From November 2018, the new reform in nursing, shared with the Ministry of Health, the National Insurance and the Ministry of Welfare, was launched. This article comes to explain the new situation in accordance with the reform and to give tools for choosing between the various options. And:
Chapter I- Basic definitions:
When we come to examine what are the main changes in the new reform in nursing, we must define a number of main issues on which it is based.
1. Nursing allowance-
An allowance provided by the National Insurance Institute. Until October 2018, it was possible to receive the benefit in one of the following 2 ways:
A. Employers of Israeli workers – through a nursing company or directly to the bank account (this if the recipient of the benefit has the opportunity to prove that he receives the service of an Israeli nanny for 6 days a week and 12 hours a day).
B. Employers of foreign workers – through a nursing company (see my previous article), or with a direct benefit to the beneficiary’s bank account.
2. A.D.L. test
This is the functional test performed by the National Insurance through nurses coming to the home of the benefit recipient. The test consists of 6 main tests:
A. Getting up and lying down.
B. Mobility.
C. Bathing
D. Dressed.
3. Eligibility levels – 6 established levels:
A. Level 1 – between 5.2 and 3 points
B. Level 2 – between 5.3 and 5.4 points
C. Level 3 – between 5 and 6 points
D. Level 4 – between 5.6 and 5.7 points
E. Level 5 – between 5.7 and 9 points
F. Level 6 – from 5.9 points and above.
Chapter II – The main changes in the reform:
There are 2 main changes in the nursing reform
1. Change in nursing hours according to each level:
Until October 2018, there were 3 levels in receiving the nursing allowance.
Level A- It provided its recipients with 9.75 hours of nursing per week.
Level B- Granted its recipients 19 nursing hours per week when employing an Israeli caregiver and 16 nursing hours for employers of foreign workers.
Level C-Granted its recipients 22 nursing hours per week when employing an Israeli caregiver and 19 nursing hours for employers of foreign workers.
As of November, there are 6 levels for the benefit as written above. (In the rest of the article, the levels will be detailed according to the services that can be received in each of them).
2. Payment amounts when receiving the benefit or a portion of it directly, the amount of money paid to those entitled to the nursing benefit at each level has increased significantly.
Additional nursing services:
Laundry (0.25 hours per week for 5 kg),
club (2 weekly sessions per day),
Emergency button (0.25 hours per week)
Absorption products
Level B:
hours or a caregiver from a nursing company for 10 hours or a caregiver through a nursing company for 6 hours in combination with a financial allowance of NIS 820 per month.
Level C:
A caregiver through a nursing company for 15 hours or a caregiver from a nursing company for 11 hours in combination with a financial allowance of NIS 820 per month.
Exceptionally and according to the decision of a social worker referred by the National Insurance Institute, it will be possible to get a caregiver from a nursing company for 10 hours in combination with a financial benefit of 1025 NIS per month.
Additional nursing services:
club (2 weekly hours per day),
emergency button (0.25 hours per week),
Laundry (0.25 hours per week for 5 kg),
Absorption products
Level D:
Caregiver through a nursing company for 19 hours. or a nanny from a nursing company for 15 hours combined with a financial benefit of 820 NIS per month, exceptionally and based on the decision of a social worker referred by the National Insurance Institute, it will be possible to receive a nanny from a nursing company for 12.5 hours combined with a financial benefit of NIS 1300 per month. Additional nursing services:
• Laundry (0.25 hours per week for 5 kg),
• Club (2.75 NIS per day)
• Emergency button (0.25 hours per week)
• Absorption prod
Level E:
Caregiver through a nursing company for 23 hours. Or a caregiver from a nursing company for 19 hours combined with a financial allowance of NIS 820 per month. Exceptionally and according to the decision of a social worker referred by the National Insurance Institute, it will be possible to get a caregiver from a nursing company for 15.5 hours combined with a financial benefit of NIS 1570 per month. Additional nursing services:
• Laundry (0.25 hours per week for 5 kg),
• Club (2.75 per week per day),
• Emergency button (0.25 hours per week)
• Absorption products.
Level 6:
Caregiver through a nursing company for 28 hours. Or a caregiver from a nursing company for 24 hours combined with a financial benefit of NIS 820 per month. Exceptionally and according to the decision of a social worker referred by the National Insurance Institute, it will be possible to get a caregiver from a nursing company for 18.5 hours, combined with a financial benefit of 1910 NIS per month.
Additional nursing services:
Laundry (0.25 hours per week for 5 kg),
Club (2.75 per week per day),
Emergency button (0.25 hours per week)
Absorption products.
Chapter 3 – The services that can be received at each of the levels for benefit recipients who need 24-hour supervision.
Benefit recipients who employ foreign workers (and/or benefit recipients who employ Israeli workers for 6 days a week, for 12 hours a day), can choose whether to receive the money through a nursing company or through a direct benefit. In my previous article on this matter, I showed that there is a gap expressed in thousands of shekels per year between the employers who choose to receive the benefit directly, and those who receive the benefit through the nursing companies, therefore, we will not focus on that in this article. However, it is important to note the amounts of money paid by the National Insurance Institute to direct benefit recipients as follows:
Chapter 4 – Holocaust survivors 9 nursing hours
Holocaust survivors recognized by the Authority for the Rights of Holocaust Survivors and/or the Claims Conference are entitled to an additional 9 hours of nursing care per week beyond the nursing benefit provided by the National Insurance.
Eligibility for receiving these 9 hours is meeting a rating of 6 ADL points (level 3 as above) in the dependency test and in addition, in that the nursing allowance is not reduced due to income.
According to the new reform, those Holocaust survivors, who are entitled to this supplement, can receive this benefit financially directly to their bank account, which will add 1842 NIS to them every month.
The option to choose a direct benefit is only given to those who employ a 24-hour caregiver.
Chapter 5 – Considerations for receiving compensation in money or directly:
When it comes to receiving part or all of the benefit directly, we must take into account a number of factors that influence the decision:
1. Bureaucracy-
The nursing companies claim more than once that a benefit recipient is directly “alone” with the employees he employs. This assumption is devoid of any foundation since the corporations and private bureaus are responsible for the employment of the foreign workers. The nursing company has no responsibility towards the foreign worker. With the exception of the payment of the salary, she has no connection with him, even though she is considered his employer, the recipient of benefits and the holder of the license is the main employer. Therefore, he must manage the employment of the caregiver regardless of the nursing company.
In fact, the nursing company is a body that stands in the way between the recipient of the benefit and the employee, thus hindering the transaction. Therefore, the recipient of the benefit must know that, in any situation in which he employs a caregiver, he must treat it as a full employer and, therefore, must manage the employment as required by law. The nursing company will not give him the help he needs once the employee ends the employment. On the contrary, in most cases the recipient of the benefit learns that the nursing company did not give him the information he required as an employer and he is left alone in front of the workers’ organizations, led by “Ko Le Oved”.
2. Sharing family members-
As a result of the fact that the employment of a 24-hour caregiver requires the benefit recipient to manage the employment, it is very important for the family members to participate in this employment. This sharing can often be the difference between a successful deal and a failed deal. The family member managing the employment will be the one who deals with all bureaucratic matters in front of the employee and the various authorities. Any problem of the employee will be directed directly to the family member and the patient will be able to be the one who receives the service without disputes or conflicts regarding wages, conditions, vacations, etc.
3. The ability to use the payment received directly to finance nursing care-
According to the new reform, those Holocaust survivors who are entitled to this supplement can receive this benefit in monetary form directly to the bank account, which will add 1842 NIS to them every month.
The option to choose a direct benefit is only given to those who employ a 24-hour caregiver.
Unfortunately, many elderly people in the country do not “finish the month”. In such a situation, every amount of money, even the smallest, that goes directly to the bank account of the benefit recipient, is used for day-to-day financing and not for nursing care. Be and the family members are involved in the administration of the benefit, after all, they must act wisely and not use the money to buy products from the grocery store.
It must be taken into account that when the benefit recipient reaches a nursing situation, in most cases the situation is not reversible but only worsens and as a result, the nursing expenses increase. Various devices, medicines, hiring a 24-hour employee, receiving a private consultation from a specialist doctor, etc. cost a lot of money. Therefore, the more the family members involved save the money received directly and save it for the day they need it, the better off they will be.
A number of examples are given:
per month, the cost of employing a foreign worker is currently around NIS 9,000 per month. A private home visit by a specialist doctor (NIS 1,000-1,500 and double that in some areas). A wheelchair privately, 5000-3000 NIS. A benefit recipient who receives care from a nursing company and combines with the care a monetary benefit and saves the amount he receives directly actually prepares the ground for a better future for him.
Chapter 6 – Summary:
The new nursing reform gives the recipients of the nursing allowance many new options. There is no doubt that much thought was put into the reform in order to give more to the recipients of the nursing allowance. The change in treatment levels and the increase of hours at each level allow the recipient of the benefit to calculate and plan his steps forward – which was not part of the options until today. Correct planning and making the appropriate personal decision for each benefit recipient are a cornerstone in reaching the third age or a nursing situation. It is possible to ask whether the new reform is sufficient and the answer is likely to be no and there are many other things that need to be done, but there is no doubt that the new reform is an important first step in creating a comprehensive solution for seniors who are in nursing care.
The post was written by: Mordechai Seig, CEO of the SLA company – Aid, counseling and guidance for the elderly.
Different functional states in a person are determined in relation to his ability to perform basic actions called day-to-day actions. These actions are: dressing, eating, controlling braces, bathing, moving around and making transitions between positions (for example from lying down to sitting) independently at home.
These actions that seem “basic” to us begin to take on a different meaning when we reach old age. Also, with the elderly I take care of, they are not basic at all.
There are six functional states in the elderly based on the definitions and laws in the State of Israel. These definitions will determine which of the authorities is responsible for financing the out-of-home living arrangement of your parent or relative. In other words, according to the functional status, it is possible to determine where the person will live and what the conditions of his care will be.
Therefore, the importance of understanding these functional situations is very great.
1. Functional modes: independent-
Self-employed is someone who does not need help at all in day-to-day activities. Those who function on their own in an optimal way in each and every one of the activities. Therefore, he does not need the help of a person or a device (such as a walker, etc.) to maintain his lifestyle. Independent people, live without difficulty among the community in which they live, or if they chose to do so within the framework of sheltered housing.
If the older family member who is independent, feels lonely and is interested in a nursing home suitable for the independent. However, he does not have the financial ability to pay for the institutional housing, he must contact the office responsible for the elderly at the bureau of social services in his city.
He must ask her to help him begin the process of financing his stay in the institutional housing where he wishes to live.
To start the process, you will need to bring documents detailing the income of the older family member and his children. If the older family member owns an apartment, the cost of renting it will be taken into account. The welfare services usually transfer all the income of the older family member to them by standing order.
So he has about NIS 500 left in his account for monthly pocket money during his stay in the nursing home. The children will also be charged a participation amount based on the calculation of their income scale. It is important to know: there are nursing homes under the supervision of the Ministry of Welfare today that accept elderly people at the request of the Ministry of Welfare.
2. Functional conditions: exhaustion or body exhaustion-
When the level of functioning decreases and the ability to function independently in day-to-day activities is impaired, the elderly person moves to a new functional state called exhaustion, or body exhaustion. In this situation, the elderly no longer function completely independently, sometimes needing the assistance of a walker for mobility, help with bathing, etc.
How will we recognize that an elderly person has gone from a state of independence to exhaustion or physical exhaustion? When he needed help with 2-3 ADL activities (daily). For example – needs a walker and supervision in the bath. If your family member who is defined as debilitated or physically debilitated, is interested in a nursing home for the debilitated. In addition, he needs financing for his stay in a nursing home for the elderly, the process for receiving the financing is exactly similar to the process that takes place with an independent elderly person
3. Functional situations: nursing-
Only when the elderly is unable to function and needs full help in most ADL activities (activities of daily living) is he defined as nursing. That is, when he is confined to a wheelchair, does not control the braces, needs full help in bathing and dressing, he is defined by the authorities as nursing.
It is important to note that there is no connection between the physical state and the mental-cognitive state and an elderly person can be nursing and also completely lucid. In order to get help and make it easier for the elderly, long-term care health insurance should be taken out so that the expenses are reduced and the help is greater.
In addition, if the nursing family member needs help financing his stay in a nursing home, it is necessary to contact the website of the Ministry of Health. Forms must be downloaded from this website in order to obtain the Ministry of Health code. In addition, there is a list on the website of all the forms required to obtain the code for the Ministry of Health.
Collect all the required documents and submit them to the Ministry of Health as soon as possible. The process usually takes about two months until you can get the hospitalization code. If there is no choice and the family member must be rushed to a long-term nursing home, there are nursing homes that provide the option of pre-cod. That is, a partial payment given to the nursing facility for two months until the code is received from the Ministry of Health.
4. Functional situations: temporary nursing – a person in a rehabilitation situation –
Sometimes when an elderly person becomes nursing due to medical activity (for example surgery) but has rehabilitative abilities. For example, after the medical activity and with the help of proper guidance and training in a rehabilitation institution – he may return to a higher level of functioning. The definition of this functional state is temporary nursing.
In order to receive funding for a rehabilitation institution, it is necessary to contact the health insurance office in the area of residence or the office at the hospital where the elderly is hospitalized. The social security office will help in finding a rehabilitation institution according to the area of residence and the health fund of the elderly.
5. Complex nursing-
Patients who are nursing based on their function and in addition to that, special medical treatment is necessary for them. Below are some examples of medical conditions that may lead to hospitalization in a complex nursing setting:
1. Pressure sores of severity level 3-4.
2. Need for fluid infusion and/or intravenous drug therapy for an extended period of time.
3. Respiratory problems that require respiration, inhalations or inhalations more than once a day.
4. Dialysis or hemodialysis, a person suffering from a malignant disease and needs close medical monitoring and/or pain management.
If you wish to go to a complex nursing department in a nursing home, permission is required from the geriatrician responsible for this issue at the health fund. The referral to the geriatrician is made through the family doctor for the person living in the community or through the social service of the hospital if the person is hospitalized.
6. Exhaustion-
The definition of mental exhaustion does not concern the physical condition of the elderly at all, but the degree of his clarity. A person is diagnosed with dementia, when his level of dementia increases and his orientation in time, space and person decreases. The decrease in orientation levels is such that he needed constant supervision.
It is important to note that a debilitated person is not a mentally ill person but someone whose cognitive level is impaired due to diseases related to old age (Alzheimer’s for example). Although various tests to check the soundness of an elderly person (mini mental tests for example) are conducted by various parties, a qualified diagnosis accepted by the authorities is given by a psychiatrist who specialized in geriatrics only.
If the elderly person lives in the community, his family members should contact the family doctor in order to receive a referral to a psychogeriatrician. Also, if the elderly is hospitalized, a psychogeriatrician at the hospital performs a diagnosis in order to determine the functioning of the family member as a mental retardation.
After determining that the elderly person is mentally ill, the family must contact the health insurance office if the elderly person lives at home, or the hospital office. This is in order to help find a suitable institution for the mentally ill and to help start the process of receiving a hospitalization code from the Ministry of Health. The body that finances institutional arrangements for the mentally ill is the Ministry of Health, below is the link to the website of the Ministry of Health
In conclusion-
The different functional situations require different preparation of the elderly and his family members in order to continue the routine of life as much as possible. This, in order to enable the best and most appropriate care for each elderly person.
Article: Irit Rabinowitz, attorney M.A. degree in health and rehabilitation.
Being a person caring for a dementia patient is the hardest and most abrasive job there is. People who take care of dementia patients, need to work with them wholeheartedly. This is to make sure they get the best quality of life they can get. They have to do everything so that their happiness is above their own personal happiness. Mental stress and burnout are actually the side effects of this work. In the case of people caring for dementia patients, the psychological impact and mental stress, they significantly negatively affect their mental health. If you are one of those people who are devotedly caring for dementia patients, then this article is for you. Keep reading and learn how to prevent burnout and bring more joy to your life and the life of the person you care for.
Take Time for yourself-
A significant part of the caregiving family member’s job is to devote his best resources to the quality of life of the sick family member. From daily needs such as bathing and preparing meals to more important things such as: talking with them, or even doing fun tasks with them such as: making cookies, just to contribute more joy to their lives.
Caring family members are sometimes so involved in the lives of the relatives they are caring for, that they forget to take care of themselves. Not finding time to take care of yourself, leads to complete burnout. Therefore, the first thing you should do is take a day off. Leave the tasks you have that day to another person who will replace you (another family member or a professional caregiver). Go for a walk with friends, get together with the rest of your family, or just read a book in the comfort of your home. Everyone needs time for themselves and you deserve it!!
Research the disease-
The transition from being cared for by your parents to caring for them can be very challenging. Children can suddenly find themselves caring for their aging parents who have been diagnosed with dementia. This challenging situation is accompanied by anxiety about the parent’s future and frustration that the parent is no longer able to perform simple tasks. is a symptom of burnout. In this situation, the therapist should take a step back and try to investigate the illness, to understand what is happening in the person he is treating. Once the illness is investigated and understood, it can reduce feelings of anger and frustration on the part of the therapist towards the patient. When the illness worsens, the therapist You need to find ways to know how to deal with the changes.Talking with other therapists and sharing difficulties with them is a great way to deal with burnout.
Meditation – a great way to deal with burnout –
Feelings of stress and anxiety are an integral part of the therapist’s work. They are constantly worried about the patient’s health, stressed about his health, worried about the future, tired from the work of treating him, there is no way to get rid of the negative thoughts completely, but there are ways to reduce them. Sit in a quiet place and take breaths. Listen to relaxing music. Relax your body and try to forget for a few minutes the thoughts that bother you. Concentrate and imagine a place where you would like to be just for 15 minutes and engage in meditation. These 15 minutes are enough to refresh your mind and give yourself a break from reality. Doing this type of meditation exercise together with the adult you are caring for can be a good idea. The person you are caring for is also sometimes anxious. Therefore, meditating with them can only do them good.
A woman is meditating
Exercise – another way to avoid stress and burnout –
Caring for a person with dementia is hard work that requires a lot of effort and involves many tasks. Although helping an elderly person with dementia can be a demanding task, there is no better activity for your body than exercise. In order to make sure that you are exercising enough, it is very important to dedicate a certain amount of time each day to physical activity. An activity like jogging around the park, for a certain time during the day, can cause a real change in your physical health. Exercise can also do wonders to clear your head.
Take care of yourselves-
A sick carer cannot act as a carer towards anyone. It absolutely cannot benefit an elderly person who depends on the help of the caregiver for his basic needs. If you don’t take care of yourselves and you become sick, then who will take care of the patients? Make regular appointments with the doctor to make sure your health is good, eat regular and nutritious meals. Not maintaining the weight will not help the patient’s treatment at all. Beyond that, improper nutrition can lead to diseases, such as: diabetes and high blood pressure. Eat your meals on time, exercise and go to the doctors for checkups. If you take care of yourself, the stress will go away.
Take a minute to Thank-
It is impossible to avoid the fact that caring for an adult with dementia is a difficult task. But, it is important to remember that the work is worth it. The therapist dedicates his time to improve the patient’s quality of life and this is an amazing thing in itself. The therapist’s work has an amazing purpose for the patient. In whatever situation and suffering your patient is going through, be grateful that you are there to help ease his pain and let him feel at ease in such difficult times.
Summary-
A nurse helps guide an elderly person
A manny helps guide a person Nanny plays an important role in the development of our society. They are the people who are responsible for caring for the adults who need help. If you are a caregiver, or if you know someone who is caring for an elderly person who needs help. Take a minute to remind you or them to take care of themselves. If you adopt the techniques given to you in this article, you can avoid stress and burnout. But, if you get sick, heaven forbid, from stress and burnout, then who will take care of the elderly person you are caring for? An adult
Your family member has reached a point where he needs help with daily activities and you are no longer able to provide that help. In this case, there is no choice but to get a therapist to help your older family members deal with daily tasks. The uncertainty about who is the person who will help the family member who needs help, causes you pangs of conscience. Feelings of guilt even increase, when the elderly is a person who has taken care of you all your life and now you are the ones who have to take care of him.
In any case, if it is difficult for you to take care of your elderly family member, due to some kind of cognitive and/or functional deterioration. Therefore, he needs care and supervision for 24 hours a day, you should not feel guilty and I will immediately explain why.
This is a natural matter because when our loved ones need our help, we will be drawn to their help. Just as our loved ones helped us when they were younger. This thought is admirable, but at the same time, it is not realistic at all. When people age and their health deteriorates, they need help that more than two or three people are able to give. We cannot leave our offspring and work aside and go take care of our elderly family members two or three times a week.
Therefore, we start looking for other treatment options, despite being full of guilt.
Treatment options that are not in a nursing home-
1. In your family’s home-
This option means that we actually allow the elderly family member to live with us in our home, of course if the space in our home is sufficient for that. If this is the path we choose for them, we need the other family members not to show any objection to it.
Home Care..
2. Elderly clubs-
If our elderly family member is still sober, or has a slight cognitive decline, this can be a wonderful option for them for employment during the day. At the Senior Citizens Club, your older family members will be able to receive close supervision as well as diverse options for employment. This option means that your family member is under supervision that is not yours.
3. Home Caregiver-
Another potential option, this, is a caregiver at home. But, pangs of conscience are still gnawing at you and you are not the ones giving your elderly family member all the care. The person who takes care of them is a stranger who helps you. In any case, it is important to remember that your family member has someone who cares and cares, while you can take care of your own things.
4. Placing the elderly in out-of-home housing-
When the day comes, home care is no longer an option. You must have promised yourself that you would never put your family member in a nursing home. But, the time comes when you must break this promise.
If your family member suffers from delusions or wanders and can’t find his way home. You have no choice here, but to find him an institutional arrangement. If it has already become physically and mentally difficult for you to take him down and get him back to bed. You have no choice but to find an institutional arrangement for your older family member. Another example of this is that it is physically difficult for you to pick up and take down your family member from the bed, due to a stroke and you must call for help for this. This is, in fact, another clear sign that your older family member needs an institutional arrangement.
How to overcome the pangs of conscience that attack us when placing our elderly family member in an institutional arrangement?
Your understanding that the care of the elderly dear to you requires more help than you are able to give, causes pangs of conscience to rise. You know you are unable to care for your elderly family member alone, but you cannot stop the guilt from overwhelming you.
what can be done?
A. Acknowledge that you are doing and have done the best you can for your elderly family member – to truly understand that you have done and are doing everything possible to take care of your elderly family member.
Today people live longer than in the past and are generally in much worse shape than in the past. If you had sent your dear elderly person to a nursing home 40 years ago, he probably wouldn’t have survived the way he can today, in today’s nursing homes.
B. Do your research on nursing homes – It is very important to take the initiative and find the best geriatric facility for your elderly family members. This means, go and make visits to the various institutions close to your area of residence. Make it a family project. Go together with the rest of the family to visit the various institutions or have a tour of duty, then discuss what you think about the places you saw. Ask questions and do some background research on the different places you’ve seen, in order to find the best place for your older family member.
This process will ensure that you do everything possible to find the best facility for your loved one and you will feel confident that your loved one is safe. By doing so, you will be able to trust the staff of the institution to take care of your loved one, as you do.
C. You still take care of them – although you moved your dear family members to a nursing home, you still take care of them. You can and even in some cases should be appointed as a guardian for them and also serve as their main caregivers (the contacts with the institution’s staff).
Make sure that you can put the personal belongings of your family members into their room in the nursing home, in order to make their room as similar as possible to their home, before entering the nursing home. You should stay in frequent contact with your senior’s ward staff. When you release the feelings of guilt, you will be able to start enjoying being with your dear family members. the difference?
What would happen if you let go of your guilty feelings that cause pangs of conscience?
You will not feel that you are tied to the needs of the elderly dear to you. You will have more time for yourself and you can devote yourself to your hobbies again. You won’t feel tired and you can do positive things for them like bringing your children and grandchildren to visit. You can bring them foods and movies they like to watch.
When you release the feelings of guilt, you will be able to do all these things with feelings of joy and love and not out of pangs of conscience. Your older family member will also feel more relaxed this way and will thank you for devoting your valuable time to him to make them happier.
What do you need to remember?
It is very important to tell yourself again and again that you are doing the best for your older family member and for yourself. You are all human and are not able to do so much for them on your own. Although you broke your promise not to put them in a nursing home, by visiting them often, you are still their primary caregiver. You don’t have to feel guilty about putting them in a geriatric center, it’s all for their benefit and yours.
Registered: Irit Rabinowitz, M.A. in social work in the field of health and rehabilitation.
Hello dear retiree! We have reached the day that most of us dream of reaching and as you know a dream is not a cheap thing. Let’s see how it is possible to reach retirement with financial well-being and do it responsibly and efficiently
Do’s and Don’ts in Retirement
Do not do:
Do not make rash actions in the asset portfolio (pension, training, provident funds, real estate portfolio, etc.) without consulting an expert in the field.
Don’t become an overnight real estate, capital market, high tech and brewery investor.
Do not refuse to take the advice of an experienced and reputable expert because
“From all my teaching I have learned, because your testimony is a conversation to me.”
Do not take actions against the income tax without consulting a retirement planner, tax advisor or certified accountant. This tip can save you tens or even hundreds of thousands of shekels.
Made:
Summarize the flow of monthly income and expenses:
Why ?
Because in most cases the expenses in retirement increase more electricity, water, trips, a new car and even just to pamper the grandchildren.
You will be surprised to hear that the current income is decreasing.
Summarize all your assets and understand which ones give you a higher return and how you maximize their profits.
*For those of us interested in the definition of an asset, it is as follows: An asset is defined as a resource that is under the control of an entity and is expected to bring economic benefits to the entity in the future.
Example: real estate for investment, monthly pension, education fund and investment policies.
Build a routine for you, a daily schedule and goals to fulfill your dreams and what the cost of those goals will be and where you finance it.
I claim that a person who has no mountain to climb simply degenerates, we must find new peaks to conquer and achieve.
You will understand your full rights vis-à-vis the government authorities (income tax, social security) who are your partners whether you like it or not and try to pay as little as possible within the law of course.
Click on the image to leave details for more information-
Background:
In my work, I encounter clients who are surprised to find out that it is possible to save money that they never dreamed of and that you can get more money from the income tax.
As part of Amendment 190 to the Income Tax Ordinance that took effect in 2012, the basket of exemptions for retirees has increased considerably. The problem is that the benefits are not given automatically but through a process called determination of rights (Form 161D). These forms, it requires the understanding of an expert from the field because it is a non-returnable form.
I met a lovely 68-year-old retiree who, to my surprise, paid about NIS 450 in income tax every month. After a short inquiry, I understood from her that she was sure that she was taken care of properly because she left a well-organized and large workplace.
After filling out form 161 D, establishing rights for an assessor in her area of residence, she received a full exemption from paying the monthly tax and retroactive refunds from the age of 62.
She received refunds in the amount of NIS 32,000 and a future exemption throughout her entire life. With a quick calculation according to average life expectancy, she saved herself a tax worth NIS 151,000. Which in my opinion is a significant amount of money.
Is it also in your eyes?
We would be happy to hear your opinions on the matter, in the comments below.
For further advice, you are welcome to enter my company’s business page on Facebook – The Center for Retirement Planning and contact me!
You are invited to join the WhatsApp group regarding retirement.
A client, unsure if she wanted to take on the role of guardianship for her mother who has a moderate level of dementia, came to me for help. The woman said her mother could still recognize people but did forget what day it was from time to time.
Her mother also began to suffer from delusions. She was convinced that her mother was still about to think clearly, and could make decisions for her mother. Although her doctor and I explained that the disease was rapidly progressing, the daughter refused to begin the guardianship process.
It wasn’t until her mother fell and needed surgery from her broken leg that she discovered her mother was worse off than she thought.
Doctors would not do the surgery without her mother’s permission, and since they felt she was unable to give it, they did a mental test. She scored low on the test. It was then a social worker took temporary guardianship of the mother.
This process took several days to resolve, and the mother had to remain in the hospital in pain before surgery could be performed. She was given painkillers often to help with the pain. This would never have happened if the daughter had listened and assumed guardianship over her mother.
Guardianship: Should you become one? and the legal process behind it.
Many people, as they age, have dementia. The more serious the dementia is, the more help the person will need in their day.
Elderly dementia patients are at both physical and financial risk due to their susceptibility to abuse (such as physical, emotional, financial, etc.) and their own decisions. These patients needed even more protection from predators.
For example, an older adult who refuses to allow a caregiver in their home or refuses to move to a nursing home could be deemed risking themselves and their environment.
If the same person suffers a stroke and can no longer talk and needs assistance 24 hours a day, they are no longer able to provide their input into the kind of care they will get. This is why guardianship was designed.
What Is A Guardianship?
A guardian is selected to make someone’s personal decisions for them. This is a person who is unable to decide for themselves where they will live and what kind of health care they need.
The guardian can make these decisions for them. And, an elderly person can have more than one guardian– one person can make financial decisions; another person can make healthcare decisions. Also, they can both be a guardian for both kinds of decisions.
Should You Become A Guardian For Your Loved One?
When you take on the role of guardianship, you have to let the court know every so often about how the person is doing.
Make sure you fully understand the role you are about to take on before you become their legal guardian. If becoming a legal guardian over someone sounds tedious, there are other alternatives to consider.
If an emergency arises, you could always file for a temporary guardianship, where the court assigns who the guardian will be.
