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Help for Clients Who Want to Age in Place on Taxes, Technology and Medication

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In our search to address the issues for our clients and our own families of living to a ripe old age, remaining in the homestead is a topic that comes up frequently. For most of our families, home is where the heart is; it is also where many of our family members would prefer to remain.

Many of the studies I have read find that older Americans prefer to stay in their own homes if they possibly can as they age. The National Association of Home Builders has professional Certified Aging-In-Place Specialists on staff who can assist in creating universal design techniques that will enable a loved one to remain in their home safely and independently.

Uncle Sam even provides us with a break on home improvements that can be claimed as medical deductions under Schedule A (subject to the 7.5% floor) on your federal income tax return. Individuals can claim medical deductions for the cost of special equipment installed in a home if the main purpose is to accommodate the individual's, spouse's or dependent's medical needs. If the capital expenditure for the home qualifies as a medical expense, its operating costs and upkeep also qualify as medical expenses as long as the medical requirement continues.

The key is that the improvement or equipment installed does not increase the value of the home. Where the improvement or equipment does increase the value, only the cost that is in excess of the increase may be treated as a medical expense. More specific information can be found in IRS Publication 502

Another innovation is QuietCare Home Health Security System from a company called Telemetry Systems Inc. This system may appear a bit "big brotherish," but it can give peace of mind to individuals and their families. The QuietCare system is composed of discreet wireless activity sensors that are placed throughout the home. These sensors can be placed in the bedroom, kitchen and bathroom areas. The sensors transmit information on your loved one's ADLs (Activities of Daily Living) 24/7. If an emergency arises, QuietCare professionals will contact you and your loved one to provide immediate assistance.

If prescription medications for your loved one are a source of worry, there is a national awareness campaign called MUST (Medication Use Safety Training). The program is designed as an interactive, national initiative to promote safe and appropriate medicine use by enabling older adults to avoid medication misuse, to recognize and manage common side effects, and improve medication use knowledge, attitudes, and skills to avoid medication errors.

MUST for Seniors can be offered to community-based, ambulatory older adults. Older individuals and family caregivers are also encouraged to use this site and to participate in the program by viewing an online PowerPoint presentation, video clips and other program messages and materials at

We hope this information will help you, your clients and those you love.