Author Archives: Barbara Kate Repa

About Barbara Kate Repa

Barbara Kate Repa is a lawyer, writer, and consumer advocate specializing in aging, long-term care, estate planning, and end of life issues. A former nursing home ombudsman, she currently serves as a counselor on a crisis line for the elderly as well as a legal advisor on Resident Councils in San Francisco care facilities.

Cluttering Collections v. The Horrors of Hoarding

Messy room

Well before Marie Kondo proselytized about the necessity of storing tee shirts in precise little rolls in her top-selling manifesto, The Life-Changing Magic of Tidying Up: The Japanese Art of Decluttering and Organizing, a bounty of books had been published about the virtues of pruning possessions and neatening homes, complete with suggested systems for how […]

When Influence is Undue

Senior Scam

It’s human to be influenced by others — and often a healthy reflection of open-mindedness. And the power of influence when it helps snag a sale, win an election, or even make a simple decision is generally applauded. But problems arise when the influence is “undue” — when one person actually usurps another person’s free […]

A Legal Check-Up: Getting the Medical Care You Want

Doctor Holding A Stethoscope For Auscultation

In a kinder, easier, more foolproof world, there would be one document allowing people to indicate what medical care they prefer to have provided or withheld. And it would be housed in one repository, accessible by medical personnel anywhere and everywhere, at any hour of the day or night. We don’t live in that world. […]

Hospital to Home: Avoiding Readmissions

Medical Clinic

For many older people, hospitals have revolving doors. About one in every five seniors who spends time getting care in a hospital is readmitted within 30 days of being discharged. A hospital readmission often signals a gap in the quality of medical care. In addition, it’s a disruptive and unsettling experience — and an expensive […]

‘Boomer Hottie’ Marches Against Ageism

Boomer Hottie

Barbara Rose Brooker has never let aging define her or limit her choices in life. In fact, she’s among the rare individuals who have made it work for instead of against her. And now, at age 80, she’s taking on a new quest: stamping out ageism. “Aging well is not about Botox or looking younger. […]

Seniors Discovering—and Rediscovering—Marijuana

Medicinal Marijuana

Joy Crowley took her first puff of marijuana last year, sometime after she turned 79. While recovering from hip replacement surgery a few years ago, she had a serious adverse reaction to the medications prescribed for pain, as well as many over-the-counter medications “all the way down to Aleve.” She now suffers from arthritis throughout […]

Virtues and Vices of Gambling Among Seniors

Roulette Table

Make a mid-day, midweek visit to a casino in any one of the 40 states that have them and you’re likely to see a sight you might not have expected: seniors crowded in at the slot machines, the industry’s biggest revenue producers. Some are beckoned there by the targeted tantalizing lures such as Senior Days […]

Nursing Home Residents With Alzheimer’s: Drugged to Death?

Drug Use in Nursing Homes

Despite strict government warnings and national initiatives cracking down on administering antipsychotic drugs to older people with Alzheimer’s disease and other dementia, dangerous abuses persist. The practice is particularly pernicious when it occurs in nursing homes, behind closed doors, where the most vulnerable residents are rarely informed or allowed to give meaningful consent before being […]