Caring for Aging Parents from Afar: 6 Signs You Should Take Action

Caring for Aging Parents: Navigating Long-Distance

Caring for aging parents can be especially challenging, particularly when distance is a factor. Each year, an estimated 43 million Americans relocate from their home state for employment opportunities, personal preferences, or military assignments. This migration results in millions of individuals inevitably moving away from their elderly parents and loved ones.

As our family members age, concern for their well-being grows. They might sound fine over the phone, but it’s hard to gauge a person’s health and wellness from a distance. Our loved ones may refrain from expressing their worries, or struggle to acknowledge their changing needs. That’s why adult children caring for their parents must assess the situation thoroughly.

How to Assess Living Conditions, Personal Care, & Behavior

As your parents age, you should regularly assess their living situation and routine. This is something you could do during a trip home or use local assistance. Local assistance could be family caregiver, an in-home care company, or a senior concierge service. In this article, we’ll cover six signs your aging parents would benefit from additional help. 

1. Home Safety: Check if The Condition Of The Home Has Changed

Messy kitchen with dishes all over the place

Have clutter, dust, or debris built up in the home? Are there broken windows or screens, large leaks, heating & cooling failures, or gutters that need attention? If until recently the home was always clean,the extra mess could be a sign of cognitive or physical decline. 

Cleanliness changes could be related to eye issues. Often, aging adults with glaucoma, cataracts, or other vision deficiencies simply cannot see the dust and dirt buildup. Or, it might be difficult to push a vacuum or bend down into hard to reach areas. It can be exhausting to maintain a home, and embarrassing to admit we can’t keep up with the maintenance as we used to.

2. Outdoor Maintenance: Evaluate Your Aging Parents’ Yard Care

If the grass was always watered and mowed, and the flower boxes were blooming seasonally, is that still the case? 

As health declines, it can become tiring to maintain a property, and it may become frightening to use a push mower. Shoveling snow or even going outside during slippery conditions could be too risky for our elders. At this point, consider additional help or possibly, a senior living community.

3. Outdoor Maintenance: Evaluate Your Aging Parents’ Yard Care

To do list paper

Has mail piled up? Are doctor’s appointments missed? Is the food in the refrigerator fresh or expired and rotting?

Often our elders benefit from assistance with these daily tasks long before medical care is necessary. Care for the elderly  could be as simple as providing compassionate help with routine domestic responsibilities.

4. Forgetfulness: Recognizing Signs of Cognitive Decline

Is your loved one repeating themselves more frequently, asking the same question more than once during the same conversation, or forgetting important dates and details?

These are signs of cognitive decline, it’s not their fault or due to laziness. They will not remember by “trying harder.”

5. Hygiene: Observing Personal Care Habits

Is your loved one wearing clean clothes? Do you notice a body odor? Any changes in hair or nail maintenance?

Often people with cognitive issues will wear the same outfit several days in a row because they don’t remember having already worn it. They’ll skip bathing either due to fear of falling, or because they don’t remember or notice they need to.

6. Friends & Hobbies: Encourage Social Engagement and Activities

three elderly women at lunch

Is your loved one engaging with friends or participating in activities they enjoy outside the home? 

Remaining engaged in our communities is vital for brain health and cognition. It’s common for aging adults to avoid going out due to physical ailments or limitations. It can be exhausting or frightening for them to leave, so they stay home. This reinforces their fears, leads to depression, and furthers cognitive decline.

What to Do About Parents Who Need Support 

The biggest sign that an aging loved one may need help is any major change from their former routine. Check out our  “Caring for Aging Parents Checklist” for additional signs. Recognizing these indicators early on empowers family caregivers to take proactive steps in ensuring their aging loved ones receive the support they need. 

You might discover that arranging for a cleaning service, shoveling or mowing assistance, scheduling home health visits, or investing in a medication box with an alarm is sufficient to address your loved one’s needs. 

However, you might also explore options such as senior care living communities, assisted living facilities, or enlisting the expertise of professional geriatric care managers. Additionally, you might find it necessary to take a more hands-on approach in managing your loved one’s bills and finances. While long-term care planning can seem overwhelming, rest assured that there are ample resources available to support you through this process.

Empowering Caregivers with Resources and Support

Paths Elder Law understands the complexities of navigating elder care decisions. By addressing the challenges of long-distance caregiving and embracing proactive measures, Paths Elder Law aims to uphold the dignity and well-being of aging parents and loved ones, ensuring they receive the care and support they deserve. Sign up for their monthly newsletter to stay informed and receive expert insights on navigating the elder care journey effectively.

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Client Care Advisor

Amy L. Gonzales

Amy L. Gonzales

Client Care Advisor

Amy L. Gonzales

Amy is our Client Care Advisor and brings over 20 years of combined experience in healthcare and senior living. She has a passion for helping seniors and their families navigate the often-difficult next steps. Her role at Paths Law Firm includes assistance with placement services, for those needing senior living options, as well as client satisfaction and supporting the marketing efforts. She never tires of hearing the life stories of our clients and brings experience and compassion to wherever they are in their journey.
 
Amy attended the University of Missouri in Columbia, Missouri. She was the Director of Sales for a home IV therapy and home care company, an Executive Director for an independent living community, and spent a season as a licensed realtor for both Missouri and Kansas. She has also worked for several years in assisted living and memory care. She co-authored a book called The MyDucks Personal Organizer, which is a tool to help individuals manage their medical, legal, personal, and legacy information. She spent several years as a speaker throughout Kansas City helping to educate and motivate people to get their “ducks in a row”!
 
She is blessed to be married to her husband, Ed, and they have a blended family with 5 grown children. Much of their time is now spent caring for their golden retrievers, enjoying time with family, and traveling whenever possible.

Legal Assistant

Mia G. Santora

Mia G. Santora

Legal Assistant

Mia G. Santora

Mia plays a key role as our dedicated Legal Assistant, collaborating closely with our paralegals on estate planning document preparation. She also supports our attorneys to ensure top-notch service for all our clients. In addition to her legal responsibilities, Mia supports our marketing team with client relations and is the Paths Membership Program coordinator. With a strong background in Project Management, Mia has gained valuable experience from diverse professionals across the country, having lived in Florida and California before joining our team. She graduated with honors from the University of Missouri-Kansas City, earning a bachelor’s degree in political science with a minor in communications.
 
Mia is always eager to learn the intricacies of elder law and brings a positive attitude to her work. Outside of the office, she enjoys enriching her mind through reading and spending quality time with her two dogs.
 

Community Relations

Jeane M. Fracassa

Jeane M. Fracassa

Community Relations

Jeane M. Fracassa

Jeane Fracassa – a dedicated and accomplished professional who retired with an impressive 38-year service record from the Kansas City Missouri Police Department. Throughout her illustrious career, Jeane served as a Civian Supervisor in the Communications Unit, where she played a pivotal role in ensuring efficient and effective communication within the department.

Even in retirement, Jeane’s commitment to community service remains unwavering. Currently, she serves in various capacities within Community Relations at Paths Law Firm. Actively engaged in the Lee’s Summit and Overland Park communities, she proudly represents the law firm.

In all aspects of her life, Jeane Fracassa exemplifies the values of community, compassion, and family. Her commitment to making a difference and her love for exploration make her a remarkable individual, whose presence brightens the lives of those she encounters. Whether at work, with family, or during her travels, Jeane’s genuine care for others and her zest for life make her a truly remarkable and inspiring person.

Administrative Assistant

Laura E. Messer

Laura E. Messer

Administrative Assistant

Laura E. Messer

Laura is the Law Firm’s marketing assistant, supporting all marketing tasks, including managing calendars, researching upcoming events, updating marketing software and spreadsheets, and partnering with organizations to maintain relationships that benefit Paths Law Firm’s clients.  Laura is also the law firm’s professional photographer as she provides the professional photographs for the headshots, organizations, events, and networking.

Laura has over 10 years of experience as a professional photographer.  She is also Adobe and Microsoft Certified.  She graduated from Columbia College, Columbia, Missouri with her Bachelor of Arts degree, Magna Cum Laude, in Behavioral Psychology (minors in Social Work and Criminal Justice), and her Photographic Craftsman degree from Professional Photographers of America. She is certified as a Qualified Mental Health Professional, Certified Gentle Teacher, Medicaid Billing Certified, Crisis Intervention Counselor, and a Missouri Notary.

Laura has been married more than 26 years and has a daughter and a son. She has four brothers, a niece, and a nephew. Her four spoiled pets that love her attention. A lot of Laura’s off time is spent taking photos and she is an internationally published photographer. Laura owns a studio on the historic Independence Square. 

Administrative Assistant

Holly D. Bramble

Holly D. Bramble

Administrative Assistant

Holly D. Bramble

Holly is our newest member of the administrative team. She is hardworking, has proven organizational skills and excellent communication skills. Holly has transitioned to the Estate Planning field from healthcare administration where she gained valuable knowledge that has contributed to her success here at Paths.

Holly enjoys spending time with loved ones, cheering for the Chiefs, and relaxing on the beach.

Administrative Assistant

Tressa L. Purdy

Tressa L. Purdy

Administrative Assistant

Tressa L. Purdy

Tressa has the important role of being a client’s initial point of contact as the law firm’s receptionist for all locations.  She also welcomes, assists, and cares for clients at the Lee’s Summit office. Additionally, she provides support in an administrative capacity for the attorneys, staff, and clients.  When you meet Tressa, the first quality many note is her readiness to be of assistance.

 

Tressa is a graduate of Park Hill High School with extensive administrative experience and executive level management. Tressa brings a stability and comfort to the law firm experience having worked in a variety of industries and having lived in six different major metropolitan cities.

 

Tressa has a daughter, two sons, and one grandchild.  In her free time, she enjoys her family and friends, loves being outdoors, gardening, bike riding and bird watching. Indoor hobbies include scrapbooking, painting cookies, and cheering on Chiefs football. She is a Kansas City native but enjoys traveling but is always happy to be back in her hometown.  

Attorney

Kathleen E. Overton

Kathleen E. Overton, Attorney

Attorney

Kathleen E. Overton

Kathleen Overton is an attorney and owner at Paths Law Firm. She has more than 17 years of experience advocating for those with special needs and navigating the state and federal agencies formed to help the disabled and elderly. At Paths Law Firm, Kathleen’s practice focuses on helping the elderly qualify for nursing home Medicaid, creating estate plans to protect beneficiaries, as well as a lot of time planning and forming businesses. Kathleen also enjoys helping clients form non-profit organizations and obtain 501(c)(3) tax exempt status.

 

After attending law school at the University of Oklahoma, Kathleen began representing clients before the Social Security Administration. Eventually her practice switched to federal court appeals and Kathleen spent years representing clients before the Eastern and Western District of Missouri, the District of Kansas, and the Eighth Circuit Court of Appeals. Kathleen has since focused her practice on estate planning and elder law after watching clients struggle to find ways to financially care for loved ones with special needs or aging parents.

 

Kathleen lives in the Northland with her husband and four children. She spends her free time attending soccer matches and ballet performances with her children and starting endless home improvement projects with her husband. 

Senior Paralegal

Terry L. Whitmash

Medicaid Paralegal

Tena K. Dooley

Terry brings a wealth of knowledge and versatility to her work having more than 35 years of experience as a paralegal, primarily in family law. She holds an Associate’s Degree and a Paralegal Certificate from Johnson County Community College. Her experience and education makes her an invaluable asset to our team.
 
Beyond her professional achievements, Terry is happily married and the proud parent of six children, as well as a devoted grandmother to nine wonderful grandchildren. In her personal time, she’s passionate about fitness, enjoying the challenges of boot camp workouts and the tranquility of hiking in the great outdoors. At home, she’s kept company by her husband and her lovable Boston Terrier, Jersey, who brings endless fun and energy to her life.

PARALEGAL & ACCOUNTANT

Sydney R. Morris

Sydney R. Morris

PARALEGAL & ACCOUNTANT

Sydney R. Morris

Sydney is the law firm’s internal accountant and one of their experienced paralegals having been with Paths Law Firm since 2017. She is a primary point of contact for estate planning and business planning.

Sydney graduated with honors from the University of Missouri Kansas City in 2022 with her Bachelor of Science Degree in Accounting. She is a Bloch Launchpad, Phi Theta Kappa, and National Honor Society alumni.

In her free time, Sydney enjoys spending time with her husband, reading, baking and going on long walks. 

SENIOR ADMINISTRATIVE ASSISTANT

Christy L. Phillips

Christy L. Phillips

SENIOR ADMINISTRATIVE ASSISTANT

Christy L. Phillips

Christy has three years of experience in elder law working for seniors and their families. She is currently the Senior Administrative Assistant and organizes the day to day functions of the office and makes sure everything runs smoothly. When asked why she loved what she does, Christy said at Paths Law Firm, she gets the opportunity to help clients in more ways than one. Her favorite parts of the job are getting to know the clients and helping them get their questions answered. 

Christy’s experience in the finance industry has been extremely beneficial to her role as the Senior Administrative Assistant. Christy has a special place in her heart for the elderly and attributes this to the relationship she had with her grandparents. 

Christy was raised in Ogden, Utah and moved to Independence, MO, when she was ten years old. She has been with her high school sweetheart for 25 years and they have two beautiful children together. Her daughter works in the medical industry, and her son currently attends High School and plays Baseball. When Christy is not working, she enjoys crafting and spending time with her family and friends.

Christy’s experience in the finance industry has been extremely beneficial to her role as Benefits Coordinator. There have been many influences that went into her decision to select the field of Elder Law. Christy has a special place in her heart for the elderly and attributes this to her relationship with her grandparents.

When asked why she loves what she does, Christy said that at Paths Elder law, she gets the opportunity to help clients in more ways than one. Her favorite part of her job is getting clients approved for Medicaid or VA benefits as it is a huge relief for them and their loved ones.

Christy was raised in Ogden, Utah, and moved to Independence, MO, when she was ten years old. She has two children that keep her busy and fill her life with joy! Christy’s daughter cheers for Avila University, and her son plays competitive baseball for the Bucks and races BMX locally for the Motorcycle Closeout Team.

When Christy is not working, she enjoys crafting and making homemade gifts for her loved ones and raising her kids to be healthy, happy, and positive humans.

 

Practice Areas

  • Medicaid Benefits
  • VA Benefits

 

Professionalc Memberships and Affiliations

  • Missouri Notary

FINANCIAL MANAGER

René A. Fracassa

René A. Fracassa

FINANCIAL MANAGER

René A. Fracassa

René is the Financial Manager at Paths Law Firm overseeing all aspects of revenue, expenses, and financial planning. She is also responsible for general office management, including assisting in many of the administrative matters that periodically arise. 

René earned her Bachelor of Science in Hotel and Restaurant Management from Central Missouri State University in Warrensburg, Missouri and soon thereafter worked her way through management at The American Restaurant where she worked almost 17 years before relocating to the country of China.

In her spare time, René is currently quite active managing multiple generations of her family, including parents and grandkids.  René has had great impact on the lives of many women teaching discipling and teaching and abundance of Bible Studies. Her former career in management and event planning trained her well to juggle all the activity.

MARKETING MANAGER

Hilary R. Tichota

Hilary Tichota

MARKETING MANAGER

Hilary R. Tichota

Hilary plays a vital role in managing the Marketing Department at Paths Law Firm.  She is excellent at bringing new ideas and sharing valuable resources with the law firm and our community. Hilary has been with the law firm since the beginning, working in nearly every role which is invaluable in her marketing endeavors as she brings a unique set of skills into the Marketing Department.

Hilary is nearly complete in her Bachelor’s of Arts Degree in Marketing at Park University.  She has earned the honor of being listed in National Honors Society, Phi Theta Kappa, and the Dean’s List. Hilary is always looking for new and innovative ways to share the law firm’s message.

SR. PARALEGAL & OPERATIONS MANAGER

Jennifer A. Bronson

Jennifer Bronson

SR. PARALEGAL & OPERATIONS MANAGER

Jennifer A. Bronson

Jennifer is the Sr. Paralegal and Operations Manager at Paths Law Firm.  She oversees the firm’s probate department as well developing, implementing, and managing all the firm’s administrative processes having been with the law firm almost from the beginning.  She enjoys client contact as well as behind-the-scenes operations.

 

Jennifer began her legal career in 1990 as a legal secretary.  She has worked in small and medium sized firms, as well as court operations.  She has her Paralegal Certificate from Boston University, Law Office Management Certificate from University of Central Missouri, and she is a Master Financial Coach. 

 

Jennifer has two daughters, twin sons, and twin grandsons.  She spends as much time as she can with them.  She enjoys reading, listening to podcasts, and tending her yard. 

ATTORNEY

Russell A. Fracassa (Rusty)

Attorney Russell A. Fracassa

ATTORNEY

Russell A. Fracassa (Rusty)

When asked what he wants to do, his reply was “I just want to sit at the kitchen table and work directly with people.” Rusty enjoys working with clients providing experienced advocacy and supporting them through their unfamiliar and overwhelming situations. Due to all the challenges faced by seniors, it is essential to work with an experienced elder law attorney who has expertise in the law, issues, and concerns affecting seniors and their families.

Rusty brings more than 30 years legal experience and expertise working for seniors and their families as an elder law attorney in Kansas City and surrounding. Prior to law school, Rusty was an accountant and his first couple years practicing law was as a tax attorney. This provides invaluable experience in his current practice of law. Rusty’s focus is helping protect seniors’ assets from taxes and long-term care costs, benefit qualification, and navigating more complex family scenarios in their estate planning.

Rusty has personally experienced the loss every parent fears, caring for a spouse suffering with cancer and the treatment, and working with aging parents through all stages of their lives.  He intimately understands the challenges faced by individuals and their caretakers when capacity or health declines, how to prepare for it, and the legal matters while in the midst of it.  He may not be able to eliminate his client’s grief, but he strives to provide clients with peace of mind.

In 2010, Rusty’s faith and love led him and part of his family to China as Christian missionaries. He and his wife, went permanently, but ended up dedicating 3 years to that ministry. They returned to Missouri to help with grandchildren after a family tragedy and later began anew with Paths Elder Law. The goal is providing compassionate care through legal advocacy.

Rusty has multiple degrees and advanced study spanning his Bachelor’s of Arts in Business Administration – Accounting at Rockhurst College (now Rockhurst University), Masters of Arts in Accounting and in Intercultural Studies, as well as his Juris Doctorate from the University of Missouri at Kansas City School of Law.

When Rusty is not practicing law, he enjoys spending time with his family, grandchildren, and excessive eating at local restaurants.

Practice Areas

  • Wills and Trusts
  • Estate Planning
  • Asset Protection
  • Medicaid Benefits
  • VA Benefits
  • Probate
  • Guardianship and Conservatorships
  • Education

 

BSBA and Master’s in Accounting, Master’s in Inter-Cultural Studies, and Doctorate in Juris Prudence

  • Rockhurst University
  • Liberty University
  • University of Missouri – Kansas City


Admissions to Practice

  • Missouri


Professional Memberships and Affiliations

  • State Bar of Missouri
  • National Academy of Elder Law Attorneys (long-time Member)
  • Elder Counsel (Charter and Ongoing Member)
  • Missouri Association of Trial Attorneys (Past Member)
  • Kansas City Metropolitan Bar Association
  • Missouri State Bar Committees – Elder Law, Estate Planning, Probate