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Despite the expense, "most people try to do what they can to stay at home before placement in a facility," says Nancy Wexler, a Los Angeles–based geriatric care manager and author of Mama Can't Remember Anymore: Care Management of Aging Parents and Loved Ones.The good news is that many people don't need 24-hour care, at least not right away.You can also give property such as furniture, jewelry and other goods worth ,000 or less under this gift tax rule.Instead of transferring title to your property and other assets directly to your children, you can establish an irrevocable trust.You can give the money outright or put it into a trust.Neither you nor your children will pay taxes on these gifts, and you don’t have to report the gift on a separate gift tax return.Unfortunately, this leaves you without the financial security you previously enjoyed if you decide to return home.

Maybe you want to help your children financially while you’re still alive, or you want to avoid any confusion or possible squabbles over your estate.

Nearly 70 percent of seniors will receive such help sometime during their old age—usually at home, but often in a nursing home. One in five of us will need long term care assistance for five years or more.

An elder law attorney can help ease those costs and burdens.

Do the math and you'll see that for round-the-clock assistance, the tab can run as high as 0,000 a year, making home care a very costly option.

"It's so expensive because people are basically trying to recreate the nursing facility at home," says Chris Cooper, a certified financial planner and social gerontologist in Toledo.

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