What Is an MDPOA and Why Every Family Needs One

DWquale on July 15, 2025

When a loved one begins to age or faces a serious health diagnosis, one of the most important legal decisions a family can make is establishing a Medical Durable Power of Attorney (MDPOA). This vital document allows someone to legally make healthcare decisions on anothers behalf if they become unable to speak for themselves.

But even with paperwork in place, navigating real-life medical crises and end-of-life care decisions can be overwhelming. That’s where professionals like Debra Kooser at NorthStar Elder Solutions step in, not just to help with documents, but to guide families with compassion, clarity, and years of hands-on experience.

What Is a Medical Durable Power of Attorney?

A Medical Durable Power of Attorney gives a trusted individual the legal authority to make medical decisions for someone else (the principal) when that person is incapacitated or unable to communicate. This can include decisions about treatments, procedures, nursing care, hospice, and even life support. It is durable because it remains in effect even after the principal loses capacity.

Unlike a living will, which outlines preferences but doesn’t assign a decision-maker, an MDPOA ensures there’s a real person, often a family member or professional advocate, ready and able to step in when critical healthcare choices arise.

How Debra at NorthStar Elder Solutions Supports Families

Debra, the founder of NorthStar Elder Solutions, has served as a Medical Durable Power of Attorney for multiple clients and brings deep experience in navigating the complex realities of elder care.

Whether she appointed as an MDPOA or working behind the scenes to support someone who has been, Debra role often includes:

  • Helping families understand what care options are available
  • Coordinating with doctors, hospitals, and long-term care providers
  • Advocating for her clients medical preferences
  • Preventing unnecessary hospitalizations or overly aggressive treatments
  • Acting as a calm, informed voice when emotions are running high

Debra’s approach is grounded in years of experience working with aging individuals and their loved ones, and her clients consistently describe her as steady, reliable, and deeply compassionate. For families facing overwhelming choices, she becomes a guide, advocate, and trusted presence.

When to Reach Out

If you’re caring for an aging parent, helping a loved one plan ahead, or managing a complex medical or estate situation, having an experienced MDPOA or someone who can coach you through the process is invaluable.

Debra Levy at NorthStar Elder Solutions is an exceptional resource for:

  • Serving as a neutral MDPOA when no family is available or appropriate
  • Supporting individuals who have been named MDPOA but feel unsure of what to expect
  • Navigating transitions to assisted living, hospice, or in-home care
  • Acting as a liaison between healthcare providers and families

A Trusted Partner in Difficult Times

At Colorado Estate Services, we often see how interconnected legal, medical, and real estate decisions become when a family member ages, falls ill, or passes away. We’re proud to work alongside partners like Debra who understand the human side of this process and who step in with integrity when families need help the most.

You can learn more about Debra’s services at www.northstareldersolutions.com

And as always, if you or your clients need help with estate-related real estate, we’re here to guide the process every step of the way.

Local Burial Assistance Programs for Families in Need

DWquale on May 14, 2025

At Colorado Estate Services, we recently had the privilege of meeting, Kimberly Rosene, a Hospice Specialist, at AdventHealth Porter Hospice. Kimberly’s dedication to supporting families during end-of-life transitions is truly inspiring. She shared invaluable information about local resources available to assist families with funeral and burial expenses.

AdventHealth Porter Hospice, located in Denver, offers compassionate, whole-person care to patients and their families. Their team provides not only medical support but also emotional and spiritual guidance, ensuring that each individual’s journey is met with dignity and respect. Kimberly and her colleagues work tirelessly to connect families with the resources they need during these challenging times.

One critical aspect Kimberly highlighted is the availability of county-level assistance programs designed to help low-income families cover funeral and burial costs. Here’s an overview of the resources available in the five-county Denver metro area:

Denver County

  • Program: Burial Assistance Program
  • Benefit: Up to $1,500 toward funeral, burial, or cremation costs; total expenses must not exceed $2,500.
  • Eligibility: Based on the deceased’s eligibility and available resources.
  • Application: Denver Burial Assistance

Arapahoe County

  • Program: Burial Assistance via Department of Human Services
  • Benefit: Financial assistance for funeral, burial, or cremation costs.
  • Eligibility: For individuals whose estates are insufficient.
  • Application: Arapahoe County Burial Assistance

Jefferson County

  • Program: Burial Assistance Program
  • Benefit: Financial assistance for funeral, burial, or cremation costs.
  • Eligibility: Low-income residents with limited resources.
  • Application: Jefferson County Burial Assistance

Adams County

  • Program: Burial Assistance Program
  • Benefit: Public assistance grant for burial, funeral, and cremation services.
  • Eligibility: Recipients of most financial and medical assistance programs; income and resource guidelines apply.
  • Application:  burial@adcogov.org for initial screening and application process.

Douglas County

  • Program: Burial Assistance Program
  • Benefit: Up to $1,500 toward burial or cremation services; total costs must not exceed $2,500.
  • Eligibility: Low-income individuals or those receiving financial assistance or Medicaid.
  • Application: Douglas County Burial Assistance

For veterans, the U.S. Department of Veterans Affairs offers burial allowances and other benefits. More information can be found at VA Burial Benefits.

For more information on AdventHealth Porter Hospice and the compassionate care they provide, please visit their official website or reach out to Kimberly at (303) 694-3545.

If you or someone you know needs assistance navigating these resources, please don’t hesitate to reach out to us at Colorado Estate Services. We’re here to support you every step of the way.

Vital Questions to Ask Home Care Providers First

DWquale on December 11, 2024

Choosing the right home care service for your loved one is a significant decision that directly affects their comfort, safety, and well-being. Because so many options exist, being thorough and asking the right questions are crucial for making the best choice. Conducting proper research will give you confidence that your family member receives the care they deserve.

To simplify your search, we’ve put together a list of essential questions to ask when evaluating a home care provider. These questions cover everything from caregiver qualifications to emergency protocols, which ensures a well-rounded understanding of each agency’s services and policies.

  1. Are Your Caregivers Bonded and Insured?
    Check if the agency provides liability coverage and insurance for their caregivers. This ensures your peace of mind, especially in case of accidents or incidents.
  2. Are Caregivers Contracted or Full Employees?
    Knowing whether caregivers are contracted or full employees significantly impacts the quality and consistency of care. Typically, full-time employees receive more training and benefits.
  3. What Is the Cost of Your Services?
    Request a detailed breakdown of costs. Be sure to include hourly rates, minimum hour requirements, and any potential extra charges for specialized care.
  4. What Are Your Full Range of Services?
    Make sure the agency can cater to all your loved one’s needs. For instance, they should provide personal care or housekeeping, depending on what your family member requires.
  5. What Is the Community’s Backup Plan for When Caregivers Call in Sick or Don’t Make It to Work?
    Understanding the agency’s contingency plan ensures uninterrupted care for your loved one. Ask how they handle last-minute schedule changes and whether substitute caregivers are readily available.
  6. Is Care Available 24/7?
    Clarify if the agency offers around-the-clock care. Additionally, ask how they handle urgent situations outside regular business hours.
  7. What Are the Minimum Hours of Care?
    Look into the minimum service requirements. For example, some agencies may only provide care for a certain number of hours per visit.
  8. What Is Your Procedure for Emergencies?
    It is crucial to understand emergency protocols. Make sure the agency has a comprehensive plan to address urgent situations effectively.
  9. How Are Problems Addressed and Resolved?
    Ask about the agency’s process for handling complaints and resolving issues. Having a clear and efficient system ensures quality care for your loved one.
  10. Who Do I Contact for Questions or Concerns?
    Identify who to contact for addressing requests, questions, or complaints. A direct point of contact makes communication seamless and effective.
  11. How Quickly Can Service Begin?
    Ask how soon care can be arranged after the initial consultation. This information helps you plan more effectively.

These are just 11 of the crucial questions to ask when choosing a home care provider, but there are many more to consider to ensure the best fit for your loved one. For a comprehensive list and personalized guidance, don’t hesitate to reach out to Kristine Verstraete (303-775-8276) or Marnie Biln (720-837-6306) at All About Seniors or connect with Colorado Estate Services.

Avoid Regrets: What to Ask a Senior Community First

DWquale on December 6, 2024

Choosing a senior community for a loved one is one of the most significant decisions families face. To ensure the best care and environment, it’s crucial to ask thoughtful, specific questions. Here are the essential inquiries to guide your search and give you peace of mind.

  1. What Type of Training Has the Staff Received?
    Understanding the training that staff undergo is vital. Inquire about specific certifications, ongoing education, and specialized training in conditions like dementia or Parkinson’s.
  2. Is the Focus on Person-Centered Care?
    A person-centered approach respects each resident’s individuality. Ask how the senior community personalizes care and whether they adapt strategies for different residents’ needs.
  3. What Are Your Staffing Ratios?
    Care quality often depends on how many caregivers are available per resident. Clarify the staffing ratios during the day and compare them with nighttime levels to gauge overall coverage.
  4. Staffing Differences: Day vs. Night
    Staffing often varies between day and night. Ensure there are enough qualified staff members to assist residents, especially those who may need frequent nighttime support.
  5. What Is the Procedure if Someone Falls?
    Falls are common in senior communities, so it’s crucial to understand how staff respond, including injury assessments, medical support, and communication with the family.
  6. Are Meals Included, and What About Dietary Needs?
    Ask about meal plans, dietary accommodations for health conditions, and if snacks are available between meals. Specialized diets should be supported seamlessly.
  7. Do You Accommodate Special Care Needs?
    Discuss specific needs like diabetic care, mobility assistance, or wandering behavior to ensure the community is well-equipped to handle these challenges.
  8. Is Housekeeping and Laundry Provided?
    Find out the frequency of housekeeping services and how often linens and personal laundry are changed to maintain cleanliness and comfort.
  9. What Does the Activity Program Look Like?
    Engagement and socialization are crucial for seniors. Review the calendar of events, therapy options, and whether activities align with your loved one’s interests.
  10. Are Therapy Services Available On-Site?
    Check for the availability of physical, speech, and occupational therapies. Having these services on-site is often more convenient and effective for residents.

These were only 10 of the many important questions to consider when choosing a senior community for your loved one. There are plenty more to discuss to ensure you’re making the best possible choice. To find out the rest and get expert guidance, reach out to Kristine Verstraete (303-775-8276) or Marnie Biln (720-837-6306) at All About Seniors or connect with Colorado Estate Services for personalized assistance.