seniors, this is their greatest fear: being hooked to a machine, helpless, with the end of life looming. For others, there is hope that the machine might pull them back from the brink.

Advance directives and living wills can address these concerns.  Such documents can state if you want to be placed on a ventilator, and if so, for how long.  Language such as: “give a ventilator a try, but discontinue it if improvement isn’t occurring” or: “give me high-flow oxygen and anti-biotics, but not a ventilator” is perfectly legal.

But, remember, you need to do this in writing and the document needs to be witnessed.   And, you need to do this before you become ill – you won’t be able to communicate your concerns or execute documents once you become seriously ill.

The Law Office of Debra G. Simms has created a Living Will for COVID.  But, don’t wait until it’s too late.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more. We are currently offering free consultations via video conference to assist you with your needs.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

The global pandemic of COVID-19 has all of us facing our own mortality.  Some of us are realizing that we do not have the basic estate planning documents.

To protect yourself and your loved ones now’s a good time to make sure that you have the following four documents prepared and updated.

  • A will or revocable trust.
    • We need to leave instructions as to who will inherit our assets and who will be in control of our estates. Revocable Trusts are a good tool to avoid probate.
  • Beneficiary designations on financial accounts.
    • Many assets do not pass through a will or trust, such as an IRA, 401(k) account, or life insurance policy, and instead the proceeds go to the person you name as the beneficiary of that account.
  • Advance Directive for Health Care.
    • This document will give the person you designate as your agent the ability to make the medical decisions you specify on your behalf.
  • Financial durable power of attorney.
    •  In the chance that you become incompetent, financial responsibilities continue. You can designate a trusted person to handle your financial and legal affairs if you cannot.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more. We are currently offering free consultations via video conference to assist you with your needs.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

Some lucky retirees split their time between two different states. You do not need separate estate planning documents for each state, but it may make sense to do so. 

While your Will should be from the state that is your primary residence, your Durable Power of Attorney and Advance Medical Directive from another state might present challenges.

Financial and health care institutions are used to the documents used in their states and may refuse to honor out-of-state documents. In the case of health care documents, other states may use different terms for the document, such as “durable power of attorney for health care” or “advance directive.” Durable Power of Attorney requirements vary significantly from state to state.  (And the people reviewing your documents may not be willing to accept the other state’s language).

In the absence of a durable power of attorney and advance medical directive, family members often must resort to going to court for a guardianship.  This causes delay and and unnecessary legal fees.

So, if you spend a part of the year in another state, executing a local durable power of attorney and a medical directive is a good idea.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

Facing the Realities of Aging

Getting older is definitely not a cakewalk.  If there is one thing that is true for every living person on this planet it is that we all get older and eventually die.  No one yet has ever figured out a way around this fact of life! 

It is also a given that as our bodies age every one of us will be more susceptible to developing a disability or dementia. 

But many seniors fail to plan for this.  It’s certainly easy to put off making decisions about who will take care of our finances and make medical decisions if we need help.  And what about end of life care?  Who wants to think about that?

But failing to make a plan is planning to fail.  Now is the time to see an elder law attorney.  Don’t wait until it’s too late. 

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

Annual Reminders

The end of the year is a great time to review various aspects of your estate and financial plan. 

  • Request a free credit report through annualcreditreport.com
  • Consider placing a fraud alert on your credit cards.
  • Create or update a list of all your electronic user names and passwords.  Properly safeguard this information.
  • Review your Will and/or Revocable Trust to ensure that you are comfortable with your bequests, Personal Representatives and Trustees.
  • Review agents named under financial and medical powers of attorney to ensure they are still appropriate.  Review your Living Wills to make sure you are comfortable with your end of life instructions.
  • Review your beneficiary designations for your insurance policies and retirement plans.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

 5 Tips for Securing Your Assets, Healthcare and Legacy

It’s your life and your legacy:  Make sure you have an updated estate plan.  And don’t wait until it’s too late!

Create or Update Your Estate Plan: avoid unnecessary taxes, family arguments, and creditors

  • Wills allow you to transfer property to your selected beneficiaries, permits a parent to name a guardian, can help protect beneficiaries against creditors, and reduces the burden on family
  • Revocable Trusts allow you to distribute your assets at death and can allow you to avoid probate. 
  • Irrevocable Trusts can help you qualify for financial assistance if you need long-term care and can provide for strong creditor protection for you and your beneficiaries.
  • Special Needs Trusts allows you to leave assets to a disabled heir without risking the loss of Social Security, Medicaid benefits, or food assistance.

Create Your Durable Power of Attorney and Medical Directives.

  • A Durable Power of Attorney authorizes your named agent to act in your place for financial and legal decisions if you are incapacitated.
  • An Advance Medical Directive allows you to name someone to make health care decisions for you if you are incapacitated.
  • A Living Will allows you to express your desires about life-prolonging procedures if you are at the end of life with no hope of recovery.

Review and Update your Beneficiary Designations on your Life Insurance and Retirement Plans.

Consider New Laws.  Do the new tax laws affect your estate?

Review Social Security and Retirement Benefits.  What is your full retirement age?  Should you delay your benefits to increase your monthly benefits?

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

As our lives go digital, so will, inevitably, our death. Emails we send, photographs we post, and thoughts we share are all stored digitally. These are users’ digital remains that reflect their digital personalities and at the same time, make up the memories for friends and family.

Florida has now enacted laws regarding access to digital remains after death.   These laws are important because a conflict might arise between the privacy expectations of the user, and his or her family and friends’ wish to use the digital remains for mourning and commemoration.

It is important to make sure that your estate planning documents incorporate the language of the new laws and that your desires are clearly spelled out.  If your Will or Power of Attorney was created prior to 2014, it should be updated to address this concern.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

Can’t make the funeral on time?  LIVESTREAM!

When a person’s death happens suddenly, family and friends from different places cannot manage to be at their loved one’s funeral. And some religious practices dictate that a funeral be held within 24 hours.

Some funeral chapels now feature a new amenity: live-streaming the service so others can watch, and even uploading a recording of the funeral onto the online obituary.

Bryant Hightower, the president-elect of the National Funeral Directors Association, says that live streaming funeral services has been around for more than a decade but has just now become more mainstream. The funeral industry is often hesitant to any change, but Hightower says that now approximately 20% of funeral homes now offer the service, much to the delight of clients.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

Do You Have a Living Will?

Clients come to my office to talk with me about planning for incapacity and death.  These are hard conversations to have, even in an elder law attorney’s office.

Of all the documents that I prepare, the Living Will, gives my clients the most trouble.

This document, a dying declaration, states what kind of end-of-life care you want when there is no medical probability of recovery.  Most people do not want to be kept alive artificially.

But what does that mean?  Do you want a feeding tube?  Hydration?  Blood transfusion?  How far are you willing to go?  And what about dementia?  Do you want to be force fed when you no longer have hunger or the ability to feed yourself?

And who should be your advocates or decisions makers?  A family member (who might not be willing to let you go) or a medical person that you trust?

Knowing your legal rights and putting them in writing will help ensure that your wishes are met.

An elder law attorney can help guide you through this difficult conversation.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

END OF LIFE OPTIONS

One of the services that I offer my clients is a Living Will. This document is a legal declaration of what type of care your wish to have if you are in the end stage of life and there is no medical probability of recovery.

Many of my clients struggle with this document-typically it is because they cannot decide whether they would want a feeding tube or artificial hydration at the end stage.

Here are some common myths that contribute to this difficult decision along with the response of Tani Bahti, nurse:

Myth: If people don’t eat, they should get a feeding tube or they will starve to death.

The needs of the body and its ability to process food changes in the final months of life.  People do not die because they are not eating, but rather they do not eat because they are dying.  Complications due to forced feeding and the use of tube feedings can actually hasten dying. 

Myth: Not drinking leads to painful dehydration.

Natural dehydration is comfortable and releases endorphins which promote comfort. Unlike in a healthy person, providing artificial fluids near the end of life may actually increase discomfort.  Natural dehydration results in less chance of nausea and vomiting, swelling, and lung congestion.

Call the Law Offices of Debra G. Simms at 386.256.4882 to learn more.

This blog post is not case-specific and is provided only for educational purposes and is not intended to provide specific legal advice. Blog topics may or may not be updated and entries may be out-of-date at the time you view them.

Contact Us

Port Orange Office:
Prestige Executive Center
823 Dunlawton Ave. Unit C
Port Orange, FL 32129
Local: 386.256.4882
Toll Free: 877.447.4667
New Smyrna Beach Office:
629 N. Dixie HWY
New Smyrna Beach, FL 32168
Local: 386.256.4882
Toll Free: 877.447.4667