For FL- Medicaid Waiver and Diversion now under one name#listing_mgr{1 basic_search}#

The role of caregiver can be the hardest and most rewarding.It is also one for which very few of us are prepared to accept. We can only do the best we can with the knowledge we have. Therefore, it helps to know experiences of others. Here are a few to consider.Mistakes:If you are a spouse, parent or child it is difficult to separate the relationship role from the caregiver role. Besides of this conflict, there is the issue of responsibility. Taking control often manifests as being a mother hen and trying to anticipate every move, every need. Yet, the patient's abilities to perform and make decisions need to be considered as long as appropriate. Balance, flexibility and strength are required from the caregiver.Not understanding the consequences of end of life decisions makes it difficult to draw the line between connecting the problems of the patient as part of the process and wanting treatment. Some suggestions can be found from providers, on line, friends, caregiver resources and blogs where you can ask questions.Regrets: Information is often limited. For instance: Not knowing what to expect of the process and the providers; how to communicate to patient about the illness, safety and decreasing abilities; the contradictions between the various health care providers and what you may see and feel can cause lingering regrets. Expect to feel exhausted and defensive. Try to step back and not react with anger and frustration.When being on guard and aware of the patient's condition becomes a priority, the quality time with a loved one is diminished. How do you want to remember your time together?Successes:Take care of yourself. Keep in contact with friends and socialize as much as possible. Monitor your mental and emotional state. Find ways to be positive, be grateful, listen to uplifting programs. Remind yourself you will get through this experience.You may eventually be alone. Use this time to visualize what you want if this occurs. What will your home be like? What goals will keep you moving forward? How can you use your talents and energies? You don't have to rush into anything such as housing, money, relationships. The quantity and speed of recovery are not important. However, moving forward iAfter care giving.Remind yourself of the positives. Know you did all you could with the knowledge you had at the time. Begin calmly taking care of the tasks at hand and ask for help. Determine what you'd like to do. As you reach out, life's opportunities will expand.Above all, do not feel guilty for what you didn't do or what you now feel were mistakes. One final caveat. By the grace of God, you entered this uncharted path. Know your experience has, and is making you stronger.What would you have done differently? Probably nothing. You did what you did from where you were and the information you had or could accept. Grant yourself this consolation.Put aside your fears and the hardships of the tasks. Think about the connection you've always wanted with this person. Beyond the situation, there is love. Let love be your fondest memory, your greatest gift to each other.

For more information on the author, The Sheridan at Lakewood Ranch, CLICK HERE!Having some memory loss is a natural part of aging. Beyond the everyday annoyance of forgetfulness, according to theNational Institute on Aging, is a condition called mild cognitive impairment (MCI). Even this is a common condition and doesnt necessarily indicate something more serious. But your loved ones cognitive impairment is one key factor to weigh when deciding to move from assisted living to memory care.Not all cognitive impairment indicates dementia or Alzheimers disease. But when these conditions do arise, it may be time to consider memory care. Find out more about what cognitive impairment is common and easy to deal with, and what is a more serious indicator when it is time for memory care.What Is Common Memory Loss vs. Dementia?Having trouble with remembering names and dates is a common age-related condition, but it isnt typically something to worry about.The NIAsays that to help those dealing with forgetfulness, make sure they:Dont drink alcohol to excessExercise and eat wellGet plenty of restLearn a new skillPut their wallet or purse, keys and glasses in the same place each daySeek help if they feel depressed for weeks at a timeSpend time with family and friendsStay involved in activities that can help both the mind and bodyUse memory tools such as write-on calendars, notes and to-do listsVolunteer in their community, at a school or at a place of worshipAlzheimers Disease and DementiaAlzheimers disease and other dementia are more serious conditions.According to the Mayo Clinic, dementia describes a group of symptoms affecting memory and the ability to think clearly. Dementia also causes disruptions in behavioral and social skills. Alzheimers disease is the most common cause of dementia, accounting for 60% to 80% of cases.The NIAcompares normal aging-related memory loss with the realities of Alzheimers disease:Normal AgingAlzheimers DiseaseMaking poor decisions once in a whileMaking bad decisions and judgments a lot of the timeMissing a monthly paymentDifficulties taking care of monthly billsForgetting which day it is but remembering laterLosing track of the date or time of yearSometimes forgetting which word to useTrouble having a conversationOccasionally losing thingsOften misplacing things being unable to find themMore serious cognitive impairment may indicate dementia and Alzheimers disease. Those with Alzheimers or dementia have other symptoms besides simple memory loss. Some of the more serious psychological changes that dementia patients exhibit,according to the Mayo Clinic, include:AgitationAnxietyDepressionHallucinationsInappropriate behaviorParanoiaPersonality changesIf somebody is exhibiting these behaviors, it is important to visit a doctor for a firm diagnosis. It also may be time to consider memory care at a senior community.When Is it Time for Memory Care?During the early stages of dementia or Alzheimers disease, many patients can live on their own or with in-home support from family members or a paid caregiver.There can be a point, however, when you may need to make the difficult decision to seek memory care for your loved one. Here are some questions,from the AARP, to help you decide as a caregiver whether its time to move a loved one to memory care:Are you becoming impatient, irritable, and stressed?Are you beyond your physical abilities in caring for your loved one?Are you worrying constantly about your loved ones safety or your own safety?Are you neglecting work responsibilities, your family, and yourself?Are you risking the health of your loved one, or yourself?Would the social interaction and structure of a memory care community help?Other factors should be taken into consideration, such as the loved one exhibiting changes in behavior, hygiene, disorientation, wandering and incontinence.While not all of these points need to be met, caregivers will know in their gut when it is time for a memory care facility. Memory care communities can give your loved one the care and environment they need.What Is Memory Care?Independent living and assisted living are two levels of oversight and care for aging adults. They offer professional staff, dining, and other amenities to meet different levels of needs.Memory care is a different level of care for those with cognitive impairment, ranging from MCI to dementia to Alzheimer's. The amenities and surroundings offered are intended to help these residents find comfort, safety, and peace when memory care is needed.Memory care communities provide:Personal careCleaning and laundryMeals and nutritionPet-friendly places>>Find a memory care communityA Special Program of Care for SeniorsAnother level of assistance is Senior Lifestyles award-winning embrace Memory Care. This program, available at some Senior Lifestyle communities, offers specialized programs to help seniors with dementia live fulfilling lives.The programs Included in embrace are customized according to these dimensions of wellness:MOVE (Physical) Physical activity, nutrition, and health education to encourage self-care of the bodyGROW (Intellectual) Stimulation and use of ones mindFEEL (Emotional) Experiences that provide support, increase self-esteem, and provide funREFLECT (Spiritual) Connection to the human spirit and helping us find meaningCONNECT (Social) Development of relationships that provide a deeper connection and opportunity to nurture each otherCONTRIBUTE (Vocational) Volunteer pursuits that help residents to reach out to each other and outside the community

Have you or someone you love ever serve in the United States military? Are you the spouse widow, or widower of a former service member? If youve answered yes to either of these questions you may be eligible for benefits through the Department of Veterans Affairs.There are several programs through the VA that many veterans and family members are unaware of or have received incorrect information about. This brief article will provide a clear look into what veterans and their eligible family members have earned and are entitled to.First, let us define who is considered a veteran. If you or a loved one enlisted or was commissioned into any of the 5 recognized branches of the Armed Forces and fulfilled their obligation of service honorably then you or your loved one is a veteran. Now that weve established who a veteran is, what types of benefit programs are there for eligible veterans? Well there are three main categories; Veteran Heath care, Veterans Benefits, National Cemetery (burial). Veterans Health care is most commonly known, this is any care a veteran or family member receives at a VA Medical Center, eligibility for health care depends on income and service connection. If the veteran does not have a service connected rating of at least 0% for any one condition then the VA will base your enrollment into the VA health care system on your annual income, unfortunately if your earned income is over the allowable limit you may be ineligible for VA health care. To receive a service connected rating the veteran will have to file a claim for service connected issues to obtain veterans benefits, you can do this by contacting you local County Veteran Services Officer or any other veteran service organization, (VFW, DAV, PVA, American Legion, e-benefits, etc). A claim for service connection is not based on income and is a tax free award for injuries and/or conditions that occurred in service, the rating may range from 0% to 100% depending on the severity for the issue/s. The veteran may apply for multiple issues that occurred in service to include PTSD, hearing loss, and exposure to chemicals or contaminated water.The third type of benefit is burial. If a veteran wished to be buried at a nationally accredited veterans cemetery, like the one we have on D road, then the burial is expense free. The family members may encounter additional costs from transportation or funeral home charges, the family member who pays for the additional charges may apply for a portion of reimbursement for those charges. Again, the family member will have to apply through the Dept. of Veterans Affairs with a service organization or Veteran Services Officer. In addition to the expense free burial, the veterans headstone, marker, or medallion, is also cost free.Keep in mind that the Dept. of Veterans Affairs has multiple programs for veterans and their family member if they are eligible; I have only touched on the three basic areas of veteran benefits. If you or someone you love is or has served in the armed forces and has questions about benefits through the Department of Veterans Affairs please consider contacting the following sites.Editors Note: This article was submitted by Brian Oney (Mesa County Veteran Services Officer). He is located at the Mesa County Workforce Center and can be reached by phone at (970) 248-2733, or by email at, brian.oney@mesacounty.us

Any provider can elect to provide day/night services on a short or long term basis. Rates typically include a place to rest, one or two meals and snacks and activities for the day. Licensed communities are prohibited by law to promote these services without a specific license.#listing_mgr{1 basic_search}##listing_mgr{7 basic_search}#

Helping someone realize they are at risk You've probably heard someone say I'm worried that my mom will fall and no one will be there or my mom got lost while walking her dog or my client forgot to take their medication or my client over dosed on her medication because she could not remember if she had taken it. Don't you wish there was something you could do for them? The following approach can be used to assist your discussion with them in any situation including fall prevention, diabetes, medication errors, safe driving, memory issues etc. Remember, this is about them; so include their thoughts on the subject. The first question is to ask is if they think they are at risk? If they flat out say no, its time to move to another subject and approach the topic again at a later time you do not want them to become entrenched in their thinking and you want the opportunity for a positive discussion. The next time you ask the question, bring up a specific event to engage their thoughts and help them to identify things they can do to help themselves to remain safe. They forget their medicine or take too many sometimes. Remind them that not taking their medicine makes them feel worst or causes them more pain and taking too much medicine caused them to go to the hospital. Solutions may include putting a note on the fridge to remind them when its time to take their medicine and helping them to prepare their medication for the week. They have fallen before and are at a risk for falls. Ask them if they have fallen or almost fallen in the past. Ask them if no one was there would they be able to get up on their own. Solutions include identifying ways to prevent them from falling and ways to call for help. While they are thinking about risks, provide more information to help them face their illness or problem. Its important to listen. The more they feel they are in control and making the decision, the more likely they will follow through with it. Get a professional involved who can offer additional information. Most importantly, respond positively and support them in their decisions so they continue to communicate with you. With an open line of communication, you can help them to identify and prevent risks. Editors Note: This article was submitted by Bonnie Resnick-Destruel with Family Care Services, Inc. Contact Bonnie at 972-668-8242 or bonnie@familycaresrv.com

The Long Term Care Ombudsman Program was created to provide advocacy for individuals who live in long term care facilities and assisted living facilities and who may feel powerless and vulnerable. The Ombudsman develops a relationship with individuals who live and work in the facility, they have an understanding of the regulations regarding long term care and work with all parties to resolve issues and improve the quality of life for all residents.The Long Term Care Ombudsman helps residents or their family members navigate long term care issues that sometimes arise in institutional health care and supportive living environments. The Ombudsmans primary role is to help residents help themselves. Whenever possible, the Ombudsman assists the resident in developing specific strategies to address problems. These strategies may include mediating or negotiating with the facility staff, working with the resident council, getting a group of residents with similar concerns together to work on a problem, or filing a complaint on behalf of a resident.There may also be times that the Ombudsman, at the request of the resident will speak on behalf of the resident or family. This usually occurs when family or legal issues arise, or when there is fear of causing tension in resident-staff relationships. It may also occur when a resident is unable to communicate their wishes. Many residents are unaware of their rights or the facility regulations and rules. Factors such as isolation, a feeling of powerlessness and resistance to change make it difficult for some residents to resolve problems without assistance. Because of physical or mental limitations, many residents are unable to work through the complexities of a problem solving process, or the process may just seem overwhelming.The Ombudsman may also connect the resident to community resources for additional support with social, legal, financial, recreational, personal, intellectual and spiritual needs. System wide change may be essential to achieving an effective resolution to a problem. Working for legislative and regulatory change is another critical role of the Long Term Care Ombudsman. All nursing homes and licensed assisted living facilities are required to post the contact information for the Long Term Care Ombudsman in a prominent place. If you have loved ones in a facility or are contemplating a move contact your local Ombudsman. We are here to help find the best facility for your needs and lifestyle.Editors Note: This article was submitted by Eva Veitch with Region 10 Area Agency on Aging. Eva is also a Long Term Care Ombudsman and can be reached at 970-249-2436

Make your choices now, so they don't fall to your family later.Pre-planning is determining the details of your funeral and cemetery services in advance. To some, this may sound like a difficult conversation. But putting a plan in place is actually a smart and caring thing to do. With a plan, youll reduce stress for grieving loved onesand simply let them honor and celebrate your life, knowing things are happening just as you wanted. All your wishes. All with ease.Why it makes sense to make choice about your future funeral now . . . .Heres the truth: selecting a final resting place in advance makes a difficult time become solely about celebrating life and honoring who you are. The alternative is often confusion, disagreement and guesswork. So, its smart to make these choices now. That way theyre not made on your behalf, at an emotional moment.The benefits to your family will be real and appreciated, ranging from spiritual choices to financial assistance. From selecting an ideal permanent memorial, to designing the service, to paying in advance, you can make the day exactly as you imagine it. And your loved ones will know theyre fulfilling your wishes. Which is exactly how they should feel. Keep reading to learn more.Family matters.Your family is everything and the last thing youd want is to put them in a difficult position. A time of loss is a time of confusion, but your final arrangements dont have to add to the uncertainty. Pre-planning your cemetery services can save your loved ones from having to make decisions while theyre grieving. And they wont have to guess what youd want. Making pre-arrangements is the responsible thing to do. Instead of getting bogged down in details, your family will be able to focus on celebrating your life.Personal service.Funeral and burial services are an important part of the grieving process. For a lot of people, they provide a sense of closure. So the right kind of ceremony is essential. But its difficult to make the service as meaningful as it should be, in such a short amount of time. By making those plans now, including choosing songs and selecting readings, youll have the kind of service you want, for everyone you love. In addition, you can design a beautiful permanent memorial. That way, your family will have a dedicated place to reflect and remember.Financial relief.Funeral services are often an unexpected expense. But they dont have to be. You can choose to fund your pre-arranged plans now, and the costs will be locked in for the future, even if prices for various services and products increase. You dont have to pre-pay if you pre-plan, but it is the best way to take the financial burden off your family. So its definitely a smart option to consider. Also, please know that your payments and plans can be adjusted later, should your wishes change over time. Theres nothing to regret by going through the process now. Your decisions dont have to be final.Start Planning NowTo start the pre-planning process, you can fill out our pre-planning form. Or feel free to reach us by phone any time at 612-377-7841, and one of our pre-planning consultants will help guide you through every option.START PRE-PLANNING

This technology is amazing - we can actually have a conversation with mom now instead of her running it and us only being able to say 'yes' or 'no.' It's crazy, she's a 73 year old woman and she has called everyone now. - A. CostaA captioned telephone service for people with hearing loss called CapTel allows individuals who arent able to follow conversations with traditional or amplified telephones to hear and read simultaneously what their callers are saying. The captions appear on the phones display screen allowing people who have difficulty hearing the freedom of telephone access regardless of their hearing ability.Through the Colorado Equipment Distribution Program, CapTel phones are distributed for FREE to those who qualify! EDP gives users the choice of which CapTel model best suits their needs. Whether its a model that only requires a traditional analog telephone line, OR a model that uses a high speed internet connection, there is a CapTel model that fits the bill. No matter which option is chosen, the hearing impaired are better able to re-engage with friends and family (combatting loneliness and isolation). Increased social engagement is increased and confidence is regained.For more information visit, www.relaycolorado.com/captelTo apply for your CapTel phone Call: 855.767.6128 or Email: TEDP_ccdhh@state.co.usEditors Note: This article was submitted by Kristine Shipley, Senior National Marketing Manager & Customer Relationships Manager III, with Relay Colorado 711/Sprint and may be reached at 720-210-5881 or by email: Kristine.m.shipley@sprint.com

Summer can be a time of rest and relaxation, involving family picnics, time at the beach or working in the yard and gardens. As the days get hotter, the risk of dehydration increases and can be a serious problem for anyone, but older adults are more at risk for dehydration, due to a decrease in body water content. Medical conditions and medications can also affect a seniors water retention, and those with dementia may forget to drink and have difficulty swallowing.Its important to be aware of the symptoms of dehydration and know how to prevent it so you or a senior family member can remain safe in the hot summer months.Some signs of severe dehydration include little or no urination, dark or amber-colored urine, dry skin, low blood pressure, weak pulse, or rapid breathing and heartbeat. In order to prevent these from occurring, make sure you are getting a minimum intake of eight 8-ounce glasses of fluid throughout the day.Balance your fluid intake with output. If you are sweating more, or urinating more frequently, you should be increasing your fluid intake. Water isnt the only option for drinking, either! If a senior refuses to drink water, consider some flavor enhancers like a juice mixer or fruit infuser. Other options can include popsicles or smoothies. Raw fruits and vegetables can also be extremely hydrating, as well as nutritious. Some of these include cucumbers, watermelon, grapes, celery, and tomatoes.If you are concerned with dehydration, talk to your doctor for advice on staying hydrated and maintaining optimal health throughout your senior years.There may come a time where managing a healthy lifestyle becomes overwhelming and you find yourself or a senior family member making poor diet choices, becoming less physically active, and interacting less with other people. It may be time to start researching senior living options, which can help maintain a consistent diet and activity schedule. Many senior living communities have 24-hour staffing to ensure residents are safe and living an ideal lifestyle.Check your local senior community to see what their senior living options are and the services provided and find out how you can live life to the fullest in your senior years.Editors Note: This article was submitted by Russ Stack. Russ Stack is the Executive Director at Senior Commons at Powder Mill Independent Living, Personal Care and Memory Care.

Do you have a Will or a Trust? Power of Attorney? Healthcare Power of Attorney? Living Will?If so, great. Here is a really important question: when was the last time you reviewed and updated your estate planning documents? For a significant portion of the population, the answer is unfortunately I cant recall.My favorite story about old estate planning documents involves a neat couple in their 80s from southeastern Colorado. At our first meeting I asked the husband, Sir, do you have a Will? He answered, Yes sir, I do. I followed up, May I see it? He responded by sliding a one-page document across the table. I reviewed the document. It was a Will signed in 1961. I asked the man if anything had changed. He replied, I reckon so.During the course of our meeting I learned that the 1961 Will was signed when the man and his wife were a young couple just starting out. At the time, the had one young son; when we met, they had three more children two daughters and another son. In 1961, by their own assessment, they were poor public servants; when we met, they were successful ranchers with significant savings. Many things had changed but their estate plan had not kept up with the changes in their lives.Unfortunately, this is par for the course. Many people put off getting their planning done. Of those who do their planning, most fail to keep their plans current. They treat estate planning as a check the box exercise much like the man with the 1961 Will. A non-current plan is arguably better that no plan at all but probably not by much. An out of date plan can actually be worse than not having a plan.The best way to ensure that your plan is up to date is to regularly review it to ensure it remains consistent with your objectives. Change is the only constant in life. People change there are births, deaths, marriages and divorces. Finances change. Health changes. Relationships change. It is imperative to ensure that, as change happens, your estate plan remains consistent with your objectives.Pull out your estate planning documents and read them. When you notice things that are out of date or otherwise are no longer accurate, go see an attorney. Update your documents. Get the peace of mind that comes from knowing you are All Set!Editors Note: This article was submitted by Kevin Forbush J.D., CPA. Kevin is one of the principal attorneys at Forbush Goldberg PLLC and may be reached at 719-473-6654 or by email at kevin@forbushgoldberg.com.

Memory loss isnt only for those with gray hair and wrinkles. Your grandchildren are at risk for digital dementia. Studies are showing that multitasking, stress, lack of sleep and 24/7 technology are causing short-term memory issues; forgetfulness in millennials and young adults. The Trending Machine National Poll found that millennials (aged 18-34) are more forgetful than seniors (aged 55 or older). Millennials were more likely to forget what day it is, where they put their keys, forget to bring their lunch, and to take a bath or shower. The only thing seniors were more likely to forget were peoples names. How to improve your short-term memory and decrease forgetfulness.Stay mentally active:Exercise your brain to increase blood flow and the transportation of nutrients.Learn something new. Take a class, do a crossword puzzle, learn to play a musical instrument, take a different route when driving or read a section of the newspaper you wouldnt normally read.Read print media like Seniors Blue Book! Studies have shown that reading print materials also boosts reading comprehension.Millennials should text less and try to memorize phone numbers, directions and other information.Socialize regularlyGet together with loved ones or friends, share a meal, or go to an event.Get organizedSet aside a place for your wallet, keys, etc. Limit distractions and dont try to multitask.Sleep wellGet at least 7-8 hours of sleep per nightEat a healthy dietEat fruits, vegetables and whole grains. Choose low-fat protein sources, such as fish, lean meat and skinless poultry. Drink lots of water and avoid too much alcohol (it can lead to confusion and memory loss).Include physical activity in your daily routineThe Department of Health and Human Services recommends at least 150 minutes a week of moderate aerobic activity (brisk walking) or 75 minutes a week of vigorous aerobic activity (jogging). You could start with a few 10-minute walks throughout the day and gradually add more.Manage chronic conditionsFollow your doctor's treatment recommendations for any chronic conditions, such as depression or kidney or thyroid problems. The better you take care of yourself, the better your memory is likely to be.Additionally, review your medications with your doctor as certain medications can impact memory.Editors Note: This article was written by Kathleen Warshawsky, BSN, RN, Publisher of Seniors Blue Book Greater Dallas. You may contact her at Kathleen@SeniorsBlueBook.com

Not as many people are aware, but every one of us is impacted by Alzheimers disease.Maybe the disease affects somebody we know - were all just a few degrees of separation away from someone suffering from the disease. We are all indirectly paying the bill as Alzheimers will cost our government $277 billion by the end of 2018, and that does not reflect informal care. Nationally, 5.5 million Americans have Alzheimers, every 66 seconds someone is diagnosed and 1 in 6 women age 65 and over develops Alzheimers. Over 450,000 Floridians have Alzheimers with approximately 40,000 of Southwest Floridians, and 1 in 8 persons over the age of 65 have Alzheimers.Researchers are working around the clock to expand on our knowledge. Many exciting studies are evaluating both diagnostic tools and treatments. Locally, the Neuropsychiatric Research Center of Southwest Florida (NPRC) is conducting eight studies all dedicated to Alzheimers disease and Mild Cognitive Impairment (MCI). We are learning every day. The more we learn, the closer we get to new treatments. That is reason to hope.Editors Note: Article submitted by Angel C. Duncan, Neuropsychiatric Research Center of Southwest Florida. For more information call the NPRC at 239- 939-7777.

Unlike most of the country, January in Southwest Florida is perfect bicycle riding weather. Its actually a great time for us to take a moment to think about biking safely. Taking a few quick precautions can keep a fun day of biking from turning into an unpleasant ride to the emergency room.Be Smart - Wear A HelmetThe state of Florida requires anyone under the age of 16 to wear a helmet when riding a bike. Why? Because wearing a helmet is the single best thing you can do to protect your head when riding a bicycle. Bicycle helmets literally save lives. Did you know that most bike deaths come from head injuries and bike helmets help prevent these severe head injuries. So wear your helmet.But helmets don't work well if they are not properly fitted. So, it's vital to have a good fitting helmet. Parents, try to avoid buying an oversized helmet for your child to grow into. When selecting a helmet it's better to have your child try on the size you think will fit them and also one size smaller. Select the smallest size that fits comfortably. Adjust your child's helmet so it fits snugly and correctly. The straps should be tight when the chinstrap is buckled and the helmet level on the head, with the front edge of the helmet no more than one inch above the eyebrows.See And Be SeenUse all of your senses to stay alert to your surroundings by constantly scanning the area. Listen to what is going on around you to help avoid problems, which means wearing headphones while bike riding is a big mistake. Also, make it as easy as possible for cars to see you by wearing bright colors or clothes that reflect light at night. If you ride at night, it is important to get a headlight for the front of your bike and "reflectors" on the front and back of your bike. It's the law and it can save your life!Follow the Rules of the RoadBikes are considered vehicles, so they have to follow the same traffic rules as cars. Bicycles must travel in the same direction as cars, yield to pedestrians like cars, and stay alert to their surroundings. If riding in a group ride single-file and remember to signal when stopping or turning. Also, look out for holes or cracks in the street as they are often the cause of crashes. More experienced riders know to try to ride away from the curb to avoid cars that suddenly pull out or unexpected car doors opening. It's recommended that children under the age of nine avoid riding their bikes in the street, until they are more comfortable dealing with these challenges.Bicycle riding is not only fun, but also a terrific way to enjoy our lovely weather, have fun with family and stay fit. Remembering these basic reminders will go a long way to keeping everyone biking safely.Editors Note: This article was submitted by Mark Tesoro, an Analyst/Health Educator for the Lee Memorial Health System's Department of Trauma Services where he develops and promotes injury prevention programming throughout a five county region.

More than 150 million Americans already use social media and the number grows daily because it makes it so easy to keep up with friends, family and colleagues, share pictures and learn about great events.But, some people are sharing too much information and are not using privacy controls. According to Consumer Reports almost 13 million people have never set any kind of privacy controls on their Facebook site. When you share any information on Facebook or any social networking site, you are potentially sharing information with friends of friends making your exposure to thousands of people that you never even met.Set your wall settings for viewing only by friends or family and remember you don't have to share every wall post with every friend. Make yourself familiar with the privacy settings on your social networking site. Understand what you cant protect. Your name and profile picture are public. To protect your identity, don't use a photo or use one that doesn't show your face.A major way for your private information to be collected is through the free games and applications. Do you know that when you access a game or application, your name, gender and profile information as well as your list of friends and family is captured by the sponsoring application? And, if certain cautions are not applied, the sponsoring application can delve deeper into your data. While Bubble Witch Saga looks like a fun game to play, use extra caution before allowing that application into your private domain.For more information on social media privacy concerns, refer to www.OnGuardOnline.gov, the federal governments website to help you be safe, secure and responsible online. Remember, be safe, think before you type and post, and when all else fails, deactivate your social networking account.Editors Note: This article was submitted by Marilyn Gregory, the Elder Abuse Prevention Coordinator for Senior Choices, the state-designated aging and disability resource center in Southwest Florida. For more information, please contact the Senior Choices Helpline toll-free at 1-800-413-5337.

To learn more about Intermountain Homecare and Hospice,CLICK HERE.COVID-19 vaccines may be key to returning to a more normal life someday, but should I feel safe getting it?Imagine a holiday season with family gatherings, warm hugs, shared meals, and football games enjoyed shoulder-to-shoulder with thousands of fellow fans. All that may be possible someday in the future, with the promise of COVID-19 vaccines rolling out across the country in the coming weeks and months. The key to defeating this debilitating and deadly disease is ensuring vaccines are safe and effective, and that enough of us get vaccinated once we have access.The Food and Drug Administration (FDA) is poised to authorize the first of these vaccines, possibly within days or weeks. It may be months before until theyre available for the general public. Now is the time to learn about COVID-19 vaccines, ask questions, and understand whether and when vaccination might be right for you. While we wait for vaccines and learn more about how long they may provide immunity, all of us must continue masking, social distancing, and practicing other prevention behaviors so we can keep ourselves and each other safe and healthy.Who will get a COVID-19 vaccine first? When can I expect to get it?Supplies will be limited for a while after the FDA first authorizes vaccines. The Utah Department of Health and the Centers for Disease Control and Prevention (CDC) recommend that healthcare professionals most likely to come in contact with COVID-19 and long-term care facility residents should be vaccinated first; followed by remaining healthcare workers, emergency responders, people at risk of serious illness, and people age 65+; and then the general public. According to departments of health, all people who want to be vaccinated in Utah, Idaho, and Nevada should be able to access vaccines by summer 2021.Are COVID-19 vaccines safe?Several vaccines are currently being developed, with the first up for authorization from the FDA within days. The FDA will only approve vaccines if they meet strict safety and effectiveness standards. The FDA, CDC, and Intermountain Healthcare are committed to being fully transparent about any approved vaccine(s), include effectiveness and any risks or side effects. The FDA and CDC have not indicated any potential side effects from vaccines under exploration at this time. Just as with any vaccination, there could be mild side effects like mild pain, swelling, or redness at the site of injection; mild fever; chills; feeling tired; headache; and muscle and joint aches. These are all signs that the immune system has been activated to create immune cells that protect against the virus.How are COVID-19 vaccines being rolled out so quickly?The CDC and other national organizations have partnered to form Operation Warp Speed, an initiative to accelerate the COVID-19 vaccine program safely. Usually, it takes years to deliver a new vaccine, but Operation Warp Speed has drastically reduced that time frame to just months. The key has been to work on several things developing, testing, and manufacturing all at once, rather than in the traditional way of waiting until one step in the process is complete before starting another one. If testing shows a vaccine is safe and effective and the FDA approves it, doses will be ready to use immediately.Are COVID-19 vaccines effective?A vaccine must be at least 50 percent effective (reduces the risk of infection by one half) for it to be granted FDA authorization for emergency use. Another way to say this is: you are half as likely to become infected compared to those who are not vaccinated. Any level of effectiveness can help slow the spread. Early data indicates that some COVID-19 vaccines being developed may be around 95 percent effective.Because we dont yet know how effective the vaccines are and for how long, individuals will need to continue all other prevention methods including masking, social distancing, and hand hygiene.Why do we need vaccines for protection?The way out of the pandemic is to build herd immunity. Herd immunity happens when a large portion of a community (the herd) becomes immune to a disease, making person-to-person spread of illness unlikely. This helps protect the whole community. With COVID-19, were seeing that people who are infected lose their immunity three to nine months after having the virus, making herd immunity without a vaccine almost impossible. (Learn more about why non-vaccine herd immunity for COVID-19 is a myth.) If COVID-19 vaccines are found to be safe, effective, and long-lasting, vaccines could be our way to successfully achieve herd immunity.How do COVID-19 vaccines work?Vaccines help the body develop immunity by training the immune system to recognize and remember how to respond to the disease-causing part of a virus. Vaccines traditionally contain either weakened or inactivated (killed) viruses or purified, signature proteins of viruses.In the COVID-19 response, some manufacturers are making vaccines in new ways, using messenger RNA (mRNA). mRNA vaccines teach our cells to make a protein, or a piece of a protein, that triggers an immune response inside our bodies, according to the CDC. That immune response, which produces antibodies, is what protects us from getting infected if the real virus enters our bodies. mRNA vaccine does not include live virus and cannot give someone COVID-19. Nor do these vaccines interact with our own DNA in any way. Instead our cells break down and get rid of the mRNA after it receives the instructions.Should people who were COVID-19 positive and recovered, or who are currently COVID-19 positive get a vaccine?Individuals with any active illness should wait until they are recovered and feeling well before being vaccinated. The CDC reports COVID-19 infection may provide natural immunity for 90 days. If you have tested positive, it is advised to wait at least 90 days before scheduling a COVID-19 vaccination. Beyond 90 days, we dont yet know how long immunity or antibodies to the COVID-19 virus will last, so we recommend that individuals vaccinate for COVID-19 even if they were previously positive more than 90 days prior.How much will the COVID-19 vaccine cost?COVID-19 vaccine supplies will be distributed by the federal government at no cost to patients. The CDC will share more information about this as it becomes available.

Dont Stop Dreamin recognizes that many individuals have unfulfilled dreams and desires.The Dont Stop Dreamin program is a 501(c)(3) non-profit organization that provides for the fulfillment of DREAMS of Three Rivers Hospice & Quality Life Services entities.The program started in 2005 for residents living in Quality Life Services skilled nursing and personal care facilities. In addition, patients of the Three Rivers Hospice are eligible for dream fulfillments.Dreams may be but are not limited to day or overnight excursions, celebrations, attendance at special events, renewal of hobbies or special interests, once-in-a-lifetime experiences or the rental of electronic devices for leisure or staying in touch with family and friends. Applicants are encouraged to DREAM BIG!Qualifications for the program:No income restrictionsNo age restrictionsPossess the cognitive, emotional and physical capabilities of communicating and experiencing the Dream.For more information, visit www.dontstopdreamin.org or follow them on Facebook.Editors Note: Article submitted by Devin M. Kassi, PT, DPT, Vice President of Home Care and Hospice, Quality Life Services Family Home Health, 300 Oxford Drive, Suite 200, Monroeville, PA 15146, Phone No. 1-800-246-0084, Ext. 7010.

Onsite Skin Solution is the leader in mobile dermatology providing services to residents who reside in senior living communities.We specialize in the prevention, detection and treatment of pre-cancerous and cancerous growths, as well as, other dermatological conditions.Dr. Jack Jawitz M.D. is Board Certified for over 30 years and currently practices in Bradenton and Sun City. He recognized the need to provide more comprehensive dermatology services to residents. His purpose is to make the residents lives easier.What makes OnSite Skin Solution different? Dr. Jawitz uses Superficial Radiotherapy (SRT), the latest technology in treating skin cancer, unlike other mobile dermatologist. SRT is a low energy radiotherapy that penetrates only a short distance below the skin. SRT is a non-surgical highly effective, painless, and cosmetically attractive alternative to surgery inselected cancers.Editors Note: Medicare and other insurances are accepted and in-office appointments are available, please call 941.755.2255.

No one plans when sickness, disability or other common challenges in life will happen.Many plan for retirement but few adequately plan ahead for the issues facing millions of people across the U.S. every day. Anyone who has navigated through the healthcare landscape knows that it can be challenging.When a challenge occurs, patients are potentially left to navigate through:Hospitals, short-term rehabilitation, home health care, and skilled nursing facilities.Those are only a few potential stops along the healthcare landscape. Then there is medical equipment, home modifications or potentially moving.Would you like to make potentially life changing decisions regarding your healthcare while you are experiencing an unplanned event? The unanimous answer is No! This article is written in hopes that everyone will ask questions before the unplanned event.Most people do not think to ask for something they have never had before. That is why reaching out and asking questions is important. Everyone needs to know what their healthcare options are ahead of time. Here are three great questions to ask ahead of time or if an unplanned event occurs: What assistance can I get to help me recover? What services are covered by insurance and what services are paid for privately? What are all of my options?The following are examples of resources you can ask these questions:-Primary Care Physician-Case Managers and Social Workers-Knowledgeable Professionals: Representatives from Home Care, Hospice, Palliative Care, Senior Living Advisors and Care Managers to name a few.There are many wonderful resources throughout Northern Colorado. The gap between everyone living in the community and the services available needs to be bridged. There are many different options depending upon age, insurance and lifestyle. The questions and answers will not be the same for everyone. The moral of the story is simple Ask!Editors Note: This article was submitted by Greg Kelley. Greg is the Northern Colorado Branch Manager with Phoenix Home Care and may be reached at (970) 270-1541 or by email at GKelley@PhoenixHomeHC.com with any questions.

Lets say you experience a fall at home, resulting in a broken hip. You promptly have surgery, then spend the next few weeks at a short-term rehab facility, where you rest, heal and work to regain your physical functionality. What comes next? Should you return home immediately and resume your pre-surgery routine?Many seniors feel anxious about returning home immediately after rehab. They crave the independence and routine of their home life, but theyre worried about their health and safety. In rehab, they had the security of knowing that help was always available with a push of the buttonif something happened, they werent alone. Respite care can be an excellent solution for discharged rehab patients who feel they need a bit more support before heading home.Respite care is a service offered by many assisted living and senior healthcare communities. Think of a respite stay as a link between rehabilitation and your everyday life at home. In a respite stay, a certain level of independence is combined with readily available care and assistance from trained professionals, allowing you to ease back into your everyday life.In many respite care settings, youll have the privacy of your own apartment or room. You can socialize with other seniors in a pleasant, relaxed setting that will enable you to focus on healing. Its a less clinical experience than short-term rehab, but it provides you with the peace of mind that comes with round-the-clock care, making it a great transitional tool.Respite care serves a couple purposes. First, even after rehab you might not really feel like yourself, physically-speaking. You might have some lingering soreness or discomfort, or you might just have to get used to certain actions again, such as climbing the stairs or dressing yourself. Respite care gives you that opportunity.Second, even if youre 100 percent recovered physically, theres still the mental side of the equation. You need to gain back the confidence thats necessary to live independently. You need to get to a place where youre comfortable with your body and understand your limitations.A respite stay is relatively short term, usually no more than a month. And if you or someone you know is hesitant to return home immediately after a short-term rehab stay, its certainly an option worth considering.This article was submitted by Rodney Gonsalves, Regional Vice President of Operations at Wingate Healthcare.

To learn more aboutOasis Senior Advisors, CLICK HERE.As business professionals, weve all contacted a customer or client when an error occurs or an adjustment needs to be made. Often it turns out to be a simple error, and the customers are thrilled when you point out the mistakeespecially when it saves them money or time.Thats what 79-year-old Judith thought was happening, when she received a call from someone claiming to be an Amazon employee. The woman on the phone wanted to verify a suspicious $8,000 purchase that Judith hadnt made. The senior was relieved when the caller offered to transfer her call to file a report with the state police and the treasury department. All Judith had to do was provide some personal data and her banking information, and theyd take care of the rest.As you may have already guessed, this call wasnt actually from a concerned Amazon employee. It was a scam, and the officials she spoke with were rip-off artists. Judith was bilked out of more than $29,000, and shes not alone.Scam artists like these give legitimate businesses a bad nameand fraud is becoming increasingly prevalent. According to the FBI, senior scams cost elderly Americans more than $3 billion every year, and the typical scam for a victim over age 80 costs $1,700 or more.World Consumer Rights Day was inspired by President John F. Kennedy, who was the first world leader to formally address the issue of consumer rights. Today, the United Nations officially recognizes World Consumer Rights Day annually.But, nearly 60 years after Kennedys landmark message to Congress, consumer scams are still commonplace. More likely than not, one of your senior clients or customers has fallen victim. Older adults are significantly more vulnerable to fraud for a variety of reasons, including financial stability, social isolation, lack of technology skills, and in some cases, cognitive decline.Types of Senior ScamsWhile there are many types of scams that target our older clients, a number of them are considered consumer scams. These include:Fake sweepstakes and lotteriesInternet fraud and tech support scamsInvestment and financial schemesIRS and Social Security imposters and scamsMedicare and healthcare fraudMortgage fraudTelemarketing scamsRed FlagsAs you work with your senior clients and customers, listen for some of these common red flags that can indicate someones trying to take advantage of them:Someone under pressure to send money or invest right now, for example, an elderly bank customer who is desperate to withdraw a large sum of cash immediately. Scammers express urgency because they try to prevent their victims from thinking it through.Someone who says theyre worried about a phone call claiming to be from Social Security, Medicare, or the IRS. Most government agencies will contact citizens via U.S. Mail, and only use the phone if theyre returning a call.Anyone purchasing large sums of gift cards or making wire transfers. Scammers often want payment in gift cards because theres no way to follow the money if theyre caught, and they love the immediacy of a wire transfer that cant be revoked.Seniors too eager to share bank account information, Medicare number, or Social Security number. Your clients should safeguard these numbers and only provide them to established, trusted professionals in person.Older adults trying to cash large checks from unfamiliar payers. Con artists will sometimes ask seniors to cash a large check on their behalf, then take the money before the bank realizes the check was a fake.Be cautious of customers or clients bragging about an investment or cure that sounds too good to be true. It probably is. Investments always carry risks, and theres no such thing as a miracle cure, but scammers rely on false hope to dupe their senior victims.How to Report Senior ScamsA recent study by Consumers Digest estimates that only one in 25 senior scam cases are reported. However, timely reporting of fraud is one of the best ways to prevent others from falling victim. As a trusted advisor to your senior clients, you can be of great help in identifying and reporting fraud. If you think a client or customer has been the victim of a scam, work with them to collect all of the documentation you can, then help them reach out to the appropriate organization below.Investment ScamsSecurities and Exchange Commission: (800) 732-0330Financial Industry Regulatory Authority: (844) 574-3577 (844-57-HELPS)IRS Imposter Scams or Tax FraudTreasury Inspector General for Tax Administration: (800) 366-4484 orwww.treasury.gov/tigtaMedicare FraudSenior Medicare Patrol: (877) 808-2468Health & Human Services Inspector General: (800) 447-8477 (800-HHS-TIPS) oroig.HHS.gov/fraudMedicare: (800) 633-4227 (800-MEDICARE)If you use Medicare Advantage, call the Medicare Drug Integrity Contractor: (877) 772-3379Mortgage FraudHousing and Urban Development Inspector General: (800) 347-3735 orHUDoig.gov/hotline.Phone, Internet, Email, Sweepstakes, Lending or Tech Support ScamsFederal Trade Commission: (877) 382-4357 orwww.ReportFraud.FTC.govSocial Security Imposter ScamsSocial Security Inspector General (800) 269-0271 orsecure.ssa.gov/ipff/homeIts also advisable for fraud victims to contact theirStates Consumer Protection Office, or theFederal Bureau of Investigation. Depending on the type of scam, seniors may also want to contact their local law enforcement agency, private health insurer, credit card issuer or bank, and the major credit reporting agencies.Unfortunately for Judith, her scammers were never captured. However, we can all make the world a safer place for ourselves and our clients by being aware of the many types of senior scams, the red flags to look for, and how to report a suspected scam.As a trusted partner in our community, Oasis Senior Advisors wants you to be part of our referral network. When seniors and their families turn to us, they often are looking for services like yours as part of our one call, many solutions promise. Our service is free to seniors and their families, and we provide personalized one-on-one assistance to our clients. To get to know us better, visit our website atOasisSeniorAdvisors.comor call (888) 455-5838.

As we age, many of us have an understandable fear of memory loss and whether it is a sign of Alzheimers disease a progressive and fatal brain disease.Memory loss is commonly thought of as a normal part of aging. However, serious memory loss may be a sign of another medical problem. These can include:InfectionVitamin deficiencyIssues with the thyroid glandAn emotional problemStrokeDementia.Dementia is a general term for memory loss. Alzheimers is the most common cause of dementia.The Alzheimers Association provides this list of 10 warning signs of Alzheimers contrasted with typical changes related to age.1. Memory loss that disrupts daily life especially forgetting recently learned information. A typical age-related change: Sometimes forgetting names or appointments, but remembering them later.2. Challenges in planning or solving problems such as losing track of monthly bills. A typical age-related change: Making occasional errors when balancing a checkbook.3. Difficulty completing familiar tasks at home, work or leisure such as forgetting the rules to a game. A typical age-related change: Occasionally needing help to use settings on a microwave or to record a television program.4. Confusing with time or place sometimes forgetting how they got to a certain location. A typical age-related change: Getting confused about the day or date but figuring it out later.5. Trouble understanding visual images and spatial relationships including judging distance. A typical age-related change: Vision changes related to cataracts.6. Problems with words in speaking or writing or calling things by the wrong name. A typical age-related change: Sometimes having trouble finding the right word.7. Misplacing things and losing the ability to retrace steps, which can get frequent over time. A typical age-related change: Misplacing things now and then like glasses or the remote control.8. Decreased poor judgment such as giving excessive money away to telemarketers or paying less attention to personal hygiene. A typical age-related change: Making a bad decision once in a while.9. Withdrawal from work or social activities. A typical age-related change: Sometimes feeling weary of work, family and social obligations.10. Changes in mood and personality. A typical age-related change: Developing specific ways of doing things and becoming irritable when routine is disrupted.People with memory loss should receive a thorough examination from a physician including a careful review of the persons clinical history, a physical and neurological evaluation, a review of medications and cognitive testing.An appropriate treatment plan can be made once a diagnosis is determined.Editors Note: This article was submitted by Gene Haffner of Banner Health . He may be reached at 970-350-6133 or for more information visit Banner Healths website at www.bannerhealth.com

Searching for a quality memory care community for a loved one often comes at a time of need. It can be overwhelming to make an important decision for a loved one during such a time, but with a little prior knowledge and a few vital questions, an informed choice may be made.Three questions to ask while visiting a memory care community: What levels of care does this community provide? The ever-evolving symptoms of a memory-loss diagnosis may mean that varying levels of care will need to be provided throughout the lifetime of a resident. Moves from one care community to another may triggers symptoms of unease, depression, or anxiety. Check to see that the community you are touring will be able to not only handle the symptoms that are occurring now, but have the ability to help with a variety of possible outcomes. Is there a nurse? How many hours a day is your nurse on staff? Prompt treatment of medical needs is imperative in providing the best outcomes for seniors. Having a licensed nurse on staff, ideally 24 hours per day, allows for quick processing of physician orders. What type of training does your staff have? The symptoms of dementia or Alzheimers require special skills and tools to provide the best quality of care. Ask the community you are touring how often their team members get training and what types of trainings are provided. Look for training specifically designed for memory care.Memory Care communities are specially designed to meet the needs of individuals with a diagnosis of memory loss. Before touring a community gather a little information about the diagnosis and symptoms of your loved one as well as any financial information you have. Dont worry if you dont have everything on hand before touring, as a skilled memory care team will be able to help you gather any necessary information.Editors Note: This article was submitted by New Dawn Memory Care of Colorado Springs. New Dawn Memory Care may be reached at 719-352-3069 or by email at info-coloradosprings@newdawnmc.com.

Family caregivers possess an enormous amount of knowledge about what their elderly relatives need, but sometimes making decisions about services and coordinating them over time can be overwhelming. In this case, additional professional advice and expertise can be very helpful. You do not need to do this alone!A geriatric care manager (GCM) is a professional who has specialized training and experience in providing care for older adults. Most GCMs hold graduate degrees in social work, gerontology or nursing. The primary role of the GCM is to lift the burden off of family members and other caregivers, so that they can resume their role as spouse or child, uninhibited with burden of care planning, monitoring and coordination.GCMs are experienced in working with families, evaluating needs and dealing with complicated family dynamics. They will make home visits and assist in determining eligibility for resources. GCMs interface with family members and professionals from different areas, such as, legal services, health care, and housing. Families can choose what they need help with. These professionals can:Make an assessment about the need for homecare and other services;Develop a care plan about the specific services needed;Coordinate home and medical care and hire home care workers;Monitor home care services and make needed adjustments;Secure respite care when needed;Provide assistance to families in addressing legal and financial issues;Assist in dealing with the complicated government benefits;Make placement recommendations;Provide education, information and referral resources; andDirection on guardianship or conservatorship.It is the forte of GCMs to answer questions involving in-home assessments, care options, home care, finding the best living arrangements, community resources, alerting children who live at a distance, and other legal and financial issues. By being able to explain options, arrange for services, coordinate care and monitor changing needs of individual clients, GCMs provide continuity and serve as valuable resources.GCM fees are dependent upon the combination of services to be provided and the complexity of the individual situation. The typical scenario might be: client contacts the GCM for an initial consultation, the consultation is followed up by an agreement to perform a needs assessment, after which a meeting is scheduled between the GCM and the client to discuss the findings. After the assessment is complete the GCM provides a range of care options for the family.Author: Todd Chambers, L.C.S.W. Todd is the owner of All the Comfort of Home, Inc. a provider of homecare and geriatric care management services. He can be reached at 303-346-1292.

Let me tell you about George. George lived in Washington State and has recently retired. While working he could light up a room with his smile and enjoyed spending time with his girlfriend and friends on the weekend. Georges hobby included serving as a foster for puppies and dogs. His home in Washington had a lot of space and he was able to foster the puppies and dogs until they could be adopted.Like many new Floridians, George realized that he did not like the cold anymore so he decided to retire in the Sunshine State. He did not have any friends or family in Florida so it was just him and his girlfriend. Eventually, his girlfriend got a job and George was left to himself every day. George was renting so he was not able to foster anymore and this left a void for him. He was feeling lonely and longed for the companionship fostering once gave him and the friends it introduced him to. Over time he found himself feeling depressed and wondered if any other seniors felt that way too.Well, there are many seniors that feel the same way that George does; in the United States, Americans aged 65 and older are the fastest growing population. According to a 2019 article in the Herald-Tribune in Sarasota, Floridas senior population is growing at twice the rate of other age groups in the state (Wunderlich, E., 2019). Many Baby Boomers who are either partially or fully retiring, find that it is important for their both physical and mental health to keep active and one way of keeping active is volunteerism. Volunteering is not just good for your community and the people you help, but also a great way to keep physically fit and mentally sharp. Research has shown people who volunteer report fewer feelings of isolation (88%), stable or improved health (84%) and fewer symptoms of depression (78%) (Senior Corps & Health Benefits, n.d.).So lets check back in with George. He came to a volunteer event and learned about Volunteers for Community Impacts (VCI) RSVP program. Retired & Senior Volunteer Program engages volunteers 55 and older to help out local non-profit organizations. George was excited to learn that a local animal adoption center needed volunteers to work with their animals. George found a volunteer opportunity with us that allowed him to walk dogs at the adoption center. George told me he also met other volunteers there and after his shift he explores his new home town a little more each day.How can you be like George? If youre 55 or older, then give VCI a call! For more information on our RSVP Program,(Orange, Seminole, and Osceola counties) please contact Volunteer for Community Impact at 407-823-4180 or visit our website at https://volunteersforcommunityimpact.org/

Colorado has a new law that requires mandatory reporting of abuse and exploitation of at-risk elders. (C.R.S. 18-6.5-108) In 2013, the general assembly expanded the law to create mandatory reporting requirements so that at-risk elders are afforded more protection under the law. Beginning on July 1, 2014, mandatory reporting shall take effect and it has penalties for those persons that fail to report abuse or exploitation of at-risk elders. An at-risk elder is any person who is seventy years of age or older.[i] Now when certain persons observe abuse or exploitation or if they have reasonable cause to believe that the at-risk elder has been abused or exploited, or even if they believe there is an imminent risk of abuse or exploitation, that person is required to make a report to a law enforcement agency within twenty-four hours of making the observation or discovery.Those persons required to report are a long list of professionals identified by the law including: medical and mental health professional, social workers, dentists, law enforcement officials, guardians and conservators, clergy (with some exceptions), caretakers, home health providers and professionals associated with care facilities, personnel at banks or financial institutions, fire protection personnel and others. These professionals, whether paid or unpaid, must report the abuse or exploitation to law enforcement. Willfully violation of this law is a class 3 misdemeanor. Reporting is not required if the person knows that another person has already reported the abuse or exploitation. Law enforcement must notify the county department and the district attorneys office within twenty-four hours of receiving the report and law enforcement shall complete a criminal investigation when appropriate. Immunity from suit and liability for damages is given to the person making the good faith report, except that no immunity is given to the alleged perpetrator of the abuse or exploitation.At-risk elders now have more protection because many more people in the elders life are required to make a report to law enforcement within twenty-four hours. The days of looking the other way, minding your own business or assuming that someone else is reporting the abuse or exploitation are gone now. A mandatory reporter that observes or has reasonable cause to believe that an at-risk elder has been abused or exploited is required make a report within twenty-four hours. This law penalizes a person for not reporting, whether they were working for the elder or not.Editors Note: Jennifer S. Gormley, Esq. is an elder law attorney and advocate for elders, at-risk adults and persons with disabilities. Ms. Gormley is also an Adjunct Law Professor at University of Denver Sturm College of Law where she teaches elder law. To contact Jennifer Gormley, please call 303-783-9600 or email, Jennifer@elderlawsource.com. The Law Office of Jennifer S. Gormley, P.C. is located in Greenwood Village, Colorado.

What is the Transportation Safety Administration (TSA) policy regarding air transportation of cremated remains? There are a number of rules involved with transporting cremated remains. Most airlines will allow transport of cremated remains, either as air cargo or carry-on luggage. When traveling within the continental U.S., its important to place the cremated remains in an urn that is made of light weight material. This way the urn can travel through the x-ray machine. Always carry the necessary legal paperwork: certificate of cremation, permit for burial and a certified death certificate. These documents are issued by the death care provider.When traveling internationally, its best to work with the consulate or embassy of that country to identify the specific rules and legal requirements. Some require additional notarized paperwork from the death care provider or extra paperwork from the state. Allow a minimum of two weeks as there can be a number of steps involved.The TSA website states, Even if an item is generally permitted, it may be subject to additional screening or not allowed through the checkpoint if it triggers an alarm during the screening process, appears to have been tampered with, or poses other security concerns. The final decision rests with the TSA on whether to allow any items on the plane.Can cremated remains be shipped? Yes, throughout the United States via the United States Postal Service (USPS). At this time, FedEx and UPS will not accept cremated remains for shipment.In 2014, the USPS revised the mailing standards when shipping cremated remains. They no longer authorize cremated remains sent using registered mail. The requirement is to ship using Priority Mail Express, meaning the timeframe for receiving cremated remains is two days maximum.The USPS does not accept a cardboard box to hold cremated remains for shipment, they must be encased in a permanent, closed urn. When shipped priority, the package receives a tracking number and the recipient must sign once received. The signed card is then sent back to the person who shipped, as proof of delivery.Can Cremated remains be shipped internationally? Yes, through airline cargo. The death care provider can coordinate this through the airlines and deliver. Cremated remains are placed in the cargo of the plane. There must be a family member or trusted friend of the Next of Kin in that country who will receive the cremated remains at the airport.Editors Note: This article was submitted by Katie Sullivan, Marketing Director of Cremation Society of Illinois and may be reached katies@cremation-society.com

Providing care for a loved one can be difficult and many caregivers find themselves feeling trapped by the responsibility and dont attend to their own needs. Conversely, those receiving care may feel guilt for being a burden or anger over their loss of abilities. Because it is such a difficult time for you and your loved one, it is important for you to take care of yourself as a caregiver. Some caregivers reach the point of burnout where they may find themselves feeling hopeless, resentful, or impatient. Below are some tips on how to avoid caregiver burnout:Know your sources of support. Dont be afraid to ask your family for support. If you are reluctant to ask for help, ask yourself, If my family knew what I was trying to do by myself, would they feel that they had missed an opportunity to serve their loved one?It is also helpful to know the resources in the community that can take some of the burden away. Aging Services provides in home assistance to seniors and also provides support to caregivers. Home Health and Hospice agencies can also provide supportive care and have social workers familiar with community resources.Meet your emotional needs. Caregivers often report feeling anger, grief, guilt, helplessness, fear, worry, loneliness and shame. Are there friends that will lend a listening ear? Would joining a caregiver support group be beneficial?Consider the care-giving relationship as a partnership. This Eden philosophy of care suggests that regardless of a persons physical or cognitive function, everyone can participate in their own care in some way. Helping your loved one feel needed and independent improves the relationship and can minimize the stress and frustration around daily tasks. Find time for activities that rejuvenate you. This can be as simple as journaling, taking a walk, or curling up with a good book. You need time to get away.Recognize all that you ARE doing. We often have a tendency to focus on our shortcomings and discount or discredit the positives. Keep in mind there is no such thing as a perfect caregiver. Recognize what you are doing is difficult and acknowledge the many things you are doing well.For more information on caregiver support and resources, contact Andrea Morgenegg, LCSW, HPMT, MT-BC, Dignity Home Health & Hospice (801) 492-4892. For more information on The Eden Philosphy, contact Diedra Kearney, Director of Community Education at Dignity Home Health & Hospice (801) 860-3801

As we age, feelings of isolation and loneliness can negatively impact our health and well-being. Hearing loss can intensify the problem, starting down a path from which it is difficult to recover.Providing the ability to connect and communicate with family and friends is a powerful tool in relieving that sense of isolation. The telephone is likely viewed as the quickest and easiest way to keep in touch. If you have difficulty hearing on the phone, it can become so frustrating that you stop using the phone altogether, but there are solutions available that can have an immediate impact on your life.With Hamilton CapTel you can experience clarity and confidence on every call with Captioned Telephone (CapTel), a no-cost* service that allows users to listen while reading word-for-word captions of whats said to them over the phone. A CapTel phone works like any other telephone with one important addition: it displays every word the other person says throughout the conversation. When the person you are calling answers, everything that he or she says is displayed on the bright, display screen of the CapTel phone.CapTel service is also available on the go you can use Hamilton CapTel on your PC or Mac, your smartphone and your tablet. Hamilton CapTel for PC/Mac shows every word a caller says right on your computer screen. Theres no special equipment to purchase or software to download. All thats required is a computer, high-speed Internet and any phone. The Hamilton CapTel App for Smartphones allows you to place and receive captioned calls on a single device with a unique and innovative app for your smartphone. The Hamilton CapTel App for Tablets seamlessly integrates your tablet into every call. Now you can listen to whats being said using any phone while reading word-for-word captions on your tablet.To learn more, contact Hamilton CapTel Customer Care!Call 888-269-7477info@hamiltoncaptel.comwww.hamiltoncaptel.com*Captioned Telephone service is provided at no cost. Equipment and standard long distance charges may apply.CapTel is a registered trademark of Ultratec, Inc.Editors note: This article was provided by Hamilton CapTel. They can be reach by calling 888-269-7477.

Seniors BlueBook, York SOS and SING are conducting a service project for ALPHA (the Alliance for Low Income Personal Care Homes Advancement).ALPHA Residents are typically the most vulnerable, with little to no financial resources and care needs that exceed independent living. Without an ALPHA home, many of these residents would end up back in the hospital. ALPHA providers are typically reimbursed for their services at the rate of only $37 per day ($1129 per month) which is supposed to cover room, board, and all care costs!While ALPHA is working with officials to get this reimbursement amount raised, the providers would appreciate donations of the following items, in any quantities:Paper TowelsHand-soapHand-sanitizerMasks GlovesTowels*Wash cloths*Single fitted sheets*Single flat sheets*Single size blankets*PillowsPillowcases*FlatwareWord search/puzzle booksAdult coloring books, colored pencils.Individually packaged craft projectsIndividually packaged snacks - possible bingo prizesPlaying CardsJigsaw puzzle mats*= New or Gently Used are AcceptableThese items can be ordered via Amazonhttps://www.amazon.com/hz/wishlist/ls/29GPJUYBKJN3N?ref_=wl_share&fbclid=IwAR3Z2oYw76W0JlsKPmu5qpiVlBHxJyL5pAigR3GVn3Umw323_WbKg3LNVn0as well and shipped directly to 35 Conifer Ln. York PA 17406 ATTN: Cynthia ALPHA Alternatively, these items can be purchased and dropped off at either35 Conifer Ln. York PA 17406 or at Good News Consultings Office in the York County Economic Alliance building at140 Roosevelt Ave York, PA 17403(Front Door, 2nd Floor, the donation box will be next to the elevator.) Please coordinate with Cynthia 717-917-3512 or Cynthia.gartman@seniorsbluebook.com

Americans across the country celebrate Veterans Day on November 11, a special day to salute the men and women who have bravely served our country in the military.These fellow Americans have made profound sacrifices in defense of freedom and they deserve our heartfelt thanks and appreciation. Honoring our nations Veterans includes supporting them throughout their entire lives, especially at the end.As our nation marks Veterans Day on November 11, Heart n Home Hospice wants to share its commitment to increase Veterans access to compassionate, high quality hospice care for those who are facing serious and life-limiting illness. As part of this commitment, Heart n Home Hospice is a part of an innovative program, We Honor Veterans, developed by the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs. Through We Honor Veterans, we are ensuring that our organization is equipped to address the unique needs of our nations Veterans.It surprises many Americans to learn that every day, 1,800 Veterans die. Thats more than 680,000 Veterans every year or 25 percent of all the people who die in this country annually. A generation of World War II and Korean War Veterans are facing end-of-life care decisions now, and they are quickly being followed by younger Vietnam War Veterans, many of whom are confronting serious illnesses at an even earlier age.The liberty that we, as US citizens, enjoy comes at a price paid by these valiant men and women. Let each of us make sure we do our part to recognize and support them throughout their lives.If you know a Veteran who is in need of the special care hospice brings to people facing serious and life-limiting illness, please reach out and help them learn more about the services that hospice can provide. Contact us at gohospice.com to learn more about the ways we support our nations heroes.To all our nations Veterans, thank you.

For More Information on the Author Family Spine and Pain Care Institute, CLICK HERE!For more than two decades now, research on gender and pain has been a topic of major scientific and clinical interest. More recent research is expanding into how the overall pain experience differs for women compared with men.Richard W. Rosenquist, MD, Chairman of Cleveland Clinics Department of Pain Management, explains that multiple factors play a role in how we experience pain. This includes genetics, social status, exercise, and information processing in the brain. And for women, hormones, puberty, reproductive status and menstrual cycle also affect pain threshold and perception, he notes. Here is what the research tells us about the female experience with four common areas of pain.1. Musculoskeletal painThe National Institutes of Health (NIH) cites many studies that have looked into the prevalence of musculoskeletal pain in men and women. In one study that spanned 17 countries on six continents with more than 85,000 participants, results showed that the occurrence of chronic pain is higher among females than males. Other studies from Europe and Australia also indicated that chronic musculoskeletal pain is more common in females than males.Under review were several specific types of musculoskeletal pain, including back pain, whole body pain, fibromyalgia and osteoarthritis. As women age, they experience more compression fractures and vertebral changes, such as scoliosis, loss of bone mass and osteoarthritis than do men. And any one of these conditions puts women at a higher risk of breaking a bone during a fall, which can add to their pain.2. Abdominal painA number of studies have found a higher prevalence of abdominal pain in women. The NIH reports that there is approximately a 3-to-1 female-to-male ratio in the diagnosis of irritable bowel syndrome in the United States. This condition is characterized by recurring symptoms of abdominal pain and problems with bowel habits.3. HeadacheHeadache is one of the most common pain conditions. One review of findings from more than 60 studies concluded that the prevalence of headaches and migraines is higher for women than men. In the NIH American Migraine Study II, which included more than 29,000 adults, it was estimated that the one-year prevalence of migraine in the U.S. is 18 percent in women and 7 percent in men.According to the Womens Health Office of the U.S. Department of Health and Human Services, migraines are most common in women between the ages of 20 and 45. And women more than men report more painful and longer-lasting headaches with more associated symptoms, including nausea and vomiting.4. Pelvic painFor women suffering from chronic pelvic pain, absent a physical injury, childbirth or identifiable procedural cause, there is significant potential for a history of intimate partner violence. According to the Centers for Disease Control and Prevention, 1 in 4 U.S. women have experienced intimate partner violence, physical violence or rape compared to one in seven men. Data suggest that this can contribute to pain conditions.Cleveland Clinic pain psychologist Jill Mushkat Conomy, PhD, points out the following, specific to women and pain: For women, issues of family stress, weight gain and sexuality can be front and center when it comes to the onset of pain. When meeting with patients, I share a long list of biological, psychological and social issues to consider to get the conversation started.Issues include everything from experiencing physical trauma to having feelings of depression. Once the areas of concern are pinpointed, a pain psychologist will often use cognitive behavioral therapy (CBT) to help patients rethink their pain and find different ways to manage and live with it

Hospice Is Not One Size Fits All - Interview Before You Make a Choice Most of us recognize that when we are spending money on stuff, we are purchasing from a business. As consumers, we spend our money at different businesses for a variety of reasons. We may choose to purchase from a particular business because of location, price, and customer service, or because a person we know and trust works there. Often times, many of us spend hours completing research on any major purchase. The big question is: do you do that when choosing a healthcare provider? If not, why? In essence, all hospice agencies work within the guidelines set forth by Medicare. The basic services they provide are the same across the board. However, not all hospice agencies are the same. The differences generally boil down to the small details of customer service. It is important to research. People are sometimes reluctant to question doctors or other medical professionals about their care or the care of their loved one. But what is more important than the quality of care that loved one receives during the final stages of life? You can help determine if an agency is right for you by interviewing several hospices. Research & Interview Tips: After Business Hours Service. If you call after hours, will you get a nurse that works for the agency or an answering service? Tip: Call the hospice agency phone number after hours prior to selecting a company to see how the agency responds to your call. Do you know someone who works for the agency? Most people like to work with people they know, like, and trust. This is especially important if you ever have a concern that needs to be addressed. Added touches. Basic hospice services are the same across the board. Ask what additional services they provide, such as: pet therapy, beautician services, etc. Just as most things are not one size fits all either are healthcare providers. It is important to remember that you have options. It is common for physicians to suggest a hospice agency that they are familiar with. My suggestion to anyone making major healthcare decisions is to take the time to do the research and interview at least two companies. In the end, the most important thing is to select an agency that is the best possible fit for you and your family.Author:Honey Goodman

As COVID-19 continues, organizations have been forced to adjust their practices and behaviors in unexpected ways. No one could have known when this pandemic started that we would be taking extra safety precautions to limit the spread of this unknown virus.Its been challenging to limit visitors and maintain safe distance between families and loved ones living in senior communities, care facilities like Saint Therese are working hard to ensure the health and safety of our residents. Were doing everything we can to ensure our residents feel loved and cared for.Here are benefits of living in senior communities during COVID-19:Safety and SecurityLiving in a senior community during a pandemic can feel scary and overwhelming, but there are often several protocols and procedures in place that ensure everyone is safe and secure. Visitors are likely limited, minimizing your exposure to the virus, and the staff are likely required to take certain precautions as well.Regular cleaning and disinfectingAt senior communities, the custodial staff makes sure all surfaces and spaces are properly cleaned and disinfected on a regular basis. Your care facility will have CDC-approved cleaning products and disinfectants available, so you can be sure your environment is always safe and clean.Trained medical professionals on siteWhen were facing a global health crisis like COVID-19, its comforting to know that there are trained medical professionals, and health care services available to those who live in senior communities. People who are over the age of 65, or who have underlying medical conditions are among the most susceptible to develop a complication from the virus.Safer socializationLiving in a senior community ensures youll have plenty of interaction with your peers and loved ones. From seeing your friends face-to-face, to utilizing your facilitys video and conference technology to get in touch with loved ones, there are plenty of ways to stay connected during COVID-19 in a senior community.If you or your loved one need the care provided at a senior community, contact us to learn more about whether Saint Therese is the right place for you.

When you relocate to a manufactured home community, you dont just move into a neighborhood, you become a part of a community.Todays manufactured home communities are all about its residents and the active lifestyles they lead. Tropical Palms and Island Vista Estates are among a few premier communities in North Fort Myers that offer superior independent living options.At Tropical Palms and Island Vista Estates, you can enjoy an array of amenities like swimming pools and planned events on properties that were built with exceptional architectural design. Its so easy to stay connected and involved with friends and neighbors through social activities and community events. You can stay as relaxed or as busy as you want!FINDING A HOMETodays lifestyle communities are much more than streets filled with outdated homes that all look alike. Today, manufactured homes are built with the same materials as modern, land-built homes and include the same must-have features.Manufactured homes of today are safer and more comfortable to live in than the manufactured homes of the past. Modern exterior and interior finishes, upgraded light fixtures, energy-saving appliances, and open floor plans are just some of the improved features of the manufactured homes built today. When considering relocation, you will find more than just a new home at Tropical Palms and Island Vista Estates, you will find a new piece of yourself, immersed in new friendships and in beautiful locations. Make the choice to live the community lifestyle, today!

Primary care providers (PCP) are the foundation for your medical care. As such, we lead the team of healthcare professionals and other specialists that provide you comprehensive care. So, we like to think of ourselves as the quarterback of your team.A PCP can be a MD, Doctor of Osteopathy (D.O.), Physician Assistant (PA) or Nurse Practitioner (NP). Your PCP will diagnose and treat common illnesses and medical conditions while teaching you about safe health behaviors, treatment options, preventative and self care skill as well as provide necessary screening tests and immunizations.PCPs detect undiagnosed health issues and start treatment promptly, ultimately resulting in better outcomes. We manage chronic disease, utilizing evidence based guidelines in order to achieve mutually agreed upon health goals. Evaluating the urgency of your medical condition and directing you to the best place for care, which may be referring to other medical specialists, is a key role your PCP plays as quarterback of your team.Communication is the key to success on any team. You need to take an active role with your healthcare team. Keep your quarterback PCP up to date on immunizations, surgeries, visits with specialists, family history and active medical illnesses. Schedule regular appointments and keep them. Keep a list of all current medications you take, including over the counter medications and vitamins. Share that information with your quarterback PCP and include why you take the medication, how often you take it and what the dosage is.If you have any concerns about your health, contact your PCP initially, they are the main healthcare provider in any non-emergency case. Regular visits to your quarterback PCP will reduce costly emergency room visits by catching problems early.Dont have a PCP? Parkview Adult Medicine Clinic serves patients ages 15 and above. We are staffed by four board-certified Internal Medicine Physicians, 21 Resident Physicians, one board certified Family Nurse Practitioner, and one board certified Psychiatric Nurse Practitioner. In addition to providing comprehensive and compassionate care to our patients in our state of the art clinic, we offer sports physicals, CDL medical exams, and Assisted Living Facility visits. To make an appointment, call 719.595.7585.Editors Note: This article was submitted by: Marian Heesaker, Family Nurse Practitioner at Parkview Adult Medicine Clinic

For more information on the author Just Like Family Home Care, CLICK HERE.Many elderly people struggle over time with long-term and short-term memories. There are different ways to help avoid a rapid decrease of memory skills according to various studies. Below are 6 ways which might help you strengthen your memory.1. Meditate To Improve Working MemoryMeditation helps you to become mindful and gain control over thoughts. It strengthens the ability to focus and sharpens the mind. You can use the app CALM to help you guide through meditation or just follow these easy steps: The first step is committing to a regular, daily practice at a convenient time Find a quiet place to relax and sit comfortably Breathe deeply Take a few moments to settle into your body. Gently observe your surrounding with your senses (excluding your vision) Start focusing solely on breathing and the sensations around it. How the oxygen moves through your nose into your lungs and out again. Thoughts will come and go. Acknowledge them and let them go.2. Drink Coffee To Improve Your Memory Consolidation.Michael Yassa, an assistant professor of psychological and brain sciences at Johns Hopkins, and his team of scientists found that caffeine has a positive effect on our long-term memory. Their research, published by the journal Nature Neuroscience, shows that caffeine enhances certain memories at least up to 24 hours after it is consumed.Weve always known that caffeine has cognitive-enhancing effects, but its particular effects on strengthening memories and making them resistant to forgetting have never been examined in detail in humans, said Yassa, senior author of the paper. We report for the first time a specific effect of caffeine on reducing forgetting over 24 hours.3. Eat Berries For Better Long-Term Memory.In a study published in the Annals of Neurology in April 2012, researchers analyzed blueberry and strawberry intake and memory capabilities of 122,000 nurses ages 30 to 55. Data had been collected for 25 years. Participants who ate the most blueberries and strawberries showed less memory decline in later adulthood, by up to 2.5 years than non-berry eaters. A smaller study featured in the Journal of Agricultural and Food Chemistry in 2010 showed that drinking blueberry juice daily for 12 weeks improved older adults learning and memory skills by 20 percent.4. Exercise To Improve Your Memory RecallIn a study done at the University of British Columbia, researchers found that regular aerobic exercise, the kind that gets your heart and your sweat glands pumping, appears to boost the size of the hippocampus, the brain area involved in verbal memory and learning. Resistance training, balance and muscle toning exercises did not have the same results.The finding comes at a critical time. Researchers say one new case of dementia is detected every four seconds globally. They estimate that by the year 2050, more than 115 million people will have dementia worldwide.5. Chew Gum To Make Stronger MemoriesThere are three main potential explanations, says Scholey. In March 2000, Japanese researchers showed that brain activity in the hippocampus, an area important for memory, increases while people chew but it is not clear why.Recent research has also found that insulin receptors in the hippocampus may be involved in memory. Insulin mops up glucose in the bloodstream and chewing causes the release of insulin because the body is expecting food. If insulin receptors in the brain are involved in memory, we may have an insulin-mediated mechanism explaining our findings but that is very, very speculative, Scholey says.But there could be a simpler answer. One interesting thing we saw in our study was that chewing increased heart rate. Anything that improves delivery of things like oxygen in the brain, such as an increased heart rate, is a potential cognitive enhancer to some degree, he says.But a thorough explanation for the findings will have to account for why some aspects of memory improved but others did not, Graham says. She points out that gum-chewers ability to quickly decide whether complex images matched images they had previously been shown was no better than the controls.6. Sleep More To Consolidate Your Memories.Researchers have tested this process by teaching people new skills and then scanning their brains after a period with or without sleep. When people have a chance to sleep, for example, after practicing a skill similar to piano scales, the centers of the brain that control speed and accuracy are more active than those regions in people who havent slept. Scientists think that while we sleep, memories and skills are shifted to more efficient and permanent brain regions, making for higher proficiency the next day. In fact, sleeping shortly after learning new information has been shown to help retention. Some research indicates that when people learn before going to sleep (or even before taking a nap), they remember the information better in the long term.Keep in mind that our home health care professionals can always assist with activities to improve your wellbeing. Benefit from Just Like Familys yearlong experience as a home health care provider here in Naples, FL.

Approximately 11 million people are affected with Age-related macular degeneration in the US alone.Age-related macular degeneration (AMD) is an acquired disease of the retina that can cause significant visual impairment. The prevalence is similar to that of all invasive cancers combined, and more than double Alzheimers Disease. The risk for AMD increases more than three-fold in patients older than 75 years of age compared to individuals between 65-74 years of ageThe diagnosis of ARMD is typically made after considering a patient's age, eye examination findings, and family history. Symptoms that patients may note include slow or sudden onset of decreased visual acuity, distorted vision, or missing vision (a blind spot) when trying to look at something in the center of your field of view. Many patients in the early stages of the disease however possess no symptoms.Although there are no screening guidelines, if there is a strong family history of macular degeneration or someone has difficulty with their vision, it is recommended that adults over the age of 65 have an eye exam about every year.Antioxidant vitamins and minerals (AREDS2 multivitamins) are an effective treatment for dry AMD that has been diagnosed by your eye doctor. Smoking is a large risk factor for macular degeneration, especially wet macular degeneration. Treatment of exudative (or wet) AMD includes injections of medications into the eye, or less commonly a laser treatment to the retina.Macular Degeneration is an area of intense research by scientists and physicians, and there are many ongoing clinical research trials and new treatments in development. If you or someone you know is concerned about possible AMD, I encourage you to make an appointment with your local eye doctor.Editors Note: This article was submitted by Matthew Manry, M.D. Dr. Manry is aSurgical and Medical Retinal Specialist with Eye Care Center of Northern Colorado and may be reached at303-772-3300.

The community foundation is a charitable 501(c)(3) organization that administers gifts contributed by its citizens, agencies and businesses. These gifts are invested and the income from those investments is used for grants and scholarships that support and strengthen our community.The community foundation in Charlotte County is the Charlotte Community Foundation (CCF). A part of the community for more than 20 years, CCF is the only organization of its type focused exclusively on Charlotte County, Florida. CCF has its roots in the Adventist Hospital Foundation. When the hospital was sold and became the Charlotte Regional Medical Center in 1995, the Charlotte County Foundation was established as a separate 501(c)(3) not-for-profit corporation, focused specifically on health and education issues.In 2004, the Foundations Board of Directors met with other com-munity leaders to review the organizations programs, assess its strengths and weaknesses, and define its future for the community. A new vision emerged, and the Board adopted a strategic plan that has established CCFs focus as a true community foundation, strictly for Charlotte County, Florida. No other community foundation has such a focus.

For more information on ManorCare, CLICK HERE.The lungs are a unique organ, and part of a system designed to protect them. Mucus membranes line the nose, mouth, throat and airways and trap germs, dirt and particles before they enter the lungs. Mucus also stops foreign matter from travelling through the respiratory system, and cilia (tiny hairs) catch dirt and germs and move them up to where they can be coughed up, or swallowed.The lungs are protected by many defenses, but that doesnt mean that they dont need their person to take care of them. So many people worry about weight, the heart, the kidneys, the digestive system, etc., but overlook the many ways they could care for their respiratory system. Its important to consider the ways that a person can care for their lungs, bronchi, trachea, diaphragm, etc. A few simple considerations can lead to a much healthier respiratory system. Lungs supply oxygen to the blood and remove carbon dioxide and other gases from the body. Anything that you breathe in can directly affect your lungs.The easiest way to keep your lungs healthy is to consider what you are breathing in:Quit SmokingSmoking is the main cause of lung cancer and Chronic Obstructive Pulmonary Disease (COPD). Cigarette smoke narrows the air passages in the lungs and makes breathing more difficult. Its never too late to quit smoking.Second Hand SmokeLung cancer and COPD can be caused by inhaling the smoke from other smokers. Just because you are not smoking the cigarette, does not mean its not directly affecting your lungs and respiratory system.Air PollutionAir pollution can cause problems for all people, especially for those with lung disease. Irritation, inflammation, and damage to lung tissue is all possible due to airborne irritants. People with certain jobs (construction, refineries and unventilated office buildings) are also at an increased risk for lung diseases. If a job involves large amounts of dust, asbestos or chemicals, proper clothing, masks and ventilation should be used.Wash Your Hands FrequentlyCommon respiratory infections like colds and the flu are spread by hands through touching infected surfaces and then touching the mouth, eyes, nose, etc. By using proper handwashing techniques, and washing the hands regularly, the risk of infection is greatly reduced.Keep the Air Inside your Home CleanMany people take for granted the quality of air in their homes. Dust, chemical cleaners and moisture can pollute the air inside your home. Use exhaust fans in bathrooms and kitchens to vent moisture, keep counters, bathtubs and other wet areas dry and wipe away dust to control the air quality in your home. Opening windows and letting fresh air in as frequently as possible is also important, especially when painting, cleaning or installing new carpet.Use Caution During Cold and Flu SeasonIf illnesses are going around in your area, avoid large crowds and use proper handwashing techniques and alcohol based hand sanitizers.Get VaccinatedFlu vaccinations help prevent influenza and other serious infections caused by the flu. Getting vaccinated protects the lungs by preventing the infections that can cause damage to lungs and lung tissue.Get a PhysicalVisiting your doctor regularly for check-ups is a proactive way to prevent lung disease and detect problems in the early stages. By being honest with your physician about your health, changes in your body and new symptoms, your doctor will best be able to complete testing and prescribe treatments.Educating yourself and your loved ones about respiratory health is key to maintaining healthy lungs. Breathing is required for life, but often taken for granted. Knowing the many ways that a person can take care of the lungs is key to prevention of disease and easy breathing for years to come as well as ensuring quality of life for future years.

LIFE is an option that allows older Pennsylvanians to live independently while receiving services and supports that meet the health and personal needs of the individual. Living Independence for the Elderly (LIFE) is a managed care program that provides a comprehensive, all-inclusive package of medical and supportive services. The program is known nationally as the Program of All-Inclusive Care for the Elderly (PACE). All PACE providers in Pennsylvania have "LIFE" in their name.#listing_mgr{7 basic_search}#

Choosing a nursing home is one of the most important decisions we will make for our loved ones. When looking for a nursing home, it can be overwhelming. Here are some tips to consider:EDEN CERTIFIED HOMES -- Our Elders have so much to teach us. The Eden Alternative philosophy asserts that no matter how old we are or what challenges we live with, life is about continuing to grow. Building on this new paradigm, it affirms that care is not a one-way street, but rather a collaborative partnership. Look for homes that are committed to the Eden principles.Does it feel like home - You want to feel safe and loved in your new home, with the ability to create your own schedule. A place to receive encouragement, where you have the opportunity to become stronger mentally and physically, and where you can make your own lifestyle decisions.First Impression - When you walk in the door, what do you see, hear and smell? Is there joyfulness, are there calming sounds, is it welcoming? When touring the facility, pay attention to odors. If you smell an odor in a specific place, it is likely a single incident. Odors throughout should be worrisome.Staff Are caregivers and care receivers described as care partners, each an active participant in the balance of giving and receiving? Seek care partners who strive to help you optimize your independence, energy and spirit as you move to your new home.ACTIVITY Together, families, care partners and elders strive to enhance well-being by eliminating the three plagues of loneliness, helplessness, and boredom. The antidote to overcome the three plagues may come in the form of human and pet contact, music and art, as well as variety and spontaneity in day to day experiences.WELLNESS On-site physical, occupational and speech therapies are important. Look for a pool with aqua therapy, a fitness center, a Bistro and spa.Editors Note: This article was submitted by Cindy Silverman, Director of Community Relations at Shalom Park. For information and tours contact Karen Gates, Director of Admissions, at 303-680-5000 or by email at: karen.gates@shalompark.net.

A Guardianship To Help Our Loved Ones All of us have family or friends who need assistance, whether financially, physically or, in the case of this article, mentally. In caring for our loved ones, it is important to know some legal guidelines to best serve them. When a person loses the ability to think clearly, it affects his or her ability to participate in meaningful decision-making. If that individual is unable to make rational, clear-headed decisions about health care, finances or other aspects of life, guardianship and/or conservatorship may be the next step if the person does not have power of attorney documents in place or if there is disagreement among family members about these issues. To appoint a guardian, a court must declare a person to be incapacitated based on findings where: A person who, due to his or her mental, physical and emotional status, prevents him or her from taking care of his/her own basic needs; and As a result, that person is in danger of substantial harm; and There is no one already legally authorized to make substitute decisions for the person. If the criteria are met, the court transfers the responsibility of determining living arrangements and medical decisions to the guardian and the responsibility for managing assets and finances to the conservator. Guardians and conservators have a duty to act in the best interest of the incapacitated person and in the least restrictive manner. Regular reports must be submitted to the court regarding the status of the incapacitated person and his or her finances and assets. Guardians - A guardianship is a legal right and duty given to a person to be responsible for managing the food, health care, housing, and other necessities of a person deemed fully or partially incapable of managing these necessities for him or herself. Conservators - A conservatorship is a legal right and duty given to a person to be responsible for managing the assets and finances of a person deemed fully or partially incapable of managing them for him or herself. Keep in mind it is possible to avoid the necessity of a guardianship and/or conservatorship through a good estate plan that includes both a medical power of attorney and a general durable power of attorney which permit trusted individuals to make health care decisions and manage financial affairs in the event of incapacity. This article was written by Donna A. Schuyler, Attorney, who practices in the areas of estate planning, elder law, guardianship and probate. Donna Schuyler Law, PLLC; elderlawboise.com; Phone 208-344-1947

A Senior Behavioral Health is a psychiatric unit designed specifically in mind for the geriatric population. It addresses common mental health issues facing the elderly such as: depression, grief, anxiety, dementia related issues, and other mental health diagnoses. The age requirement on most units is 65, although some units admit patients 55 and older. The diversity of patient priorities and needs requires that a variety of group activities be utilized. The objective is to provide structured therapeutic activities to facilitate patient autonomy. The purpose of group therapy is to provide patients the opportunity to share their thoughts and feelings with others that have gone through similar circumstances. The goal is re-entry into the community through the use of the recovery model and the development of a wellness plan.If the unit is a dedicated Senior Behavioral Health Unit, such as Riverside Healthcares Senior Behavioral Health Unit, safety is of utmost importance. Features such as increased lighting, non-skid floors and bed alarms are utilized to keep patients safe. There is also a sensory room which provides a quite calm environment that can reduce the need for medication intervention.The Senior Behavioral Health Team consists of a psychiatrist, a geriatric physician, neuropsychologist, dementia certified nurses as well as mental health technicians, a social worker and a certified recreational therapist. A geriatric physician consults on all patients because older adults usually have chronic medical conditions along with their psychiatric conditions. On a senior behavioral health unit the staff understands the importance of providing families, loved ones and caregivers with support, education, respite and compassion throughout this challenging journey. The family is involved in the admission, treatment planning and discharge processes throughout the patients stay. The social worker provides talk therapy as well as discharge planning. The recreation therapist provides individual assessments and engages each patient into therapeutic activities multiple times a day such as: sensorimotor, art and activity therapies.Senior Behavioral Health Units were developed to reduce the stigma of older persons with physical and mental health age related concerns. The overall goal is to maintain the older adults dignity and reduce the isolation and hopelessness that often accompanies this aging population.Editors Note: This article was submitted by Christel Dennison, LPN, CECM, CDCP. Christel is the community liaison with Riversides Senior Behavioral Health Unit and may be reached at 815-932-4100 or by email at cdennison@rhc.net

Almost every American has some form of arthritis. Of the many forms of this debilitating disease, the most common associated with aging are osterarthritis, rheumatoid, avascular, posttraumatic and various inflammatory types of arthritis. As many of us know, the first line of treatment is non-steroidal anti-inflammatory, and commonly known pain medications such as Tylenol. Narcotic-type medications are used in some cases although not recommended for long-term use. Other common treatments include nutritional supplements such as glucosamine and chondroitin. If arthritis progresses to a severe point where no cartilage remains in the affected joint, medications are less successful and joint replacement surgery is quite effective.Seniors considering joint replacement surgery have more options, greater chances of relief and success, and a more comfortable recovery period than ever before. Technological advances have produced new components lasting 30 to 50 years. This technology is mainly found in total hip and knee replacement components common problem areas for many senior citizens. Advancements in techniques and joint replacement products have led to smaller incisions and less tissue dissection. In some cases, muscles are not cut only split for the procedure. Also, using computer-assisted surgery, the artificial joint components can be aligned to allow for the longest wear and best function for the patient. The hospital stay is shorter, the range of motion is improved, and pain relief is significant. In some centers around the country, joint replacement surgery is performed as outpatient, and future outlook points to an overnight stay in the hospital for many other procedures. To learn more about joint replacement surgery, browse the many sites on the internet for information. A few websites that offer information are www.jointreplacement.com, www.medicinenet.com, and www.nlm.nih.gov/medlineplus. Your primary care physician or orthopedic surgeon should be able to explain your options of treatment best for you. This article provided by R. Lance Johansen, MD, adult reconstruction arthritis surgeon, The Joint Replacement Center of Mississippi. He can be contacted at 228-328-2400.

More than a century ago, cancer patients and their caregivers had few options for surviving, even thriving, after a cancer diagnosis. Thanks to the American Cancer Society, things have changed.When the American Cancer Society was founded in 1913, rarely did people talk about cancer and few people survived a cancer diagnosis. When the grim news was given to a patient, a carriage ride and champagne were the treatments to distract the patient from the inevitable end. Now, thanks to ground-breaking research, advancing treatments and American Cancer Society screening guidelines, two out of three people diagnosed with cancer are surviving the disease for at least five years. Now more than 500 people a day in the U.S. are celebrating birthdays that otherwise would have been lost to cancer.The Society has attacked cancer in many ways. Below are just some of the options available to cancer survivors.Patient NavigatorsFighting cancer is tough enough without worrying about bills, health insurance, appointments and finding the best resources. Society patient navigators guide the newly diagnosed through complex treatment options at more than 100 U.S. hospitals.Online SupportAt the website Cancer.org, patients and caregivers have access to extensive cancer information and educational resources about how to prevent, find, treat and cope with cancer.Help Any Time, Day or NightThe American Cancer Societys free helpline offers support 365 days a year at 1-800-227-2345. Cancer Information Specialists answer calls 24 hours per day, providing support and answering questions about cancer, clinical trials and local resources.Lodging With 31 locations nationwide, Hope Lodge provides a free, temporary place to stay for patients who must travel away from home for treatment. Patients save millions of dollars in lodging costs and can focus on getting well. Plans are underway now to construct a Hope Lodge in Dallas, and one already exists in Lubbock.Support GroupsSharing with another person facing cancer can make all the difference. Volunteersmany of whom are survivors themselveslead local Society-sponsored support groups nationwide. Dallas cancer survivors can participate in Look GoodFeel Better, a free program led by licensed cosmetologists and aestheticians, and also Reach to Recovery, a support program for breast cancer survivors.WellnessEducating people about staying well is key to preventing cancer and for recovery after treatment. Society staff and volunteers share proven tips on physical activity, nutrition and overall health in schools, businesses and communities across the country. The American Cancer Society also promotes healthy screening guidelines for specific cancers.This article was submitted by Joy Donovan, American Cancer Society. For more information on any of the topics, please call 1-800-227-2345.

Does your agency utilize an existing VA benefit called Aid & Attendance? Some agencies offer help to Veterans but its mostly just gathering paperwork necessary for the A&A... and thats it! Care typically doesnt start until the VA pays the agency, which can take months with those agencies unfamiliar with the process. If you call an agency and they dont know anything about the A&A benefit OR they do offer it and/or it takes longer than 2-4 weeks to START care move on! Instead, try and find an agency that understands the complexity of the A&A, can start care within 2-4 weeks and has no hidden costs to get started.Do you have experienced VA Accredited Agents within your office to help with this process? Some agencies will outsource this critical step to local Attorneys or Financial Planners that may have accreditation, but the A&A benefit is just one of many products they offer. Find an agency that has VA Accredited Agents on their team that are dedicated and focused only on capturing the A&A benefit and offer no other products or services.Are there any upfront costs to start the process? Again, some agencies work through an Attorney or a Financial Planner that technically can help you with this process; however, they have creative ways of collecting payment for other services so they can get paid up to an estimated $500 or more. Instead, try and find a Veteran-dedicated agency that offers this at NO COST OR RISK for those who apply. There is no reason for you to pay out-of-pocket for these services.How long will it take before I can start care? Most agencies dont start care immediately simply because they dont have the funds available to absorb the cost of labor for weeks or even months waiting on the VA to begin payment. So, they will process the paperwork and make you wait until the VA releases the funds. Try and find an agency that starts care within 2-4 weeks with no costs upfront and that offers a complete Veterans Program.Editors Note: This article was submitted by Steve Lee, Founder & CEO of Curantis Health Veterans Aide. He may be reached at 720-459-5907 or by email at Steve@CurantisHealth.com

Most families are understandably overwhelmed when a loved one is referred to hospice. The looming uncertainties and difficult decisions associated with end-of-life care add extra stress to an already difficult situation.Hospice programs can help by controlling pain, reducing anxiety and offering support to terminally ill patients and their families but with more than 4,000 hospice agencies nationwide, choosing the right program for your loved one can be challenging.Here are some important questions to ask hospice providers before choosing a specific program:What services does the hospice company offer?Hospice provides care to patients during the end of life but some programs also provide specialized services to make the patients final days more enjoyable. For instance, as the nations leading provider of end-of-life care, VITAS Healthcare offers respiratory therapy, music therapy, pet visits and other services to further assist patients and their families during these trying times.Is it an established program?Experience is key when it comes to hospice services. As a pioneer and leader in the hospice movement since 1978, VITAS has developed and shared key practices to make sure patients at the end of life receive high-quality care and their families get the support they need. VITAS philosophy of care centers on comfort and quality, focusing on the patient, not the disease.Where can the patient receive care?Studies show that most patients prefer dying at home and VITAS can bring hospice services to whatever place is most comfortable for the patient. No matter where a person chooses to receive these services, hospice staff can guide them and their families through difficult decisions about their end-of-life care.Who covers the costs?Hospice care is covered by Medicare, Medicaid and most private insurance plans. To be eligible for hospice under Medicare, the patient must be entitled to Part A of Medicare, and certified by their physician and a hospice physician as having a terminal illness, with a prognosis of six months or less.The National Hospice and Palliative Care Organization has resources to guide you if a loved one needs end-of-life care. For more information about VITAS, visit www.VITAS.com or call 708.781.4400.

There is an often overlooked long term health care benefit available to fellow Veterans who served our Country during certain wartime periods (did not have to serve in combat), meet certain financial and health criteria, and received an honorable discharge. The Veteran does not need to be retired from the military or have a service connected disability. This program is called VA Aid & Attendance Pension. Under the right circumstances the Pension could create an additional household income up to $1056 a month for a single surviving spouse of a Veteran, to $1644 a month for a single Veteran or up to $1949 a month for a couple to pay for home health care, assisted living care and even nursing home care.The National Care Planning Council estimates that up to 33% of all Americans over the age of 65 might be eligible for a Pension benefit under the right circumstances. Thats how many war Veterans or their surviving spouses there are in this Country.There is an income and an asset test to qualify for Pension. A special provision in the way the Pension benefit is calculated can allow households with income up to $5,000 or $6,000 a month to still qualify for this benefit. The difficulty, oftentimes, is qualifying under the asset test. Generally, couples households with assets in excess of $80,000 will not qualify for Pension and assets for a single Veteran or a surviving spouse in excess of $50,000 may disqualify the single person household. However, there is no specific asset test and amounts less than those listed above may also disqualify the applicant. A personal residence, assets that cannot easily be turned into cash, a car and personal property are exempt from the asset test.Assets that may disqualify an applicant for Pension can be given away or turned into income and there is no penalty for doing this as there would be with Medicaid. Unfortunately, in most cases, Pension income does not work well for paying the costs of a nursing home. This is because the amount of Pension income is rarely enough to cover the difference between the cost of the nursing home and the beneficiarys income. On the other hand, Medicaid will cover this difference in cost and in most cases Medicaid is a better alternative to Pension. However, when available, Pension works very well to supplement the income needed to fund home health and assisted living care on an ongoing basis without depleting the Veterans assets and can even work together with Medicaid Diversion to cover the entire cost of assisted living care when that need exists.It is extremely important that anyone who has given away assets to qualify for the Pension benefit should also make provisions to avoid or reduce the penalty imposed through early gifting by Medicaid. Claimants for the Pension benefit whether for home health care or assisted living care should always seek the advice of a consultant who understands both Medicaid and the VA benefits.This article was submitted by David Orosz, elder law attorney. He can be reached at239-334-8585 or 800-771-6053

Meniscus tears are among the most common knee injuries. When people talk about torn cartilage in the knee, they are usually referring to a torn meniscus. Your meniscus is a wedge-shaped piece of cartilage that sits between the thigh bone and the shin bone. It acts as a shock absorber and provides some stability to the knee. The meniscus is tough and rubbery to help cushion the joint and keep it stable.Sudden meniscus tears commonly occur with sports. Players may squat and twist the knee causing a tear. Older people are more prone to degenerative meniscus tears due to the cartilage weakening and thinning over time just an awkward twist when walking or getting up from a chair may be enough to cause a tear.When a meniscus tear occurs, people typically feel or hear a pop. The majority of people can still walk. Over the next 2-3 days, there may be the following symptoms: Increased pain with twisting the knee Stiffness and swelling Catching or locking of the knee The sensation of giving way Decreased range of motionDiagnosisWhen diagnosing a meniscus tear, a thorough examination is done to check for range of motion, swelling and tenderness along the joint line, as well as pain or a clicking sensation. Some imaging tests may be ordered to help confirm the diagnosis, such as an x-ray or MRI.Treatment OptionsBased on the type, size and location of the tear, there are a few options. If the meniscus has rich blood supply, it may heal on its own over 2-3 months. If symptoms persist but the knee is stable, nonsurgical treatment may be all that is needed. This involves protection, rest, ice, compression and elevation. Non-steroidal anti-inflammatory medications may be prescribed to help reduce pain and swellingIf the meniscus lacks a good blood supply, however, these tears do not heal. Tears in this zone are usually surgically trimmed away. So, the type of tear, your age, activity level and any related injuries help determine the treatment plan. Immediately after surgery, weight-bearing and activities are restricted for a period of time. Once the initial healing is complete, exercises are prescribed for rehabilitation exercises to restore range of motion and strength if necessary. For the most part, this can be done at home. Rehabilitation takes about 3 months. Stay the course and your therapy team will partner with you for your health and wellness.___________________________Editors Note: This article was contributed by Dr. Todd Curran, an orthopaedic surgeon with OSS Health.

Prescription drug abuse is defined as the use of a medication that is not prescribed for the individual or taken in a way other than what the doctor had prescribed. The fact that a drug is ordered does not make it safe when taken in an altered manner and can have the same consequence as street drugs. The most common categories of abuse are opioids, including pain medication, stimulants and sedatives. The abuse of prescription drugs is illegal even when obtained through friends or family. A report from The Florida Medical Examiners Commission provided the following information: in 2010, 5,643 people in Florida died with one or more prescription drugs in their system. That is an increase of more that 7% over the previous year. More than 2,710 deaths in our state during 2010 were found to be caused by prescription drugs which were identified in the system of the deceased. This is a 9 % increase from the previous year.Abuse of pain medication is very common in the elderly. It is interesting to note that the perception of pain is frequently in direct proportion to the individuals support system. In other words those that live alone and in isolation perceive pain differently than those who live with others whether friends, family or a community setting. The more limited a persons world the more self absorbed they become which in turn blurs their perception of physical and psychological pain. The abuse of pain medication and sedatives is used as anesthesia in those who choose not to deal with their feelings in an appropriate manner. What starts as a behavior quickly becomes a habit until the individual no longer feels and certainly doesn't recognize that they are compromising their own health and well being.Caregivers need to assess and screen for misuse of drugs by simply asking the individual about their past history and then current habits. This needs to be done in a non-judgmental manner which allows the individual to feel safe in answering the question. This approach is applicable when working in a professional capacity or with family. The significance of listening cannot be over emphasized. Learn to be comfortable with silence and listen to verbiage and note body behaviors. Avoid assuming that you know what the individual means or feels. Ask for clarification if you don't under-stand the message and don't be tempted to finish another's thoughts. Understanding how the individual copes with stressors will enable you to encourage the appropriate intervention which usually starts with the persons own physician. Listening and caring along with an appropriate intervention can and does save lives.Editors Note: This article was submitted by Sandra Buxton RN BSN MA, Accu Care Nursing Service COO/CNO.

As estate planning and elder attorneys, we always encourage people to plan ahead in case something unforeseen were to happen.In some cases, we plan ahead and unfortunately, the people that we have named die before us. If this happens, it is essential to review your planning to determine whether or not you need to make any changes or whether or not your plan is sufficient as-is.When an individual tells me that their beneficiary has passed, that typically tells me that they have named that individual as a beneficiary on a non-probate asset, such as a life insurance policy, an annuity, a retirement account, a payable on death account, a transfer on death account, or in trust for an account. If this is the case, the first thing to do is to look to see if you provided for a contingent or successor beneficiary.If you did provide for a backup beneficiary, then the person that you have named as the contingent will be the person who receives your money if you were to die. If you did not provide for a contingent or backup beneficiary, then the money would go through your estate.Your estate means that if you have a Last Will and Testament the terms of that document would govern. Therefore, if the beneficiary that you have named is no longer alive and there is no contingent beneficiary, we will look to the Will to see who the beneficiary is under your Last Will and Testament. If it was the same person that was named in the non-probate asset, then we would look to see if the Will provides for a backup or any contingent beneficiaries.If the Will does not provide for anyone else to receive the asset and does not provide for a word such as "per stirpes" then we may have to look to the laws of intestate succession in the Commonwealth of Pennsylvania. If it does say per stirpes, then that individuals children would inherit the monies that that individual was entitled to.If there is no designation such as per stirpes and the beneficiary is not alive, then we will look to the rules of intestate succession in the Commonwealth of Pennsylvania. The state will provide under this statute an order of who would inherit first, second, third, etc. The Commonwealth of Pennsylvania would not be entitled to any of the money unless there are absolutely no beneficiaries or family members that are alive, which is very infrequent if not virtually impossible.If you are trying to determine who is going to take under the Pennsylvania intestate succession statute, I highly recommend that you seek professional advice for this hierarchy.  Seek out the advice of an attorney who specializes in estate planning and has extensive knowledge in estate administration, but also has done cases where there is no Will and the intestate succession statute has governed. While it sounds pretty simple, this is not a common occurrence.  So it would be essential to have somebody who has the experience to understand what is going to happen.  The bottom line is that if we plan properly to provide for contingent beneficiaries and make a backup plan in case they die, the fact that your heir died before you should not become a huge issue.I hope that this article also helps you understand the interplay and inner workings between probate and non-probate assets and how, if there is no contingent beneficiary named and the beneficiary of the non-probate asset is no longer around, it would then default to the estate of the individual.  The estate would be governed either by the terms under the Last Will and Testament or under the Pennsylvania intestate succession statute.If you would like to learn any more about this topic, please feel free to give us a call at 717-208-4546 or attend one of our upcoming workshops to learn more.

Do You, or Someone You Know, Have A Loved One in A Long-Term Care Facility?Do You Know How A Long-Term Care Ombudsman Can Help? What is a Long-Term Care Ombudsman?Ombudsman (om-budz-man) is a Swedish word meaning one who speaks on behalf of another. A Long-Term Care Ombudsman is an advocate for people living in nursing homes, board & care homes and assisted living facilities. The position of Long-Term Care Ombudsman was created in 1975 as a result of amendments to the Older Americans Act to ensure quality of life and quality of care for people living in long-term care communities.Ombudsmen protect the rights of people living in nursing homes and assisted living residences. Colorado Ombudsmen strive to improve the quality of life and quality of care for more than 36,000 older adults in long-term care. These are some of the things Ombudsmen can do to help:Ombudsmen: Help resolve complaints about the facility or individual staff members, such as physical or verbal abuse poor quality of care. Help protect residents rights under the law, including the right to privacy in care and treatment, voice grievances without retaliation, make independent choices. These are just a few of the rights that individuals have in long-term care settings. The Ombudsmen help educate residents, families and staff about all residents rights and work to ensure that these rights are honored by care providers.Help older adults understand their options for long-term care choose the long-term care facility or community living arrangement that is right for themTo Contact your Local Ombudsman call: 1-800-288-1376

Nothing challenges the family dynamic quite as much as a terminal illness and the prospective loss of a loved one. For families considering in-patient versus home end-of-life care, there are many considerations and dynamics to consider. The following situations are a few that are often cited as reasons to favor anin-patient hospice choice. Elderly patients living alone may choose hospice in-patient care if they lack the help of family members who can take on the responsibility as caregivers. Utilizing hospice care at home requires someone to take the lead role to follow the care plan of the hospice team for the absolute comfort and safety of the patient. Single middle-aged patients who live in cities far from family may want to be back in their hometowns near their aging parents, family and old friends. The patients elderly parents need the convenience of having their child nearby and understand that caring for them at home would be overwhelming and a difficult transition for their adult child. Any adult patient with a spouse who is unable to care for them at home because of their own physical or mental health issues. Both young and older couples often come to realize that caring for their loved one at home is simply too stressful and unsafe. Parents of pediatric patients often opt for in-patient care to ensure their memories of their child at home are good ones. A family-focused in-patient hospice care center should have pediatric and hospicecertified nursing and social work staff who understand how to support them. Patients with acute medical situations may choose a hospice facility that is designated as a specialty hospital so symptoms will be appropriately managed as in a hospital, but in a comfortable, home-like setting. This situation is considered general in-patient care and is 100% covered by Medicare. Patients may graduate out of the hospice facility, but many often opt to stay.So many personal, environmental, economic and lifestyle factors go into a patients or a familys choice of care. Regional Hospice and Home Care has been providing hospice care to the area for over 30 years, and now offers an in-patient option with their recently opened Center for Comfort Care and Healing in Danbury. To explore your choices or schedule a visit, find us at regionalhospicect.org or call: (203) 702-7400.

Most often people think of speech therapy as only needed for children who stutter or for improved articulation. Speech therapy can be an easily overlooked tool in the geriatric rehabilitation trifecta that is physical, occupational, and speech therapy. However, with a little education (read on), one can become therapy savvy and self-advocate or help a family member self-advocate for all the care they may need. Speech therapy prevents, diagnoses, and treats disorders of swallowing, voice, communication, language, and cognition including memory, attention, and problem-solving. Some diseases and disorders more common in the geriatric population that can be treated or improved with speech therapy include Parkinsons, Alzheimers, dementia, dysphagia (disorder of swallowing), aphasia, or dysarthria, to name a few. Speech therapists also work closely with occupational and physical therapists. Speech therapy can even be beneficial for ailments not typically thought of as being related to cognition. In 2010, there were 258,000 hospital admissions for hip fractures among people aged 65 and older1. Repair of a hip fracture often requires a rehabilitation stay with physical and occupational therapy. In many of these cases, speech therapy is overlooked. However, studies have demonstrated that intensive geriatric rehabilitation in post-hip fracture patients, even those with dementia; have a better chance of returning home to independent living. As people age, so do their chances of acquiring a communication or swallowing related disorder. A speech therapist that works with the geriatric population will have the training to detect the difference between disorder and normal aging of the swallowing, voice and cognitive functions. A speech therapist should hold national certification from the American Speech-Language-Hearing Association. Speech therapy is covered by Medicare benefits and many private insurance companies as well. For more information about speech therapy please visit the American Speech-Language-Hearing Association website at www.asha.org. Editors note: This article was submitted by Samantha Conley, M.S. CCC SLP. She is a Vitalstim certified Speech Therapist and Dementia Care Specialist with Covenant Village of CO.  1. National Hospital Discharge Survey (NHDS), National Center for Health Statistics. Available at: http://205.207.175.93/hdi/ReportFolders/ReportFolders.aspx?IF_ActivePath=P,18 2. Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia Tiina M Huusko, Pertti Karppi, Veikko Avikainen, Hannu Kautiainen, Raimo Sulkava BMJ. 2000 November 4; 321(7269): 11071111. PMCID: PMC27517

Physical Medicine and RehabilitationImproving the health and function of seniors with disabilities can facilitate levels of participation in all aspects of society and can enhance health-related quality of life on a very personal level. For individuals recovering from a serious illness or disabling event, after their initial rehabilitation, the gains made in restoring function can be lost after returning home unless a community-based health and wellness program can be tailored to the individuals unique circumstances. Traditional definitions of health often described health and disability on opposite ends of the health spectrum. Fortunately, newer definitions, supported by the Department of Health and Human Services, acknowledge that health is multidimensional. Health promotion after disability therefore involves optimizing ones potential in the dynamic interplay of the physical, social, emotional, spiritual, and intellectual elements of being.An important first step in the process of designing a plan of self-care after a disabling event, is for seniors, health care professionals, and community service providers to collaboratively identify the many barriers that seniors with disabilities encounter when seeking to enhance their wellness and physical activity levels. Armed with a shared understanding of an individuals functional limitations, health status , and resources can allow for partnerships and networks of support that create opportunity for customized, adapted health promotion strategies. Physicians specialized in Physical Medicine and Rehabilitation (PM&R) are uniquely trained to facilitate and collaborate with other disciplines to address health related quality of life issues for persons with temporary or permanent disabilities. Self-advocacy therefore often includes the consultative involvement of rehabilitation specialists the in ones core team of health care providers helping to optimize ones health after injury or illness.Editors Note: This article was submitted by Indira S. Lanig MD, Medical Director at Northern Colorado Rehabilitation Hospital, in Johnstown, CO. The NCRH team of wellness-oriented physicians and therapists can be reached at 970-619-3454.

To learn more about Cottonwood Creek MBK Senior Living,CLICK HERE.Get off on the right foot this year by moving more. Better yet, take the stairs, and youll achieve incredible health benefits and climb to new heights of wellness.Heart HealthWalking and taking the stairs is a sure-fire way to get your heart fired-up. This, in turn, can help you to maintain a healthy weight, prevent or manage high blood pressure, and reduce your risk for heart attack, stroke, aneurysm, and other serious conditions. It doesnt take much, and small changes in your daily routine can add to significant benefits. Try bypassing the elevator and taking the stairs a couple of times a day. Park a little further from the door when running errands. Take an extra lap around the block.Good BonesTaking the stairs is a simple way to engage (and build) muscles in your legs, arms, back, and abs. In addition to strengthening your muscles, climbing stairs helps bolster bone strength as well. According to the National Osteoporosis Foundation, to reduce your risk of osteoporosis, you should incorporate a combination of weight-bearing, balance, posture, and functional exercises. The good news, taking the stairs, is an easy way to incorporate it all.Stomp Out StressThe last year has been stressful. A great way to relieve some of that stress is physical activity. The best part, it doesnt take a gym membership or lots of equipment. Lace-up your shoes and hit the street or the stairs. In addition to heart and bone benefits, getting moving helps your bodys production of endorphins that reduce the adverse effects of stress and improve your mood!At MBK Senior Living communities, living well starts with living healthy. Our signature programs, Mind+Body Wellness and MBK Fit, offer activities and classes to fit residents individual needs and abilities. In all 33 MBK communities, youll find the resources and support you need to live well.Click here to try one of our virtual MBK Fit classes, or visit usonlineto find an MBK Senior Living community near you.

Is your mother spending their entire day sitting in front of the television? Are you spending time at work being non-productive because you are worried that your father has fallen, forgotten to take his medication, or hasnot eaten anything all day? Do you feel tired and/or overwhelmed most of the time? Do you miss being able to meet your friends for lunch or play a round of golf? Adult day centers are designed to serve seniors who are frail, isolated, have a physical impairment such as Parkinson's disease or stroke, or have a cognitive deficit such as some form of dementia. Seniors who attend adult day centers have varied opportunities to meet and be with friends, enjoy delicious catered meals including special diets, andassistance with personal care including bathing. Some centers offer professional nursing services (RN and LPN) including the administration ofmedications. Additional services may include the provision of transportation, podiatry, and physical, occupational, and speech therapy services, weeklyoutings, salon services, and caregiver support groups. Adult day care centers are usually open from 7 am to 6 pm, from Monday to Friday. Some centers are also available during the evenings and on Saturdayand/or Sunday.The average cost for adult day care is much less than a visit from a home health nurse and about half the cost of skilled nursing facility care.Assistance with funding is available from Long Term Care Insurance and Medicaid. In some areas, funding assistance may also be available from theVeterans Administration, nursing home diversion programs, and other entitlement programs. A checklist for comparing adult day care centers in addition to identifying locations is available on the website of the National Adult DayServices Association which is www.nadsa.org. Adult day care centers are the most cost effective way to help seniors agein place and provide respite for their caregivers. Call or visit one today!Editors Note: This article was submitted by Randy Gornbein of SarahCare Adult Day Careat the DTC. He can be reached at 303-221-7272 or at rgornbein@sarahcare.com

Connecting compassionate, quality care to our communitiesNew Bridge Medical Center, a clinical affiliate of Rutgers Biomedical and Health Sciences, is a 1,070-bed hospital located at 230 East Ridgewood Avenue in Paramus, NJ. The Medical Center is both the largest hospital and licensed nursing home in New Jersey and the fourth-largest publicly-owned hospital in the nation. The hospital changed its name to New Bridge in October 2017 when the not-for-profit company, Care Plus Bergen, took over as the management entity. Care Plus Bergen brings together the expertise of Rutgers New Jersey Medical School, Integrity House, and Care Plus NJ, Inc., to form a groundbreaking collaboration that will revitalize and strengthen the high-quality, patient-centered care provided to patients, long term care residents, and the community served by the facility.The Medical Center, including its Long-Term Care Division, is fully accredited by The Joint Commission. Less than 6% of long term care facilities nationwide pursue and receive Joint Commission accreditation.Families trust New Bridge Medical Centerto provide comprehensive, high-quality long term care services for their loved ones. As a full service, accredited medical center, New Bridge provides a scope of services far exceeding those offered in a standard nursing homeenvironment. Highly-trained, skilled staff provide nursing care focused on individual resident needs 24 hours per day, 365 days per year, as well as access to onsite, specialized physicians. Comprehensive medical or mental health care is always only an elevator ride away.New Bridge Long Term Care specialty services include: Rehabilitation services, including physical therapy, occupational therapy, and speech therapy In-house respiratory therapy services 12-bed ventilator unit Surgical care Tracheostomy care Professional dietitians and chefs Hospice services Intravenous therapies, gastrostomy tube feeding, and advanced respiratory support services are available. A comprehensive wound care program Respite program Secure Alzheimer/dementia units Multi-faith pastoral care provided at bedside and in our interfaith chapel An onsite personal care salon with services offered in the salon or in the privacy of a residents room Diversified recreational therapy activities Greenhouse Community outings Flat screen TVs and Wii entertainment systems Library Game room Kosher meals provided upon request Dedicated Korean and Indian program meeting the cultural needs of those communitiesThe New Bridge LTC Admissions team helps families navigate the Medicaid process and are available to explain Medicare and other insurance coverage.For more information or to schedule a tour call 201.967.4073 or visit newbridgehealth.org

Social isolation is a serious problem with older adults that is expected to increase.There are many reasons we become isolated as we age, including loss of a loved one; health challenges like low vision, hearing impairment, limited mobility; and external barriers such as lack of transportation.Dr. Elise Reinhard discusses why your Primary Care Provider (PCP) is a good person to tell about feelings of isolation and loneliness.Why should I tell my PCP if I feel isolated?Dr. Reinhard: Isolation is an issue affecting your emotional, mental and even physical health. Studies have shown that socially isolated older adults are at greater risk for depression, unrecognized memory problems, malnutrition, poor health, and medical emergencies.Patients have told me they consider these feelings a normal part of aging that can't be changed. The good news is that things can be done to help.How can my PCP help?Dr. Reinhard: Talking to anyone about these feelings is the first step in affecting change, but your doctor may have some suggestions to improve emotional and physical issues contributing to your isolation.A PCP is trained to support all aspects of your life: physical, mental, and emotional. You dont need to have a physical symptom to bring up feelings of isolation or loneliness with your doctor.How can I talk to my doctor about isolation and loneliness?Dr. Reinhard: Many people have difficulty talking about their feelings. Letting your doctor know that this is an issue you are dealing with ahead of time is a great way to start the conversation. I suggest sending your doctor an email or letter before your appointment. If you have feelings of hopelessness, sadness, anxiety, or loneliness talk to your doctor to see how they can help.Editors Note: This article was submitted by Elise Reinhard, MD.Dr. Reinhard is a geriatrician with Boulder Medical Center. Learn more at bouldermedicalcenter.com/blue or call 303-440-3001 for an appointment.

The need for hospice services for military veterans has never been greater, but often those who were the first to answer our nations call for help are among the last to seek help when they need it. Today, more than 37 percent of the veteran population is 65 years or older. More than 1,800 veterans die every day, but most veterans still die in their communities only 4% occur in Veterans Administration facilities. There are many reasons why veterans do not seek end-of-life care. A culture of stoicism might prevent veterans from admitting to being in pain, or from asking for pain medication. Some may suffer from post-traumatic stress disorder (PTSD), with symptoms that can include social isolation, alcohol abuse, and anxieties. However, much of avoided care comes down to education. The benefits of hospice care can meet the special needs these brave men and women have at the end of life. VA and hospice programs have learned a critical lesson in caring for dying veterans: A patients military service history is highly relevant to providing the most appropriate, personalized end-of-life care. Although hospices routinely ask and record their patients age, family make-up, racial/ethnic group and religion at the time of enrollment, far too few ask about service status. But they should. There may be health coverage and benefit issues, if the veteran is enrolled at a local VAMC or would like to be, along with burial and other benefits. When seeking hospice care for a veteran, it is important to ask about services that will meet his or her specific needs based upon the timeframe of service. Some hospices have developed care programs specifically designed for the conflict the veteran served in, such as World War II, the Korean War and the Vietnam War. Some also have specially trained volunteers, many of whom are veterans themselves, to assist with care and comfort. This gives the patients a level of comfort knowing that those who are taking care of them have been through many of the same things they have. For some veterans, the effect of combat experience may remain buried for years, emerging only when they are very sick and dying. Finding the right end-of-life care can make all the difference. Hospice is a choice to live life to its fullest, empowering patients and their families to redefine hope in the last months of life. Finding a hospice that has made it its goal to care for veterans is another way to honor their sacrifice.Author: Devin Limb is Executive Director of United Hospice in Meridian.

Alzheimer's disease is the Sixth-Leading cause of death in the United States. March 11, 2013 will be Advocate for Alzheimer's Day at the Utah State Capitol. This will be our second year to take this important cause to our Legislators. This year the focus will be on assuring that our State Senators and Representatives truly understand the urgency in supporting now and in the future, the State Alzheimer's plan with the dollars that are needed to keep the momentum going. There are many of you out there who are experiencing firsthand the devastating effects of this disease. Whether you are caring for a loved one who has been diagnosed, a professional who works with people who have the disease or a friend or neighbor of someone whose family is struggling to navigate the process of living with someone with Alzheimer's. The time has come for our voices to be heard! Utah is #2 in the United States for diagnosis of Alzheimer's and related Dementia and we are projected to be #1 by 2025. Unless we can get continued support from our legislature, the cost of Alzheimer's disease care will bankrupt our state.Editors Note: This article was submitted by Kimberly Ware. Kimberly is an Administrator with Dignity Home Health & Hospice and may be reached at 801-934-6279 or by email at kware@dignityhlth.com

To learn more aboutLegacy House of Bountiful,CLICK HERE.Our Alzheimers care community in Bountiful, Utah, called The Cottage, is staffed by professionally trained caregivers that provide specialized care for residents with Alzheimers disease and memory loss. Our expert, assisted living caregivers provide residents with memory support, assistance and supervision for daily activities such as eating, bathing, grooming, incontinence care and walking all in a secure environment.Residents enjoy private apartments furnished with personal belongings and mementos that make it feel like home. Special thought is given to the dcor and functionality of each room. Activities are also specially designed to meet the needs of our residents.Visit or call us today.Services include:Assistance with activities of daily living including dressing, grooming, bathing, eating and ambulation24-hour, on-site certified nursing staff available. Full-time Registered Nurse availableFrequent monitoring by staffMedication monitoring and diabetes careIncreased incontinence careRespite careThree meals daily plus snacksWeekly housekeeping and linen servicePersonal laundry serviceMaintenance, landscaping and snow removalFull activity program that provides physical, intellectual, social and spiritual activities to enhance quality of lifeSpecial activities tailored specifically for those residents with memory lossStandard in your residence:Apartment-styleStudio units with private bathIndividually controlled heating and cooling system24-hour emergency call systemSafety features including grab barsFully accessible apartments availableAmenities:All amenities that are included with Assisted Living servicesAdditional amenities include private, family-style kitchen and dining areas; separate craft and activity areasSecure environmentkeypads on doors to ensure safety of residentsSecure outdoor area with walking paths, garden boxes and sitting areas

A well-executed estate plan is critical for everyone. A will or trust, and powers of attorney are the best way to ensure your wishes are honored after your death, and during any period of incapacity.In past columns we have discussed the importance of estate planning for seniors. Here, well look at these issues for the younger generation.Planning for these events seems natural as we age and families grow. It is especially important for younger adults and for unmarried couples to develop or update a plan that accurately reflects their wishes. People without a plan in place face the very-real possibilities of passing their assets to someone for whom they never intended to provide, leaving someone out altogether, or having someone they do not trust (or even know!) make decisions on their behalf.Once we turn 18, we have the right to make our own financial and medical decisions. While we might still rely on our parents advice and direction, the law does not give parents the power to make decisions for their adult child, even if the child is incapacitated. In a situation such as this, a parent would likely have to go to court to be appointed as their childs guardian. Executing powers of attorney documents can prevent this. Powers of attorney designate someone (an agent) to act on your behalf should you become unable to do so. Anyone 18 years of age or older can, and should execute medical and financial powers of attorney, to avoid unnecessary delay, expense, and to ensure the decisions made on their behalf come from a trusted person.Unmarried couples face similar risks. Without a document designating an agent, an unmarried partner is not treated the same as a spouse. In fact, the partner may be left out of any medical decision-making, entirely. Further, if an unmarried couple does not designate each other as beneficiaries of their assets, the property passes according to law at their death, rather than to each other. So, a loved one could be left out of their partners estate altogether. Therefore, planning for these events is crucial.Editors Note: This article was submitted by Richard E. Romeo. Rick is a member of the Boulder County Bar Association, the Colorado Bar Association and National Academy of Elder Law Attorneys. Rick Romeo is with Vincent, Romeo & Rodriguez, an established law firm with offices in Englewood and Louisville. He may be reached at (303) 604-6030 or by email at Rromeo@elderlawcolorado.com

Social Workers play a crucial role in providing patients and their families with quality, compassionate care and help bridge the gap between caregivers and doctors. In hospice care, their presence on every care team is very important. At VITAS Healthcare, the nations leading provider of end-of-life care, our social workers are vital members of the interdisciplinary team, which is comprised of nurses, physicians, chaplains, volunteers and other specially trained palliative care experts. Their purpose is to assess the psychosocial needs of the patient and family, define social service goals for alleviating any issues that may arise, and provide the counseling and casework required to meet these goals.The social workers evaluation helps make medical care effective and suitable for each unique family. They share their assessments with the rest of the team so that all are aware of each familys needs and wants. If there are extenuating circumstances or difficulties, emotionally or financially, social workers can assist and provide extra support if needed or suggest beneficial resources.VITAS interdisciplinary team conducts weekly team meetings where they discuss the patients plan of care and any necessary adjustments that should be made to accommodate the patient and familys immediate needs. During these meetings, the social workers role is to advocate for the patient and familys wishes and to ensure that what is outlined during the meeting is carried out. Once the patient passes away, social workers team up with the chaplain to provide bereavement information and resources like grief support groups to help loved ones cope with the loss. For these reasons and more, each VITAS patients interdisciplinary team includes a dedicated social worker who advocates for them and their families. For more information about hospice care, visit www.VITAS.com or call (708) 781-4400. By Cathy Carlson, RN, VITAS Healthcare General Manager

There is a little-known pension for Veterans and their spouses to help pay for care costs. The Aid and Attendance Pension has been available for over 60 years, yet the VA estimates that millions of Veterans who qualify have not applied. Veterans earned this benefit by their service to our County. It is available for up to 20 hours per week of personalized care and completely paid for by the pension.Health costs covered by the pension are generally those not covered by Medicare. Maybe there is a need for some help around the house, with medicine reminders, meals or transportation to doctor appointments. The Aid and Attendance Pension provides from $1000 to $2000 per month to pay for these services. The pension is used for tasks that help a qualifying Veteran and their spouse live healthier or safer in their own residence.Aid and Attendance is a reimbursement pension. In-home care must be ongoing before the Veterans Administration pays the monthly benefit. Fortunately, there is a program that may pay for the care before the pensions disbursements begin and without recourse as long as the paperwork was conscientiously and accurately submitted. Therefore, Veterans and their spouses can have no out-of-pocket expenses for care before AND after the VAs eligibility determination. They never receive nor pay a bill for their care.The process to become qualified is laborious with a needs assessment, physicians evaluation and many forms. However, by working with an accredited Veterans Administrations agency, free guidance is provided to correctly present the application.To be eligible for the standard pension a Veteran must be at least 65 years of age, served as active military for 90 days during an approved time of war and received an honorable discharged. The spouse will need to provide a marriage certificate. Discharge certificates (DD-214 after 1950) can be restored if they have become lost. Help with the eligibility process is at absolutely no cost or obligation. Most Veterans and their spouses needing care will qualify.The important things for Veterans and their spouses to remember is that assistance is available to get the necessary forms completed, to help present their eligibility accurately, to pay for care before and after the pension begins and to help them live a higher quality of life. All these happen without any out-of-pocket expenses because of this unique program. More free information is available.Thousands of Veterans and their spouses have already utilized these services to start this pension paying for care. Those not receiving this benefit ought to consider applying for the Aid and Attendance Pension. Theyve earned it!Editors Note: This article was submitted by Dr. Mark O. Bowman. Dr. Bowman is the owner of Home Care Assistance of Utah and their office can be reached at 801.733.6100, by email atmbowman@homecareassistance.com

Your home.  Your parent's home.  It's more than a roof and four walls.  It houses memories, and dreams and often represents accomplishments.  It may also be your largest asset.  And when it comes time to discuss packing up and leaving that home you want to know who you are trusting to help you.  Take a minute to get to know a little bit about the Tuckers - Donald TuckerDon Tucker is our founder who in 2000, quit his job and purchased his first investment property. Since that time he has purchased and renovated hundreds of area houses.  There is not much that people might need to fix in a house that he has not seen.  From the house that was missing a few walls, to the house where the upstairs toilet dripped on the dishwasher below, to the house with 20 dogs  . . . he has seen and smelled just about everything.Kim TuckerIn 2000, tired of long hours at her job, Dons wife Kim Tucker quit her job and joined the team.  Starting out just as the Realtor who sold our houses and helped us find houses to renovate.  But after a few years, we noticed that we were able to have better outcomes when we could buy houses directly from the homeowners who needed our help.  So now rather than chasing listed homes, Kims job is to get the word out to our customers.  We let them know that we are here to help eliminate the stress, make the process much faster, and when we buy the property, eliminate the commissions.  Scott TuckerIn 2011 Dons son Scott Tucker graduated from KU.  Rather than hunt down a very elusive job he joined the team our brokerage Realty Resource. Today, Scott is our guy on the front lines who talks to most of our sellers and helps them explore the best options for them.  Scott will chat with you over the phone, and do a bit of research.  Then he will come out to your house to take a look so he can help formulate the best plan of action to get your house sold, typically a cash offer from us, but because we are also agents, that may be a listing plan as well.The entire team holds a real estate license in Kansas or Missouri or both.  We are first and foremost home buyers.  We would much rather buy your house than list it.  However, because we are also licensed as Realtors, we have more tools in our toolbox than the average home buyer and can bring you several more options when it comes to selling your house.If you are considering selling your home or the home of a loved one to a cash home buyer in the Kansas City Metro or elsewhere there are several things you might want to know.1.  Are They Really Going to Buy Your House?There are people out there who will call you, text you, send you tons of postcards, or perhaps just walk up and knock on your door.  They say they want to buy your house, but only a fraction of people who say they buy houses actually do.  Instead, they make an offer in an effort to tie the home up with a contract and then they market the house for sale to other buyers who have the cash in hopes that these other cash buyers will buy the house at your price, plus their mark up.  This is called wholesaling or assigning the contract.  There is nothing wrong with this practice unless your person backs out at the last minute because he or she can't find an end buyer.  So it's nice to know upfront if they are actually going to buy the house and if they are not, what is your out if they can't?2.  How are They Going to Pay for Your House?Some do like we said in number one, pay for your house by finding someone else to buy it.  Others may have cash in the bank, they might be pre-approved at a bank or they might have private partners.  We here at kcmoHomeBuyer have some cash in the bank and have purchased a lot of homes using our own funds.  We also have several key partners that can fund our purchases.  At any given time we have the ability to buy 3 to 5 houses in the Kansas City metro with our own and partner funds.  3.  How Long Have They Been in BusinessNow, we get it, everyone has to start somewhere.  But do you want it to be with your house?We've been in the business of buying houses since 2000.  We have had access to our own cash and that of private partners since about 2007.  So on the funding side of things we have you covered.  We have also had to work through quite a few issues on the seller's side of the transaction that held things up - liens from people that could not be found, loans from mortgage companies that no longer existed, tax liens, HOA foreclosures, houses stuck in probate, and one house that was a popsicle waiting to thaw out due to frozen pipes.  We have the experience and the experience of a really amazing team of advisors to help us through just about any issue that might cause a problem . . even a seller in China and a buyer in Peru.4.  Do they Have Other OptionsYou need to know other options.Some of our sellers are depending on financial assistance and if they sell their home and get all the cash right now, they will lose the financial assistance.  So you might want to get some cash upfront and get the rest in payments over time.  We can do that.Some of our sellers have almost perfect houses.  It is either fairly new or recently renovated.  It is highly desirable.  And they don't live in the house, so there is no one there to bother with showings.  We can list the house for these folks and even after paying us a commission for acting as a Realtor, often net you a better return.Some of our sellers own rental property and might need some help locating property managers, attorneys and other resources, we can help you there.  And Scott has perfected a listing process to list and sell occupied rental property to get the most out of the property, in the least amount of time without much disruption to the tenant.Please feel free to reach out with questions.  We would be happy to chat to see if we can find you a solution.

A Professional Fiduciary is an experienced professional who performs decision-making tasks for another. This may include serving as Guardian or Conservator as well as trustee, agent or as a contract services provider for case management and financial services. Colorado does not license or register Professional Fiduciary's but most fiduciaries belong to a national organization that has a code of ethics and conduct; for example the National Geriatric Association of Care Managers (NAPGCM) or the American Association of Daily Money Managers (AADMM). In addition professional fiduciaries may be bonded, or have liability insurance.You can designate a professional to serve as your financial agent or medical agent or in other estate planning roles. This can come in handy when you don't have family close by or family members are unable to serve or are simply not a good choice. A professional is interested in carrying out your wishes and directions and has no interest in benefiting from your estate plan, as a family member might be, which can cause a conflict of interest for that family member. The professional is focused on you in the most efficient and supportive manner.When our body's age, our mental abilities decline as well. Sometimes this decline is mild and sometimes severe. You do not have to wait until decline occurs to take advantage of the services of your agent. Perhaps you are going on an extended trip to visit family in another state and you don't want to worry about paying your bills or the security of your home while you are gone. Or perhaps you are going into the hospital for a procedure and want to have an experienced professional on hand to advocate for you, your medical agent can temporarily assist you with this support.Your agent can assist you before or as you decline to the degree you request of them. It is a collaborative relationship. A professional fiduciary will keep accurate records, save all receipts and make transactions or decisions for your benefit that are consistent with your wishes and in your best interest. If incapacity occurs the agent can step in completely, but in the mean time you can use the services they provide to make life easier, and more enjoyable, as well as to provide peace of mind, which after all is the whole point of retirement.This article was submitted by Sally Hirsh, Professional Fiduciary Alternatives Financial Services, LLC. Sally can be reached at 303-776-0585 or by email at shirsh9807@gmail.com.

For older Americans especially those experiencing memory loss, hiring a stranger to enter their home can be frightening. Even with another loved one living at home, the thought of someone new and unknown visiting them for a few hours a day can haunt their thoughts and make them uneasy about accepting in-home care services. From the beginning, the home care agencys representative must be empathetic to the clients concerns and respectful of their wishes before they provide them with the home care services they need. How does this happen? It all starts at Hello!5When a family member or the prospective client makes the first inquiry of a home care agency, being treated with respect by the person on the other end of the phone line or answering email is critical for the conversation to continue. Listening to their story unfold and following up with appropriate questions to gain more insight and understanding helps build the bonds of trust needed for a healthy client-agency relationship. Such information is integral in matching the clients needs with the agencys qualified caregivers which further strengthens their trust.For many adults the benefits of aging in place in their homes amid familiar surroundings and routines far outweighs the other care alternatives. When needing assistance in their homes, hiring a home care agency is a safe, affordable way to ensure your loved ones activities of daily living and needs for socialization are consistently met and your family does not become the employer by hiring someone privately.Agency-based caregivers provide everything from a few hours of companionship per week to 24/7 live-in care, and everything in between. Home care services include companionship, housekeeping, and assistance with errands, shopping, doctors appointments, and other activities plus assistance with dressing and personal care, and medication reminders.Did you know Home Care Agencies are? Registered and overseen by the CT Department of Consumer Services. Hint: The lower the license number, the longer the agency has been providing services to clients. Engaged in rigorous vetting process when hiring caregivers that includes background and reference checks. Responsible for paying workers compensation and general liability insurance for their caregivers as well as payroll taxes. Experienced at hiring and finding just the right caregiver for your loved one. Able to provide a substitute caregiver when your scheduled caregiver is unable to work.Families considering home care will benefit from an agencys years of experience and its partnership to develop the right plan of care, find the right caregiver(s) to provide the care, adjust the ongoing care plan as the clients condition changes, and address issues and challenges that often bewilder inexperienced families. It starts with Hello!Editors Note: This article was submitted by Companions & Homemakers, Inc., Connecticuts oldest and most trusted home care agency.

To learn more aboutSenior Care Associates - VA Aid & Attendance Specialists Nationwide, CLICK HERE.By not planning for our futures today many of us are unknowingly leaving decisions about our futures to other, including long term care needs. Six in ten of us have not determined how well pay for our long care needs.40% of us dont know that long-term care is more than nursing home care. Taking control of long term care earlier in life enables us to live as well as possible how and where we want. This could include daily assistance with chronic conditions that last a long time. These services come from many sources.Only 23% of us know well likely pay for future care needs with personal savings. Medicare and private health insurance do not cover long-term services.Women live longer than men thus are the biggest users of long-term care. Women are typically so busy with their own lives and caring for others that they only address their own needs after everyone elses. Take some time and a few easy steps can provide peace of mind now and in the future.Know your family medical history. This will help prevent against chronic conditions that may have existed in your familys history.As you age take a look at your home. Do you have stairs to navigate? Is your bedroom and bathroom on the main floor? Take a look at your home and see if it suits your needs as you age.What amenities does your community offer? Do you have access to transportation, activities and services that are important to you?Talk to your family about future financial and medical wishes to ensure they are aware of what youd like.Know your finances. What options do you have now? What care options would you want for the future? Know what the costs are for long-term care needs, assisted living etc.Know your options. Go on line. Google. Call and ask questions of what is out there and what is available. Costs?Plan for the future. What are your lifestyle goals and needs?

Turning 65 can be a monumental time in our lives. Some are excited to retire and relax. Others just cant believe that they are now at retirement age. But either way, dont worry. Its just a part of life. I think the baby boomers are the most shocked. It seems like just yesterday we were driving our kids to school, and then hopping on the Harley to play hooky for a day.There are many facets to Medicare and you will have several choices to make. This article will help you understand a small part but also give you some very good tools. I can not stress enough how much information the Medicare.gov website has to offer. I urge every one of you to investigate this site and it should answer just about any question you have concerning Medicare.First of all, once you are eligible you will automatically be enrolled in Medicare Part A. There are some exceptions but this article is meant to be a simple overview. Typically no premiums are paid for Part A yet once again there are some exceptions.. Part A pays for hospitalization, skilled nursing care to a certain point, hospice and limited home health care. However there is a deductible.Once enrolled in Part A you should then enroll in Part B. Once again, there are some exceptions. Your premium for part B. is $115.40 for 2011. This usually comes out of your SS check. If you are covered under a group plan you may delay enrolling in part B with no penalty. Part B helps cover medically-necessary services like doctors services, outpatient care, home health services, and other medical services. Part B also covers some preventive services. There is also a deductible for Part B.Now the next decision you will want to consider is whether to purchase a pure Medicare Supplement or utilize a Medicare Advantage plan. There are pros and cons to both programs so it is best to speak to an insurance professional. They can assist in deciding which program fits your particular needs.The Medicare Supplements are alphabetically categorized as well as standardized. Each lettered plan offers a few different benefits. However the only difference from the plan you choose are the premiums charged by the insurance companies for the exact same coverage. Also, some companies may not offer certain plans.It sometimes seems a bit overwhelming and it is easy to understand why. There is Medicare Part A, Medicare, Part B, Part C (Medicare Advantage) and Part D (drug benefits). Then if you do choose to purchase a Medicare Supplement you will need to decide which supplement plan you would like such as Plan A, B, C, D, F, G, K, L, M, and N. Wow can we make this any more confusing?.As mentioned in the beginning, the goal of this article is to give you a general overview. However, there is one piece of information that some folks are not aware exists. There is a High Deductible Plan F. Not all of the insurance companies offer this in Collier or Lee County. The deductible is usually $2000 a year but some companies are offering an incentive for this year and the deductible is $1500. The nice aspect of this plan is the premiums are around $66 per month vs. $185 per month for a regular plan F.The really fun part comes in when you choose the High Deductible Plan F. Not only do you save money but you are also able to contribute to a reserve fund annuity. You can choose how much you would like to contribute. The money is earning 3% and you can take it out for anything you would like. But is very useful to help off set any co-pays and deductibles encountered with the high deductible plan F.Medicare.gov is a very informative website. Welcome to Retirement!Editors Note: This article was written by Linda Jaikes, Jaikes Financial Group, 239-263-9195.

We all have favorite childhood memories. I happen to have many great memories of spending time with my grandparents. I was fortunate enough to live walking distance from both sets of grandparents. During school years, my sisters and I would go to one or the other grandparents homes for lunch each day. My younger sister loved Mac n Cheese; she would request it every week from both grandmothers. They would get creative in preparing it, sometimes with peas and crushed crackers on top. We would converse around the table, laughing and eating and talking about our days. My grandfather loved ice cream. Ice cream sundaes became a lunchtime tradition at his house. He would scoop the ice cream into our bowls and we would customize them with the toppings of our choice; chocolate, caramel, sprinkles, pineapple, shredded coconut, and the list goes on.These intergenerational interactions were something we all looked forward to. They provided an opportunity for us to share stories and learn from each other. My grandmothers would teach us how to sew and bake bread, to set the table and knit a scarf. Our grandfathers would teach us how to pump water from a well, and play cards. We didnt think of them as people who were old, we thought of them as people that we loved, respected and cherished. They had so much knowledge and wisdom to share; they were people to look-up to. We would teach them some of the wonders of science we were learning in class or how to use the microwave and hook-up the VCR. It was a two-way relationship.Intergenerational interactions provide a multitude of benefits to both young and old such as socialization and a sense of belonging, emotional support, a sense of purpose and increased self-worth, as well as teaching and learning opportunities. Interactions between different generations help build a sense of personal and societal identity while encouraging tolerance for each other. They promote the passing of values and cultural traditions from generation to generation.Create memories with your grandchildren by spending time together, whether over the phone, Skype, Internet or in person. Play games, bake cookies, fish, make crafts and swap stories. Its never too late to start. 'Editors Note: This article was written by Kathleen Warshawsky, BSN, RN, Owner and Publisher of Seniors Blue Book Greater Dallas. Kathleen may be reached at Kathleen@SeniorsBlueBook. com

There are currently more than 5.7 million Americans, including 220,000 Illinois residents, living with dementia. Without any way to prevent, cure, or even slow down the progression of this disease, these numbers are expected to reach 16 million by 2050.Alzheimer's is a little more than memory loss. It is a disease that robs a person of their ability to think, function and take care of themselves.Grappling with an Alzheimers diagnosis, while dealing with the changes in family dynamics can be a daunting experience. Early detection can help you make informed decisions about the future and focus on living in a way thats meaningful to you and your loved ones.Following an Alzheimers diagnosis, the Alzheimers Association offers ten steps that help you move forward, when dealing with dementia: Get Educated It is normal to be hesitant or resistant when learning about how the disease will progress and affect your life. However, learning about an Alzheimers diagnosis is the first step in making important decisions for the future. Remember, you are not alone. Help is available, and the Alzheimer's Association has a network of people who understand what you are going through. Take Time to Process Theres no right way to respond to an Alzheimers diagnosis. Some people experience depression and may want to withdraw and others are comforted by knowing whats wrong. There is no limit on the length of time someone is allowed to grieve. Take time to fully process the diagnosis. Explore Medications Currently, there is no way to cure, prevent, or even slow down the progression of this disease. However, due to the expanding medical research, there are some medications available that may help lessen the symptoms of memory loss and confusion, for a limited time. An early Alzheimers diagnosis provides a better chance of benefitting from the treatment. Communicate your Wishes Do you know who you would want to make decisions for you in the event you are no longer able to? Being open with your family and support network about what you want during each stage of the disease can give you peace of mind, reduce the burden on family members and prevent disputes. Plan your Financial Future An Alzheimers diagnosis can throw a wrench into future plans. Do not delay talking about finances or future care. Take time to make sure your will and estate plans are up-to-date factoring the disease into your financial plans. Putting financial and legal plans in place now allows you to be as involved in these decisions as you would like to be. Enroll in a Clinical Trial Enrolling in a clinical trial can help accelerate progress and provide researchers with valuable insights into the disease. Participating in a clinical trial can also grant access to medical care at leading healthcare facilities, often free of cost. Stay Connected Not all family and friends live near one another, which can complicate the logistics of long-term care. Following a diagnosis, people living with Alzheimers are at their most vulnerable, and its important for them to find better ways to stay connected. Keep in touch and make plans for regular communication. Find a Community An Alzheimers diagnosis opens up a community of people who understand what you and your family and friends are going through. Sharing a personal journey about the disease and listening to others can offer a sense of relief and support from a collective group of individuals. Through open communication and understanding, you may learn you are not alone in the challenges you experience, and you may find new ways to cope. Join the Cause Joining the Alzheimers cause can give a sense of renewed purpose, whether its through advocating for policy changes, fundraising for research, raising disease awareness, or volunteering. Taking action empowers you to bring us closer to a world without Alzheimers. Live youre Best Life Alzheimers disease can have various effects on individuals. Everyone approaches the disease differently. Some people may want and need to continue working during the early stage of the disease, while others decide to retire immediately. Some plan big vacations, while others long to spend more time at home. Focus on the aspects of your life that give you the most joy and aim to spend your time in the way thats most meaningful to you.How to Get in TouchThe Alzheimers Association Illinois Chapter serves 87 counties across Illinois. Our 24/7 hour helpline can be reached by calling800-272-3900. The chapter offers a range of education programs and support groups throughout the state as well as care navigation, which involves a series of appointments with a licensed social worker who is specifically trained in issues related to memory loss.Article Submitted by: Cliodhna Joyce-Daly, Content Production Specialist, Alzheimers Association Illinois Chapter. For more information about Alzheimers disease and services, go toalz.org/Illinois.

COVID - the very acronym sparks a host of emotions: fear, frustration, uncertainty, worry, and more. Whatever feelings you may have about the situation, theres no denying that it has caused many people to recognize their mortality. This has resulted in increasing numbers of Americans getting their affairs in order. If youre looking to do the same, here are a couple things to consider when putting your plan in place.Lawyer or Do-It-Yourself? I know what youre probably thinking: Hes a lawyer, of COURSE, hes going to say use a lawyer. You caught me! However, let me ask the following questions. Do you know what has to be done to make a Last Will & Testament valid? Do you know that a Will doesnt avoid probate? Do you know the difference between per stirpes, per capita, and hybrid of the two? As an elder law attorney, I know the answers to these and many other questions which will affect your loved ones after you pass. The fact is that we live in an age of specialization. When you are having heart arrhythmia, you dont go to your podiatrist, and you certainly dont go to the internet. You go to your cardiologist to have it done correctly. Why would you treat the legacy you're leaving to your family any differently? Go to an elder law attorney. We have the expertise to ensure that your goals are accomplished, and your family and legacy are protected.Will or Trust? You may have heard about trusts. If so, youve probably heard that they are good but are oftentimes oversold by attorneys. Both are true. However, as you learned above - Wills go through probate. You dont want that, so a trust is your only option, right? Wrong! We have developed a trust-free way of ensuring your estate doesnt go through probate. Its as effective as using a trust and costs about 50% less. Its the best of both worlds!Whatever you choose, please make sure that you work with an elder law specialist who can help you navigate the complexities of Florida estate law. If you want to work with us here at the Family First Firm, please call us at 1-833-FL-SENIOR (1-833-357-3646) or visit us online at www.FamilyFirstFirm.com.This article was written by Geoff Hoatson, Esq.Geoff Hoatson is the CEO and Founder of Family First Firm and may be reached at1-833-FL-SENIOR or you can visit Family First Firm online at www.FamilyFirstFirm.com

For people with Parkinsons, exercise is not only healthy, but a vital component to maintaining balance, mobility and daily living activities.Benefits of exercise:Symptom management. Research has shown that exercise can improve gait, balance, tremor, flexibility, grip strength and motor coordination.Possibly slowing disease progression. There is a strong consensus among physicians and physical therapists that improved mobility decreases the risk of falls and some other complications of Parkinsons disease.Research from theParkinsons Foundation Parkinsons Outcomes Project, the largest Parkinson's clinical study, has proven that 2.5 hours of exercise per week has a significant difference on the quality of life for those with PD. Regular physical activity is linked to improved mobility and less cognitive decline.Wellness Partners provide Parkinson's specific exercise or PD-friendly exercise as trained by the Struthers Parkinsons Center, aParkinsons Foundation Center of Excellence, and other qualified health care providers. Wellness Partners are dedicated to serving the Parkinson's community with evidence-based exercise resources to help people live well with Parkinson's!For more information on the Parkinson's Foundation of Minnesota, CLICK HERE.

Many people believe they only need a doctor when they are sick. However, having a primary care physician may be your key to staying healthy.An important responsibility of a primary care physician is providing preventative care. Think of your primary care physician as your wellness coach, who will protect your health through regular checkups, and will make sure you get the screenings you need to identify any concerns as early as possible.There are many reasons you should have a primary care physician. They include:1. Continuity of Care/Holistic Care A primary care physician can treat the whole person, which takes into account your history, family history, and any existing conditions you may have.2. Care Coordinator/Central Point of Contact A primary care physician will insure that your care and health information is coordinated between your other physicians and specialists. This will insure that you are not having any duplication of care, and also communicate important health information to your care team.3. Valuable and trusted resource Whenever you have a health question or concern, your primary care physician should be your first call. He or she may need to refer you to other specialists, or help you find other resources to help with your care, but again, serving as your care coordinator, your primary care physician is the best person to initiate your care.4. Routine screenings Whether it is taking your blood pressure, ordering regular, routine lab tests, or making sure you are getting regular mammograms, colonoscopies, or other important screenings, your primary care physician should be recommending all necessary routine screenings to you. Follow up when your doctor orders tests and screenings. This will enable your primary care physician to catch any serious health issues early, when they are most treatable.5. Keeping you out of the Emergency Room Many people who do not have a primary care physician use the emergency room when they get sick. Your primary care physician can offer options that can help prevent your potentially unnecessary trips to the ER. This may include same-day and walk-in appointments, which may eliminate the need for an unnecessary, and more costly ER visit. While the emergency room cannot replace a good relationship with a primary care physician, when emergency care is needed, your primary care physician will certainly refer you for that higher level of care.Editors Note: Please call 239-348-4221 or visit PhysiciansRegionalMedicalGroup.com to schedule an appointment with a primary care physician.

For aging veterans, one of the most important benefit programs is the Aid and Attendance Program (A&A) available through the Veterans Administration. An earned pension benefit, it was established in 1951 to assist qualified veterans, and/or their surviving spouse. A&A provides pension benefits that enable veterans to live independently while receiving medical and non-medical care both in the home and in qualified facilities. The program remains generally unknown to most people.Types of Care EligibleThe availability of this program is something all veterans and their surviving spouse should know about. The A&A can fund services such as in-home care, assisted living facility expenses and other medical costs that many seniors face.QualificationsTo qualify for the A&A, a veteran must have served 90 days or more of active duty with at least one of those days served during a US-declared war. Service in a war zone is not required. Discharge must be for any reason other than dishonorable conditions and the age of 65 must be attained.The benefits are designed for those who meet specific financial criteria and demonstrate a physical need for healthcare known as Activities of Daily Living (ADLs). The Department of Veterans Affairs determines active duty as full-time service.Costly MisunderstandingThere are several reasons why veterans are unaware of, or misunderstand these benefits. First is the name of the benefit itself. The Aid and Attendance Program is also known as the Veterans Non-Service Connected Improved Pension Benefit Program. Pension benefits usually come after years of service, not after only 90 days.Many veterans often assume the available benefits are for those who have a service-related disability not just because they turned 65. As the name implies this program is a non-service connected benefit and does not require a disability and is available in part just by virtue of age.Some may assume that their income is too high to qualify. The reality is not the gross amount received in income but what is left after deducting qualifying expenses for care. Many are surprised to learn that this net number puts them in a range for qualification.Not applying in a timely manner may result in denial of benefits if the veteran passes before the application is completed and payments start. Upon death, the application process stops. If approved, benefits are paid retroactively back to the date of application.Contributing to the lack of wider awareness of the program is that the Veterans Administration prohibits anyone from profiting from the assistance in making and filing the application for the benefit.A useful resource is the State of Connecticut, Department of Veterans Affairs, Office of Advocacy and Assistance www.ct.gov/ctva . These district offices are staffed by knowledgeable veterans who can help shepherd what could be a lengthy and somewhat complicated process. The VAs website is http://www.benefits.va.gov/pension/aid_attendance_housebound.asp.Surviving SpousesThe A&A benefit is only available to the veteran during the veterans lifetime. After the veterans death, the surviving spouse may apply providing they were still married at the veterans death and the spouse did not remarry.Other assistance can be provided through various national, county or local service organizations. In addition, in-home care providers like Comfort Keepers and senior care facilities can assist in accessing the information necessary to evaluate a persons eligibility for the Veterans Improved Pension Benefit Program.This article was submitted by Dennis Patouhas, owner of Comfort Keepers of Lower Fairfield County. He may be reached at 203-629-5029 or dennispatouhas@comfortkeepers.com

Submitted By: HomeWell Care Services- click here for more information*HomeWell Care Services is proud tohonor more than44 million heroic family caregivers across the United States and support them during National Family Caregivers Month this November.Join us as we celebrate caregivers and theinvaluable work they doand read our list ofthings that every family caregiver should know and remember this month.November isNational Family Caregivers Month, a tradition that began as National Family Caregivers Week in the mid-1990s.The importance of family caregivers has gained recognition over the years, and the National Family Caregivers awareness week has now grown into an awareness month due to formerPresident Barack Obamas proclamationin 2012.Across America, daughters and sons balance the work ofcaring for aging parentswith the demands of their careers and raising their own children. Spouses and partners become caregivers to the ones they love even as they navigate their own health challenges All of them give selflessly to bring comfort, social engagement, and stability to those they love. National Family Caregivers Month is a time to reflect on the compassion and dedication that family caregivers embody every day. As we offer our appreciation and admiration for their difficult work, let us also extend our own offers of support to them and their loved ones.10Facts Caregivers Should Know During National Family Caregivers Month1. Caregiving is costly.Nearly half of working caregivers report that caregiving expenses have depleted most or even all of their savings.(National Alliance for Caregiving)2. Help is available.If you do decide that your loved one needs more than you alone can provide, A Place for Mom can help. Our Senior Living Advisors work one-on-one with families to help them find the most appropriate care for theirparent or senior loved one.Read more aboutSenior Living Advisorswho can help in your area.3. Knowledge can make your job easier.A National Alliance for Caregiving survey found that 73% of caregivers said that praying helps them to cope with the stress. 44% said that readingbooks about caregivingand visitingsupportive websites like ourshelps them manage their dailyfrustrationand gives them a sense of community.(National Alliance for Caregiving)4. You are Americas #1 long-term care provider.Family caregivers provide a staggering 90% of long-term care in America.(The National Academy of Medicine)5. You are not alone.More than 65 million Americanscare for their aging or disabled loved oneson a yearly basis. (National Alliance for Caregiving)6. Youcan take a break.Just because youve committed to caring for a parent or senior loved one doesnt mean you cant take a break.Respite careis short-term care, lasting anywhere from a few hours to a few weeks, that can be provided at a local senior living community or even in the home.Adult daycareis another similar option. Theseservicesallow family caregivers to recharge with the knowledge that their loved one is safe and sound.7. You have limits.Despite the demonstrated perseverance and strength of family caregivers,each of us has limits. Its important to recognize when our loved one has declined to the point that professional care is the best option.8. You have someone to talk to.Caregiver support groups meet throughout the U.S. For those caring for a loved one with Alzheimers disease or dementia, the Alzheimers Association maintains adatabase of support groups. General caregiving support groups that arent specifically focused on memory loss can be found by contacting your local hospital. Furthermore, there are many online support groups for caregivers.9. You have to care for yourself first.If youre not keeping yourself happy and healthy, its doubtful that you will be able to do your best for your parent or senior loved one. Review theCaregiver Bill of Rightsand remember to take care of yourself.10. Your work is valuable.The value of theunpaid carethese 65 million caregivers provide is estimated to be worth $375 billion. (National Alliance for Caregiving)

SBB University Caregiving Resources explores areas of ethical considerations for self-determination, risk of dignity, and safety in long-term care during COVID 19; to identify ways to advocate for the rights of older adults.Meet the panelists:Benjamin Surmi, MSG | Social Gerontologist with Koelsch CommunitiesSuzanna Sulfstede, LMSW | Long-Term Care Ombudsman with The Senior SourceMindy Kitchens, LMSW | Assisted Living Ombudsman with The Senior SourceLearn more:The Senior SourceKoelsch Communities | Arbor Hills Memory CareDownload theHandouts Here:Ombudsman ProgramView the video presentation hereSBB University Caregiving Resource programs are brought to you courtesy of Kathleen Warshawsky, BSN, RN and Seniors Blue Book.

Aging in America has never been a popular subject. We know it happens, but we never really want to think or talk about it. When we do, the conversation usually revolves around how to hide the signs of aging instead of how we can embrace and prepare for the next phase of life. Believe me, life can be enjoyed through the end, Ive seen joyful aging in action. However, education and preparation is pivotal to understanding how to age well and have the best care and quality of life.For instance, do you know the difference between a Nursing facility (medical model of care), an Assisted Living facility (non-medical model of care, but can provide some healthcare services) and a Personal Care Home (non-medical model of care)? Are you aware that Therapy Services can be provided in your home? Did you know that Home Care, Home Health and Hospice are similar but offer distinctly different services that can be provided anywhere you call home?As an industry, Long Term Care has not done the best job educating our future consumers on what is available to them as they age. With new technology and a growing older population, the industry is expanding and evolving by leaps and bounds. You need to be proactive, research and plan for the inevitable, not avoid it. The better the research the better the outcome.Thankfully the days of the Old Folks Home are gone, replaced by vibrant senior living communities that focus on hospitality, wellness and aging gracefully with dignity and independence, but you need to make sure the community is the right fit for you. All communities are dynamic and have their own living culture regardless of whether they are owned by a large corporation or a small regional provider. You need to tour, ask questions of residents and staff, and attend a meal and/or activity. The same due diligence applies to researching home care agencies. Research and prepare now. Form a plan. Meet with an estate planner if needed, but do not put off for tomorrow, what you need to do today. If you wait until you need the help your options may become significantly limited.Editors Note: This article was submitted by S. Denny Granahan. Denny is the Executive Director with Greenfield Senior Living in Harrisburg, Pennsylvania.

Driving is one of the freedoms that teenagers cant wait to get, and one that seniors are reluctant to give up. It is a source of independence and control over their lives because they can go anywhere they want, whenever they want. But many family members become more worried as their parents age, wondering whether it is still safe for them to be driving.There is no magical cut-off age for driving; its a matter of whether your loved one is both physically and mentally fit to continue doing so. Some people may drive into their 90's, while others have the keys taken away much earlier. This can be a tough but necessary conversation to have with your aging parent. Before you decide that once your loved one hits a certain age they should hand over the keys, here are a few things to consider: How is their vision? Are they able to easily read road signs, see traffic lights, and identify hazards? How is their reaction time? Are they able to quickly respond if they need to apply the brakes or speed up to safely enter the fl ow of traffic? Do they become confused, lost, or distracted easily? Are there dents, dings, or scratches on the car where they have had run-ins with stationary (or moving) objects? Go for a ride along with them. See how well they are able to maneuver the car and follow the rules of the road. Do they abide by the speed limit? Are they driving safely?Do they remember how to get where they are going, or are they able to follow directions to get there? Dont criticize them while they are driving, but be a constant observer. Jot down a few notes so you can make comparisons a few weeks or months later when you ride with them again. This can help you to notice any changes you may not have realized at first. Also, talk with your senior about their driving. Ask if they still feel safe and confident in their abilities, or if they have any concerns. You can also talk to their physician and gain their input as far as physical and mental fitness are concerned.Making a Decision If you feel that your loved one is unsafe behind the wheel, it is important to talk to them. You dont want to put their life or the lives of others at risk. Discuss your concerns with them and what you have noticed. Remember that this can be a sensitive subject asking them to give up driving can be life-changing. Make sure you are prepared with alternative options for how they can get around and meet their needs. Find others who are willing to share transportation responsibilities. Help your loved one to see that you have their best interest in mind and will do whatever you can to support them.An in-home caregiver can help make the transition easier by assisting with coordinating trips or making sense of transportation schedules, accompanying seniors on outings, overseeing home deliveries, dropping off or picking up prescriptions or dry cleaning, and many other tasks so seniors who are not able to drive themselves do not become problematic.Always Best Care offers a wide range of support services for seniors to help them age in place more safely and comfortably. Call (855) 470-2273 to schedule a free consultation.

A Little Bit of Planning Goes a Long WayWeve heard that quote our entire lives, and in the area of Long Term Care, a little bit of planning. Even in a crisis goes a long way. It is estimated that over 40% of people over 65 will need some type of Long Term Care(LTC). Terms like Medicare, Medicaid, long term care insurance, trusts, life estates, transfers, gifts, annuities, and other strategies come to mind but having a qualified professional who can navigate a pathway to assistance based on your familys situation is critical. Its confusing, and to make matters worse, most of us dont address long term care issues until it is fully upon us either as a caregiver for a parent, or a caregiver of a spouse.Colorado has many resources for help. One such resource for financial help is Health First Colorado. This is Colorados Medicaid Program. Most Colorado elderly feel that they dont qualify for Medicaid because they have too much income or too many assets. In reality, many could qualify if they would engage a qualified Medicaid Planner, holding a Certified Medicaid Planner (CMP) designation. The role of a CMP is to help an applicant identify problems in obtaining eligibility and solve them. The goal of the CMP is to build certainty around how assistance with paying for LTC. This valuable planning can alleviate the stress of financial uncertainty.The rules around Medicaid eligibility are readily available on line. However, it is the proper application of the guidelines that is difficult causing most to think they dont qualify and therefore, overlook this valuable resource to assist in the costs of LTC.Planning will identify a legitimate means of preserving valuable or sentimental assets and income. Here in Colorado, to the surprise of many, Medicaid guidelines afford numerous opportunities to protect income and assets. Consulting with a CMP who specializes in LTC will help you and your family develop a successful pathway to LTC financial assistance.Editors note: This article was submitted by Stacy Osborne and Michael Sapp, CMP with Medicaid Consulting Group. They can be reached at 719-645-8350 or by email at info@medicaidconsultant.org.

For centuries, the benefits of Curcumin and Tumeric have been used and practiced within Ayurvedic medicine. Using medicinal plants and spices for healing was the first true medicine available to our ancestors. A type of ginger plant, Curcuma longa contains the turmeric rhizome within its roots. Turmeric powder contains curcumin, the antioxidant and anti-inflammatory agent responsible for most of its health benefits.Is Turmeric truly an Anti-inflammatory?Ongoing studies and research continue to show significant benefits in using turmeric for conditions characterized by muscle and joint pain, arthritis and joint pain, inflammation and fibromyalgia as well as back pain.  Back pain is often referred to as Sciatica, which is pain radiating down the sciatic nerve traveling from your lower back through your mid-section and then down each leg. In many cases, Sciatica will only affect 1 side of the body at a time. Sciatica can originate from bone spurs, herniated discs, or the narrowing of the spine (spinal stenosis) compresses some part of the nerve. When the nerve is compressed, or pinched, this causes a tremendous amount of pain, numbness, and inflammation in the affected leg.Several risk factors may raise your chances of developing sciatic nerve pain. They are Age, Obesity, Occupation, Prolonged Sitting, and Diabetes. Excess weight increases spinal stress and can trigger changes in the integrity of the spine. A weight loss regimen can help prevent this particular risk factorIs a Herniated Disc associated with Back Pain?A Herniated disc is described as pain in the rubbery cushions, or discs, between the vertebrae that comprise the spine. A spinal disc contains a jelly-like center (nucleus) surrounded by a tough and rubbery exterior called an annulus which can often be referred to as a ruptured disc or a slipped disc. These refer to the same condition where the nucleus protrudes through a torn annulus and irritates a nearby nerve. A herniated disc may lead to uncomfortable symptoms such as arm or leg pain, numbness or tingling, and weakness.Is Turmeric Curcumin Right for You?Research has shown that using turmeric for inflammation may help reduce the pain for both upper and lower back pain by reducing the bodys natural inflammatory response. Turmeric is also a powerful antioxidant capable of improving our immune system response. Its important to note; that curcumin will not repair herniated discs, sciatica, or physical problems with the spine. But, it may reduce inflammation, improve oxygen and nutrient flow, and promote the healing process.

Sooner or later, seniors face the possibility of seeking medical treatment for orthopedic ailments. The good news is orthopedic degeneration is usually a slow process. For most people, there is not a window of time that quickly closes to be eligible for surgery so other options to surgery are often available to help.There are many things that can be done, short of surgery, to alleviate pain and increase function such as: moist heat, cold therapy, pain medication, injections and physical therapy. An orthopedic surgeon is the perfect resource to evaluate the orthopedic condition, establish the patients goal for treatment, and develop a treatment plan that will work with the patients current condition.However, it is time to consider orthopedic surgery when the condition begins to interfere with daily activities. The majority of orthopedic procedures performed on senior patients are usually hip, knee and rotator cuff surgery. Surgical options leading up to and including total joint replacement can be wonderful for all the right reasons. Surgery can help seniors hang on to their independence and to be able to stay in their own home for as long as possible instead of having to move into assisted living environments.Should you need surgery, it is important to research surgeon options and select the surgeon with which you are most comfortable. Thoroughly discuss the surgical procedures, from pre-surgery through rehabilitation. Ask any question you need to feel comfortable with the entire joint replacement process.Proper and thorough planning can significantly increase the outcome of joint replacement surgery. Do what you can to prepare yourself physically for the surgery. Diet and exercise is as important before as it is after the surgery. Patients do better when they are motivated to properly exercise and diet prior to surgery. Be sure to participate in joint replacement classes prior to surgery to insure better outcomes from your surgery.Other factors that can affect the outcome of orthopedic surgery are smoking and diabetes. People who smoke do not experience the same recovery time as non-smokers because nicotine directly interferes with soft tissue and bone healing. Additionally, it is important for people with diabetes to have their blood sugars stabilized prior to surgery to avoid potential complications.Editors Note: Dr. Bruce Taylor is an orthopedic surgeon with the St. Mary-Corwin Physician Partners Orthopedics Group and contributed to this article. The goal of the SMC Physician Partners orthopedic group is to serve as a resource to work with patients and identify options for good orthopedic health. Call (719) 562-6254 for more information.

On June 20, 2020 the summer solstice and the day with the most light Greater Pennsylvania Chapter residents will join advocates across the world to participate in The Longest Day to fight the darkness of Alzheimers through an activity of their choice.Together, they will use their creativity and passion to raise funds and awareness to advance Alzheimers Association care, support and research programs. The event coincides with Alzheimer's & Brain Awareness Month in June.On The Longest Day, participants will choose an activity biking, hiking, playing bridge, swimming, knitting and more to shine a light on the 5.7 million Americans living with Alzheimers disease and the more than 16 million family members and friends providing care and support. In Pennsylvania alone, there are more than 400,000 people living with Alzheimers and more than 700,000 family members and friends caring for them.Together, we can stand up to the darkness of Alzheimers. Learnmore about The Longest Day by visiting:alz.org/thelongestday to register now or select your activity.

For more information on the author, Cypress Springs, CLICK HERE!Mental health is extremely important for older adults because poor mental health can have an adverse effect on the overall health of the body. According to the Center for Disease Control (CDC), over 20% of seniors have had a mental health concern but only about two out of three received treatments. Seniors are at a huge risk for anxiety and depression due to chronic disease, isolation, and loneliness.Each October 10th, the World Health Organization (WHO) celebrates World Mental Health Day with the goal to help raise awareness and help people dealing with problems concerning mental health live better lives with dignity.Here are three ways seniors and their loved ones can improve their mental health:Support During TraumaHere are a few ways to help reduce anxiety during periods of stress due to uncertain times. Were not out of the woods yet, which means the pandemic can be extremely taxing on your mental health.Benefits of FriendshipsTime and again, research shows that seniors who have a close group of friends tend to live longer than people who dont.Continue to Flex Your MindBe sure to flex that muscle daily! Whether its puzzles with a loved one, reading a new novel, or flying a kite, routine brain exercises help you maintain healthy cognitive function.

Youre doing what any good person would do, trying to keep tabs on a loved one whos growing older. Youre afraid to broach the idea of getting involved in their affairs, because you dont want to hurt their feelingsor worse, start a fight. Maybe youve even tried to offer your help, only to get rebuffed. Heidi Sklenar Telschow, a personal advisor to clients of Fairviews Caregiver Assurance service, knows its a predicament.She hears it on a daily basis. When a senior repeatedly resists help, it creates a lot of frustration for the son or daughter or spouse, Heidi says. People will make unsafe and uninformed decisions, and you just want to throw your hands in the air and say, Im done. Getting past your frustration . .The first step is understanding that your loved one isnt necessarily just being stubborn. Its more about them being in denial of their actual abilities, Heidi says, from their eyesight to whether theyre strong enough to handle the stairs. It may take Dad slipping on those last two steps and getting a big bruise on his behind for him to realize. Even if your loved one does grasp the situation, accepting your help can feel like surrender. That final time they hand over those car keys and know they will never go to the store by themselves again, its handing over their independence, Heidi says. To lose that is like giving up who theyve been their entire adult life. Having the talk Heidi has some tips for that difficult conversation about taking on some things your loved one cant or shouldnt be doing anymore. Never present it as an ultimatum: If you do that one more time, I wont keep bringing the grandkids to visit. Like any transition in life, it has to be processed, Heidi says. Its also easy to fall into the trap of shaming or guilting your parent. You might be thinking, Doing this for you is already hard enough; dont make it any harder or I never signed up for this. But saying it to them could increase whatever anxiety or depression theyre having about aging, making it even harder to accept your help and pushing the problem down the road. Bringing a neutral party into the conversation can often break a stalemate. Try to have the advice come from someone elseme, a doctor, a mental health assessor, Heidi says. It takes the weight off the caregiver as the bad guy. You dont have to be the one to pull the plug, so to speak. If its you as the caregiver harping on it, theyll drag their feet. Thats one reason why Fairview launched Caregiver Assurance, which gives you unlimited access to a personal advisor like Heidi and the option of visiting your seniors home and hosting a family conference with you. People always take me up on that, she says. No one ever says, Let me be the one to break Dads heart. Accepting what you can't control In the end, the senior is still in control. Just because you choose to watch out for them or its fallen to you, it doesnt mean theyll let you make all the decisions while theyre still living in their own home. So expect to draw on your deepest reservoir of patience.People arent going to hear a recommendation just once and accept it, Heidi says. People need time to weigh their options. Reassure them that youre there for them and will do everything you can for their safety, and when theyre ready to make those brave steps for change, youll be there for them no matter how long it takes. Wrap them in support.Article Provided by:Fairview Caregiver AssuranceFor more information visit:www.fairview.org/Caregiver-AssurancePhone: 612-672-2273 to speak with one of our Caregiver Advisors.

A diagnosis of Parkinsons is a life-changing moment. However, with advances in treatment and the right support there is much an individual with Parkinsons disease can do to live every day to the fullest. The American Parkinson Disease Association (APDA) is the countrys largest grassroots organization serving those touched by Parkinsons disease. What makes APDA unique is that we are in cities, towns, and communities across the U.S. Throughout our nationwide network of Chapters and Information & Referral Centers, Centers for Advanced Research, Specialized programs in Young Onset, Veterans and Rehabilitation Resources, and countless support groups, we are able to quickly reach people and connect them to resources that will provide the best outcomes as they navigate Parkinsons disease.Parkinsons disease is a progressive neurological movement disorder. Over one million people live with Parkinsons and there are 60,000 new cases each year in the U.S. alone. It can begin with a tremor, difficulty writing, stooped posture, stiff muscles, or slightly slurred speech; symptoms are different for every person.APDAs mission is to provide information, education, and support to all impacted by the disease and to fund scientific research into the causes, prevention, treatments and ultimately the cure. We take pride in the fact that we are in your community and many others across the country serving people with Parkinsons disease to provide support from the day of diagnosis throughout the Parkinson journey. We have also been a funding partner in most major Parkinsons disease discoveries and we will continue to fund research initiatives that can stop the devastation of living with this disabling disease.2020/21 has been especially challenging for the PD community and APDA has worked hard to develop programs and services that the community can access from the safety and comfort of their home. APDA has developed a library of virtual education topics, virtual support groups, caregiver programs and continues to operate the incredibly valuable APDA information and referral line that provides expert guidance without charge. APDA is here to help with:Health and wellness initiatives delivering programs to help people maintain independence and optimism starting at diagnosisEducation and support programs connecting people with Parkinsons in local communitiesExpedited and innovative research to develop promising clinical approaches and better outcomes and funding the next generation of scientists dedicated to finding new treatments and a cure.For information about Massachusetts programs contact: APDA Information & Referral Center at Boston University School of MedicineBoston, MA 02118 and at 617-638-8466 or 800-651-8466 apdama@apdaparkinson.org & www.apdama.orgThis article was submitted by Bill Patjane- Executive Director of the APDA of MA bpatjane@apdaparkinson.org (617) 352-9330

If youre like most Americans, you prefer to age in place in your own home. Thats why hospice services come to residents in assisted living facilities (ALF)to enhance the care they are already receiving. VITAS Healthcare, the nations leading provider of end-of-life care, is proud to recognize National Assisted Living Week: September 915, 2018.ALFs are designed to feel as much like home as possible. Residents enjoy comfortable surroundings, social activities and home-like amenities, with some receiving help with dressing, eating, personal care and hygiene, as well as daily monitoring for select chronic diseases like heart disease, Alzheimers disease, depression and diabetes.Hospice care in the ALFIf an individual becomes eligible for hospice care, an interdisciplinary VITAS team works with the resident, his family and physician, and ALF staff to implement a care plan that supports comfort, pain relief, symptom management and quality of life at the end of life.A VITAS hospice teamdoctor, nurse, aide, chaplain, social worker, bereavement specialist and volunteerbrings compassionate care and medical expertise to the ALF resident at the bedside, addressing physical, psychosocial, emotional and spiritual needs.Compassionate care from a hospice teamCovered 100% by Medicare, Medicaid and most private insurance plans, patients pay nothing out-of-pocket for hospice team visits, medical equipment, medications and supplies that are related to the terminal illness and delivered to the ALF.VITAS, celebrating its 40th anniversary in 2018, also provides specialized services, including Paw Pals pet visits, music therapy and massage therapy. VITAS teams recognize the unique experiences of veterans and provides culturally sensitive care for Latino, Asian, Haitian, African American, Jewish and LGBTQ populations. When an ALF resident passes away, VITAS provides bereavement services and grief support to the family, staff and other residents for up to a year.If an ALF is home, VITAS can provide the hospice services that will enable residents to live, age and die in the comfort of their own home. In honor of National Assisted Living Week, thats comforting to know.For more information about hospice care or end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

Submitted by Coastal Orthopedics, CLICK HERE for more information.Article Written By: Dr. Meredith ButulisWe are born with feet and ankles made to support us through life, yet 78% of adults experience at least one episode of foot or ankle pain.1 Most pain and injuries occur over time, based on how we use our feet, which makes many sources of foot and ankle pain preventable. Use the checklist below to see what you can do for foot and ankle health at home.1. Check your footwearPatients often ask what brand of shoe is best. Footwear choices matter. The best choice is often related to shoe structure, as opposed to brand. Shoes that are too small, heeled shoes, and flip flops can lead to bunions and a variety of muscle and joint pains, not only in the feet, but also the knees, hips, and low back.2,3The top activities associated with sore feet are running, hiking, basketball, fitness walking, dancing, and using a treadmill.1 If your daily activity includes fitness, hiking, or athletics, be sure to pick a shoe that matches your activity. For example, if you plan to run a long distance, you need running shoes instead of weight lifting shoes. Generally, athletic shoes need to be replaced every 300-500 miles, or every 3-6 months, as their support materials break down.2. Roll your archesEver try to stretch a knot? The muscles and fascia wrapping around muscles can develop areas of tension that feel like knots. These knot-feeling areas dont stretch well. Taking one minute each day to roll your foot on a ball can help reduce tension not only in your feet, but all the way up the back of your calves, knees, hamstrings, and spine.3. Strengthen your archesThe average adult takes 4,000 to 18,000 steps every day.4 With the foot and ankle containing 29 muscles, and close to 25% of the bones in the whole body, every step determines how the rest of your joints feel. If you are struggling with foot, ankle, knee, hip, or back pain, start performing foot strengthening exercises every day.In either a seated or standing position, feel the weight of your heels, big toes, and little toes on the floor. Try to make your toes as flat as possible, as opposed to curling them under. Use muscles inside your feet to slightly elevate your arches. Repeat 10 times. Once you can perform this exercise comfortably 10 times, start progressing how long you hold each arch lift for. Work up to 5-10 second holds on each repetition.4. Stretch your calvesCalf flexibility affects how much motion you have in your ankle. Stiff ankles are more susceptible to injury. Perform a calf stretch beginning in staggered stance facing a counter or wall to hold for support. Toes should point forward as you bend your front knee and keep your back heel in contact with the ground. Hold the stretch for 30-60 seconds, then repeat on your other side.5. Strengthen your calvesCalf muscles help stabilize the ankle, and create push-off power for walking, stairs, running, or jumping. A basic calf raise exercise provides a good starting point for strength. Begin standing on two feet with your hands on a counter for support as needed. Keep your knees straight, and toes flat on the floor. Press your toes gently into the ground as you rise up on the balls of your feet. Start with an initial goal of one set of 10 repetitions. Over the course of a month, work up to three sets of 10 repetitions.SummaryWant healthy feet, ankles, knees, hips, and backs? Start by protecting your feet with the exercises above. Consistency is key. Seek how many tips you can incorporate on a daily basis.

According to the Centers for Disease Control and Prevention, every year one in three adults over the age of 65 falls and 2 million are treated in the emergency room for fall-related injuries. Knowing the risk factors for falling is the first step in preventing an incident. The most common risk factors include: a history of previous falls, balance impairment, gait abnormalities, dizziness, reduced muscle strength and flexibility, visual impairment, medications, advanced age, peripheral neuropathy and recent hospital discharge. As we age, falling becomes of greater concern, however, it is not an inevitable part of aging. The following steps can be taken to help significantly reduce the risk.Meet with your doctor:Have a discussion with your doctor about your medications. Are there any that can cause dizziness, drowsiness or cognitive impairment? These may need to be discontinued or dosing may need to be modified.Keep moving: Many older adults lose their sense of balance or experience a decreased level of coordination, flexibility and muscle strength. With your doctors approval, consider activities such as walking, water workouts or tai chi. There are also exercise programs designed to specifically target strength, balance and flexibility. Physical therapy is advised after a recent hospitalization or while recovering from an injury or surgery.See your podiatrist: There are multiple foot and ankle conditions that can compromise balance during gait. Bunions and hammer toes can limit the ability to use your toes to purchase the ground and maintain balance. Calluses and corns or peripheral neuropathy can decrease tactile sensitivity, making it difficult to feel the floor under your feet. A podiatrist may be able to help reduce the risk due to these conditions.Wear sturdy shoes: Wearing slippers, socks or being barefoot has consistently been associated with an increased risk of falling. However, not all shoes are protective for falls. Avoid wearing high heels, flimsy shoes, shoes without adequate fixation (laces, straps, or buckles) and shoes with smooth tread.Have your vision checked: Older adults should have their eyes examined every year to evaluate for cataracts, retinopathy, glaucoma and other forms of visual impairment. Those with contact lenses or glasses should have the strength of their prescriptions confirmed and changed if necessary.Safety in the home: Remove fall hazards that could be tripped over and install better lighting and handrails where appropriate.Editors Note: This article was submitted by Dr. Kate Johnson, DPM. Dr. Johnson is a podiatrist at A Step Ahead Foot and Ankle Center and practices in Loveland, Fort Collins and Cheyenne. She may be reached at 970-493 - 4660.

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Are you losing sleep because of your weight? For most of us, the answer is probably. Is there a link between healthy sleep and healthy weight? Definitely.Sleep disordered breathing, especially obstructive sleep apnea, affects a host of things that sabotage you getting to the healthy weight youre looking for.First, people who are poorly rested tend to be sluggish and irritable and will reach for high sugar foods to give them a short-term energy boost. These foods, loaded with sugar and other carbs yield a quick rise in blood sugar, hence the quick energy, at the expense of the steep drop in blood sugar later. This causes the cycle to repeat itself. All the while, with all that insulin release, the body becomes resistant to the insulin and fat starts to accumulate.Additionally, the balance in the bodys hunger hormone and the hormone that makes you feel full and stop eating, gets disrupted with sleep apnea. The result is overeating and no sense of fullness.With the decrease in daily energy to power through the day, exercise becomes difficult and usually stops furthering the weight gain.Finally, it is during deep sleep when the body does its fat metabolism. No deep sleep - little to no fat metabolism. Obstructive sleep apnea deprives you of the most restorative and restful deep sleep.If you are feeling heavier than youd like or simply have no energy to do the things you enjoy, poor sleep could be the culprit.Talk to your family doctor about getting evaluated for sleep disordered breathing including snoring and obstructive sleep apnea. At the Pennsylvania Center for Dental Sleep Medicine, were available for your questions as well.___________________________________________Editors Note: This article was contributed by Terry M. Gordon, DDS, AADSM Sleep-Qualified Dentist who is the Dental Director of PA Center for Dental Sleep Medicine.

Within many uncertain moments of the pandemic, palliative care has been the hidden tool to face the multifaceted issues that arise. It is being utilized as it should: for patients with serious illness where medical intervention can cause more harm than good.Palliative care offers more than meets the eye. It provides a window to deliver quality at such a delicate and crucial time. Advocacy in areas of goal making, legal, financial, social, psychological, spiritual and physical concerns are accomplished through palliative care.Its a safe place for patients and families to be heard and valued, and foster collaboration among medical teams. Coronavirus can cause rapid deterioration, so advanced care planning is imperative. Palliative care hotlines and mobile units became new innovations to address the surge of consultations.Stockpiles of comfort medications such as morphine, scopolamine, and midazolam are supplied together and essential. COVID-related pneumonia, and the variable clinical manifestations we are seeing in different populations, requires expert management of fever, dyspnea, upper airway congestion, nausea, anxiety and delirium.Telemedicine has reduced infection and improved efficiency of healthcare delivery. With symptoms managed we can then address caregiver grief and better support patients with marginalized populations, those most at risk for being underserved. During this pandemic, equital healthcare and autonomous decision making are threatened in the realms of election of life prolonging therapy in all healthcare settings.Palliative care also lowers societal and healthcare costs by $3K per palliative consultation. My palliative care teams have led to $7 million dollars of cost savings, reduced readmission rates from 22% to 6% in nursing homes, and compassionately served thousands of patients toward quality of life and dignity, regardless of their illness progression.People start feeling better right away when they can make well informed decisions and have their symptoms managed well. Palliative care is a human right and serves humanity well when integrated into hospital systems.Editors Note: Dr. Kuljit Kapur is the Chief Medical Officer for Transitions Hospice serving northern Illinois and northwestern Indiana. For more information on Palliative Care or Hospice, please call 877-726-6494 or visit www.transitionshospice.com.

We recognize and have heard time and again that the key to staying healthy is proper diet and exercise. But exercise can be quite vague to those who encounter age-related physical obstacles or have never been part of a fitness regimen. Few activities are more important to senior health than those which help improve balance, flexibility, strength and endurance.Simple practices around the house can help improve balance or strength without disrupting daily routine. Standing up from a chair or walking up stairs can improve a sense of balance and build muscle strength when practiced and repeated. Even bending over to pick something up can be beneficial.In addition to building strength and balance, endurance exercises are important to maintaining heart health and metabolism. This can mean anything from raking leaves to going for a bike ride its simply important to increase the heart rate. And for individuals with joint problems, swimming allows seniors to access all of the challenges and benefits of exercise while easing strain on problematic areas.Its also good to remember that keeping the mind active and attentive is just as important as physical health, often driving the bodies overall health. Some of the best exercises for both body and mind are derived from Eastern cultures. Tai chi is an excellent practice for older adults. Yoga has many different forms, but all include a two-fold approach: holding and maintaining a series of postures while focusing on breathing. Before attending just any yoga class, make sure it is specifically tailored for older adults to ensure comfort and safety.I can say over and over how important it is to our physical wellness to practice balance, strength, endurance and stretching, but perhaps the ultimate benefit of exercise programs is an increase in self confidence. This helps alleviate several fears seniors may have, whether its of falling or of not being able to complete a task.Editors Note: This article was submitted by Karyn P. Leible, MD, FACP. Dr. Leible is a geriatrician with CHPG Church Ranch Senior Care and may be reached at 303-925-4040

Trying to manage a life-limiting illness can be challenging, both for individuals and those who care about them. Symptoms from treatment, medication or the condition itself can make it difficult to take part in everyday life, or even get out of bed in the morning.Palliative care is a medical specialty providing whole-person support to people with life-limiting illness. The overall goal is helping individuals feel better, so they can live better. Care can be provided at various locations, including a patients home, and can benefit people of any age with conditions such as: cancer, COPD, diabetes, heart disease, ALS and Alzheimers at any stage of an illness. Palliative practitioners work with a persons existing doctors, providing an added layer of care. They may see patients between specialist appointments, insuring continuity of support. Providers educate individuals (and family) about the patients condition and treatment options. They talk with people about their wishes, priorities and goals for care and help them plan for the time ahead.Palliative providers are expert at knowing how to alleviate symptoms so patients can feel more comfortable. Symptoms helped through palliative medicine include: pain, nausea, fatigue, shortness of breath, anxiety, depression, constipation and others that reduce a persons quality of living. The palliative practitioner provides care with a patients whole picture in mind, typically resulting in fewer out-of-home appointments, ER visits and hospitalizations.When is the right time for palliative care? For someone with an ongoing or serious illness, the answer is: today. Studies have shown that those receiving early palliative care not only have improved quality of life, but less depression and in some cases, longer overall life expectancy.Palliative care is typically covered by private insurance, Medicare and Medicaid. To access care, patients can talk to a physician, or get in touch with a palliative care provider in their area.Editors Note: This article was submitted by Autumn Rowland, FNP-C, Director of Agape Palliative Care. She may be reached at 720-482-1988 or by email at: arowland@agape-healthcare.com.

These four words characterize the Leader familys role in the senior living profession for more than 55 years. This summer, the third generation of our family in the person of Meredith Janeczek Mills, granddaughter of Country Meadows founders George M. and Mary Jane Leader, has taken on a senior leadership position in the companychief operating officer. Meredith has a masters degree in Health Care Administration from Penn State and has served as a campus executive director, regional marketing director and, prior to her promotion, vice president of Strategic Planning.So, you might say, Whats the big deal? The deal is about quality and experience. My father used to say, You pay a lot more attention to whats happening and work harder when your name is attached to the business. And, I might add, because we love what we do.Meredith is one of nine members of the Leader and Janeczek families employed by Country Meadows. Her mother is my sister, Jane, married to Ted Janeczek, our chief financial officer. Five of the nine are in the third generation. Collectively the nine of us have more than 150 years of experience in healthcare. I like to say the profession is imbedded in our family genes.We understand the critical success factors in senior living and know when something is missing. Unlike providers whose corporate leadership is headquartered in another state or even on the West Coast, our family lives and works in central Pennsylvania. We can drive to every campus easily. Family members either work full-time on a campus or visit one or more of our communities every week. With so many years of experience, along with regular exposure to whats happening through personal visits, we are better able to assess problems when they exist and start the process to fix them.On behalf of Meredith and the Leader/Janeczek family, we hope we have the opportunity to serve your family.The Leader-Janeczek family About Country Meadows:Country Meadows has been offering quality retirement living in Central Pennsylvania for over 30 years. Their lifestyle options include Independent Living, Personal Care, Memory Care for residents with early- to late-stage memory loss and Restorative Care to support those recovering from an injury or living with a chronic condition.They strive every day to make retirement living fresher, tastier, safer, livelier, friendlierjust better. They invite you to visit any of their communities to experience firsthand the individual delights of each campus in Hershey, Lancaster, Mechanicsburg and two locations in York. www.CountryMeadows.com

Seniors Blue Book Article Fall 2014 Edition Stephanie Bender-Kitz, Director, Friends in Action Family Caregivers Matter! Do you know that there are more than 40,000 Treasure Valley family members-- spouses, adult children, parents and grandparents who provide care and support to ill, disabled, or frail loved ones at home? These family caregivers are de facto care coordinators, medication managers, personal and medical care providers, fiscal and legal managers, planners and decision-makers for tens of thousands of chronically ill or disabled people in our community. Our health care and social services rely heavily on family caregivers to provide care but don't address caregivers needs for training, information and support. As a result, family caregivers experience stress, depression, anxiety, and often become isolated; they have to leave jobs or reduce their work hours; they spend much of their own money to care for others; and most sobering, they can die before the person they care for. Family caregivers are the backbone of our community's health care, and they deserve to be informed, prepared, and supported! Do you know someone who is a family caregiver? A great way to help is to encourage that person to say I am a family caregiver, and I deserve to be supported! Caregivers who self-identify are much more likely to seek information and support that can help them provide care AND they are more likely to take care of themselves too. Where can a family caregiver turn for information and support? A great resource is the Seniors Blue Book. Another great resource is a nonprofit agency called Friends in Action (FIA). FIAs services help family caregivers build a "toolbox" of resources, skills and strategies to navigate the challenges of caregiving, reduce stress, connect with resources, and build confidence in their abilities. FIAs education programs (Powerful Tools for Caregivers and Living Well in Idaho) teach caregivers how to manage stress and feel less overwhelmed. Our in-home support services (Legacy Corps Caregiver Support Program) gives regular breaks to veteran and military families. The JumpStart program works with caregivers one-on-one to connect them with quality information and resources to meet their unique needs and concerns. FIAs 4th Annual Family Caregiver Conference (January 31, 2015) is a one-day education event to connect caregivers with great information, community resources, and mutual support. Many of FIAs services are provided by amazing volunteers (more than 160 of them), who extend the expertise of professional staff and allow FIA to cost-effectively serve many more caregivers. Don't hesitate to reach out to FIA and ask how we can help any family caregiver you know. We believe family caregivers matter!

To learn more about Omaha Senior Resource Group, CLICK HERE.The Centers for Disease Control estimates that one in five senior falls can lead to broken hips, broken bones, and even traumatic brain injury. As a caregiver, how much should you worry about elderly care and keeping your elderly loved ones from a fall? How much do they know and are they taking the right precautions? How do you begin a conversation with them about how to remain safe without giving up too much of their independence? And just because you start the conversation, it doesnt mean that your elderly loved one will listen to or like your suggestions. The key is to start the conversation and continue it until they have a good understanding of the dangers they could face.Here are some areas that you can focus on to keep the conversation going:Be Sensitive to How They Handle Information. Aging is not easy for most seniors, and there are a lot of emotions that go with it. Keep in mind that they are changing almost daily, in physical and emotional ways and that will affect their confidence or self-worth, which may be decreased more with feelings of loss of independence. It may be a difficult conversation from both sides, yours and theirs. Go slow.Do Proper Investigation. The more facts and statistics about senior falls you have to take to the conversation, the easier it may be to discuss, as they would feel youre not simply singling them out. For elderly seniors, they may not feel so stubborn to listen to the information if they know they are part of a large group of seniors with that experience. When they hear that one out of every three Americans over the age of 65 experiences a fall each year, they realize that they might be more at risk than they thought. Facts and figures may be your friend!Use A Fall Risk Assessment Tool. I only fell once, and it was a fluke! If this sounds youre your elderly loved one, they may need a little help to understand the dangers. A fall risk assessment tool is an excellent way for them to gauge their actual risk level when it comes to senior falls and could provide the information they require to decide on a fall prevention plan. Many websites offer these tools to gauge their risks of falling and match them with the best tools for alerting help based on their lifestyle.Finances. The reality is that senior falls contribute to billions of dollars in healthcare bills each year. Yes, billions! Many of the expenses are incurred each year by using ambulances, ER visits, extended hospital stays, surgeries and then rehabilitation or home care after a fall. Personal insurance will cover part of it but may not cover everything. Your discussion must also talk about how they plan to pay for a fall if it does happen. Being honest about the possible expenses will help them come around and put together a fall prevention plan that works for them.What youre trying to do and build your elderly loved ones a safety net, so that if they fall in the bathroom or while you are not with them, they know immediately what they need to do and which course of action to take.A medical alert systemis the most effective safety net you can provide for your loved one. It will keep them connected to an emergency operator 24/7, so that no matter when they fall, theyll have speedy access to help.Medical alarms provide peace of mind for the individual and their family. With a medical alert system an older adult can summon help at any time. The button worn by the older adult is waterproof and can be worn when bathing. It is small and light weight and easy to wear. In-home systems use either a land line or cellular phone to connect to our monitoring center.A medical alert device is a great first step in elderly fall prevention. As a family caregiver, taking more precautions can mean making modifications to their home, implementing a new exercise routine or changing their diet, these measures can keep your elderly parent protected. For information about Medial Alert Devices or other services that the OSRG members offer, contact us at 402-934-5500 or email us at info.OSRG@gmail.com.

For more Information on Spring Village Care Center, Click Here!It can make you stronger, more flexible and better balanced on your feet. It reduces stress. It helps ease chronic back pain and arthritis symptoms. It can lift your mood and boost your energy. It can even help you sleep better. All this, plus you already have the necessary equipment to start this amazingly simple (and enjoyable) fitness regimen: your body.It is yoga, an ancient group of physical, mental and spiritual practices that in a busy, stressful world can do you a world of good. Yoga exercises are good for both body and mindand, experts say, good for your spirit as well.But wait. Isnt yoga for the young? Dont you already have to be in somewhat-good shape to do all those yoga poses, like sitting cross-legged on the floor (the lotus position) or the tree pose, where you stand on one foot with your arms raised over your head?Benefits of yoga for seniorsFear not. There are many varieties of yoga, ranging from gentle to vigorous and from using only your body to posing and moving with the aid of a chair or other props. (In fact, doing yoga while sitting, called seated or chair yoga, is a great option for those with limited mobility.) In short, older adults have many options when it comes to yoga. And the benefits are many, including being better able to enjoy an active lifestyle and connecting with a community of peers who, like you, are invested in improving their physical, mental and emotional health as they age.We humans tend to lose muscle tone and our bones grow weaker as we age. Yet our bodies respond to exercise at any age, and even gentle yoga can help you build muscle and bone strength Even if you havent been to the gym in ages, yoga can help you ease back into a fitness routine. Your brain and body have worked hard all these years. Now its time to repay themand youwith the mind-body benefits of yoga.How does yoga work, exactly?Yoga increases flexibility and mental clarity through movement and meditation. Flexibility comes from various gentle stretching movements while focusing on breathing, which also enhances your physiological well-being. During yoga, while some muscles contract to allow movement, others are relaxing and lengthening to allow that movement. Stretching like this over a period of time allows the muscles to become more pliable and flexible, increasing movement patterns within your joints. Ultimately, stretching and breathing increase physical flexibility while improving overall health.Now that you know more about how good for you yoga can be, here some basic yoga poses for seniors you can try right now:Tree pose.Stand with legs together and your arms raised, palms folded together. Raise your right foot enough to touch your heel to your left ankle but with your toes still touching the ground. (Use a chair if needed.) Hold for 20-30 seconds and repeat with your left foot. As you gain confidence holding your balance, try raising either foot off the ground enough to touch heel to the inside of the lower leg and hold for 20-30 seconds.Leg climb.Sit on the floor with one side of your body against a wall. Lower your back so it is resting on the floor. Lift your legs up the wall, climbing until the backs of your legs are flat against the wall. If you cant get them flat, try shifting your body away from the wall a few inches at a time. Hold for 30-60 seconds, then slowly lower your legs to the floor.Cat-cow chair stretch.This pose gives you the benefits of the well-known cat-cow stretch without having to get down on the floor. Sitting straight up in a chair, inhale as you push your back against the back of the chair, drawing your navel toward your spine as you do so. (Think of a cat stretching.) Then, exhaling, push your stomach forward while arching your spine away from the back of the chair. Hold each pose for 10-15 seconds.The other piece: meditationBecause your mind and body are so connected, yoga works on both. The practice of meditation ordhyanain yoga helps create mental stillness, allowing an individual to be at peace with their mind, body and spirit. There are several different ways to meditate in yoga, such as visualizing, gazing, breathing, or physical sensations (hot/cold temperatures):Visualizingrequires one to picture in ones mind a peaceful object or channel, such as a god or goddess, flower, or a particular chakra (energy center).Gazingis a different form of imagery that uses an open-eye focus on an object, such as a flower, candle flame or painting. (Gazing may be performed with both eyes open or one eye closed.)Breathingin meditation is performed by focusing on the rise and fall of one's chest, breathing in through your nose and out through your mouth.Physical sensationis similar to focusing deeply on breathing; however, it is redirected to a sensation such as the temperature of your lipsor nose, strengthening in your spine, or even observing an emotion.An easy way to combine poses and meditation is to remember to inhale and exhale, gently but deeply, as you maneuver into a pose or as you hold it. Try to keep to a steady rhythm of breathing in and breathing out. Before long, you wont even notice youre doing itbut your body will, and it will thank you by growing healthier.

Home Health Care and Home Care ServicesHome health care is provided by skilled medical professionals, such as nurses, therapists and medical social workers, and includes a wide range of services that are provided in your home to treat an illness or injury. The focus of home health care is to help you get better, regain your independence and become as self-sufficient as possible. Many times, home health care is less expensive, more convenient than and as effective as the care you would receive in a hospital or a skilled nursing facility. It often follows a doctors visit or a stay at a hospital or rehabilitation facility. For Medicare beneficiaries, doctors orders are needed to initiate home health care, and you must be considered temporarily homebound. If your doctor or referring health care provider determines that you are a candidate for home health care, they should give you a list of agencies that offer these services and allow you to choose the one you would like to use. A home health care agency will make an appointment to visit you at home, ask pertinent questions about your health and do an assessment of your medical situation. The home health care professional will talk to your doctor about your care and coordinate services. Examples of home health services include monitoring of serious illness or unstable health, wound care, intravenous therapy, injections, pain management, medication management and physical, occupational or speech therapy. Your home health care provider will regularly check what you're eating and drinking, monitor your blood pressure, heart rate, breathing and temperature, make sure you are taking your medications correctly, ask if youre having any pain, check your home for safety precautions and teach you about self-care to encourage you toward greater independence.Home care services are the non-medical services that can help maintain your quality of life while living at home in a comfortable environment. Assistance can range from companionship to hands on care, depending on the need. This can be accomplished by regular weekly visits or by a 24/7 live-in caregiver. Help which can be provided includes assistance with dressing, bathing, mobility, feeding or meal preparation, medication reminders, light housekeeping, shopping and errands. Often this kind of assistance allows a person to remain in their own home, with appropriate help, as an alternative to relocating to a residential facility. Some home health care agencies can provide both medical care and non-medical home care services for their clients. Other agencies offer non-medical home care services exclusively. Both home health care and home care agencies have the goal of keeping you safe, comfortable and healthy at home.Submitted by Theresa Santoro, MSN, RN, CHCA, President & CEO, Ridgefield Visiting Nurse Association.

Robert Anderson had started to zone out.The retired Army colonel began having a hard time hearing conversations about two years ago.Being in a crowd while talking to friends made it worse for Anderson, wholl be 80 in February.It was like I had earplugs on, he said. I couldnt hear. If the noise wasnt controlled and hada lot of free talking, that was really hard.I just started turning everyone off.Wife Joanne also started noticing at home.If he was in another room, he couldnt hear me, he said. Id ask, Dont you remember? And hed say no.Adding to Joannes concerns was that her husband of 40 years was diagnosed with dementia.I almost thought dementia was worse than advertised, she said. But then we found out part of the problem is the hearing loss.After getting hearing aids four months ago, Anderson said he feels about 85 percent better. He engages in conversations again. Life isnt perfect but Joanne feels like she has her old Bob back.Submitted and Written By: Hogland Family Hearing and Audiology Centers - click here for more information

For more information on Home Instead Venice, CLICK HERE.While arthritis is common among older adults, it is not a normal part of aging. Arthritis impacts 54 million adults today, and that number is expected to grow to 78 million by 2040.Over 100 different types of arthritis might affect an aging adult, with osteoarthritis (OA) and rheumatoid arthritis (RA) being the two most common ones. Any type of arthritis can affect a persons quality of life and ability to live independently, so it pays to talk to your loved ones healthcare provider about possible treatments to improve your relatives health and wellbeing.Common Types of ArthritisOsteoarthritis is very common and results from wear-and-tear on the joints. OA can occur in any joint, but it most often affects the hands and weight-bearing joints such as the knee, hip and spinal joints. OA symptoms often develop slowly and worsen over time.Rheumatoid Arthritis is an autoimmune disease in which the bodys immune system mistakenly attacks tissue in the joints, causing inflammation.Any type of arthritis causes pain, stiffness and inflammation of the joints. These effects can make it difficult to move around or perform activities of daily living, such as showering and dressing. Severe arthritis even can contribute to falling.Arthritis of any kind benefits from early diagnosis and treatment. Your loved ones healthcare provider may manage this care themselves or may refer you to a specialist.As a caregiver, you also can take steps to help your loved one live with arthritis.Tips for Family caregivers to help manage an older adults arthritis:Listen and be empathetic.Take their concerns seriously and communicate with them to their healthcare provider, especially if there hasnt been a diagnosis and symptoms are present.Keep a journal of symptoms.Family caregivers can help track when and where pain occurs. They can also help to track medications taken, foods eaten and activity or movement. This information can help identify patterns and provide valuable information to healthcare professionals. The Arthritis Foundation has an app that helps track symptoms and patterns.Communicate with healthcare providers.Often multiple healthcare providers care for older adults. The family caregiver can help keep communication consistent among all of them, which helps ensure everyone is on the same page and the person with arthritis is getting the medical care needed.Encourage movement and regular exercise.Seek out exercise or movement classes. The Arthritis Foundation has several great tools to help with this including the Walk with Ease Program and Your Exercise Solution. Even small amounts of movement throughout the day can add up and significantly improve a persons symptoms. Some ideas include laps around the house (indoors and outdoors), chair exercises and stretching. Be sure to consult the older adults healthcare provider before introducing exercise into the routine.Assist with medication and treatment management.Arthritis is often treatable with medication and other remedies. Family caregivers can help ensure the treatment plans are being followed. Below are additional tips for medication management:Ask the pharmacist for an upside-down cap.Use a pill popper device for over-the-counter medications that come in foil packaging.Look into a prepackaged medication management system that has easy to open packaging such as Simple Meds.Assist with a well-balanced diet.For some people, the food they eat can impact their arthritis. Caregivers can prepare arthritis-friendly foods for their aging loved one and encourage them to eat a well-balanced diet. Learn more about arthritis diets.Encourage weight loss if needed.Family caregivers can assist their loved one in managing their weight. Excess weight can cause additional strain on weight-bearing joints such as hips and knees. Reduce body weight if needed and consult with a doctor about weight loss. Even a ten percent reduction can be helpful.Hire professional help.It is important for family caregivers to help their loved one maintain as much independence as possible. For some, it can be helpful to enlist the assistance of a professional. An Occupational Therapist can offer ideas to remain independent and keep as much functionality as possible. Professional home care can assist with tasks that are more challenging due to arthritis such as meal preparation, light housekeeping and medication management.Remain positive.Arthritis symptoms can sometimes cause an older adult to be discouraged by what they can no longer do. Family caregivers should remain positive and keep the focus on what their loved one can still do.Find creative solutions. There are many arthritis-friendly products that can make life easier. Below are some examples of creative solutions for various parts of the daily routine:CookingFoam handles and arthritis-friendly utensils.Sit while chopping and preparing foods to reduce fatigue.Use adaptive cutting boards to stabilize foods.Utilize a crockpot for easy one pot meals.Hire a home care company to assist with advanced meal preparation.For boiling foods, utilize portion control strainers that can be left in the pot while cooking and that drain the water when the strainer is lifted out. This eliminates the need to carry a boiling pot of water to the sink.Dressing and groomingInstall grab bars in shower, bathtub and around the toilet.Toilet seat risers can help reduce the effort needed to sit down and stand up.Automatic dispensers or pumps for grooming products help reduce the need to squeeze bottles.Seek out adaptive grooming products with special grips and handles.Button hooks can help with small buttons or velcro can be used to replace buttons all together.Sock aids and long-handled shoehorns can help with footwear.RecreationCard and game holders can help reduce fatigue while playing.Gripping tools on small items (ex: tennis ball on paint brush) can help maintain independence.Adaptive gardening tools can help make gardening more accessible.Family caregivers play a vital role in helping their aging loved ones cope with the effects of arthritis and maintain their independence at home. Coordinating the older adults medical care, encouraging physical activity and helping with household tasks can help your relative stay safe and well at home despite the challenges of arthritis.

To learn more aboutBridges Community Homecare, Palliative and Hospice, CLICK HERE.Healthcare can be perplexing, confusing and even overwhelming at times. It isnt always clear which services are available to you and how they could impact your quality of life. At Bridges Community Home Health and Hospice, we believe advocacy and transparency are a fundamental right for everyone in our care.Along with the care services and support provided through your professional care team, our healthcare social workers provide additional coordination to help you understand your treatment plan and the options available to you beyond your health needs.Coordination of ServicesOur healthcare social workers coordinate the various services you may need to enjoy life in your home. Do you need special equipment like a hospital bed, wheelchair, or shower bench? While that equipment will come directly from a durable medical equipment (DME) supplier, our social workers work with you to ensure it all happens. Are you thinking about assisted living or do you have a need for a surgery and temporary inpatient stay in a rehab facility? Our social workers can educate you on your options and help you coordinate that care.Find Funding SourcesAre you worried about how youll pay for the care you need? Maybe youre overwhelmed by the costs of assisted living or wonder how youll pay for a rehab stay in a skilled nursing facility. The social workers at Bridges Community Home Health and Hospice are experts in understanding sources of funding and can help you find ways to pay for your healthcare. Schedule a meeting with one of our social workers to learn more about the different options you have.Resource SupportLets face it: there can be a lot of hoops to jump through when you need healthcare. Thats another reason you need an advocate. Bridges social workers can help you fill out paperwork and make sure that all the Is are dotted and the Ts crossed.Caregiver and Family SupportAs a caregiver are you overwhelmed with all the things you need to do to care for your loved one? We know it can be overwhelming, but thats why were hereto help make it easier. Youre probably not aware of all the services that can help you in your role. Many of those services are paid for by insurance and some services are offered free by the community. Dont despair. Make an appointment with one of our healthcare social workers and let us make life easier.Psychosocial Assessment and InterventionsBody and mind. Mind and spirit. At Bridges were not only concerned with your physical healthwere concerned with your mental and social health too. As human beings, we all need healthy thinking, healthy relationships and healthy bodies. Our social workers can provide assessments that give important insights into your mental and social healthand they can help you find resources for support so you can find and keep the joy of living.

To learn more aboutBig Brothers Big Sisters of Utah- Northern Utah,CLICK HERE.Despite the changes that came along with the COVID-19 worldwide pandemic, volunteer opportunities in Utah are still widely available.Big Brothers Big Sisters of Utah, for example, has always provided volunteer positions in the community.During the pandemic, BBBSU seamlessly adapted changes such as social distancing, increased hand-washing, and face masks to keep volunteer operations running as safely as possible.COVID-19 also forced many organizations to offer virtual volunteer opportunities in Utah and across the U.S. According to a study conducted byvolunteermatch.org, 45% of businesses in the U.S. began offering virtual volunteering during the pandemic.Big Brothers Big Sisters of Utahis no exception. Bigs and Littles can now connect virtually from the comfort of their own homes. This allows for fun, engaging activities while keeping safety a top priority.At the onset of the COVID-19 outbreak, 76% of people surveyed admitted they were very concerned about the pandemics impact on volunteer efforts. Three months later, that number dropped to 61%.Information published by theGovernment of Utahsuggests donations are one of the best ways to safely support volunteer efforts during COVID-19.Monetary donations can be made to Big Brothers Big Sisters online. You can choose from a one-time donation or sign up to give monthly to BBBSU. Clothing donations are still being accepted in the pandemic, but drop-off schedules are currently limited. Be sure to check the Big Brothers Big Sisters of Utah website to plan your next donation.Currently, there are roughly 89 children waiting for a mentor in Utah and they need you to help. Bbbsu.org. If youre looking for volunteer opportunities in Utah, then Big Brothers Big Sisters is an excellent choice. For more information on BBBSU, donations, and becoming a mentor, visitbbbsu.orgtoday.

As the population continues to age, the elderly are becoming more and more vulnerable to scam artists. These scams can come in many forms, both legal and illegal, that impact negatively on the vulnerable elderly.Seniors are often the target of these schemes because they are easier to prey on than younger people. By their nature, seniors are more trusting, and in many cases, are unlikely to report fraud to the proper authorities. Even when seniors report these crimes, they are often poor witnesses. Their age and memory make them poor candidates to report needed details to prosecute these individuals.Fraud comes in many forms: identity theft, telemarketing scams, counterfeit drug scams, loan fraud, home improvement fraud, prizes and sweepstake scams, mail fraud, information mining, internet scams, the sale of legal goods and services that are totally unneeded, and lastly, Medicare and Medicaid fraud.One kind of scam involves caretaker theft. Seniors are becoming more and more dependent on care takers, be they family members, or live-in employees. Eventually the senior can become completely dependent on the caretaker and unscrupulous caretakers take advantage of these situations. Children should be ever watchful when in these situations. I have had cases where seniors have given away homes and other very valuable assets to their caretakers. New Jersey has laws to protect seniors in these situations and if you suspect such abuse, please see an experienced elder law attorney immediately.Seniors and their families need to become educated in ways to protect their nest egg and their safety. Most fraud occurs when seniors are alone, childless or have little contact with their children. Seniors can protect themselves by seeking help from trusted relatives and professionals. Many times they resist this help, thinking that they may lose control of their lives. They must be persuaded otherwise. See an attorney to obtain a financial power of attorney, will and living will is a good start. Hiring a geriatric care manager to evaluate the seniors needs can prove invaluable. If you have any desire to discuss these issues further, we will provide you with a free initial consultation.Finally guarding your credit information, being aware of imposters and being a smart consumer are the best things they can do.Editors Note: Michael A. Manna is a Magna Cum Laude graduate of Boston College and a Cum Laude Graduate of Boston College Law School. After working in the tax department of the CPA firm of Peat Marwick Mitchell & Co., Mr. Manna entered the private practice of law in Ridgewood, New Jersey in 1975. Mr. Manna is admitted to practice in New Jersey, New York and Massachusetts and is a member of the bar of the Supreme Court of the United States. He is also a member of the National Academy of Elder Law Attorneys. Over the past thirty years, Mr. Manna has had extensive experience as a lecturer on legal topics for various boards of education and educational institutions. He can be reached at 201-447-2800.Author:Michael A. Manna

As we age many things are different and it is important to realize that our age is an advantage mainly in terms of time and experience. Physiological and psychological age is a variable result in the formula of life where your attitude towards personal health and activity determine the quality, endurance, efficiency and longevity of your life. The complex of minor disorders and injuries, collected for a lifelong period, appear as chronic pain syndromes, limiting our physical activity and darkening our sense of surrounding beauty.However, the number of disorders lowering our quality of life has functional and reversible character. It means that a positive attitude can make a drastic difference to the quality of your life. Manual therapy, can give you efficient impact and a weapon for struggle with aging and weakness in the most knowledgeable, natural, physiological, efficient and joyful way without side effects. Massage can be different from anything that you knew before. Massage can be used like surgeons tool; exactly and precisely focused on that structural and physiological condition in your body which causes discomfort, pain, activity restrictions and even disability.Comprehensive massage is a powerful fusion of the most effective techniques of massage and bodywork. Comprehensive means inclusive, flexible, universal, and efficient; this is true of knowledge, education and wisdom at the base of professionalism. It is targeting our common enemies pain and weakness, depression and aging.For seniors a specialized 30 - 40 min geriatric procedure is a unique way of rehabilitation and rejuvenation during and after a wide variety of disorders. It works as a symptomatic and preventive while maintaining measure with amazing effect.Geriatric Massage is a holistic type of therapy that treats the whole person, not just condition. It is focused on vascular, nervous and muscular systems, improving metabolism and cellular regeneration in the organism, literally; it fills you with energy while restoring neuromuscular functionality, relieving pain and increasing physical performance. It fights depression and anxiety, improves sleeping, confidence, and motivation. It is not a miracle! The miracle is you, your mind, and your organism that enables you to overcome any disease. We just cooperate and assist.Editors Note: This article was submitted by Victor Likhobabin, PhD, LMT, and NCBTMB of 1st Comprehensive Massage Clinic. He may be reached at 801-274-0462

For more information on the Ear Research Foundation, Click Here.Even without the added issue of hearing loss, conversations require a lot of focus, energy and patience. For people with hearing loss or other hearing impairments, a noisy environment or friends who speak too quicklycan make communication extra challenging.Restaurant background noise is one of the most common challenges when talking tosomeone with hearing loss.Below are some things that you can do to help facilitate communication when someonehas hearing loss, whether that person is youor a loved one, friend, or coworker.Please note this article is for people who have mild to moderate hearing loss. People who have untreated profound hearing loss, or are Deaf, havedifferent communication methodsthat will be more effective than the ones discussed below. More ondegrees of hearing loss.How to talk to someone with hearing lossSome environments are much easier for communication for people who are hearing impaired. Here are some things you can do to ensure the environment is perfect for communication:Make sure the room has enough lighting. People with hearing loss often rely upon lip reading, facial expressions, speech reading, body languageand gestures to supplement their remaining hearing and improve communication.Pick a place that has minimum background noise.Though our ears and brain are able to filter out background noise in most situations, people with hearing loss often have a difficult time hearing over excessive noise. Keep in mind that small rooms with no carpeting or curtains tend to have poor acoustics and can distort voices.Make it easy to see everyone's faces.If you will be in a group setting, choose a locationor if you're at a restaurant, a round table where the person with hearing loss will have visual access to everyone's faces to facilitate better communication.Here are a few examples of using the above tips to pick an appropriate environment for communication:If you're planning a dinner out, pick a restaurant that you know has ample lighting, does not play loud music and has decent acoustics. Choose a restaurant that you have been to before, where you know the noise levels do not get too loud. Another good tactic is to select an off-time: Rather than having dinner at 7 p.m. on Friday or Saturday nightthe busiest dinner hoursopt instead for a late lunch or early dinner, between the hours of 3 p.m. and 5 p.m. when restaurants are likely to be the least busy.During a group gathering at your home, if you'd like to have a conversation with a friend or family member with hearing loss, invite him or her to speak in a different, quieter room. Turn off the TV and any other sources of noise.

To learn more aboutSunrise Assisted Living of Sandy, CLICK HERE.The idea of talking with an aging parent about their finances can create stress and anxiety for adult children. You dont want a senior loved one to think you are questioning their money-management abilities or worrying about their health. Its an unfortunate reality, however, that emergencies happen more frequently with age.If you arent able to pay a parents bills when they become ill, it can create some real problems. Thats why its best to tackle this conversation when an aging parent is still independent. Dont wait for a crisis to occur.Be HonestThe easiest way to get started is to be honest. Kindness and empathy are important. Explain that you want to be prepared to help if its ever needed. Here are a few of the issues youll need to discuss:Do they have a will? If so, where is it kept and who is the attorney that drafted it?Have they designated someone as their financial power of attorney or their power of attorney for healthcare decisions?What financial institutions do they use? Are their accounts set up online? Do they have log in and password information stored in a place you can access in the event of an emergency?What income do they have each month from pensions, investments, and social security?Are bills paid automatically online or are some paid by check? Where do they keep their checkbook?Who does their income taxes each year? Do they have an accountant? What about a financial planner?Remember, your goal should be to gain the knowledge necessary to keep your parents home running smoothly if they suffer a short-term or long-term medical event.Discussing financial issues and monitoring a seniors financial decisions can be challenging. Weve compiled a few suggestions you might find useful.Money and Aging Parents1. Talk with their accountant or financial plannerIf asking financial questions makes you or your parent uncomfortable, ask if you can talk to their accountant, attorney, or financial planner. Be sure your parent gives the professional permission to review their documents and accounts with you. Make a list of the questions you have and bring them to the meeting.2.Share your concerns about scams and identity theftWhile identify theft and financial scams are on the rise, not all older adults are familiar with these types of crimes. Explain to your parent that you have been reading about financial scams targeting seniors andyou want to protect them. By being more knowledgeable about their finances, you can be an extra set of eyes looking for potential problems.3.Register for the Do Not Call RegistryTelemarketer scams can be quite sophisticated. Since many seniors still have a landline, it is easier for fraudsters to access their phone number and persuade them to sign up for something unnecessary. Or to convince them that a government agency needs more information. One way to lower the risk of phone scams, is to register your parent for the governments Do Not Call Registry. While theres no guarantee of keeping scammers away, it does help. You can find the website to registerhere.4.Have more than one conversationOne last suggestion is to avoid overwhelming your parent with too many questions and requests at one time. It may be necessary to have a series of conversations to gain their cooperation and to get the answers you need. This will help you feel confident about managing a parents finances in an emergency.Is It Time for Assisted Living?Another tough conversation families might need to have is whether it is time to make a move. If a parent is isolated and lonely or their home isnt safe for a senior, an assisted living community might be a good fit.What Type of Care do You Need?is an online questionnaire the two of you can complete together in just a few minutes.

Navigating the rules for Medicaid qualification can be very difficult for many families. By the time that a family realizes that they need to figure out how to pay for nursing home or assisted living care, they are often in the middle of a health crisis. Because the cost of skilled nursing care is approximately $6,623 per month in the Denver metro-area, it is critical that families understand the options for paying for care.If long-term care insurance and VA pension benefits do not cover the cost of care, Medicaid may be an option. Unfortunately, many families think that they have to do Medicaid planning more than five years in advance of needing care. However, the reality is that it may be possible to qualify for Medicaid even if a loved one is already receiving long term care. In fact, it is critical to make sure that a person can qualify for Medicaid before they have spent all their savings on care.Under Medicaid regulations, if a person has given away assets within five years of applying for Medicaid (a period of time called the look-back period), it will trigger a penalty period. A penalty period is the length of time that Medicaid will not provide benefits. The length of the penalty depends on how much was given away prior to filing for Medicaid. The penalty period does not begin until the applicants countable assets are less than $2,000, and he has applied for Medicaid.The problem is that many seniors believe that if they run out of money, Medicaid will be there to pay for the cost of their care. However, if gifts have been made within five years of application, it could endanger their ability to receive benefits. Prior to applying for Medicaid, assets may need to be re-titled between spouses. If gifts have been made to other family members, it is imperative for the family to learn how to pay for the cost of care during the penalty period. This planning is best done in advance of depleting assets.All Medicaid applicants must qualify based on their functional ability, income, and assets. To determine if an applicant meets the requirements and ensure that gifts will not cause ineligibility, it is best for the family to consult someone knowledgeable in elder law and Medicaid planning. Good advice can relieve the confusion and anxiety that many families feel during a health care crisis.This article was submitted by Elizabeth D. Mitchell, Certified Elder Law Attorney (CELA).* Beth is an attorney with Ambler & Keenan, LLC and may be reached at 303-407-1543 or by email at bmitchell@ambler-keenan.com. For more information visit www.Ambler-Keenan.com.*The state of Colorado does not certify attorneys in any field.

Its not about the destination Its all about the journey.A recent hospice patient was tired of being inside. He had cabin fever. During a visit by his nurse the patient was looking out his window admiring her Volkswagon convertible parked in the driveway. The last time he rode in a convertible, it was a VW, too. It was easy to read the memories on his face. One afternoon, on her own time, our nurse returned to the patients house. She helped him into the car and reclined the seat so that he could better see. She latched his seat belt and dropped the top on her VW. The day was sunny and the road filled with flashes from the past. They drove past places he had lived and churches he attended. They saw places his mother loved to visit. That day they drove back in time to recall a journey that had led to this very trip. After dinner out, our nurse took her patient home. He was exhausted, but the smile on his face after that ride will always be with her. Hospice is a journey through to the end of life. The goal is to treat patients with respect and allow them to live a full life during their last months. Hospice manages symptoms and pain. No hospitals, no beeping machines, no tubes. It is the end of life on the patients terms, with a helping hand to make the journey as fulfilling as possible. Hospice makes a difference in the lives of patients. A 2007 study that looked at Medicare beneficiaries with some of the most common diagnoses leading to death, found that patients who received hospice services lived on average, 29 days longer than those who did not receive hospice care. Hospice patients had 29 additional opportunities to enjoy their families, make a memory or share a smile. As hospice care providers, we strive to go the extra mile for our patients, in some cases literally. With deep roots in the Treasure Valley, we have served Idaho seniors for years and we understand they take personal responsibility seriously. We welcome your call to understand your family's unique needs and to help you make an informed decision for you and your loved one.Written by Devin Limb, Administrator United Hospice. dlimb@unitedhospiceidaho.comAccording to the National Hospice and Palliative Care Organization, the median length of service in 2011 was 19.1 days, a decrease from 19.7 in 2010.This means that half of hospice patients received care for less than three weeks and half received care for more than three weeks. The average length of service increased from 67.4 days in 2010 to 69.1 in 2011.

To learn more aboutAseracare Hospice,CLICK HEREIn hospice care, we believe that emotional and spiritual pain are just as real as physical pain. Hospice nurses and doctors use the most effectivemedications and devices to relieve pain and other symptoms. They are joined by specialists who are trained in physical therapy, music therapy, art therapy, massage therapy and nutritional counseling to help maintain patient comfort. Finally, various counselors, including clergy, help with emotional and spiritual support for patients and and bereavement support for family members and caregivers.

An ethical marketplace takes twotrustworthy businesses and educated consumers.When preparing for a purchase, whether $100 or $100,000, as an educated consumer you do your research. Trust but verifytake recommendations from credible sources AND look into ratings, complaints, and customer reviews to learn about others experiences. Check with local governing and regulatory agencies or watchdogs to ensure the recommended businesses are appropriately licensed and insured. After researching, you can contact the business. Just because its online doesnt mean its safeto ensure you are shopping with a legitimate site check the sites security settings, its web address should start with https:// and include a lock icon on the purchase page. Read the sites privacy policy, the fine print, check for return policies, restocking fees, and cancellation requirements. Resist high-pressure salesa deal too good to be true or a good deal only available on the spot, is usually too good to be true. Shop around, get at least three estimates. Be wary of extremely low estimates that could be upsold later. When youre ready to purchase get a written contract. Make sure it specifies the price, the product or service and who will execute it and in what time frame. Require all modifications to the original contract to be in writing and signed by both parties. Keep documentation of your purchasesave a copy of the invoice, contract, confirmation page/email confirmation until you receive the item or the service is complete to your satisfaction. If your product or service comes with a warranty, be sure to keep the documentation until that warranty is void. Be sure to know and understand the return policy and keep this documented with your purchase records. Pay by credit card, if possible; you may have additional protection if theres a problem.Be an educated consumer. A community built on educated consumers will promote good business practices and a marketplace where buyers and sellers can feel safe and trust each other.Editors Note: This article was submitted by Better Business Bureau of Southern Colorado and may be reached at 719-636-1155 or by email at info@bbbsc.org

Companies and community service organizations that offer employment opportunities to seniors and may train them for various jobs.#listing_mgr{7 basic_search}#

To learn more aboutThe Retreat at Palisade, CLICK HERE.One of the most difficult tasks we face as humans living in a society is how we take care of our beloved elders. There may come a point in time when a senior can no longer live on their own, though, so as members of their families, we must make difficult decisions regarding how we handle this situation. On one hand, its emotionally taxing to see someone you love not be able to take care of themselves when they used to be the one taking care of you. But on the other hand, theres only so much you can do to take care of a senior in your family until it becomes overbearing and inhibits your ability to live a normal life. Theres a middle ground that can often be found when its necessary. Thats particularly true at a certain point where it makes sense for both the senior and the caregiver to develop a plan for senior care. But this is an expansive industry, so its important to determine which type of care you or a loved one may need. Ourarticle about the future of senior carecan also help you plan for new types of care that may be better suitable for you or a loved one.HOW DO I KNOW WHAT TYPE OF CARE I NEED?One way to measure the level of care a senior needs is through charting ADLs, which are activities of daily living. This concept was developed by a doctor named Sidney Katz back in the 1960s, and it helps professionals understand how well a senior can complete routines and basic activities that contribute to daily life. Katz broke these routines down into six main categories:BathingDressingToileting (going to the bathroom)Transferring (the ability to get in and out of bed)Continence (being to control your bowels)FeedingEach category has equal value of importance inKatzs chart. A number1 if you can complete the task, or 0 if you cantis assigned to each category. Once that is done, you add up the numbers. The higher the score, the more independent a patient is able to live. For example, if a senior scored a five out of six on the model, he or she has a relatively easy time completing basic functions of life. But if a senior scores a one or two out of six, its clear that he or she needs a lot of care and attentiveness, and thus will need a type of senior care that is more hands-on. Once professionals measure ADLs, there are other types of more broad activities they gauge to get a deeper understanding of the type of care a senior needs. These activities are called IADLs, or instrumental activities of daily living. These include activities like:Paying the billsCleaning the houseCooking food for yourselfBeing able to transport yourself outside of the houseSocializingThese activities are measured in a similar fashion as ADLs, with numbers being assigned to specific activities. But because IADLs are far more expansive than ADLs, the number ranges are different. The ranges are different for men and women, too, in order to avoid any potential gender bias. For men, the scores range from zero to eight, and for women, the highest number is lowered to five. Theyre similar to ADLs in how theyre measured, though, because the higher the score, the more likely that someone can live more independently (and vice versa).SIGNS IT MAY BE TIME FOR ASSISTED LIVINGOutside of understanding exactly what ADLs and IADLs are and how important they are to senior care, there are general warning signs and hints that it may be time for assisted living. Many of these signs are directly related to the activities of daily living discussed before and can be explained medically. That could be because the senior in question is depressed or they have something more severe like dementia or cancer. For example, a bad odor can mean they dont know how to or simply dont have the physical strength to bathe anymore. Unpaid bills may mean they dont have the cognitive ability to understand numbers like they once could. Now without filling out an ADL chart, what are some signs that may indicate its time to seek professional help regarding your loved ones living situation?Worsening Medical ConditionsAs seniors age, the likelihood they develop a chronic medical condition skyrockets. TheAARPreported that more than 70 million people (aged 50 and older) have at least one chronic medical condition, and these can be debilitating issues like Alzheimers disease or heart disease. When seniors with conditions like this get older, they need more and more medical attention and are less capable of taking care of themselves. Outside of chronic conditions, thepotentialfor medical emergencies increases with age. If your loved one indicates thathe or she has fallenand struggled to get up on more than one occasion, its not safe for them to be living on their own. Nearly one third of seniors fall at least once every year, andthe death rate for fallshas climbed steadily in the past decade.Monetary IssuesMany aging seniors have less of an ability to keep up with all their financial responsibilities. Bills from banks and insurance can pile up because seniors either dont have the motivation to pay them or they simply cant. Diseases like dementia also affect seniors ability to think abstractly and handle numbers on a complex level. This can lead to difficulties when doing taxes or taking care of multiple bills at one time. Seniors can also often be susceptible to financial scams, whether it be from telemarketers or their own family members. These scams can put seniors in debilitating financial spaces, which can prevent them from taking care of themselvesif they live in their own home or not. Many aging seniors have less of an ability to keep up with all their financial responsibilities. Bills from banks and insurance can pile up because seniors either dont have the motivation to pay them or they simply cant. Diseases like dementia also affect seniors ability to think abstractly and handle numbers on a complex level. This can lead to difficulties when doing taxes or taking care of multiple bills at one time. Seniors can also often be susceptible to financial scams, whether it be from telemarketers or their own family members. These scams can put seniors in debilitating financial spaces, which can prevent them from taking care of themselvesif they live in their own home or not.IsolationSenior isolation is a serious problem. More than 11 million seniors live alone, according to theU.S. Census, and isolation can affect seniors overall health. When seniors isolate themselves, that means they decrease how often they participate in things their hobbies, social interactions with family and friends, or just simply leaving the house at all. Some health issues associated with isolation include:Depression: The lack of community or sense of purpose can cause seniors to become depressed, which is an agent for disease like dementia and heart disease.Addiction: Seniors who are isolated often develop bad health habits like drinking, smoking cigarettes, and prescription drug abuse.Mortality: Simply put, isolation is directly related to seniors mortality rate, according toone study.Messy Living SpaceAn untidy and odorous living space can indicate a senior may not be able to live on his or her own anymore. These can often be explained with a seniors physical ability to clean up after themselves, because it can get to the point where they cant vacuum the house or clean the dishes (or even get dishes into the dishwasher). Its also important you look at the food your loved one is eating. Open up the fridge and look around. Is there spoiled food stacked on top of spoiled food? Are there a lot of foods past their expiration date? Is there a lot of the same food, like leftovers of the same thing from the same restaurant? All these may be signs that your loved one 1) cant cook for him or herself anymore and 2) arent eating healthy food or full meals, which causes a general unhealthiness. An untidy and odorous living space can indicate a senior may not be able to live on his or her own anymore. These can often be explained with a seniors physical ability to clean up after themselves, because it can get to the point where they cant vacuum the house or clean the dishes (or even get dishes into the dishwasher). Its also important you look at the food your loved one is eating. Open up the fridge and look around. Is there spoiled food stacked on top of spoiled food? Are there a lot of foods past their expiration date? Is there a lot of the same food, like leftovers of the same thing from the same restaurant? All these may be signs that your loved one 1) cant cook for him or herself anymore and 2) arent eating healthy food or full meals, which causes a general unhealthiness.Poor Hygiene and FrailtyWhile a loved one may have some level of ability to take care of him or herself, a big sign it may be time for assisted living is the lack of motivation for doing so. Some signs of poor hygiene include messy grooming habits and a bad odor, which could indicate they arent bathing as often as they should or doing laundry. This can also mean theyre starting to lack the ability of taking care of themselves, too. Seniors can also start to become frail as they age, meaning they look skinnier or thinner than usual. This can be caused by a lack of eating, or something more serious like a medical problem that hasnt been addressed yet.WHAT KINDS OF SENIOR CARE ARE THERE?The senior population (adults 65 and older) is taking up a greater portion of the overall United States population every year thanks to the baby boomer generation (those born between 1946 and 1964). In 1985, seniors took up about 12 percent of the population. Current levels are at about 13 percent (more than 40 million people), and that number is expected to rise toup to 21 percent by 2050. That means there will be more than 80 million seniors living in the States at one time, which will require a great deal decision-making for a lot of families as to when and what type of care they should get for their loved ones once they can no longer live on their own. Luckily, though, senior care is a wide-ranging and highly inclusive industry. There are plenty of options to make sure your loved ones are in the best hands. The amount of inclusive senior care you or a loved one needs varies depending on the level of care thats needed. Lets look at the different types of care there are and what fits your situation best.Nursing HomesNursing homes feature round-the-clock assistance for patients who need highly attentive, long-term care. The average patient who enters a nursing home is there for around two and a half years. Seniors who reside in a nursing home usually have lower ADL and IADL scores. According to asurveyin 1999, more than 95 percent of nursing home residents needed help with bathing, and 88 percent of residents needed help with getting dressed. Nursing homes require that a registered nurse (RN) be present at all times when patients are being cared for, though nursing homes can have different levels of skilled nurses present. Because of the amount of assistance each patient needs, the plans for each patient vary and there usually isnt one overarching plan to take care of all the patients in the home. Usually, nursing home care isnt covered byMedicare. Theofficial websitestates the reason is: most nursing home care is custodial care, like help with bathing or dressing. Medicare doesnt cover custodial care if thats the only care you need. As of 2012,one reportrevealed that the average yearly cost of nursing home care is about $90,000 for a private room, and about $80,000 for a semi-private room. These prices vary depending on what state you live in and sometimes even what part of a state you live in. Depending on your insurance, part of the cost can be covered.Assisted Living CareAssisted living facilities are similar to nursing homes in that theres 24-hour care, but usually patients in assisted living dont need as intrusive care as nursing home residents. Like nursing homes, patients in assisted living facilities are expected to be there for the long-term, with an average patient staying for around three years. About seven times more women live in nursing homes than men, but thats often attributed to the fact women are expected to live longer than men. Those who enter assisted living facilities can often do many activities on their own, but not enough to where they can comfortably and safely live alone anymore. Residents usually have their own living space and are still allowed to socialize with other residents freely. Meals are provided to residents, but some facilities allow patients to cook for themselves (if they are able). Assisted living communities are often paid for out of pocket, and yearly averages range from $25,000 to $50,000, depending on where and which facilities you choose to enter.Home Health CareHome health care is the most popular form of senior care because it allows seniors to live in a place theyre comfortable with, and it allows family to come and visit freely without any restrictions or time-sensitive rules. Depending on the type of care needed, some patients can travel and leave the home. Patients who receive home health care have a wide range of care from once or twice a week, to 24 hours a day. Professionals who treat patients withhome health care usually assist patients with activities like:BathingGoing to the storePreparing foodGetting dressedTransportation to appointmentsBecause of the wide range of care, home health services are usually offered hourly and can be covered through Medicaid and Medicare.Independent Living CommunitiesThere are also known as retirement homes and villages. Usually residents of independent living communities score pretty high on ADL and IADL scores, meaning they dont need too much medical help. However, there are usually medical facilities in these communities. Because of this, the lifestyle can be relatively similar (or even better) than before because of the amount of people similar in age and the overall sense of community. These communities are particularly advantageous to seniors who are isolated. Isolation can cause depression and affect your overall well-being and health, so the sense of community given in a retirement village can help combat that. Retirement homes sometimes have social and entertainment activities like golf, tennis, gyms, and performing arts centers to help keep seniors engaged. Independent living communities are often one of the cheaper senior care options around, too, because of the lessened need for round-the-clock care. Because of the opportunity for entertainment and advanced amenities,costs can rangeanywhere from $2,000 a month to up to $4,000 a month.Hospice CareOne of the toughest decisions you can make is putting a loved one into hospice care, but its the best and most comforting choice in certain situations. Hospice care is described as the model for quality, compassionate care for people facing a life-limiting illness or injury by theNational Hospice Organization. It focuses on making sure patients live their last days in the most comfortable and pain-free environment possible. Hospice care has some of the most expansive rules on theMedicare websiteas to what is and isnt covered, but they largely revolve around if the care is focusing on treating and attempting to cure any sort of malady.Alzheimers CareThis type of care is specifically made for people with Alzheimers disease. Though that sounds like a specific type of care, more than five million people every year are affected with the disease. Alzheimers disease is the most common form of dementia (memory loss), and, at its more advanced stages, can cause patients to become immobile. Alzheimers care is tailored specifically for the disease. For example, there is greater security because patients with Alzheimers are known to wander, and its important to make sure that patients cant escape the area. There are many different forms of care, though, just as there are different types of senior care that vary based on the severity of the disease. Sometimes, Alzheimers care is incorporated to other types of senior care like nursing homes and assisted living facilities. Its through understanding these different forms of senior care that you and your loved ones can feel more confident and comfortable with making such an important decision.

Facility is contracted to accept this Medicaid based program. New Choice Waiver is designed to help nursing home residents move to more independent community settings.#listing_mgr{1 basic_search}#

Get to Know your PharmacistNearly 6 in 10 Americans take a prescription drug, and of these, 21% take 3 or more prescription medications. Pharmacists can inform you of the ins and outs of your medications, promoting patient safety, reduce preventable harm and medication errors.Heres how a pharmacist can help: Understand what medications you are taking and why Know How and when to take your medications Recognize the side effects and know what to do when they occur Understand the dangers of sharing medications Learn how to save money on medicationsPharmacists can help you understand why your medications are prescribed and how they work. Also, they will tell you if you are taking a generic or brand-name, and whether it is a LA, long-acting, or ER, extended release medication. This will build confidence that your medications are effective and working.Knowing how and when to take medications is directly related to their effectiveness. What happens if you miss a dose? Ask your pharmacist; youll get good advice.Recognizing the side effects of medications will keep you from worrying that something is going wrong. If you know what to look for what to expect as a result of taking the medicationsyou will not worry or be frightened. Furthermore, if you are taking multiple medications from multiple physicians, your pharmacist can discover possible adverse interactions and possibly intervene by advising your physician of such interaction.Please Understand the dangers of sharing medications. Seniors can have different reactions to the same medication. A Pain reliever, muscle relaxer, or blood pressure medication can have different effects on different people, so dont try to save money by taking someone elses medication for the same diagnosis.Learn how to save money on medications. Your pharmacist can do this in several ways: Offering to process the prescription without going through insurance Reviewing all your prescriptions to validate necessity of so many prescriptions Encourage filling 90-day prescriptions Dispensing a generic version of a brand-name drug Advising you to safely split pills when appropriateAsk your pharmacist for a consultation. She or he will review your medications, and you will feel more comfortable as your treatment progresses.Editors note: This article provided by Kaitlin Troung, R. Ph. She can be contacted at 228 207 7716

Continuing a life of health and wellness as one ages requires regular adjustments and adaptations through the bodys many changes.Living independently in the community late into life is very possible, and requires a commitment to life-long learning of new skills.Across Colorado, Independent Living Centers, or ILCs, help seniors and their families and friends adjust and adapt to aging in place. As the body ages there is a common diminishing of six core functions that many will experience. Hearing, vision, mobility, speech, cognition, and self-care are all areas that seniors will lose some amount of capacity in as they age. Independent Living Centers are non-profit organizations, highly skilled and trained in working with seniors, their care staff and their families to create solutions for a richer, independent life at home. On the Western Slope, Center for Independence is an Independent Living Center that provides solutions including paratransit, in-home services and environmental modifications including the installation of adaptations such as ramps and grab bars. ILCs also offer Transitional Placement services to facilitate the transition of one already living in a group, nursing or institutional setting back into an independent living situation in the community. This in turn saves residents, their families, and tax payers money otherwise spent on the high cost of institutional living. The transitional teams help ensure a successful move back home through a proven comprehensive, multi-agency team approach.In addition to these previously mentioned no-cost services available through non-profit Independent Living Centers, center-based programs including senior support groups, adaptive technology trainings and social outings. These services are available to ensure seniors aging in place have regular access to skilled and dedicated support professionals committed to providing the opportunity to live an empowered, independent life in the home of ones choosing. To learn more about a Colorado ILC near you, check out: www.coloradosilc.orgEditors Note: This article was submitted by Ryan T. Cook. For further information on the Center for Independence call 970-241-0315 or email: info@cfigj.org.

Its very difficult when your loved one has been diagnosed with Dementia because there are so many questions surrounding that news. And now you find yourself in the position of caregiver which can be difficult and overwhelming especially if youre still working and have a family.One of the most important things to remember is youre not alone. In 2017, 16 million caregivers of people living with Alzheimer's disease or other dementia's provided an estimated 18.4 billion hours of unpaid care (Alzheimers Association). There are many places you can gather information, professionals you can speak to, support groups to attend and services that are available to assist.Some important steps in providing care: Use a positive approacho Give short, simple informationo Simple choiceso Ask them to helpo Always say thank you so they know you appreciate what they are doing Break tasks up into small stepso By doing this you eliminate the frustration for both of youo Give one task at a time Use music its great therapy and provides relaxation Reminisce about the times they remembero Know their history so you can talk about ito Laugh with themo Use words they usedo Create a memory jar where family and friends write down their favorite memories and you can read them to your loved one Ask for helpo Friends, other family, home care agenciesBeing a caregiver is a very difficult job. You cant take care of someone else if youre not taking care of yourself. Its so important to make sure you have time off and step away from caregiving to relax. Caregivers who do not take a break have high levels of stress, health issues and become angry. Schedule time for dinner, shopping, a movie date or a long weekend away. Allow your family and friends to help or use a local agency that provides dementia-trained caregivers.One of the more difficult things to do is leave your loved one with someone else when youve been the primary caregiver. Take the time to interview local agencies and find the one that you feel can provide the care your loved one needs. Ask if their caregivers are trained in providing dementia care. Find an agency that can provide you peace of mind so you can truly relax and take a break.The caregivers at Visiting Angels of Lancaster, Hanover and York are trained in providing dementia and palliative care and other specialized care, call us we can help!__________________________________Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels of Lancaster, Hanover and York.

The New Biology of Music, Sound, and Emotion.Pause for a moment. Imagine one of your favorite songs. How does that song make you feel? Music has a powerful influence on emotion and can also influence improved health, learning, and physical functioning. The new biology of music and sound is music and sound that literally affects human biology by improving physical functions such as sleep efficiency, pain and stress management, and mind awareness.From my early association with great musicians, like Harry James and Buddy Rich, to my professional career as a keyboard player for billboard top 20 bands in the 70s and 80s, I witnessed the power that music and sound have to move an entire audience. In 1985, my career dramatically changed. For the next seven years, I worked in a clinical setting at a regional medical center designing therapeutic music to assist individual patients with their specific physical and psychological needs. It was there that I witnessed musics direct power to affect the body and mind and to help people heal.The new biology of music and sound is grounded in audio science and confirms that what you hear is as important to your health as proper diet and exercise. What this science demonstrates is that musical frequencies, rhythmic patterns, and musical structure have a direct affect on brainwave activity, emotional stability, and bodily functions. By changing the structure of the music or sound, you can directly influence a desired health outcome.Scientifically designed music and sound have many applications. The combination of a beautiful arrangement with a scientific structure creates a powerful tool that can be used to facilitate change and promote specific improvements in your health and well being. It is a fast, safe, and effective method for promoting good health throughout your life.Nuphonics creates music and sound products that improve peoples lives. Allow it to help yours. See our ad below for more information.Editors Note: The article was written by Wayne Musgrave, musicologist and partner of Nuphonics and audio science consultant for First Choice Home Health and Hospice. He can be reached at 801-373-0552

When someone in your family is sick, your only concern is finding the best care for them! When you need a hospital that can give specialized, advanced care you may need a step above an ordinary hospital. A Long Term Acute Care Hospital (LTACH) is a hospital that offers specialized medical, nursing and rehabilitation services for patients who need more advanced care for recovery. Patients in an LTACH typically have a chronic or medically complex medical condition that requires hospitalization for an average of 25 days or more in a facility that offers a 24/7 specialized treatment program. Long term often leads people to assume that its like a nursing facility (nursing home), but a more correct description of an LTACH, would be a post-acute care hospital a place for healing after a lengthy illness or major injury.LTACHs offer critical care or post-operative services but with a stronger recovery and rehabilitative focus allowed by the longer length of stay. Patients referred to an LTACH must meet an admission criteria designated by their insurer including Medicare, Medicaid, or other healthcare insurers.At an LTACH, patients can continue to receive intensive interventions, such as ventilator weaning, cardiac monitoring, aggressive wound management, or antibiotic infusions while being managed by a coordinated patient care team. Typical services include daily client contact by Hospitalists and/or Pulmonologists, telemetry, laboratory, pharmacy, radiology, respiratory therapy, rehabilitation, or dialysis as ordered and typically an LTACH has an intensive staff-to patient ratio.For those looking to understand what services and conditions may be available for treatment at an LTACH, the following are the most common: Extensive Wound Management Respiratory Failure Ventilator-Weaning Cardiovascular Disease COPD Congestive Heart Failure Head Injury/Trauma Amputation Infectious Diseases (including MRSA, VRE) Malnutrition Pneumonia Post-Operative Patients Renal Disease/Failure Spinal Cord Injury Stroke Trauma Dialysis (acute or end stage) Parenteral Nutrition Medically Complex PatientsMost frequent questions about LTACH Services:Is an LTACH like hospice? No. Hospice care is primarily for those not expected to recover and have a terminal illness. In contrast, the Long Term Acute Care Hospital is for patients who can be treated, recover, and then return home or to a lower level of care.Is an LTACH like a nursing home? Not at all. Patients in a Long Term Acute Care Hospital are too medically complex for nursing homes to typically accept. LTACHs offer daily physician management, 24-hour nursing care, pharmacy in-house, radiology, dialysis, 24-hour respiratory therapy, and 6 day a week rehabilitation therapy. In addition, admission to an LTACH avoids using precious skilled nursing facility days granted by Medicare.Editors Note: This article was contributed by Mary Ellen Kable. Mary Ellen is the CEO of LifeCare Hospitals of Mechanicsburg.

Otherwise known as a short-term stay. Any provider of IL, AL, ALZ or SNF care can elect to provide fully furnished accommodations to a person for a short period of time. Rates usually quoted on a daily basis and are typically inclusive of all services and amenities.#listing_mgr{1 basic_search}#

Arthritis is known as the silent disease. People living with arthritis often hear, But, you dont look sick! And yet arthritis is the #1 cause of disability in the United States, resulting in more than 40 million outpatient visits, 172 million lost workdays, and a price tag of more than $300 billion annually. Arthritis strikes more than 60 million Americans, including approximately 300,000 children.Simply put, arthritis is joint inflammation (arthr means joint and it is means inflammation). There are two main types of arthritis osteoarthritis and rheumatoid arthritis:        Osteoarthritis is the most common type of arthritis. It is frequently considered to be related to aging along with the usual aches and pains that are common in older people and usually affect the larger joints hips, knees, shoulders, elbows, and ankles.         Rheumatoid arthritis is a systemic, autoimmune disease that usually attacks the smaller joints and internal organs.The Arthritis Foundation recognizes that people living with arthritis have many days of saying no to everyday situations. No, I cant go shopping. No, I cant go to the zoo with the grandkids.At the Arthritis Foundation, we are helping people Live Yes! The Live Yes! Arthritis Network makes connections both in-person and online to empower people to live their best life. People with arthritis find strength in each other, manage stress, and take control of their healthcare. By joining the Network and taking a short 10-minute online assessment, the Arthritis Foundation will personalize information and resources specific to your needs. The questions in the assessment are related to your physical health, social and emotional health, and experience of care. The results of these assessments help drive local programming including education programs and support or Connect groups.When you become part of the Live Yes! Arthritis Network, you see real change in your life. Through robust tools and programs, we educate and connect people with arthritis, both online and in-person, to live their best life. The results are simple: you feel better both physically and emotionally! Editors Note: This article was submitted by Diane White, Community Engagement Director at the Arthritis Foundation. You can reach the Arthritis Foundation at 412-206-5361 or dwhite@arthritis.org.

Picnicking and PavilionsWhether you prefer your al fresco dining under a tree or under an awning, you have several options available at Sugden Regional Park. Picnic tables and pavilions are available free of charge on a first come, first served basis, and pavilions can also be rented for parties and gatherings. To reserve a pavilion, call 239-252-4414.FishingBass and snook are two popular targets for anglers visiting the park. Whether you cast a line from the bank or from one of the docks, Lake Avalons shallow areas and deep drop-offs are sure to keep things interesting.Note: Florida residents over the age of 65 dont need a Florida fishing license, but you should be prepared to show proof of age and Florida residency.BoatingBoating and water sports are the most popular activities at Sugden Regional Park. Paddle boats are available to rent at the park and a large variety ofboating and water sport classesare offered throughout the year,Though water skiing and stand-up paddleboarding may not be your thing, the Sailing Seniorsclass just might be. This class is a refresher for seniors with previous sailing experience, even if it was years ago. Beginner sailorsand military veterans who want to learn to canoe or kayak can also take to Lake Avalon this spring.Annual Fourth of July CelebrationThis popular free event (due to COVID-19 restriction, check closer to date to ensure event will be taking place) at Sugden Regional Park kicks off with an ice cream social from 4-6 p.m., with food and beverages available to purchase. Entertainment starts at 6:30 p.m. and the evening wraps up with a fireworks display beginning at 9:15 p.m. Bring lawn chairs and blankets for seating. No coolers or pets are allowed in the park on July 4.Note: Only disabled permitted parking is available on-site during this event. Parking for all others will be available at nearby establishments.Sugden Regional Park and Lake Avalon are a great place for seniors to spend a day enjoying Naples perfect spring weather. So pack a picnic, grab your sneakers and your swimsuit, and get outside!Submitted and Written By: Barrington Terrace - click here for more information

SBB University Mental Health Series presents: Depression, Suicide and the Holiday Season. Today's speaker is Cassandra Cote', RN with WellBridge Hospital Greater Dallas/Kindred Behavioral Health.The video of this presentation may be watched at the bottom of this article. Cassandra reviews some of the content for you here.Society and the media have turned the holidays, especially Christmas in to a time of obligatory traditions and responsibilities, more than it ever was before. The pressures can be relentless this time of year to make the season merry and bright for all of those around you, often times at the cost of your own sanity and happiness!Think about this for a moment. Do you feel like you HAVE to do some particular tradition, event, party or dinner? Do you HAVE to put up Christmas lights even if they really arent in the budget this year? Do you HAVE to make cookies for the office, even though youre exhausted and have other things youd rather do? Do you HAVE to go to church with the family on Christmas eve, just because thats what we are expected to do? What about hosting family for dinners, or buying gifts for every boss, uncle or cousins girlfriend on the list?Do you feel anxiety just hearing this list of obligations that many of you can completely relate to? I know I do. For several years now starting sometime in September or October I will have occasional nightmares that it is Christmas eve and Im at the store trying to buy gifts for my whole list because I put it off out of dread and now theres nothing good left, the lines are around the buildings, its 8pm and the pressure is on! Im thinking of how Im missing out on Cocoa and Christmas stories, and will be up until 6am on Christmas morning just trying to get it all wrapped!! Its enough to give anyone ulcers.Let me ask you,Do we have to do all of these things? Do we want to do all of these things? What happens when we feel like we have failed our own expectations? We missed the candy canes for the Christmas morning hot cocoa and now its no longer perfect. Is it possible there is another way?Ive listed the 5 most typical reasons for holiday depression.We feel overwhelmed by all the things we are expected or expect ourselves to accomplish or participate in. Its too much, and the pressure becomes defeat, despair and depression.We long for what was before. Maybe there was a time in our lives when the holidays were everything you could have dreamt of. The right people, the right stage of life with motivation, the finances and the support to put together a season that was incredibly fulfilling for us.We feel an obligation we know we cannot oblige either because we do not have the capacity to put in the time or effort or perhaps we dont have the finances to do what we think is required or expected of us. Maybe that expectation is even self imposed.Finances have us in a spot where we cannot, or maybe SHOULD not do all the things we wish we could especially this year, when so many people have experienced lay-offs, cut backs or a long stint of illness because of the pandemic.Finally Family & friends Perhaps we are unable to be with the ones we want to celebrate with. This could be for so many different reasons for instance, the death of a loved one. Distance, Isolation. COVID is a glaring reason this year. This reason, isolation and the pandemic effects our elderly patients this year the greatest. Especially those being cared for in a facility setting.Memories of Holidays past One final reason for an increase in depression over the holidays for our elderly population especially is the memories of holidays from the past that come out the strongest at this time of year. These memories can create a longing for connection or a frustration knowing the connection is lost.Sometimes as we age, the holidays no longer seem very jolly, and we don't feel like celebrating much anymore. What used to be a joyous occasion can change and take on new meanings as life throws us curve balls.We think we're supposed to be exceptionally happy this time of year, but that expectation alone can cause people of all ages to become sad or depressed. Caregivers and older adults are especially susceptible to the holiday blues. As a caregiver, you can be prone to adopting your loved one's melancholy feelings or anxiety and vice versaWhile the holidays may not be the same as they were in the past, there can still be plenty of reasons to celebrate. One of the most important things to remember is that it's okay to enjoy the holidays as they are now. Old memories hold a special place in your heart, but there is always enough room to add new ones.Lets talk about some practical advise to deal with these holiday stressors we have talked about.Theres Too much to do!!! By definition caregivers (all of us) have too much to do already, let alone adding decorating, dinners, shopping and wrapping to that list!To keep from feeling overwhelmed and out of control,Be realistic!!Perhaps this year a 5 course dinner is not practical!Focus on what YOU and what those the very closest to you NEEDinstead of what others expect of you.Prioritize and Downsize Holiday tasksDecide which decorations are most important and compromise. For example put up the tree lights and the mantle decorations but skip the outdoor lights this year.Consider drawing names and each person, or each family buying gifts for only one person/family? IN my family the adults each get one gift and we all buy for the kids. This means I have about 8 gifts to buy instead of 29 gifts. I enjoy giving to the kids, so this makes me happy!Same idea applies to dinners. Dont make 6-8 dishes, instead choose the 3-4 most important dishes to your family. You could also try a new tradition this year and make it a potluck. If everyone pitches in it makes your job much easier!Speaking of pitching in Accept helpwhen others offer it and ask for help when you need it. It makes others feel great to help those that they care about. You may be blessing them in a roundabout way!!Make lists.It helps to see what exactly needs to be done, and it gives you a sense of accomplishment when you cross off completed tasksFinancial PressuresFinances are another notorious source of stress during the holidays. Money is often already tight for seniors and caregivers alike. Spending also tends to increase this time of year on things like gifts, holiday meals and basic necessities like heating, warm clothing etc..Be proactive!Set a budget. Making a budget frees you from contemplating over and over, Can I really afford this? It takes emotions out of your holiday shopping and allows you to remain objective. Either it fits the budget or it doesnt. It may seem like a bummer to live by a budget, but its far better than realizing after the holidays that you spent far more than you could afford.Remind your loved ones that less expensive gifts can be just as thoughtful and useful as more expensive ones.Make baked goods or create handcrafted gifts for family and friends.Have your family members draw one or two names for gifts, instead of having everyone buy presents for each person. This may help other family members save money as well.Dont wait until the last minute to mail cards or buy presents. Take care of a few items each day to complete tasks with minimal stress and expense.Remember that less can be more.. Sometimes a simplistic holiday with a small dinner and fewer, very heartfelt gifts is more gratifyingSocial Isolation due to the pandemic or other reasons:Make a concerted effort to reach out to the people you enjoy.Plan some online events for the familyNetflix has group watching partiesUse Google Hangouts or WhatsApp to have a family quiz night, caroling night or reminiscing night.Up your holiday/Christmas card game this yearFind a new tradition that is ALL ABOUT YOU (and your household) such as an outdoor event going to the zoo a nature preserve, having a game night or movie marathon.Dealing with Death:One of the biggest challenges is dealing with the loss of a loved one. Whether it was a recent loss or the loss occurred a decade ago. The holidays often highlight their absence and bring intense feelings of grief loneliness and emptiness. You may even battle guilt for enjoying moments of the holiday.Consider the following ideas:Place the person's picture in a place of prominence at home.Light a memorial candle.Begin a new traditionMake a photo album of previous holidays together to focus on positive memories.Set aside a time so that everyone who wants to can share a memory or a funny story about the deceased.Toast to your loved one.Go to a religious serviceVolunteer to help those in need.Talk with someone. A counselor, or someone who can empathise and let you process without judgment.Remember that not everyone grieves in the same way. There is no accepted norm. You may cry at the drop of a hat, while someone else is more stoic. Some people may grieve for weeks, and others mourn for years. Understand that the holidays won't be the same as they used to be, but recognize that the new normal can be fulfilling in other ways.Strategies for Avoiding Holiday Depression:There is no reason to wait until depression happens to act on it, because there are approaches that can help prevent and minimize the symptoms. Generally, what can help is not being too hard on yourself for the difficulty you may be experiencing. Try to:Keep a regular schedule and build in breaks. Adequate rest and self care is crucial, especially during the hectic holiday season.Schedule in times to pamper or care for yourself. Do something you love or do nothing at all but you HAVE to be purposeful about it!Set realistic expectations of what the holidays will be like and realistic expectations for yourself regarding your participation.Avoid feeling guilty for picking and choosing which holiday gatherings you attendMake sure you get regular exercise. It's typical for people to stop doing the healthy things they usually do because of holiday activities and the inclement weather. Make exercise a top priority, even its only twenty minutes each day.Avoid overeating at every meal. Save indulging for special meals, like the big family dinner or the pot luck at work. Balancing indulgence with light, healthy meals will help you feel less lethargic and improve digestion.Be careful about the amount of alcohol you drink, alcohol is a depressant.Depression may occur at any time of the year, but the stress and anxiety during the months of November and December may cause even those who are usually content to experience loneliness and a lack of fulfillment that leads to depression, anxiety and a decreased quality of life. If these symptoms persist after the holidays, or youve already had them and they worsen due to the holidays please see your doctor, a psychiatrist or a counselor to get some extra help.Consider medication if your doctor agrees that it is appropriate. It is not a sign of weakness and it will not FIX it but it can take the edge off, making it more manageable for you.If your feelings worsen and thoughts of suicide creep in, please visit your nearest hospital, get an evaluation at an ER or a hospital such as WellBridge in Plano or call the suicide help line at 1-800-273-HELP.Lets switch gears for a moment now and discuss Suicide and the holidays.First, let me tell you the good news Suicide rates actually drop during the holidays statistically! This is great news for society in general but means nothing to the individual who is experiencing severe depression, feelings of helplessness, loneliness and lack of hope and is considering ending their life.Suicide is the 10th leading cause of death in the United States. It was responsible for more than 48,000 deaths in 2018, resulting in about one death every 11 minutes. Internationally that rate climbs to 800K deaths and one death every 40 seconds.Statistically, 25 times more people consider suicide than actually die from it. In 2019 12 million American adults seriously contemplated suicide. 3.5 million made a plan and 1.4 million attempted to end their life.These are ONLY the reported cases. It is believed that the number of unreported cases if known would increase each of these numbers by 9x. Many accidental overdoses were intentional but not classed as such car accidents that may have been intentional or other accidents. Many people never report their suicidal thoughts or that they were making a plan or that they made an attempt because they are embarrassed and do not want to be stigmatized or cause their families heartache and worry. So instead they suffer alone, quietly.It is a mistake to think that elderly people dont consider or attempt suicide. Those over 75 years of age make up the largest group of people who complete suicide. At that age many feel there is no hope left, they are a burden and no one would miss them.What is the impact? In addition to the number of people who are injured or die, suicide also affects the health of others and the community. When people die by suicide, their family and friends may experience shock, anger, guilt, and depression. The economic toll of suicide on society is immense as well. Suicides and suicide attempts cost the nation almost $70 billion per year in lifetime medical and work-loss costs alone. People who attempt suicide and survive may experience serious injuries, such as broken bones or brain injury. These injuries can have long-term effects on their health. People who survive suicide attempts may also experience depression and other mental health problems.Many other people are impacted by knowing someone who dies or by personally experiencing suicidal thoughts. Additionally, being a survivor or someone with lived experience increases ones risk for future suicide.THE TAKE HOME MESSAGE:Pay attention to your loved ones silent and sometimes not so silent signals. Warning signs of suicidal thoughts or planning can include:Often talking or writing about death, dying or suicideMaking comments about being hopeless, helpless or worthlessExpressions of having no reason for living; no sense of purpose in life; saying things like "It would be better if I wasn't here" or "I want out."Increased alcohol and/or drug misuseWithdrawal from friends, family and communityReckless behavior or more risky activities, seemingly without thinkingGiving away belongingsDramatic mood changes especially from depressed to happy!!! Weird huh?Talking about feeling trapped or being a burden to othersThe number one mistake people make is they dont ask.The uncomfortability only lasts about 8 seconds, but the reward could be a lifetime.Ask, what do you mean by..?Then ask blatantly and boldly. Do not mince words. hurt yourself is not effective.It may not hurt them to end their pain and misery, it might be merciful in their minds!!You must ask, Are you considering ending your life? or Have you had thoughts of killing yourself?If the answer is yes do not leave them alone until you have delivered them to help.Possible resources for help:Locally Emergecny rooms!! 24/7MHMRs great for uninsured IF during business hoursWellBridge for 24/7 assessmentNationally:The suicide Prevention Helpline 800-273-HELP (68,680 calls first month!)If you have been affected by suicide, reach out to someone at NAMI or a counselor you deserve someone to walk by your side to help you sort it all out.View the video of the presentation.

My Great Dane, Dragon, became ill late one night. I needed help ... a pet ambulance! I would have paid anything for a safe way to transport him. Years later, my mutt, Max needed surgery, radiation, and chemotherapy to treat a cancerous condition. I borrowed money to pay his vet bills. Why was I willing to go to any length to get them the help they needed?Here are just a few reasons.Thirty minutes with a dog or cat or watching fishdecreasesour anxiety and stress. There are physical changes that make a difference to our mood.Cortisol, a hormone associated with stress, is lowered.Serotonin, a chemical associated with well-being, is increased.Pet owners have lower blood pressure and lower heart rates during rest or during stress tests than non pet owners.Pet owners have a lower risk of dying from all cardiac diseases.Pets listen to us when we need a sympathetic ear. Pettingour animalscalms us. Caring for our pets can increase our feelings of self worth.Studies have shown that we benefit physically and psychologically by being pet owners.These studies and the unconditional love pets give help me understand why I am willing to do everything I can do to ensure the health and safety of the animals I love.Editors Note : This article was submitted by Lorry Schmitz, of Safely There Animal Transportation. She may be reached at 970-556-8661, by email atlorry@safely-there.com or visit her website at www.safely-there.com

Assisted Living is big business. Senior care communities are expanding rapidly in response to our aging population. Baby boomers, people born between 1945 and 1964 now represent 25% of the total population.Seniors have more choices than ever for care options. One alternative that some families are unaware of is a group home. A group home is a single family home, licensed by the State of Colorado to offer services for assisted living in Denver. This option is often not considered because these homes are tucked away in ordinary neighborhoods. You may have a group home in your neighborhood.Group homes offer the same services such as bathing, dressing, meals and laundry but for fewer residents. Most group homes have five to eight residents. Because there are fewer residents the care they offer is often better. A group home feels more like the home your mother lived in prior to needing assisted care. Research also shows that people with dementia respond better in a home environment. Residents do not sit alone all day in their apartment, they are helping fold laundry, setting the table or making the salad. These activities give the residents a sense of purpose and belonging.Most experts agree that the single most important factor when considering options for a loved one is the care that is offered. The most important person is the caregiver that interacts every day with your loved one. When evaluating senior care, look past the fancy amenities and take a good look at the way the business is managed. Look at the care staff, look at the company training standards, and ask the staff if they are happy. The care staff sets the tone for residents. If the staff is cheerful and well trained the residents will receive excellent care.Millbrook Homes have been recognized by the Alzheimers Association as offering excellent care for the memory impaired. Four of the caregivers at MillBrook Homes have been nominated this year for The Pat and George Sugerman Award an award offered by the Colorado Chapter of the Alzheimers Association to a professional caregiver that offers outstanding care.Editors Note: This article was submitted by Janet Cornell of Millbrook Homes she can be reached by phone at 303-220-7989 or by email at: millbrook5650jmc@live.com

To learn more about Assisted Living Locators, CLICK HERE.Its hard watching your loved one age. Suddenly it becomes clear that mom or dad can no longer live on their own, as their safety and well-being are at risk. As seniors are less able to stay home because of safety or security concerns, many families are caught in a position where they dont know which direction to turn.Senior care and senior living are a rapidly changing landscape of options, and the choices available to the average person looking for a new home can seem overwhelming. Its time to get informed.While navigating the senior care maze can be emotional and frustrating, there are resources available to you. This turning point is especially challenging since very often, the need is unexpected and immediate. An eldercare advisor can help bridge that gap by educating and informing you of the options that relate to your specific situation. An eldercare advisor can be an invaluable voice in sorting out the issues and bringing a fresh perspective to the situation.Here are 3 reasons why you need an eldercare advisor to help your family: Its an Emotional DecisionMaking decisions, sometimes fast decisions depending on your loved ones situation, can be emotional and stressful. We dont make our best or most informed decisions when we are faced with frustration and sadness. An Advisor is a Local Expert That Can Save You TimeEldercare advisors can provide an insiders view on local senior communities and short- and long-term care options. They can narrow down your list of communities to visit and ensure it is the right fit for your loved one. They visit communities regularly and have been working with families in your similar situation. Comprehensively trained, they are true experts and are a great resource for community, care and transition information. Its a Free Service!Eldercare Advisors are ready to help you find independent living, assisted living and memory care communities that meet your loved ones care needs.This article was submitted by Nikki Wulff, Owner of Assisted Living Locators. She can be reached at 402-926-9505

Rosemary Thomas proudly endorses physical fitness and the saying, If you dont move it, you will lose it.After two hip replacements and fluctuating weight, she knew she needed to step up her fitness routine to regain mobility. Joining SilverSneakers provided her with the consistency she desired and the confidence she needed to begin fine-tuning her body. In addition to attending SilverSneakers classes regularly, she loves cardio and dancing. Thomas encourages others to get active and says, Dont meet me at the gym; beat me getting to the gym.In 2016, Thomas was selected as one of 10 finalists for the SilverSneakers Richard L. Swanson Inspiration Award due to her inspiring story of improving her health and happiness, and being a dedicated fitness champion.With SilverSneakers, older adults can get active and feel great, at their convenience and at no additional cost. More than 14.5 million people are eligible for the SilverSneakers benefit through more than 60 health plans that include the nations leading Medicare Advantage health plans, Medicare Supplement carriers and group retiree plans.As Thomas story shows, fitness is personal. Each individual should exercise where, when and how they want. That's why SilverSneakers has built a national network of more than 13,000 participating locations and fitness centers use the pool at one location in the morning, jog on a treadmill at another in the afternoon And take a class at another gym in the evening.In addition, the program includes SilverSneakers FLEX, with more than 70 unique types of classes in convenient neighborhood locations, such as churches, recreation centers and older-adult living communities.Celebrating more than 25 years, SilverSneakers is the nations leading community fitness program designed specifically for older Americans. No other program has such a rich history and experience in older adult fitness. What began in 1992 as a first-of-its-kind class for older adults, has now grown and evolved to accommodate all fitness levels, from Baby Boomers and beyond.For more information about SilverSneakers or to check elegibility, visit www.silversneakers.com or call 1-877-402-6753. In addition, our Spanish customer service team is available at 1-888-617-6392.

Helping a loved one transition into a memory care setting usually means downsizing to a smaller residence. Here are some that can help make downsizing decisions easier and make the move as comfortable as possible. When feasible, let your loved one take an active role in selecting their residential care setting. Once a care location is selected, empower your loved one to help choose items to bring along. A floor plan can be an excellent guide to ensure items will fit with ease. Draw in furniture to determine what items, such as a comfortable chair can be brought along. This will make moving day much smoother. One of the best ways to help your loved one feel at home in a new setting is to make their personal surroundings as homelike as possible. This means setting up a room with personal effects, photographs and other items your loved one associates with home. Familiar pillows and memorable blankets can add comfort and familiarity. An entire wardrobe is not necessary, but your loved one will need several outfit changes, night clothes and undergarments. Daily laundry and housekeeping are often available to make sure garments are kept clean. Bedding should be soft and comfortable. A plush, but lightweight comforter can be soothing while allowing for easier movement at night. Bedside lamps that are easy to turn on, or nightlights, are excellent additions so that your loved one is not in the dark at nighttime. Decorating the front door to their room with a wreath or other personal item can help your loved one remember which room is theirs. These visual cues will be helpful.Downsizing into a residential care setting can be difficult for loved ones living with memory disorders, but there are ways to make the transition go as smoothly as possible. By taking the time to select the right setting and then empowering the loved one to make it feel like home, families can ease the process and reduce stress for themselves and their loved ones.Editorial note: Submitted by The Cottages at Chapel Creek. They may be reached at 214-952-8829. see ad page 202

Senior Contributions began taking on the challenge to educate Utah seniors and gather donations to help fund senior programs in the state in 2016.Through the past few years, many professionals with a focus on serving seniors have become more aware of the shortfalls in two critical areas, said Senior Contributions Assistant Media and Public Relations Director Susan Tolman. These areas were education of seniors and a lack of funding in senior related programs.Senior Contributions was organized to provide a way to bring together Utah seniors and their families with dedicated experts who could answer any aging related questions in a non-threatening educational environment, while raising funds to help underfunded senior programs.Every day each of us as caregivers see the need for help to those we care for, said Senior Contributions Vice-President Melissa Fitzgerald. We wanted to find a way to help raise money for those we care about.The intent is to put the experts in a place they can all be accessed by the public, and make Tuesdays a dedicated day of the week for families to go out to eat together and support senior programs in the community.It didnt take long for us to come up with the idea of partnering with local restaurants to bring our panel of experts into the community on a regular basis and to ask those participating restaurants to make a charitable contribution back to our organization based on their sales that night, said Tolman.Senior Contributions experts can address any question a family may have.They share information in an educational manner focused on service, and families no longer have to wonder where they can go to get information they need, said Fitzgerald. Just check the calendar to see where the panel will be any Tuesday of the month, take the family out to enjoy a meal together, and get answers to your questions without worry.Senior Contributions estimates they will contribute more than $1.5 million to Utah programs in need by the end of 2018.Our long-term goals are to have 1000 participating restaurants and contributions of nearly $10 million a year to support senior programs in Utah, said Fitzgerald.Editors Note: This article was submitted by Daniel S. Short of Senior Contributions. He may be reached at 801-891-7901 or by email: SeniorContributions@gmail.com

Care provided for clients with Alzheimer's or Dementia.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

Does your kitchen look like a display ad for gadgets and counter-top appliances? Does all of the excess furniture lying around your living space look like it should be in a yard sale? If you answered yes or even a reluctant no, then its time to freshen up your home. Spring is the season of renewal, so get caught up in the fever and throw out the junk and re-organize your space! For seniors citizens and their caregivers, these five spring cleaning tips are for safety first. Check the Medicine CabinetAre medications labeled and stored in their proper containers? Do you have old prescription drugs mixed in with the new? These common practices in homes pose potentially dangerous health hazards. Whereas some medications still retain their potency after expiration dates, many do not and should be disposed of. Old liquid antibiotics, drugs comprised of organic ingredients and those requiring refrigeration should be safely discarded.Be sure to store medications in a cool, dark, dry place; the bathroom does not fit that category. A better place is an airtight plastic container on a shelf in your closet. Clean Up ClutterTrips and falls are likely to happen when you accumulate too much stuff. Reduce the risk by removing unnecessary and obstructive items (including furniture) from your regular walking path and place them in storage. Make maintaining a clear walkway in every room of the house or apartment a top priority. And either tape carpet edges or throw rugs to the floor or get rid of them entirely.In the kitchen, remove infrequently used appliances off the counter, organize cabinets, create front row spaces for frequently use items, and clear out the refrigerator and pantry of stale food. Have an Emergency Plan in PlaceIn case of an emergency such as a fall, an attempted burglary, or a kitchen accident, do you have important numbers on speed dial? Know who to call in an emergency and have your phone programmed, accordingly.If you reside in an assisted living community, be sure you understand how the emergency response system works. Just like when you were living in a neighborhood, look out for others and know who to go to for help. Never Try to Move Heavy Objects or Furniture on Your OwnFor seniors with reduced strength or mobility challenges, doing household chores may seem like a monumental task. Never try to move furniture or heavy objects on your own. Dont stand on a chair or ladder to clean hard to reach spots or change light bulbs. Use cordless cleaning tools and lightweight equipment which are easier to use. Try the newer, more efficient technology tools on the market designed to make modern household cleaning a breeze. Monitor Your Smoke Alarm System, Fire Extinguisher and Emergency KitPeriodically check your smoke alarm system and carbon monoxide detectors; run a test to ensure batteries for detectors are functional.Every home should have at least two handheld fire extinguishers (one in the kitchen for sure). Check the expiration date and remind yourself to monitor the device every once in a while.Emergency kits should be assessed often and restocked in the Spring and Winter. General contents may include: a flashlight and spare batteries, thermometer, Band-Aids, scissors, tape, triple antibiotic ointment, wound care dressings, allergy and digestive medications, protein bars, a current medication list and names and phone number of family or friends to contact list in an emergency.Key Takeaways: Get rid of expired, unused medication. Store medicines in a cool, dry, dark place. Maintain a clear walkway for seniors to navigate. Know who to call in an emergency and have your phone programmed accordingly. Use cordless cleaning tools and lightweight equipment for household chores. Periodically check your smoke detector, fire extinguishers and Emergency Kits.Article by: Elizabeth Bemis

Elder law is a legal term coined to cover an area of legal practice that places an emphasis on those issues that affect the growing aging population.The purpose ofelder lawplanning is to prepare theelderlyperson for financial freedom and autonomy through proper financial planning and long-term care options.#listing_mgr{7 basic_search}#

I wouldnt say my mother was ever a social butterfly, but since Dads passing the home health nurse and physical therapist had become the weeks highlights.We just could never get there often enough! Then the pneumonia and fall in the bathroom last winter scared us all.My brother said there was no way Mom could afford a senior home because a coworker told him what it cost for his dad. I did an internet search and made a few calls but there were so many types, terms, and care levels that I gave up. My brother and I both have full time jobs!A few weeks later I had coffee with a friend whose elderly neighbor just moved into a retirement community. They had an advisor who helped the family discover the right place for free. My call to the advisor gave me incredible hope! He came to Moms home and asked about her health, where we lived, Moms lifestyle before last winter, her finances, and just listened to our story. Right then, the advisor described some communities that seemed exactly what Mom needed. I was totally surprised how Mom responded it was like she was catching the vision of what it would be like to share everyday life with others again!We toured four assisted living communities, met staff, observed resident activities, viewed units, and sometimes had lunch. We returned for a second and even one third tour. Our advisor was with us on as many tours as we wanted, and he helped us compare our feelings, observations, and costs.Well, it has now been four months since Mom made the big decision. I am convinced this went so well because we just patiently gave her more information, showed her what assisted living looked like, and considered the little things that made a huge difference. The same home health nurse and physical therapist are still seeing her. Now we visit Mom and hear stories about who moved in, the ladys son who builds rockets, and the teenager who plays violin and is coming this afternoon. The word thrive comes to mindand relief.Byline: Editors Note: This article was submitted by Jim Ver Meer, Owner and Advisor of Senior Living Decisions. You may reach him at719-629-9224or by email at start@seniorlivingdecisions.com.

The Energy Employees Occupational Illness Compensation Program Act (EEOICPA), first implemented by the U.S. Department of Labor (DOL) in July 2001, provides compensation and medical benefits to former Department of Energy (DOE) employees who became ill as a result of working in the atomic weapons industry.The Program compensates those suffering from more than 20 types of cancers or other ailments including beryllium and asbestos-related ailments and chronic obstructive pulmonary disease (COPD). Uranium miners, millers, and ore transporters are also eligible for benefits if they have developed an illness as a result of toxic exposure at a facility covered under Section 5 of the Radiation Exposure Compensation Act (RECA).Nuclear Care Partners (NCP), an authorized provider of skilled home health care under the DOL, doesnt file claims but can help chronically ill individuals navigate this process. NCP works exclusively with former DOE workers who have been diagnosed with work-related illnesses and qualified for no cost in-home medical benefits under the DOL EEOICPA, DCMWC and FECA Programs. They provide superior, patient-centered care and their goal is to support individuals in maintaining independence while living in the comfort of their own homes.Burt Stephens, an NCP patient, has had to deal with exposure to radiation. His story is both informative and inspiring. Burt joined the Army when he was 16 and was paid $50 per month. For an extra $50 he joined the paratroopers and started jumping out of planes. He was one of 2000 men who parachuted into the Korea conflict. Later, Burt worked in the Air Force where he worked on nuclear missiles and finished his career at the Nevada Test Site where he was an engineer technician who wired the bombs that were detonated at the site.Burt began services with Nuclear Care Partners a little over a year ago and states, If it wasnt for this group (NCP) saying youve got a lot of years ahead of you. and showing me how to live again, I dont know where Id be. To learn more about Burts story please go to www.nuclearcarepartners.com/meet-our-patients.If you are a former Department of Energy employee, contractor, or subcontractor and would like more information about these programs or how Nuclear Care Partners can help, please contact us at 888.525.5111.Editors Note: This article was submitted by Amy Austin. Amy is a patient advocate for Nuclear Care Partners and can be reached at 970-644-2992 or emailed at aaustin@nuclearcarepartners.com

Motivated by heart-breaking stories her own mother told about growing up in foster homes and determined to protect children in that situation now, Elaine Ellis became a Guardian ad Litem volunteer six years ago. Mom wasnt abused like many were back then, but she wasn't loved either, Elaine recalls. Now, she's working to make sure children in state custody, like 7-year-old Sarah and her 8-year-old brother, Elijah, are treated the way she wishes her Mom had been. Twice last year Sarah and Elijah needed someone in their corner, and both times Elaine was ready to stick up for them. The children's father disappeared years ago and their mother, Linda, fell and hit her head while working in Lewiston. Her injuries required a long hospital stay and months of rehabilitation. Doctors said it would be at least a year before she could care for herself and the children. With no one to care for them, Sarah and Elijah were placed in a foster home to wait for Linda to recover. Sarah and Elijah were devastated when I met them, Elaine said. I've never seen two sadder kids. Elaine visited them regularly - working hard to earn their trust in the months that followed. She took them books and blankets, checked on their grades, and listened to their stories about their Mother and all the things they would do when she was well. It was two months later that Sarah shared a secret with Elaine - a teenager in the foster home was abusing her brother, she confided. Elaine reported the abuse and Sarah and Elijah were immediately moved to another foster home. In the meantime, Linda's therapy progressed. Her condition improved enough to have visitors, and Sarah and Elijah were ecstatic to learn they would be able to see their mother over the Holiday break. Every time Elaine visited they were making plans for the visit. It was only four days before Christmas when Elaine got a frantic phone call from Carrie, the foster mom. Carrie told Elaine the arrangements for the children's Christmas visit with their mother hadn't been finalized, and no one at the Department of Health and Welfare had given approval for the trip. The person with the authority had left town, Elaine said. I just couldn't stand for them to have that kind of disappointment. It took dozens of calls and three trips to state offices but Elaine finally found someone with the authority and willingness to approve the trip, but there were still no travel arrangements. Finally, on Christmas Eve, Elaine found friends from church, foster parents, who were traveling to Lewiston and had room for two more passengers ensuring Sarah and Elijah would spend Christmas with their Mom as promised. There wasn't anyone to watch out for my Mom, Elaine said, I'm happy to be part of a program that watches out for kids like her now. Names changed to protect the identities of those we serve. This year over 1,100 children in the Treasure Valley were placed in foster care because of abuse or neglect. Family Advocates has trained over 350 volunteers to provide a voice to children in foster care through the Guardian ad Litem program. Family Advocates is in need of 120 additional volunteers to help meet demand and ensure all children have someone to stand up for them in times of need. If you are interested in becoming a Guardian ad Litem and making a difference in a child's life contact Brad Talbutt at 345-3344 or email bradt@familyadvocate.org. No experience is required. Family Advocates provides all volunteers with training and supervision by experienced staff.

Building dementia friendly communities in Illinois holds signi?cant importance to the families and persons living with dementia. It is estimated that 220,000 people in Illinois have dementia due to Alzheimers disease and by 2025 the number will increase by 18% to 260,000 people.Too often, people living with dementia and their caregivers feel alone, isolated and unable to participate or engage in activities they have always loved. Dementia friendly communities have committed to working with people with dementia and their support systems and engage multiple sectors of the community that commit to helping people with dementia live as independently as possible. The goals of a dementia Friendly community are to educate the community by increasing awareness and understanding of the disease, decreasing the stigma of the disease, fostering community involvement and improving the lives of those with dementia and those who care for them. One way a community can be Dementia Friendly is to host a Memory Caf, a safe and welcoming social gathering for people with Alzheimers and Dementia. Each Memory Caf is unique and can include an activity that is fun and stimulating for participants, an educational program or something else that is engaging for participants.Another way a community can be Dementia Friendly is to host Tales & Travels Memories programs. Each one-hour program takes participants on an imaginary trip to another country utilizing books, music, artifacts, folktales and interesting facts about each destination. The Agency on Aging Northeastern Illinois has been working on an initiative to help communities become more inclusive for people with dementia. Two communities in their region, North Chicago/Lake County and Kankakee County, have joined the Dementia Friendly America network of communities! The Agency on Aging Northeastern Illinois will be continuing their efforts in 2019 to engage more communities and businesses in becoming Dementia Friendly. They plan to host memory cafes and Tales and Travels Memories programs through local libraries. The Agency plans to train more businesses on how to interact with people with dementia through their Dementia Friendly Business Training. They have trained nearly 8,000 people to date through community presentations and business sector training's.Editors Note: To learn more about Dementia Friendly communities or the other programs for people with dementia, contact Colette Jordan at the Agency on Aging Northeastern Illinois at (630) 293-5990 or cjordan@ageguide.org.

Refers to "round the clock treatment" in a home environment. The care may be shared by multiple caregivers or a single caregiver.#listing_mgr{8 basic_search}#

Did you know that 1 in 3 people aged 65+ falls every year? Or that chronic diseases like diabetes, arthritis, heart disease, and lung disease can force older adults to give up their independence too soon? The good news is that there are free classes available to help older adults reduce their risk of falling and help people with chronic diseases learn to manage their symptoms for better quality of life.A Matter of Balance Classes emphasize practical strategies to reduce fear of falling and increase activity levels. You will learn to view falls and fear of falling as controllable. Youll set realistic goals to increase activity, change your environment to reduce fall risk factors, and exercise to increase strength and balance.These proven classes were developed by Maine Healths Partnership for Healthy Aging, and have been taught with successful results nationally. Two coaches teach small classes, no larger than 16 persons. Two-hour classes are scheduled weekly for eight weeks or twice a week for four weeks.Chronic Disease Self-Management Program - Diabetes Self Management Program Interactive classes focus on building your skills to deal with any ongoing health condition, including arthritis, asthma, bronchitis, diabetes, depression, emphysema, heart disease, high blood pressure, osteoporosis and other physical and mental conditions. Classes are scheduled for 2 hours weekly for six weeks. One or both of the lay leaders teaching your class have a chronic condition.Topics include techniques to deal with frustration, fatigue, pain, and isolation; improving strength, flexibility, and endurance; healthy eating; appropriate use of medications; and working more effectively with health care providers.Developed by Stanford University and taught with proven results throughout the world, Self-Management classes can be your answer to take charge of your health and your life.To sign up for classes or discuss volunteer opportunities, contact:Collin & Denton Counties: North Central Texas Area Agency on Aging, 1-800-272-3921 or 940-999-1024Dallas County: Dallas Area Agency on Aging, 214-871-5065, empoweryou@ccgd.org 'Editors Note: This article was submitted by Marilyn Self, Director of the Dallas Area Agency on Aging, at the Community Council of Greater Dallas. 214-871-5065 or mself@ccgd.org

Are you a caregiver with a loved one, recently diagnosed with memory loss that would benefit from attending a social day program? Family Options of Florida offers relief for caregivers while providing a stimulating environment for their family member to socialize and actively participate in activities. Participants can enjoy music, exercise, crafts, cards, games and much more. Eve a fun workout with x-box connect activities such as: bowling, boxing, golf and darts. Theres also an outside patio for gardening or relaxing.The center also caters to those diagnosed with Alzheimers, Parkinsons, or other challenges. Trained and caring staff and volunteers welcome your loved one weekdays, all day or part time. Helpful staff can assist in the computer or sensory rooms or in the garden and provide individual and group activities. An in house therapy specialist is able to provide physician ordered therapy and caregiver support is offered through Caregivers Cottage at no charge.Affordable rates and excellent service make the Center the right choice for the person in your life who needs someone to care for them when youre not available.Editors Note: This article was submitted by Family Options of Florida. For a tour or more information, call 239-275-0605 or visit their website at www.familyoptionsfl.com.

These communities are either licensed assisted living facilities that specialize in delivering care to victims of dementia or a unit of a skilled nursing facility. The same licensure rules apply. Communities are typically bedroom-style rental units with common areas for dining and activities. Many are locked for residents safety. Staff is usually specially trained for the special needs of this population. Amenities vary. Services include meal plans, cable television, local phone calls, housekeeping, laundry maintenance and transportation. Personal assistance with ADLs available. Rates also vary from all-inclusive to base rates with levels of care/point system for care#listing_mgr{1 basic_search}#

Refers to what usually results from major bone fractures.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

A lot of people, medical professionals included, do not know the difference between home health and non-medical home care. Home health is provided by registered nurses, physical therapists, medical assistants, speech therapists and occupational therapists. These professionals make short visits, usually an hour or less, to the home of patients to conduct specific, medical procedures and tests.Non-medical caregivers whether they be family members or hired, professional home care providers, help older adults with non-medical activities of daily living (ADLs.) Activities of daily living include meal preparation, assistance with bathing, dressing, toileting, light housekeeping, medication reminders, transportation and much more. Independent Activities of Daily Living (IADLs) include going on doctors visits, meal preparation, shopping, household management and much more. Additionally, many older adults face the issue of being socially isolated because their ability to drive, walk and communicate are compromised by their illnesses. Children and spouses can feel a high degree of stress if this issue is not ameliorated by professional companion care.It is very important for discharge planners, patients and their family to identify, acknowledge and plan for non-medical home care for patients and their elderly spouses with chronic conditions such as Alzheimers, dementia, ALS and Parkinsons disease.Over 90% of the medical professionals in attendance at a recent continuing education seminar about caregiver stress reported that they would change their professional performance by both a) Making an effort to determine if the family members would be available to provide the home care that the patient needs; and b) Recommending that families use professional non-medical home caregivers if there is a need.So, when confronted with the problem of caring for an older adult, using a professional non-medical caregiver is an option that can enhance the lives and well-being of both family members and the older adult who needs extra care. Here are some examples of outcomes created by families who chose to use professional, non-medical caregivers:Martha arrived and the entire household spirit changed. Words cannot adequately convey the peace that Martha brought to Mum and the family as a whole.You dont know how much I needed you all. Thank you is not enough!Very personable service. The staff are very professional, courteous, and understood our needs. The help was outstanding and much needed and exceeded our expectations during a great time of stress.Editorial Note: This article was submitted by Jared Caplan, M.S./Administrator License #017091 with Home Care Assistance of Dallas and may be reached at 214-363-3400 or by email at jcaplan@homecareassistance.com. See add on page 101 & 105

The information is all around us news articles, family, and friends -- yet many of us keep kicking the LongTerm Care planning can down the road. Hope we will never get old, hope we will never need care, and if indeed, we do get old and need care, the hope is someone will solve this problem with free care.Historically, shifting the Long-Term Care risk has been accomplished with Traditional Long-Term Care policies. These are pure risk policies, paid annually for life or till claim. Cost for these types of policies has risen over the years due to declining interest rates.Many people have shied away from these types of policies because of rate increase histories and because if they never go on claim, they feel they are losing the money spent over the years on premiums. This trend has resulted in the creation of a wealth transfer product called Asset Based Long- Term Care. The uniqueness of this product helps eliminates the fear of if I dont use it, I lose it. This product is ideal for individuals who understand the need for Long-Term Care planning and are considering self-funding their potential care needs.The design of these products allows for three main benefits. First, many polices guarantee a refund of the single premium paid in at any time. Second, if you die without needing care, a step up of the initial premium is paid out as a tax-free death benefit. Third, if you need care, these policies pay out a multiple of the premium as a tax-free benefit to pay for care. The care is provided by a Monthly acceleration of the Death Benefit and some plans pay a multiple of the Death Benefit for needed care. This product may be appropriate for people who are over 60 and are thinking of self-insuring. They can self-insure with leverage of 4, 5, or 6 to one.If you have been guilty of kicking that Long- Term Care Can down the road, now is a great time to look at your options with an Asset Based Long Term Care policy. Growing older is mandatory but doing it well is optional. Having a plan for Long-Term Care is part of doing it well. What is your plan?Editors Note: This article was written by Tim Ripp, EVP, and Associates of Clifton Park and provided by Bridget M. Sullivan, a Financial Advisor offering Securities and investment products and services offered through Waddell & Reed, Inc. (WRI), member FINRA/SIPC. Insurance products are offered through insurance companies with which Waddell & Reed has sales arrangements. The article is meant for educational purposes only. It should not be considered investment advice, nor does it constitute a recommendation to take a particular course of action. Please consult with a financial professional regarding your personal situation prior to making any financial related decisions. Waddell & Reed is not affiliated with Timothy Ripp or Associates of Clifton Park.

We love our dogs, dont we? They can be purebred or mixed, lapdog or running companion, therapy, support or guardian animals, hearing or deaf. What? Deaf?Yes, deaf. Many people know firsthand that deaf dogs can be great pets.But did you know that dogs hearing may be tested and possibly treated? When yourfaithful companion no longer gets excited to hear the leash being taken out, it may not just be old age; it may be that the dog no longer hears well. Now its possible to find out.Deafness in dogs, according to George Strain, Ph.D. professor in the LSU School of Veterinary Medicine in Baton Rouge, Louisiana, is generally a genetics problem that is present at birth or shortly after and is usually an all-or-nothing phenomenon. The dog either hears or it doesnt. However, a puppy that seems fine to the casual observer may not be able to hear. Breeders and owners alike want to know the likelihood that deafness is present or may show up later. Some breeds, such as Dalmatians, and coat patterns, such as that of the blue merle Australian Shepherd, are known to have higher incidences of deafness. The American Kennel Club now asks breeders to seek hearing testing on puppies, much as they advise testing for hip dysplasia.Audiologists may earn the Certificate in Animal Audiology through FETCHLAB, an animal hearing and bioacoustics laboratory at the University of Cincinnati. Animal Audiologists can even make hearing aids for dogs. Owners of dogs whove been fitted with hearing aids say that although they may paw at their ears at first, dogs soon adapt to wearing the devices. Interested in adopting a deaf or hearing-impaired dog? Check local rescues and Petfinder online for special needs dogs; some may be deaf. They are just as loving (or rowdy!) as their canine peers and can be trained much the same as other dogs.For training tips, go to www.deafdogsrock.com. Ask me more when you come in for your hearing test! 'Editors Note: This article was written by Laurie Bornstein, MS, CCC/A with Executive Hearing. She may be reached at 972-447-8330, ExecutiveHearing@gmail.com or www.executivehearing.com.

In my past career as a Physical Therapist, I did a lot of Rehab on folks that had suffered a fall (or falls) at home.Many times, the falls could have been avoided by minimizing risk factors ahead of time. There are many causes of falls and many ways to minimize the risk. I want to cover just one of those risk minimizers in this short time we have: Down-sizingBy definition it means to simplify, de-clutter or take up less space. From the point of view of Rehab it might mean returning someone back to home to Age in Place. It may also encompass changing where you live.So, why Downsize?*Safety: de-cluttering your living space may reduce risk of falls. A more efficient living space may also help.*Accessibility: Modifying your current space might make it easier to move about in your daily activities OR rent/purchase something that suits your physical needs (i.e.: NO stairs; all living space on one level, etc.). A Physical or Occupational Therapist specializing in Accessibility is helpful.*Energy Conservation: less to clean. Focus on the want-tos vs. have-tos that come with a large house or tons of stuff. Spend more of your energy taking care of you (develop your hobbies, exercise, socialize, learn, travel) instead of spending most of your energy caring for your habitat.You have worked hard now, enjoy!Editors Note: This article was written by Dawn Mathis, SRES, GRI, ABR - Associate Broker @Coldwell Banker Residential Brokerage. She can be reached at 970-481-5263.

Happy Holidays! The best way to spread Christmas Cheer is singing loud for all to hear. Enjoy these Christmas performance clips presented by the Spectacular Follies.

Visiting Angels West Metro Receives 2022 Best of Home Care Leader in Experience Award Wayzata MN Visiting Angels West Metro announced today that it received the distinguished 2022 Best of Home Care Leader in Experience Award on January 26th from Home Care Pulse, the leading firm inexperience management for home care. The Leader in Experience Award is the highest recognition awarded by Home Care Pulse and is given to select home care businesses that consistently rank among the veryhighest in 10 or more quality metrics. As a Leader in Experience, Visiting Angels West Metro is nowrecognized among the top 10% of home care providers participating in the nationwide Home Care PulseExperience Management Program.This accomplishment demonstrates Visiting Angels West Metros (VAWM) long-term dedication to excellentcare and quality improvement. To qualify for this award, 10% of VAWMs clients and caregivers were interviewed each month by Home Care Pulse. Over a 12-month period, VAWM received high client andcaregiver satisfaction ratings in areas such as caregiver training, compassion of caregivers,communication, scheduling, client/caregiver compatibility, and more. Using feedback from clients andemployees, as well as quality benchmarks from Home Care Pulse, the VAWM management team set goalsto reach the highest level of Experience possible.We are honored to receive this national award, and to be one of only four home care providers in the entirestate of Minnesota recognized with it. It is a humbling award, especially during a pandemic which is soimpactful to our clients and caregivers in a multitude of ways! We sincerely appreciate our clients andcaregivers for recognizing our dedication as we always try to do the right thing, says Gary DeVeau,Co-Owner and Operations Director.The Best of Home Care Leader in Experience Award highlights the top-performing home care businessesin the nation. Home Care Pulse believes that by honoring these providers, families looking for in-home carefor a loved one will be able to recognize and choose a trusted home care provider.At Home Care Pulse, our mission is to help home care businesses create an experience that goes beyondclient and caregiver expectations, says Todd Austin, President of Home Care Pulse. When we seeagencies like Visiting Angels West Metro that have so effectively provided outstanding care andemployment experiences, we know were on the right track. VAWM has worked extremely hard to prioritizehigh-quality care and employment, and their work hasnt gone unnoticed. This award allows them to showproof of quality to potential clients and caregivers.To find out more about Visiting Angels commitment to experience, please visitwww.visitingangels.com/wayzata or www.visitingangelsstlouisparkMN.com or call 952-935-0789.About Visiting Angels West Metro was founded in 2005 and its mission is to provide quality care with responsible, compassionate caregivers.We strive to improve the quality of life for our clients and families by allowing them to remain asindependent as possible, to help them find purpose, and to continue to have engaging social contact. We're Here for you!

In response to the needs of an aging population, Saint Alphonsus Health System opened Senior ERs this past year within all their emergency departments in Boise, Eagle, Nampa (2 locations), Ontario and Baker City.Saint Alphonsus emergency staff are highly skilled and trained to provide the most advanced medical care for patients of all ages, said Sally Jeffcoat, President and CEO, Saint Alphonsus Health System. As part of our mission to heal body, mind, and spirit we have chosen to seek additional training and education and go even further to address an unmet need for this growing segment of our population. We are proud to be the first in Idaho and Oregon to create Senior ERs.Saint Alphonsus Senior ERsTM address the special medical needs, preferences and physical comforts of older adults and their caregivers. Beyond the typical ER visit, where staff focus on treating the medical issue at hand, the Senior ERTM goes deeper, assessing and addressing root causes for each visit . The care and attention senior patients receive is intended to make them feel more calm, safe, secure, informed and cared for. And caregivers can have greater peace of mind that staff are looking at their loved ones long-term needs.To create the Senior ERTM, Saint Alphonsus implemented fundamental changes in culture, physical environment and operations. Each Senior ERTM is run by a specially trained care team focused on providing a better, gentler, more patient-centered experience that produces better patient outcomes.Emergency Nurses have completed in-depth courses on Geriatric Emergency Nursing EducationEmergency physicians have specialized knowledge in the care of seniorsPharmacists may review medications that could pose a problem or may have contributed to the patients ER visitLicensed social workers or case managers may be available to discuss care options and screenings with both the patient and the caregiverFacility modifications have been made to address the safety, comfort and communication for seniors, and may include:quieter setting for carepressure reducing mattresseshearing and vision aidslarge printappropriate flooring and lightingSaint Alphonsus has physical variations in each ER. In some locations, seniors will be treated in dedicated Senior ERTM space and in others all patient beds are outfitted for seniors. The Boise ER is currently under construction to expand to better serve the needs of seniors, so the accommodations will change during each phase of construction.No matter what physical variations you may encounter, all Saint Alphonsus staff have received the additional, specialized training and are committed to offer a similar Senior ERTM experience to all seniors accessing emergency services.Locations:Boise 1055 N Curtis RoadEagle 323 E Riverside Drive (Eagle Road/State Hwy 44)Nampa 1512 12th Avenue RoadNampa 4400 E. Flamingo Road (off I-84/Garrity Exit)Ontario 351 SW Ninth StreetBaker City 3325 Pocahontas Road

Organizations that perform advocacy roles and inform the public about the latest research developments and provide assistance for specific illnesses.#listing_mgr{7 basic_search}#

Support services are non-profit, for-profit and government organizations providing support and associated services such as counseling for specific illnesses and conditions.#listing_mgr{7 basic_search}#

In my past career as a Physical Therapist, I did a lot of Rehab on folks that had suffered a fall (or falls) at home.Many times, the falls could have been avoided by minimizing risk factors ahead of time. There are many causes of falls and many ways to minimize the risk. I want to cover just one of those risk minimizers in this short time we have: Down-sizingBy definition it means to simplify, de-clutter or take up less space. From the point of view of Rehab it might mean returning someone back to home to Age in Place. It may also encompass changing where you live.So, why Downsize?*Safety: de-cluttering your living space may reduce risk of falls. A more efficient living space may also help.*Accessibility: Modifying your current space might make it easier to move about in your daily activities OR rent/purchase something that suits your physical needs (ie: NO stairs; all living space on one level, etc). A Physical or Occupational Therapist specializing in Accessibility is helpful.*Energy Conservation: less to clean. Focus on the want-tos vs. have-tos that come with a large house or tons of stuff. Spend more of your energy taking care of you (develop your hobbies, exercise, socialize, learn, travel) instead of spending most of your energy caring for your habitat.You have worked hard now, enjoy!Editors Note: This article was written by Dawn Mathis, SRES, GRI, ABR - Associate Broker @Coldwell Banker Residential Brokerage. She can be reached at 970-481-5263.

Youre not healthy without good oral health (US Surgeon General Koop)Do you want to feel good, stay healthy and look great throughout life? You might be surprised what a difference a healthy mouth makes. By adopting healthy habits at home, making better choices about diet and lifestyle and seeking regular professional dental care, many older adults are keeping their teeth, staying healthier and looking better than ever.The Mouth/Body ConnectionDid you know that an unhealthy mouth worsens serious medical problems, such as, heart disease, stroke, diabetes and rheumatoid arthritis? Medical studies make it clear that a healthy mouth means a healthy body and visa/versa. Your teeth are important for speaking, chewing, digestion, smiling and your overall appearance. And your teeth are never too old to be repaired or replaced. If you dont maintain your natural teeth or replace the teeth that are lost, your overall health will suffer. There is a connection between a healthy mouth and a healthy body. Bleeding gums, receding gums, or sensitive and loose teeth are not normal at any age.Adding Power to the Chewing SystemIf youve lost all or some of your natural teeth, your dentist can make removable dentures, partials or bridges, but they arent the only way to replace teeth anymore. Dental implants are an option that many older adults are choosing to increase their chewing power to help them eat right, feel better and look great. A conventional denture that is not supported by implants replaces only 10-20% of your chewing power, while an implant supported denture can increase your ability to chew up to 75-80%.Prevention is Key!Brush your teeth two-three times/day with an ADA approved fluoride toothpaste and a soft bristle toothbrush or electric toothbrush. Clean in between your teeth with floss or other interdental cleaner daily. Talk to your dentist about what oral hygiene products work best for your teeth and gums. Drinking plenty of water throughout the day helps prevent tooth decay and gum disease no matter how old you are. Finally, visit your dentist every 3-6 months for a complete dental check up that includes an oral cancer exam whether you have your full compliment of teeth or not.Editor's Note: This article was submitted by Colleen S. Carter, D.D.S.. Dr. Carter is an advanced restorative dentist and may be reached at 303-765-2824 or drcarter@drcartersmiles.com and on the web atwww.drcartersmiles.com

The best way to protect ourselves and our loved ones is through social distancing, mask wearing and practicing good hand hygiene. Select the mask that works best for you and the circumstances and stay safe!Types of masks for COVID-19 protection:Homemade Cotton Face Masks This kind of mask offers a very low level of protection, but it helps remind you not to touch your face. As a reusable option, it is important to keep it clean and regularly wash your face mask in a 140194 F hot machine wash with laundry detergent. One more thing to remember: shape matters! Your mask protects you better when it fits your face perfectly.N95 Respirator Mask N95 respirators are designed to create a tight seal around the nose and mouth. When worn correctly, they can block over 95% of small airborne particles. Some even have as much as a 99% bacterial filtration efficiency (BFE). Respirators are the best at protecting both the wearer and the people around them. N95s are made of layers of polypropylene fibers, which is what makes them so effective. The N95 is regulated by the CDC and NIOSH unless it is marketed for medical use, at which point the FDA will approve them as well. In response to the Coronavirus pandemic, the FDA changed their guidelines with an emergency use authorization (EUA) to allow NIOSH approved respirators to be used in healthcare circumstances.KN95 Mask KN95 particulate masks are also rated to filter 95% of particles and are regulated by the Chinese government. The FDA also issued an emergency use authorization (EUA) authorizing the use of KN95s as a valid alternative to NIOSH approved masks. Another difference between KN95s and N95s is that the KN95s often use ear loops rather than an over the top of the head and behind the neck two strap configuration like the N95.3-Ply Disposable Masks 3-ply disposable masks are fluid resistant and provide the wearer protection against large droplets, splashes, or sprays of bodily or other hazardous fluids. They also protect others from the wearers respiratory emissions. They are more loose fitting than either N95 or KN95s, so provide a less reliable level of protection from inhaling smaller airborne particles. When marketed for use in healthcare scenarios, as a surgical or medical 3-ply mask, they are regulated by the FDA and therefore provide better protection than a homemade mask.Editors Note: This article was submitted by Chris Myers, Partner at Community Attire, an organization dedicated to providing protective supplies to help keep people safe and businesses running. Chris can be reached at chris@communityattire.com or +1-213-761-4229. More safety articles are available at communityattire.com.

One of the biggest challenges facing the healthcare industry today is ensuring people are getting the appropriate type of care as soon as possible. Humana Behavioral Health's expert clinical staff focuses on just that: the right care at the right time.Case Reviews and Eligibility VerificationThe team conducts prospective, concurrent and retrospective case reviews to ensure members receive care that truly improves their overall behavioral health. They also conduct eligibility verification, explanation of benefits, inpatient authorizations and specialty claims process and repricing management.The utilization management team helps connect members with our network of more than 65,000 credentialed psychiatrists, psychologists, nurse practitioners, social workers and licensed professional counselors.Real Costs of Behavioral Health ConcernsWith nearly one-third of adults having a diagnosable behavioral health disorder, the need for effective, managed care for mental health issues is more important than ever.* If left untreated, undiagnosed or undertreated, behavioral health issues can drive up healthcare costs and lower employee productivity in the workplace.Consider that:The economic costs of mental illness will be more than cancer, diabetes, and respiratory ailments put together, according to The National Institute of Mental Health, USA.**The Institute also estimates that mental illness costs the country at least $444 billion a year.**According to federal guidelines, employers who do not make accommodations for employees with serious mood disorders could be sued.***"The Numbers Count: Mental Disorders in America," U.S. Census.

To learn more about Inspire Health Clinics,CLICK HERE.Heel pain can seemingly strike out of nowhere, and when rest and ice dont relieve your symptoms, its best to have the problem checked out. Untreated heel issues can become chronic.Heel pain is a common complaint and when it strikes your first instinct is likely to wait and see if it improves. You may turn to some self-care approaches, such as ice, heat, rest, and compression. In some cases, this is all you need for heel pain to resolve. If heel pain sticks around, its time to visit an orthopedic physician for an evaluation.At Inspire Health Clinics in South Jordan, Utah, foot and ankle surgeon Matthew Graff, DPM, specializes in diagnosing and treating conditions that affect the foot and ankle. Problems that affect the feet and ankles are often dismissed until they become too painful to ignore. In this post, we discuss more about heel pain and the signs and signals that you should see a physician.When heel pain signals an injury Your feet and ankles have a big job to do. They carry your weight so that you can walk, jump, run, and move effortlessly. Foot and ankle injuries are common and a sign that you should see an orthopedic physician to get checked out. Any damage to the foot or ankle requires medical treatment so that your foot can heal properly. Untreated foot and ankle injuries can result in chronic problems down the road.Here's what to look out for that may point to a heel injury:Problems walkingSwellingBruisingTingling or numbnessWeaknessPainIf you have a history of foot and ankle problems it's important to see an orthopedic physician to check for underlying issues.Common causes of heel painOveruse and underlying medical conditions commonly cause heel pain.Plantar fasciitisA thick band of tissue called a plantar fascia runs from the back of your heel to your toes. This tissue can become inflamed. Plantar fasciitis is the most common cause of heel pain and typically causes a stabbing pain at the bottom of the foot in the heel area. You're more likely to get plantar fasciitis if you're an athlete or stand on your feet for long periods. Excess pressure on the plantar fascia can cause irritation and inflammation.Heel spurA heel spur is a bony growth that forms at the bottom or back of your heel. It varies in size and can cause pain when you walk. Not all heel spurs cause pain, and many people who have them are unaware of it. When a heel spur does cause pain, it can make it difficult for you to walk comfortably.BursitisBursa are fluid-filled sacs that cushion your joints so that they glide smoothly. Bursitis occurs when the bursa near the heel joint becomes irritated or inflamed. This can cause your heel to feel painful and swollen.Achilles tendonitisThe Achilles tendon connects your lower leg to your heel bone. This tendon is vulnerable to overuse if you play sports that involve running, such as basketball. You're also more likely to develop Achilles tendonitis if you're overweight. Inflammation of the Achilles tendon can cause heel pain and limit your range of motion. Left untreated, Achilles tendonitis can result in a tendon rupture. If you're dealing with heel pain, discomfort, limited range of motion, or other heel issues, its best to consult with a foot and ankle specialist for further evaluation. Don't ignore heel pain. A prompt diagnosis paves the way for treatment to relieve your pain. Give us a call to schedule a visit with Dr. Graff. New and existing patients can also request an appointment using our online booking form.

Kitchen Krush was developed locally with a passion to deliver revolutionary products to serve the needs of people.Are you frustrated with:1. A traditional cane that is hard to see with in the dark and too bulky to carry around?2. Attempts to open jars and have excruciating pain?3. Unable to reach for items in cupboards or bend over to pick something up?Kitchen Krush developed revolutionary products to serve.Finally Im able to open jars much easier. Send me your cards so I can start telling people about you!The reacher closes easily. I now have one in every room, in my car, and in my garage. I wouldnt give mine up for the world.Such a great cane, extremely solid and stable footing, makes you feel confident even on wet surfaces. Nicely adjustable up to 39 inches for tall people like me. The light is great also.For your convenience, you can order online at www.kitchenkrush.com or with our simple cut and mail order option. Do not miss out and select your favorite product(s) to have today!

The Longest Day is all about love. Love for all those affected by Alzheimers disease. On the summer solstice, June 21, 2018, participants will team up to do an activity they love or an activity loved by those affected to help end Alzheimers. What people do on The Longest Day is up to them! This is a way to honor someone living or lost to the disease by selecting one of their favorite hobbies, or select an activity that honors a caregiver. Or, do what they are passionate about to recognize this important day.To demonstrate the commitment our participants have to our fight, we ask each team to raise funds and awareness to fuel the efforts of the Alzheimers Association. From face-to-face support to online education programs and promising worldwide research initiatives, all donations raised make a difference in the lives of the millions of people affected by Alzheimers today and those who will face the disease tomorrow. Every dollar raised helps to strengthen our impact while moving us closer to our vision of a world without Alzheimers disease.More than 5 million Americans are living with Alzheimers disease, here in Pennsylvania 400,000 people are affected by Alzheimers disease or related dementia. There are 15 million Americans providing unpaid care for people with Alzheimers or other dementias. Last year these caregivers provided an estimated 18.2 billion hours of care valued at over $230 billion. These caregivers are our inspiration for The Longest Day, we want to show them our support for their fight and help end this disease.You can show your support for those affected by this devastating disease by registering youre Longest Day team today. Visit www.alz.org/tld to register, build your team, set your activity and start raising funds and awareness for the Alzheimers Association. If you have any questions about The Longest Day or any of the programs and services offered by the Alzheimers Association call our Helpline, available 24 hours a day, seven days a week, at 800.272.3900

THE PROBLEMElders need their family caregivers to visit more often. 45% of elder report feeling lonely and it affects their mental and physical health. Nearly 29% of seniors wish to maintain their independence and are living alone.Editor's Note:Congratulations to the team at Zeppi, Eitan Lavie and Zohar Karni! Zeppi was announced as the winner of the Aging2.0 Dallas Innovation and Technology to Support Healthy Aging Poster Competition, sponsored by Seniors Blue Book at the 2019 Dallas Area Gerontological Society Annual Fall Forum.The winning entry was titled "How to increase daily interactions between elders and their overloaded family caregivers".Learn more about howZeppihelps to combat loneliness and isolation in aging adults.

There is just something about being around people you really like and love. Having good friends around who listen and lift you up on a daily basis. And modern science concurs that good company is good for your mental, emotional, and physical health. Its one big reason why socialization for seniors is so important and why senior living communities thrive on it.Socialization for Seniors - Together is better!The pandemic has reminded us all that isolation is the bad guy, especially when it comes to seniors. In a study by the National Academy of Sciences, lonely and isolated seniors showed higher rates of poor physical and mental health. They were more likely to suffer from hypertension, coronary heart disease, cardiac failure, depression, anxiety, and dementia.    There are so many benefits of socialization for seniors:Plenty of activities and socialization reduces cognitive decline. The Alzheimers Association reports that remaining socially active may support brain health and possibly delay the onset of dementia. One study found that cognitive abilities in seniors declined about 70 percent slower in individuals who had frequent social connections and socialization   compared to those who had little social contact with others. A quality senior living community offers the perfect environment for making connections, sharing ideas, and creating a purposeful, interactive experience that helps keep you engaged and living your best life. The right recipe for creating socialization for seniors.Lowers stress. Ongoing stress can lead to heart disease, depression, obesity, gastrointestinal problems and other unwanted conditions. Socialization increases a hormone that decreases anxiety levels and makes us feel more confident in our ability to cope with stressors. This same hormone encourages us to seek out others and helps bring us closer together. At New Perspective, someone is always close by for conversation and support. This is especially beneficial when older adults often experience loss and changes in health and mobility.     Keeps you active. Socialization for seniors, especially in a senior living community, can be in the form of opportunities to join others for activities and events. Examples are a walking club. Helping other residents decorate a commons area for the holidays. A Zumba class. Getting together to watch a big game. Learning a new hobby together. Being with others stimulates you to move more physically, which is good for your health and helps protect you from a sedentary lifestyle.  Encourages healthy habits. When youre living at home, its a lot easier to have that second piece of pie or skip walking around the block. Thats why socialization for seniors is so good for youliving in a senior living community, youre around a group of like-minded friends and neighbors who can help keep you on the path to wellness. Youre more inclined to join an exercise class, participate in special events, or focus on good nutrition because youre seeing others do just that.Gives you a sense of purpose. Having a reason to get up each morning does wonders for your energy level and your mood. Your feel-good hormones rise and fight off stress when you know youre going to be greeted by friendly faces and spend quality time with friends. Theres even evidence that having this sense of purpose can help you walk faster and have a firmer grip and greater body balance and controlindicators of how fast you are aging. Improves coping skills. Life has its ups and downs. And, as Bette Davis once said, Getting old isnt for sissies. A few more wrinkles and a bit less hair, some new creaks in the knee joints and other challenges are a whole lot easier to deal withand laugh atwhen you can share them over lunch with a friend. Socialization for seniors, particularly in a senior living community gives you ample opportunities to leave worries behind and make the most of what life has to offer.George SmithThe Right Senior Living Solution(941) 705-0293

These services are provided by a person or firm such as a bank, trust company orregistered investment adviser(RIA) serving as a trustee, executor, personal administrator or discretionary agent having direct responsibility for managing assets for or on behalf of individuals and families, as well as estates, trusts, private foundations and other entities they establish or control. Providers of these services (personal fiduciaries) also may serve as a trust protector or non-discretionary advisor having an indirect impact on the management of such assets.#listing_mgr{7 basic_search}#

Aging in Place is a strategy that supports people remaining in their residence of choice for as long as they are able and as their physical abilities change. Our traditional homes and communities in America dont necessarily provide the flexibility required to age in place. A house presents increasingly difficult physical obstacles for seniors (stairs, basement & attics, and standard bathrooms).One viable proactive option is an assisted living community. By moving to a more appropriate residential setting seniors can organize and down-size so they can continue to live in comfort without the burden and demands of owning property. Families can proactively support their loved ones instead of needing to react to challenging situations with limited options. Residents of assisted living communities easily transition in and out of daily routines and chores with an a la carte menu of services customized to meet each resident's evolving needs. Adjustments to chores such as; laundry, meal preparation, distribution of medications, transportation and other services can be adapted to match the changing lifestyle needs of a person aging in place. Knowing these personal services can be changed as needed is reassuring to seniors and to their families.The most beneficial component of an assisted living community is safety and oversight. Aging in place in an assisted living environment comes with the security of knowing that trained and qualified professionals are always nearby to help residents with medical emergencies or logistical challenges.An assisted living environment can enhance independence, relieving the resident of the worries associated with owning a home while offering a variety of activities, discussion groups, and entertainment options. New friendships are made; old friends visit and enjoy the amenities as guests of assisted living residents. Special events and holiday celebrations weave a sense of community thats a healthy counterweight to the threat of loneliness and isolation that may come with aging. Spiritual support is often offered across all religious traditions.Embracing the Aging in Place mentality is a positive way to approach our senior years. It requires careful thinking, advanced planning, and exploring options that allow seniors to live in a flexible, independent environment. Assisted living communities should be part of the discussion. Seniors who can access adaptable services to meet their changing needs have minimal disruption to their lives and focus on being positive and productive members of a community that respects and values them the very definition of successful aging in place!This article was submitted by Scott Brigante, Director of Communications &Community Outreach for Youville House/ Youville Place Assisted Living.

If you are an elderly mom or dad, or an adult son or daughter of an elderly parent and you live far apart from one another, you may like to know about a Geriatric Care Manager (GCM). A GCM is a professional with specific training and knowledge in caring for the elderly. Caring involves understanding the need for and application of social work, psychology, nursing, medical care, home safety and security, and home assistance. A GCM can assess an elderly persons condition and needs, recommend services, and be an advocate for wellness and independence while aging at home. Recently, a friend of mine received a call that his father fell in the bathtub and was being placed in an ambulance for a trip to the hospital. The call did not come from his mother, but from a professional care manager he hired to see after his parents who lived 525 miles away in a suburb of Chicago. His mother pressed her life alert button, the service called her, called an ambulance, then called her care manager who was there in less than 15 minutes. Our friend, her son, was assured his dad was being cared for and the care manager would keep him posted on dads condition. GCMs may be nurses, social workers, or geriatric specialists that are qualified in planning for aging and referring services for the elderly. Youve heard the term plan ahead to avoid problems ahead. Maybe its time to give attention to these things since aging, absent early death, is inevitable. One of these two things will happen and its better to be prepared either way. The website www.caremississippi.org can lead you in the right direction.

An Alarm system used to monitor residents who are wander risks.There are a number of health and safety concerns that accompany dementiaand one of the most common concerns iswandering. Awander guard systemcan help keep those with dementia safe and secure.This technology is commonly implemented in dementia care and eldercare communities to keep your loved one safe.#listing_mgr{1 basic_search}#

World War II was a global war that lasted from 1939 to 1945 involving the majority of the worlds nations, including all of the great powers. It was the most widespread war in history and directly involved more than 100 million people from over 30 countries. The major countries threw their entire economic, industrial and scientific capabilities toward the war effort, eliminating the distinction between military and civilian resources. Marked by mass death of civilians, including the Holocaust and the strategic bombing of industrial and population centers, it resulted in an estimated 50 million to 85 million fatalities. This made World War II the deadliest conflict in human history.The war in Europe ended with the invasion of Germany by the Western Allies and the Soviet Union and Germanys unconditional surrender on 8 May 1945. The United States dropped atomic bombs on the Japanese cities of Hiroshima and Nagasaki on 6 and 8 August 1945. With the threat of additional atomic bombings and the Soviet Unions declaration of war on Japan, the Japanese surrendered on 15 August 1945, thus ending the war in Asia and the final destruction of the Axis Bloc.World War II altered the political alignment and social structure of the world. The United Nations was established to promote international cooperation and prevent future conflicts. The United States and the Soviet Union emerged as rival superpowers setting the stage for the Cold War which would last for 46 years. It brought about major innovations in technology and established the groundwork that permitted social changes including the end of European colonialism, the civil rights movement in the US, and the modern womens rights movement. World War II was the most significant period of the 20th Century.As of September 9, 2014, the Department of Veterans Affairs estimated 1, 017,208 WWII American veterans were still alive with an estimated 413 dying every day. A report in June 2011 estimated the median age of American WWII veterans was 92. Honoring all veterans is the ultimate goal of the City of Auroras annual Veterans Salute. The 2015 Salute pays special tribute to what many described as The Greatest Generation celebrating the 70th anniversary of the end of WWII. Celebrate local World War II veterans and all veterans on Wednesday, November 4, 2015 at the Wings Over the Rockies Air and Space Museum.Editors Note: The 21st annual Aurora Veterans Salute is proudly presented by the Aurora Center for Active Adults. Registration for the Salute luncheon begins August 5th. For more information visit auroragov.org/salute or call Sheila Anthony, Aurora Veterans Salute Coordinator at 303-739-7943.

Being in the hospital in an Observation Status comes as a rude awakening to many seniors. Being placed in a room has always meant you were being admitted. Right? Nope, at best that would be a big maybe.In 2013 it was called the two-midnight rule to help clarify defining observation status, but that's changed. An unintended consequence of this rule and to avoid denial of payments by Medicare for hospital admissions challenged by Medicare auditors, hospitals have increased the use of observation visits. The ramification of this change has proven to be costly to many patients who unwittingly thought that they were admitted as inpatients.According to a New York Times article New Medicare Law to Notify Patients of Loophole in Nursing Home Coverage Hospitals have found themselves in a squeeze. They increased their use of observation status in response to scrutiny of their billing practices by Medicare auditors private companies hired by the government to review claims. In many cases, these companies challenged decisions by doctors to admit patients to a hospital, saying the services should have been provided on an outpatient basis. The auditors then tried to recover what they described as improper payments [from the hospitals].Doctors and hospitals said the auditors were like bounty hunters because they could keep a percentage of the funds they recovered. Unfortunately, this shifts the cost to the patient.While observation patients may share in the use of services with admitted patients their status may deny them reimbursement for some of those costs. More importantly, because Medicare requires any patient moving into a skilled nursing facility (SNF) to have been inpatient in an acute care hospital for a minimum of 3 days. Therefore, without the required 3 days as an inpatient, any costs of the skilled care are borne by the patientAs reported by law firm Lamson and Cutner, P.C. in an article titled Hospital Inpatient vs. Outpatient Observation Status Why Its Important A sensible question to ask is: Why are hospitals admitting some patients under observation status rather than as inpatients? The answer may be found at least partly in the financial penalties Medicare imposes on hospitals if more than a certain percentage of patients are readmitted within 30 days. In a 2016 article entitled The Hidden Financial Incentives Behind Your Shorter Hospital Stay, the New York Times stated that Under Medicares Hospital Readmissions Reduction Program, hospitals now lose up to 3 percent of their total Medicare payments for high rates of patients readmitted within 30 days of discharge. [There is] evidence that hospitals are gaming the metric. For instance, patients who are placed under observation status are not counted in the readmissions metric even though they may receive the same care as patients formally admitted to the hospital.Likewise, patients treated in the emergency room and not admitted to the hospital do not affect the readmissions metric either.While most Decisions by Medicare can be appealed by patients the observation classification cannot. However, on July 31st, 2017 the U.S. District Court in Connecticut ruled in favor of a class action lawsuit in Alexander v Price. The trial, expected to start in 2018, if successful will allow patients to appeal their hospitalization status dating back to determinations starting on January 1, 2009.In the meantime, patients who are hospitalized for more than 24 hours must be notified in writing within 36 hours of their status as either inpatient or observation. This law became effective in August 2016. Once notified of their status, presumably the patient may ask the physician to change an observation to inpatient.As a footnote, one very interesting study reported by Todays Hospitalist, Study Results Push Back on Readmission Penalties a new analysis of more than 4,450 acute-care facilities, which found that hospitals with the highest hospital-wide readmission rates are more likely to have the lowest mortality rates for patients with three common conditions. The fact that mortality and readmission were, in some instances, inversely related, should raise some eyebrows about how well readmissions function as a quality metric, says Daniel J. Brotman, MD, director of the hospitalist program at Baltimores Johns Hopkins Hospital. As older patients typically have more complex conditions it seems logical that added care from a readmission would permit their doctor to treat further.This article was submitted by Dennis Patouhas, owner Comfort Keepers of Lower Fairfield County, one of the oldest agencies in the area with over16 years of experience helping hundreds of families with elder care for their loved ones. Dennis can be reached at 203.629-5029.

Shopping for a Funeral Home online: Tools families need Shopping for a funeral provider online can be overwhelming. There are many great funeral homes and more importantly many great funeral directors. Here are a few useful tips to help make this process a bit easier. 1. Make a list of your expectations. You can use this as a guide to explain to the Funeral Director on what type of services you need. 2. Know your budget. Knowing exactly how much you can spend is always a good place to start when planning a service. 3. Review the website. Look over the Funeral Homes website to read about their staff, their commitment to their families and any other services they might provide. 4. Schedule a face-to-face meeting. Know the name of the Funeral Director that will be helping you. You will need a trusted point of contact through this process and even after. 5. Visit the funeral home. It is important to visit the funeral home to see the staff and upkeep of the place; images online can be deceiving. 6. Are there hidden costs? Ask questions about the pricing you are given. Does this price include death certificates, crematory fees, and alternative container, in- person consultation or a viewing? 7. Trust. Trust is important. When planning for cremation or burial services you need someone to take you by the hand and guide you through the service. Editors Note: This article was submitted by Distinctive Life Cremations & Funerals. They may be reached at 972-238-7011 or www.DistinctiveLife.com

Veterans have served our country in the military and without question, the nation owes them a debt of gratitude.In addition, multiple programs are available from the government for our veterans and surviving spouses. One such program is the Aid and Attendance Program.The VA Aid and Attendance Program benefit is a monthly payment in addition to the VA Pension Program for qualifying Veterans 65 years of age and over who are 100% disabled. It is also available for their surviving spouses if they were married at the time of the Veterans death. It was created for those who meet the following criteria:The Veteran or survivor needs help performing activities of daily living such as dressing, feeding, bathing, toileting, and other things that we do every day and often take for granted. - OR -The Veteran or survivor must spend the day or a large portion of the day in bed. - OR -The Veteran or survivor has limited eyesight even with glasses or contact lenses with only 5/200 or less in both eyes, or concentric contraction of the visual field to 5 degrees or less.The benefit can be as high as $2266/month and can be used for help in accomplishing activities of daily living (ADLs). This is most commonly achieved by hiring a caregiver to assist the Veteran or survivor in the residence. The approval process ordinarily takes 6 to 8 weeks but is very dependent upon how quickly the applicant can provide the necessary documentation and other requirements of submission.Additional qualifications must be met that include:90 days minimum of active duty service.One day of active duty must have been served during wartime.The Veteran must be the recipient of an honorable discharge.Certain VA established net asset levels are also evaluated to determine eligibility.The Aid and Attendance Benefit is designed to help Veterans and surviving spouses who cannot perform activities of daily living on their own to hire in home assistance. This benefit allows them to remain in their home where they are happy, independent, and can avoid entering a facility emergently or long term.Editors Note: Article submitted by Jeff Kosor, owner of Senior Helpers of Southwest Pittsburgh, reach him at 412-851-3223 or jkosor@seniorhelpers.com. For more information contact us at: Aidandattendance.com/seniorhelpers/.

An estimated 1 in 10 Americans over the age of 60 has experienced elder abuse. Abuse is often underreported, so it is our responsibility to recognize the types and signs.PHYSICAL ABUSE includes any time physical pain is inflicted. Bruises are often dismissed, however abused seniors are more likely to show bruises than those who injure themselves accidentally. Look for unexplained cuts, burns, or bleeding, particularly if the person does not want to see a doctor for treatment.SEXUAL ABUSE involves any unwanted sexual touches or acts performed without consent. Signs can include genital or pelvic injuries, agitation, or emotional withdrawal.EMOTIONAL ABUSE is creating psychological pain by humiliation, intimidation, or threats. Does the person look scared around certain people, or as if they have to get permission before speaking?CONFINEMENT can be done with good intentions, such as locking a person with dementia inside to keep them safe. But how would a person get to safety in a fire? How difficult would it be for emergency responders to enter the home?DEPRIVATION includes withholding food, clothing, shelter, medical attention, or social needs. Is an older adult unable to take phone calls or visits since moving in with a caregiver? Has the person suddenly lost a lot of weight?PASSIVE NEGLECT is unintentional; often a result of well-meaning but ill-equipped loved ones. It is often seen when a family is trying to keep an elder at home, but cannot meet their needs. Look for signs like pressure sores, frequent ER visits, and caregiver fatigue.FINANCIAL EXPLOITATION is the mishandling of an older adults property, assets, or possessions. Look for signs including a diminished bank account, strangers suddenly becoming close friends of an older adult, or sudden changes in a financial situation.SELF-NEGLECT happens when a vulnerable adult cannot meet their own essential needs, which threatens their health, safety and well-being. This includes failure to provide ones own adequate food, clothing, shelter, and health care.If you think someone you know is a victim of abuse at their home, contact Adult Protective Services 24-hour hotline: (866) 800-1409. If you believe someone may be a victim of abuse in a licensed facility, contact your local ombudsman.Editors Note: Editors Note: This article was submitted by Terri Maxeiner, RN, CECM, CDP. Terri is Vice President of Providence Solutions, and may be reached at 708-3428090 or by email at terri@providencelifesolutions.com.

For centuries, music has played a powerful role in overall wellness and has been recognized for its therapeutic ability. Music can promote desired changes in a persons energy level, manage moods, provide distraction during a difficult situation or provide the necessary support to move through the same difficult situation. Music is an inherent part of being human and can be thought of as its own health domain.When a loved one is in palliative or hospice care, they often need comfort or help from something that does not come from medication or other traditional treatment. Music therapy, as described by the American Music Therapy Association, uses music to address physical, emotional, cognitive and social needs of individuals of all ages. Music therapy can be key in helping patients deal with many of the emotional and physical challenges they are facing during a difficult time. Family and loved ones can also benefit from music therapy to help them navigate through grief, stress and overwhelming feelings.In hospice or palliative care, music therapists focus on identifying and expressing emotions, increasing socialization, improving mental and physical capabilities and supporting spiritual needs. Music therapists, who are Board Certified by the Certification Board for Music Therapists, use different techniques depending on a persons situation. For instance, lyric analysis promotes mental stimulation and can prompt discussion and reflection on a patients own life. Using instruments, such as beating on a drum, can help with rhythmic movement and coordination. Singing along with music encourages breath work and speech articulation. Its a form of therapy that offers many tactics to help a patient and their specific needs.For family and loved ones, music can be a way to express grief, alleviate stress and even share a memory with the patient by making a connection into their past together. It creates a familiar and comfortable environment for people to explore and share their feelings and thoughts.Music therapy is very much seen as enjoyable and non-threatening so it is often welcomed by patients of different ages and abilities and can be executed individually or within a group. It can be a very personal experience, yet a healing one that is unique to each patient and person.Editors Note: This article was submitted by Tammy Brannen-Smith, LCSW.Brannen-Smith is the Director of Pathways for Grief and Loss with Pathways and may be reached at 970-292-1072 or by email at tammy.brannen-smith@pathways-care.org

To learn more aboutBrightStar Care,CLICK HERE.If your loved one receives in-home care, any new illnesses, injuries, or symptoms can be upsetting and confusing. How do you know when to call the doctor and when its best to start with your in-home nurse?In a life-threatening emergency, you should always call 911. Emergencies older adults might face include:Chest painHeart attackSerious fallStrokeSudden dizziness, confusion, or disorientationTrouble breathingBut for less urgent needs, you potentially can avoid a trip to the urgent care clinic or emergency room by first checking with your nurse or doctor.When to call the doctorOutside of emergencies, older adults need to see the doctor when a medical condition gets worse or a new problem develops. There are also important wellness checks and regular check-ups that should not be neglected.If you have to call 911 for your loved one or take them to the emergency room, make sure to update their primary care doctor and home care nurse on whats happened. The care team might need to modify or add new restrictions, medications, or treatments into your loved ones care plan.When to call your loved ones home care nurseMany healthcare-related issues can go to theirin-home carenurse first. Our BrightStar Care nurses are experienced RNs who are seasoned at narrowing down whats wrong, and determining if the clients doctor needs to be involved.Every BrightStar Care franchise has a registered nurse who serves as director of nursing and is actively involved with each client in a number of ways, such as:Care plan creationHome visits to see how the client is doing and whether theyre satisfied with their careRegular check-ins with clients and their loved ones about how the client is doingSupervision of in-home caregiversBecause our nurses see their clients regularly, they tend to know when somethings not right. They can investigate whether the client has experienced any new symptoms, and they can bring their concerns to the client or their loved ones. This nurse advocacy is one way BrightStar Care delivers A Higher Standard of Care to our clients and their families. If our certified nursing assistants (CNAs) notice something wrong while theyre assisting with daily routine care, they know to report it to one of our nurses so we can investigate these potential issues.If the issues are dangerous or life-threatening, your loved ones nurse may advise calling 911 or going to the emergency room. For other issues, they might do some detective work to determine whether your loved one is sticking to their care plan, such as taking all medications when indicated or getting enough sleep, before recommending a call to the doctors office.Save time with fewer appointmentsWith nursing care at home, your loved one might not need to go to the doctors office as often for routine care. Our in-home nurses can handle many of theseskilled nursingneeds for clients, such as:Complex wound careDiabetes managementIntravenous infusion therapyVentilator careDont be afraid to lean on them as a resource if you or your loved one has questions about their care or if you need help determining when its time to take things to the next level.

Primary care providers (PCP) are the foundation for your medical care. As such, we lead the team of healthcare professionals and other specialists that provide you comprehensive care. So, we like to think of ourselves as the quarterback of your team.A PCP can be a MD, Doctor of Osteopathy (D.O.), Physician Assistant (PA) or Nurse Practitioner (NP). Your PCP will diagnose and treat common illnesses and medical conditions while teaching you about safe health behaviors, treatment options, preventative and self care skill as well as provide necessary screening tests and immunizations.PCPs detect undiagnosed health issues and start treatment promptly, ultimately resulting in better outcomes. We manage chronic disease, utilizing evidence based guidelines in order to achieve mutually agreed upon health goals. Evaluating the urgency of your medical condition and directing you to the best place for care, which may be referring to other medical specialists, is a key role your PCP plays as quarterback of your team.Communication is the key to success on any team. You need to take an active role with your healthcare team. Keep your quarterback PCP up to date on immunizations, surgeries, visits with specialists, family history and active medical illnesses. Schedule regular appointments and keep them. Keep a list of all current medications you take, including over the counter medications and vitamins. Share that information with your quarterback PCP and include why you take the medication, how often you take it and what the dosage is.If you have any concerns about your health, contact your PCP initially, they are the main healthcare provider in any non-emergency case. Regular visits to your quarterback PCP will reduce costly emergency room visits by catching problems early.Don't have a PCP? Parkview Adult Medicine Clinic serves patients ages 15 and above. We are staffed by four board-certified Internal Medicine Physicians, 21 Resident Physicians, one board certified Family Nurse Practitioner, and one board certified Psychiatric Nurse Practitioner. In addition to providing comprehensive and compassionate care to our patients in our state of the art clinic, we offer sports physicals, CDL medical exams, and Assisted Living Facility visits. To make an appointment, call 719.595.7585.Editors Note: This article was submitted by: Marian Heesaker, Family Nurse Practitioner at Parkview Adult Medicine Clinic

To learn more aboutMobility Transportation Services, CLICK HERE.Several years ago, CEO Spencer McDonald was visiting a doctors office. He witnessed the elderly being dropped off at the front entrance door of a four story medical building in wheelchairs and walkers by local transportation companies and family members. Spencer witnessed this several times and found himself helping these individuals into the elevator and to the right doctor office they had appointments with.It was at this time he realized that there must be a better way to assist these people. He realized that the elderly, and those who have handicap disabilities, were not getting the special care they need and deserve.Spencer was trained in the industry by Joel Davis, the owner and founder of the United Medical Transportation Providers Group. Through Joels extensive training, instruction and classes, Spencer was able to learn the Non-Emergency Medical Transportation business. Spencer is now a proud member of UMTPG and owes much of his success to Joel and his mentoring. Over the years they have become good friends as Joel continues to provide special instruction to help us improve our business and provide great customer service.Our mission atMobility Transportation Servicesis to provide the highest quality of non-emergency medical transportation to our clients with the highest standard of safety, client care, and customer service.In todays fast-paced health care industry, quality and customer care seem to be missing from many Non-Emergency Transportation companies.We atMobility Transportation Servicesstrive to place quality and personal care back into non-emergency medical transportation.

There is nothing worse than having teeth that do not stay in when you are eating or talking or not enough teeth to eat what you want to eat.Does your confidence lack because of your teeth slipping down or falling out?Do you wish you could smile more and enjoy time with others more?Do you wish you could eat foods that you love?Many people hold back from laughing or smiling because they are uncomfortable with their smile. Modern dental technologies - including dental implants - can put the smile back on your face and in your life!When both the tooth and root are damaged, the best permanent replacement is a dental implant in conjunction with a beautiful porcelain ceramic crown. This solution both looks and functions just like a natural tooth. This results in immediately full functioning teeth, shorter treatment time and minimized pain.This procedure normally includes a few to the dentist. The implant is placed. At this time, a temporary tooth may be provided so you never have to go without teeth. The implant will need a few months to integrate into the bone before the next step is taken. The final step is the placement of the attachment (known as the abutment) and the permanent porcelain ceramic tooth. It looks and functions like a beautiful new natural tooth. You will need to take care of the tooth like your natural teeth and see your dentist regularly for preventive maintenance.If you are missing more than one tooth, an implant bridge may be a great option. Having dental implants replacing your lost back teeth will give younew, unparalleled strength and stability that allows you to eat what you want. It will also preserve your jawbone and facial appearance.Are you tired of your dentures keeping you from eating or smiling? Dental implants may be the perfect answer for more stability and function with your existing or new dentures. The implants help keep the denture in place and provide better function and comfort. Smile again from the inside out!Individuals desiring implants should schedule a personalized dental planning appointment to find out the different options available to them. Complete dental centers like Couchman Center for Complete Dentistry are able to perform the implant procedures from start to finish which is a benefit of time and convenience, as well as most cost-effective for the patient.Editors Note: This article was submitted by Christine Martens, practice administrator, at Couchman Center for Complete Dentistry and may be reached at 719-593-0263 or by email at info@couchmandental.com. For more information, visit Couchman Center for Complete Dentistry on the web at: www.couchmandental.com

Many people believe they only need a doctor when they are sick. However, having a primary care physician may be your key to staying healthy.An important responsibility of a primary care physician is providing preventative care. Think of your primary care physician as your wellness coach, who will protect your health through regular checkups, and will make sure you get the screenings you need to identify any concerns as early as possible.There are many reasons you should have a primary care physician. They include:1.Continuity of Care/Holistic Care A primary care physician can treat the whole person, which takes into account your history, family history, and any existing conditions you may have.2.Care Coordinator/Central Point of Contact A primary care physician will insure that your care and health information is coordinated between your other physicians and specialists. This will insure that you are not having any duplication of care, and also communicate important health information to your care team.3.Valuable and trusted resource Whenever you have a health question or concern, your primary care physician should be your first call. He or she may need to refer you to other specialists, or help you find other resources to help with your care, but again, serving as your care coordinator, your primary care physician is the best person to initiate your care.4.Routine screenings Whether it is taking your blood pressure, ordering regular, routine lab tests, or making sure you are getting regular mammograms, colonoscopies, or other important screenings, your primary care physician should be recommending all necessary routine screenings to you. Follow up when your doctor orders tests and screenings. This will enable your primary care physician to catch any serious health issues early, when they are most treatable.5.Keeping you out of the Emergency Room Many people who do not have a primary care physician use the emergency room when they get sick. Your primary care physician can offer options that can help prevent your potentially unnecessary trips to the ER. This may include same-day and walk-in appointments, which may eliminate the need for an unnecessary, and more costly ER visit. While the emergency room cannot replace a good relationship with a primary care physician, when emergency care is needed, your primary care physician will certainly refer you for that higher level of care.Editors Note: Please call 239-348-4221 or visit PhysiciansRegionalMedicalGroup.com to schedule an appointment with a primary care physician.

For centuries, we've known that the health of the brain and the body are connected. But now, science is able to provide insights into how to make lifestyle choices that may help you keep your brain and body healthy as you age.Join SBB University and the Alzheimer's Association of Greater PA to learn about research in the areas of diet and nutrition, exercise, cognitive activity and social engagement, and use hands-on-tools to help you incorporate these recommendations into a plan for healthy aging.Presenters:Deb Schleh, Volunteer, Alzheimer's Association of Greater PA and Seniors Blue Book of South Central PASara Murphy, VP of Programs & Services, Alzheimer's Association of Greater PA24/7 Helpline: 800.272.3900 www.alz.org

To learn more aboutCarlson Burnett Attorneys at Law, CLICK HERE.One of the focuses ofelder lawis making it easier for seniors to take care of themselves and live comfortably in their golden years. Many elders each year will consult with an elder law attorney about how to accomplish that goal, which often leads to discussions about assisted living facilities and nursing homes. AtBurnett Wilson Law, we have helped countless elders and their families sort through elder law concerns throughout our decades of combined practice experience. You might be surprised to find just how many people thought assisted living facilities and nursing homes are the same thing. We are here to tell you that they are not and that the differences are important.Assisted Living Facility Vs. Nursing HomeAn assisted living facility is a housing option for people who need help with day-to-day care, but not medical treatments. A nursing home provides similar care, but with the added qualifier that certain medical treatments can be conducted by certified staff members, i.e., nurses. In states like Nebraska, there are actually legal definitions and regulations that further clarify the differences between an assisted living facility and a nursing home.For elders who are relatively able-bodied but who are not comfortable living alone, an assisted living facility might be their first choice. At such a center, they can enjoy numerous benefits like a variety of meals, social interaction, and sometimes a private, customizable room. Again, the key to understand is that an assisted living facility might have no registered nurses or certified medical technicians on staff to complete routine or emergency medical treatments. An elder who needs medical treatments each day or who has a chronic condition should look into living at a nursing home.Medical treatments that can be conducted in a nursing home include:DialysisInjectable medicationsVital sign monitoringBlood draws and testingEmergency medical careAnd moreLiving in a nursing home can often have the same perks as an assisted living facility, like private rooms and a social community, too. Benefits and options can vary dramatically from one center to the next. An elder law attorney can help you find one that best fits your expectations, lifestyle, and medical needs if any.Elder Law & Housing OptionsYour choice to live in a nursing home or an assisted living facility could also be affected by elder laws that apply to your situation. For example, your assets and income can impact your eligibility for Medicaid and Medicare benefits. If you dont qualify for these benefits, then you might be unable to afford living at a center you were considering. Sometimes people have to choose an assisted living facility without daily medical assistance because they do not qualify for financial assistance to live in a nursing home.Working with an elder law attorney like our team atBurnett Wilson Lawcan also help you navigate legal circumstances to afford the best long-term care and housing possible. If you live in Nebraska, then we would like to hear from you. Please call(402) 810-8611.

A recent hospice patient was tired of being inside. He had cabin fever. During a visit by his nurse the patient was looking out his window admiring her Volkswagen convertible parked in the driveway. The last time he rode in a convertible, it was a VW, too. It was easy to read the memories on his face. One afternoon, on her own time, our nurse returned to the patients house. She helped him into the car and reclined the seat so that he could better see. She latched his seat belt and dropped the top on her VW. The day was sunny and the road filled with flashes from the past. They drove past places he had lived and churches he attended. They saw places his mother loved to visit.That day they drove back in time to recall a journey that had led to this very trip. After dinner out, our nurse took her patient home. He was exhausted, but the smile on his face after that ride will always be with her. Hospice is a journey through to the end of life. The goal is to treat patients with respect and allow them to live a full life during their last months. Hospice manages symptoms and pain. No hospitals, no beeping machines, no tubes. It is the end of life on the patients terms, with a helping hand to make the journey as fulfilling as possible. Hospice makes a difference in the lives of patients. A 2007 study that looked at Medicare beneficiaries with some of the most common diagnoses leading to death, found that patients who received hospice services lived on average, 29 days longer than those who did not receive hospice care. Hospice patients had 29 additional opportunities to enjoy their families, make a memory or share a smile.As hospice care providers, we strive to go the extra mile for our patients, in some cases literally. With deep roots in the Treasure Valley, we have served Idaho seniors for years and we understand they take personal responsibility seriously. We welcome your call to understand your family's unique needs and to help you make an informed decision for you and your loved one.Written by Devin Limb, Administrator United Hospice. dlimb@unitedhospiceidaho.comAccording to the National Hospice and Palliative Care Organization, the median length of service in 2011 was 19.1 days, a decrease from 19.7 in 2010.This means that half of hospice patients received care for less than three weeks and half received care for more than three weeks. The average length of service increased from 67.4 days in 2010 to 69.1 in 2011.

Older adults are one of the fastest growing segments of the American population and in many cases they do not have insurance to cover the dental care needed. In the US, only two percent of retirees have dental coverage through a prior employer, and medicare does not cover routine dental care without a costly supplemental plan.Seniors who have dental health issues hope that by purchasing an insurance plan they will be able to get care they have been delaying. Unfortunately, in many cases, traditional dental insurance does not cover preexisting conditions, nor pay to replace teeth that were lost prior to purchasing insurance. A newer type of plan called a Dental Savings Plan has arisen to help all patients, but especially seniors, who need top quality dental care at an affordable price.Dental savings plans are a progressive alternative to dental insurance plans. They offer patients discounts off of dental services and in some cases free routine care for a low monthly or yearly fee. In most cases the discounts for most dental care can range from 10-30%. There are a few different types of plans, some that are administered by an outside organization and others that are developed by individual dentists. With this type of plan there is no paperwork, claims to file or waiting period as you pay the dentist the discounted rate directly and there are no preexisting conditions or limits on care so you can get exactly what you need at a much more affordable price.Many people are finding that a dental savings plan is more affordable and provides the ability to stay with their current dentist. Next time youre at the dentist, ask if they offer a plan like this for you!Editors Note: This article was submitted by Dr Fred Guerra. Dr Guerra is a dentist with Guerra Dental and may be reached at 719-259-7043

To learn more aboutPacifica Senior Living Millcreek, CLICK HERE.Crafting is something that many of us enjoy, regardless of age. Old and young alike, there is something wonderfully calming and nostalgic about sitting down with needles and yarn, paint and a brush, a little bit of clay, or even just some fabric remnants and letting your creative side take over. As we age, our mobility can become limited, so crafting also becomes one of the few activities in which seniors can actively participate as fully as younger folks, and it comes with a variety of health benefits that make it a meaningful way to spend an afternoon.It also brings the added benefit of providing another outlet for reducing stress and lowering blood pressure in seniors. As a low-impact activity that requires focus and patience, it is cognitively challenging and a great option for those looking to help maintain or boost their memory during. While crafting may not often be on a doctors list of prescribed medicines, its a surefire way to help boost the health of seniors, and can also provide benefits to the well-being of both caregivers and seniors alike because it is an activity that can be enjoyed together.A few specific craft related activities that promote wellness include the following:PaintingThe beautiful thing about painting is that there are many mediums to choose fromoils and acrylics to paint-by-numbers or even finger-painting if youre not afraid of a little mess, seniors can paint the way they want to and paint the images they want. Deciding what you want to paint and how to paint it is also a big part of the fun and appeal of the activity. Perhaps most importantly, painting is a fantastic stress reducer, and according to doctors, repetitive movements help release serotonin, helping to boost mood and can even reduce symptoms of depression.KnittingMany seniors may already know how to knit or crochet, but if not, its easy to learn while still being a great example of the kind of relaxing entertainment were talking about. Plus, this is an activity where its easy to start small and expand to a bigger project as your skills develop. This means that whether you are crocheting a potholder or a full-size quilt, you will get the same kind of benefits in connection with dexterity, hand-eye coordination, and focus skills, no matter what size project youre working on.ColoringIn recent years this form of artistic expression has grown up in a big way. You dont have to look far to find a vast array of adult coloring books, all touting enhanced relaxation and stress reduction benefits. Because coloring is a relatively simple activity, most everyone can do it with ease. Coloring provides similar benefits to painting through improved positive mental stimulation and activity, without being complicated. You simply pick up the book of your choice with the colors you like and get started.At Pacifica Senior Living we understand the benefits these kinds of activities provide and we ensure that they are available to our residents in all of our communities.From our Independent Living residents to our LegaciesTMMemory Care communitiesand everyone in-betweenarts and crafts play a part in the programming we do each day. And if you'd like to learn more about the kinds of crafting we do in our communities and more about the healthbenefits these activities provide,check out this issue of The Vibe, Pacifica's own quarterly magazine.If youd like to know more about our robust activity programming, we invite you to call or send us an email today.Wed love to share more with you and help discover why Pacifica Senior Living is the right choice for you or your loved ones.

So, you have decided to move into a smaller home. Now comes the challenge of what to take with you and what to let go of. Do you have heirlooms or maybe you have an excessive number of cookbooks? Perhaps you have a garage full of unfinished projects that have ended up in the abyss of good intentions.This was Dees challenge. She was moving from a 3,200 square foot home to a 1,500 square foot home to be closer to her children. She struggled with what to part with as she had many items that held sentimental value. She felt that parting with the items meant leaving the memories behind. I was able to help her realize that memories are things that are kept in your heart, not held in your hands. When she struggled I helped her keep her eye on the prize. We would talk about what was more important, being close to her family or her things.As you work on downsizing remember you can take the memories without having to take everything. Think outside of the box when deciding what to do with your things. A client had nearly one hundred framed drawings from her aunt. She had no place to put them on her walls but she was reluctant to get rid of them. I suggested that she take them out of the frames and have them bound into a coffee table book. Something I run across often is what to do with grandmas china. No one wants to get rid of it and most children dont want it. If you cant part with the china I suggest you get rid of your daily dishes and use the china for every day. Enjoy it! Stay focused on your Prize and the wonderful memories to come!This article was submitted by:Laurie WrobelClutter 911651-728-1090Laurie@Clutter911.com

Far too many older adults get caughton a rollercoaster of healthcare crises in and out of the hospital, back and forth to doctor appointments, taking more and more medications, many with unpleasant side effects, while at the same time nobody is discovering what truly matters to them.There is a better way to age.Whole-person approachWhile aging does increase the risk of developing chronic, complex medical conditions, getting older by itself doesnt cause disease and disability. By replacing the current reactive, fragmented (and shockingly expensive) system of care with a proactive, preventive, whole-person approach, providers can spot and address red flags before they become full-blown health crises, reducing the frequency of ER visits and hospitalizations, and lowering long-term health care costs.Senior-savvy primary careOne red flag thats all too common among older adults is a condition called polypharmacy, often defined as the simultaneous use of five or more prescription or over-the-counter drugs which can lead to dangerous drug interactions and negative side effects. Primary care physicians and nurse practitioners with expertise in geriatric medicine will do thorough medication reviews to identify which drugs may be causing harm and should be deprescribed or adjusted.Beyond medical careWhile senior-savvy medical care is essential, its only one aspect of aging well. The whole-person model focuses on all areas of an individuals well-beingnot just their physical health, but also their sense of purpose, passion, identity, social supports, home, safety, thinking, memory, and finances. By taking the time to discover each persons unique goals and wishes, providers can customize their services and support to help older adults live happier, healthier, more independent lives, while also bringing greater peace of mind to their families.Editors note: This article was written by Dr. Nick Schneeman, Lifesprk Chief Medical Officer. He can be reached at 952-345-8770 or sparkon@lifesprk.com.

WHEN YOU DONT KNOW WHERE TO GO There are many things we prepare for in life, getting married, having kids, buying a home, retirement, etc. Unfortunately, most of us do not prepare for the day we notice that our parents, grandparents, or other aging loved one needs more help than before. They seem to be doing fine in some areas of their life, but you have concerns about others; it might be their driving, or how their home is kept, or their health is deteriorating. First, we are unsure if we should intervene, or if we do, we are not sure how much to get involved. Your loved one may welcome your help or they may not, in fact they may become defensive and push you away saying everything is just fine. You know at some level that this is not the full picture but you dont know where to begin. Perhaps you are helping your aging family member(s) and are exhausted attending to their needs, your family needs, and when possible, your needs. You may or may not have siblings or other family members who could help but dont or disagree with you on how to handle the evolving needs and changing conditions. Or worse yet, you are in the midst of a crisis situation. Your stress mounts, you feel overwhelmed, confused, and unsure about what to do next, you dont know what resources are out there, and/or how to handle the emotional challenges within the family system. Every family situation is unique. A Geriatric Care Manager is an expert in geriatric care with specialties in social work, nursing and mental health. They work closely with each family to understand their specific situation. Based on a clinical assessment of the individuals ability to function independently, their mental status, nutrition needs, medical conditions, financial resources, home safety, etc., the Geriatric Care Manager develops a custom care plan, identifying what is going well and which areas need to be attended to, including resources to support identified needs. The senior and their familys choose what areas they want or need help with from the care manager. These services include: Providing education, information and referral resources Monitoring medical needs and advocating as needed Coordinating and providing oversight of personal care and home health Providing assistance in addressing legal and financial issues Making placement recommendations and facilitating the process Providing direction on guardianship or conservatorship Providing emotional support and mediating family dynamics Serving as back-up for family members when they are out of town You can find a care manager in your area on the National Association of Professional Geriatric Care Managers (NAPGCM) website at www.caremanager.org. This article was written by Dee Childers, MA, and owner of Life Changes Elder Care Consulting, LLC, 208-321-5567, www.lifechangeseldercare.com.

Alzheimers Association Article for Seniors Blue Book Spring Edition 2014 Our history In 1979, Jerome H. Stone and representatives from support groups met with the National Institute on Aging to explore the value of an independent, nonprofit organization to complement federal efforts on Alzheimer's disease (AD). That meeting resulted in the April 10, 1980, formation of the Alzheimer's Association. Today, the Association reaches millions affected by AD across the globe. As the largest donor-supported, voluntary health organization for AD, we are a catalyst for advancements in Alzheimer's care, research and advocacy. We enhance care and support The Alzheimers Association works to enhance care and support for all those affected by AD and related dementias. Our Helpline offers information, counseling and advice 24/7. We offer support groups that meet right here in the Treasure Valley. Our online resources provide families with information through our Alzheimer's and Dementia Caregiver Center, which features sections on early, middle, and late-stage caregiving and local education programs. TrialMatch makes it easy for people to enroll in clinical trials, while Comfort Zone and MedicAlert + Alzheimers Association Safe Return provide location management to keep people safe and give caregivers peace of mind. Walk to End Alzheimers is held annually in Idaho to raise awareness and funds. We advance research As the largest non-profit funder of AD research, the Association is committed to accelerating progress of new treatments, preventions and ultimately, a cure. We have been a part of every major research advancement over the past 30 years. We advance the understanding of AD through our research grant program, which has awarded over $315 million to scientists since 1982 and, also publish a scientific journal, Alzheimers & Dementia, which provides a single publication for the scientific community to share its knowledge. We advocate The Association is the leading voice for AD advocacy, fighting for research, prevention and care initiatives at the state and federal level. We worked with a state-wide task-force to ensure that Idahos state legislature approved a plan for addressing AD and continue to work on the implementing it to make certain that Idahoans have the best possible resources available. Take a little step today to have a big impact on AD tomorrow. Join a support group. Attend an educational seminar. Advocate for research funding. Start a team and Walk to End Alzheimers. Do a little, big thing to end Alzheimers call 1-800-272-3900 or go to www.alz.org/Idaho.Author:MacKenzie Rodgers

Age-related macular degeneration (AMD) is an acquired disease of the retina that can cause significant visual impairment.Approximately 11 million people are affected with AMD in the US alone. The prevalence is similar to that of all invasive cancers combined, and more than double Alzheimers Disease. The risk for AMD increases more than three-fold in patients older than 75 years of age compared to individuals between 65-74 years of age.The diagnosis of ARMD is typically made after considering a patient's age, eye examination findings, and family history. Symptoms that patients may note include slow or sudden onset of decreased visual acuity, distorted vision, or missing vision (a blind spot) when trying to look at something in the center of your field of view. Many patients in the early stages of the disease however possess no symptoms.Although there are no screening guidelines, if there is a strong family history of macular degeneration or someone has difficulty with their vision, it is recommended that adults over the age of 65 have an eye exam about every year.Antioxidant vitamins and minerals (AREDS2 multivitamins) are an effective treatment for dry AMD that has been diagnosed by your eye doctor. Smoking is a large risk factor for macular degeneration, especially wet macular degeneration. Treatment of exudative (or wet) AMD includes injections of medications into the eye, or less commonly a laser treatment to the retina.Macular Degeneration is an area of intense research by scientists and physicians, and there are many ongoing clinical research trials and new treatments in development. If you or someone you know is concerned about possible AMD, I encourage you to make an appointment with your local eye doctor.Editors Note: This article was submitted by Matthew Manry, M.D. Dr. Manry is aSurgical and Medical Retinal Specialist with Eye Care Center of Northern Colorado and may be reached at 303-772-3300.

Home care what is that? Professional caregivers, or in some cases nurses or clinicians, come to your home to provide a range of services for you or your loved one. Services generally include homemaking, personal care and may also include skilled nursing care.Home care is available to anybody at any age. Whether youre a senior looking for some extra help around the house, a person recovering from a surgery or a mom caring for a new baby, home care can be for anyone. Many companies offer services 24 hours a day, seven days a week. But all services are customized for your particular needs to ensure you receive exactly the help you need.Kinds of home care servicesServices are generally broken up into these categories:Personal and Household CarePersonal care includes assistance with bathing, eating, dressing, toileting and medication reminders. If chores become too much to handle, caregivers can cook, clean, do laundry and shop for you or your loved one. Caregivers working in the home provide companionship and conversation and engage you or your loved one in meaningful activities. They provide transportation to appointments and comfort you or your loved one. If you need to run errands or just need a break so you can shop or enjoy time with friends, caregivers also provide respite care.Skilled CareSkilled nurses and trained caregivers can assist with medication management, physician's appointments and physical therapy. They may make medical appointments and drive to the doctor and drugstore. They may also meet with doctors, care managers and others to understand what care is needed. They can help with transferring you or your loved one in and out of bed and assist with physical therapy, injections, feeding tubes or other medical procedures.How to pay for home careMany home care companies will help you determine the best payment options if you are unsure. There are a number of ways to cover the cost of in-home care. Some options may include:Private insuranceLong term care insurancePrivate fundsVeterans AssistanceMedicaid (varies by state)Medicare (service coverage varies)Workers CompensationEditors Note: This article was submitted by Elizabeth Squires, Branch Manager with ResCare HomeCare. ResCare has been in business for over 30 years and provides services in 41 states. Elizabeth may be reached at 801-288-4100 or by email at esquires@rescare.com. For more information visit ResCare HomeCare on the web at: www.rescarehomecare.com.

Whether were filling multiple prescriptions because of our families or just ourselves, we can understand that having to go to the pharmacy to pick up medications each week, or even more often, quickly becomes a demand on our time when we have so many others already.A bill recently passed by the House, now headed to the Senate for consideration, would give Pennsylvanians more of a precious resource time.House Bill 1800 would make filling prescriptions more convenient, as it would eliminate multiple visits to the pharmacy by allowing all prescriptions to be filled on the same day each month.People with a few monthly medications to fill may find the process of going to the pharmacy and waiting in line to be disruptive, but it is usually far more difficult for senior citizens and people who are in cancer remission. They may need 10 monthly maintenance medications and, oftentimes, they are unable to drive. Coordinating rides or relying on public transportation at the appropriate time is a challenge that studies show result in vital medications remaining unfilled.Synchronizing medications offers greater convenience and likelihood that Pennsylvanians will have the medications they need when they need them, which is important to maintaining health.While consumers can request this synchronization, this bill puts the practice into state law and prohibits an insurance company from denying coverage for a partial fill of a script to facilitate medication synchronization. Thirty-five other states have enacted or introduced similar legislation.This article was submitted by Pennsylvania State Rep. Bryan Cutler (R-Peach Bottom), who may be reached at bcutler@pahousegop.com. You may also view his website at www.RepCutler.com.

A few weeks ago I was invited to a screening of the film Last Will and Embezzlement. The documentary, produced by filmmaker, Pamela S.K. Glasner, underscores the serious and imminent danger of elder exploitation and victimization after her own father, suffering from Alzheimers disease, was victimized. An individual, who befriended her mother, architected a series of events resulting in a bogus power of attorney which allowed the revision of wills and advanced directives eventually allowing complete control over her now-widowed fathers assets.Entertainer Mickey Rooneys plight with exploitation by a family member is also featured in the film. The 90 year old actor was granted protection from his step-children after he personally filed a case against them charging emotional and financial abuse. Through his civil action, Mr. Rooney was granted court-ordered protection and conservatorship of his estate. Later, in his testimony before the United States Senate urging for tougher laws to protect the elderly from fraud and exploitation he said If it can happen to me, it can happen to anybody.Frustration and anger over what happened to her father prompted Ms. Glasner to produce the film with the hopes of preventing exploitation of other vulnerable adults and those who care for them. Additionally, her hope is to bring exposure to the need for more effective legislation to protect the elderly. I came away from the viewing with a greater appreciation for the plight of caregivers trying to protect loved ones who may not be competent to identify financial exploitation and abuse. The law provides many new vehicles and methods people can employ to help safeguard against exploitation. However, many people have not reviewed their legal documents for years and they may be outdated or no longer effective in achieving long-term goals. Many of us are too trusting of others and not vigilant about keeping our private information safe from identity theft. The film impressed me as a valuable tool to help educate the public about the ever-present danger of victimization and abuse. With that goal in mind, Senior Choices purchased a copy of the film and is scheduling viewings to help educate and empower the public to combat financial abuse and exploitation. If your organization or community would like to schedule a viewing of Last Will and Embezzlement, contact Senior Choices of Southwest Florida toll-free at 1-866-413-5337. If you suspect elder abuse, neglect or exploitation call the Elder Abuse Hotline toll-free at 1-800-962-2873 (1-800-96-Abuse). Senior Choices of Southwest Florida is an area agency on aging which contracts and receives funding from the Department of Elder Affairs to provide services to people age 60 and over and those who are disabled.Editors Note: Submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator, Senior Choices of Southwest Florida.

Just like getting ready for a camping trip or a tour of Italy, getting ready for life means being prepared. Taking the time to think about things before they happen and then so you are ready for what might be is the most important step you can take. We all know that the root of most stress is feeling like we are out of control. Its the unknown that does us in. When we know what we are dealing with, or have thought about What happens if then we feel like were in charge. But, most of us tend to procrastinate and avoid preparing.Because we avoid preparing for life transitions in advance, we often feel overwhelmed as life happens. A family transition coach can be helpful whether you and your family are planning ahead or, as is so often the case, dealing with a transition as it is unfolding. As an objective third party, your coach will provide focus and have experience with others who have gone through similar transitions. Your coach will be knowledgeable about the many resources that are available to you. A family transition coach can be engaged by the family or by one family member, and coaching can occur by phone or in person.Editors Note: LifeBridge Solutions provides family transition/ caregiver coaching, daily money management, medical bill advocacy, and support for POAs, health care surrogates, and Personal Representatives. For more information, call 239-325-1880 or visit www.LifeBridgeSolutions.com.

Remember the good old days when doctors like Marcus Welby could take lots of time after an exam to have a conversation? Well, that was before healthcare delivery got complicated and terms like managed care, network providers and preexisting condition werent part of everyones vocabulary. And remember, too, that Marcus Welby was an actor, not a real doctor.As the shortage of internists and family doctors becomes more real, so too, does the time that they have to spend with each patient. The relationship you have with your doctor has never been more important. Working together, that relationship can be more effective and more pleasant. Here are some ways that you can make this happen.You want to maximize the time you spend with your doctor. You need to understand what was discovered and discussed during your visit and leave with answers to all the questions you had, as well as know what you should do next. There are easy ways to make that happen.To help you get the most out of your visit to your doctor and to help improve your doctors ability to treat you here are some easy tips to make your visit more enjoyable and more productive.Tip 1:KEEP A DIARYIf youre experiencing symptoms, write down what is happening and what brings the symptoms on. This information will help the doctor understand what youre dealing with. If you are experiencing pain, rank it in your diary on a scale of 1 to 10, with ten being the worst. If the symptoms or pain are made worse or relieved by medication, note that, too.Tip 2:MAKE THE APPOINTMENTMaking an appointment can often be a challenge. Given how busy the doctors office may be, speaking with a receptionist or scheduler may involve more hold time than talk time. Heres how you can make this easier. Know what you are going to say and then say it. Write a script to read if that helps. If the issue you are calling about is potentially embarrassing, keep it simple. Just tell the receptionist or scheduler why you are calling. Dont worry, theyve heard worse. Or you can get the FAX number and FAX the doctor a written explanation of what is concerning you. The response is usually a quick call from the nurse or physicians assistant, and an appointment can be made quickly and easily. If the office will provide an E-Mail address, that will work, too. With either method, FAX or E-Mail you can send along notes, questions and even a copy of your diary, and youre on your way to a productive and helpful appointment.Tip 3:THE APPOINTMENTBring your list and diary and something to keep you busy in the waiting room. Waiting is a reality you and your doctor share. Good care takes time and you dont want to be rushed, so allow other patients the same advantage. If you feel it would help, bring a family member or friend along with you. Another set of eyes and ears can always help, and chances are that your companion will be more detached than you are, especially if they understand they are there to help, not take over.Tip 4:YOURE THE CUSTOMERYour doctor is here to help you and wants to provide a clear channel of communication that helps the doctor understand your issues. The clearer you can be, the more successfully your doctor will be able to treat you. To make that happen: Be honest about why youre here. Dont say what you think the doctor might like to hear. Be direct and to the point. Describe as clearly as possible whats happening and how you feel. Ask questions about anything that concerns you. Make sure you understand the answers. If you dont understand, ask. Make your concerns clear. Clarity between you and your doctor is the key to effective treatment. Say what you mean and understand what your doctor says to you. Take notes or make a recording. Ask your doctor to repeat or clarify whats been said so that you are sure to understand clearly all that has gone on. Use whatever works for you. Always ask the doctor if it would be okay to use a tape recorder or even a cell phone with a recording capability. Some patients have memory issues and require more time to register what is being said. Unless the doctor is aware of this situation, the doctor may keep moving on while the patient lags behind. If this happens, speak up and ask the doctor to slow down. Get written copies of advice and instructions. Brochures, flyers, information sheets, suggested reading, Internet links and support groups all have important information that can help you understand your condition...so ask about them.Tip 5:FOLLOW YOUR TREATMENT PLANOnce youve completed your visit to your doctor, plan the follow-up as carefully as you prepared for the visit. Your good health is a team effort and youre the most important player. Get your prescriptions, if there are any, and begin to take them according to instructions. Make any lifestyle adjustments that have been recommended. Youll experience changes that will be beneficial, but you have to make the changes. Keep any follow-up appointments and make sure your primary doctor is informed of each. Follow up with your doctor and keep the clear lines of information flowing. If theres some underlying issue that may affect when, where or how you are able to comply with the doctors recommendation, tell the doctor. Doctors are not mind readers, and the more they know, the more they can help.Editors Note: This article was submitted by Dennis Patouhas, owner of Comfort Keepers of Lower Fairfield County. He may be reached at 203-629-5029 or dennispatouhas@comfortkeepers.com

Senior living care is an expense that most Americans forget to plan for as they move beyond retirement and reach their later years in life. As we age, we may not consider that additional help or aid will be needed with tasks that were once done with ease. However, if the need for help arises, there are options available that will help you maintain your independence while getting the assistance you or your loved one need.Costs for assisted living are often anticipated to be covered by pension or government assistance and those funds have been decreasing in recent years due to federal government re-budgeting and changes.However, assisted living can be paid for without breaking the bank.IS ASSISTED LIVING RIGHT FOR ME?One of the first assessments to be performed when considering assisted living care is inventory or examination into how much care will be required by the health practitioner at your living facility. There are ADLs, or Activities of Daily Living and IADLs, Instrumental Activities of Daily Living. These terms come into play when determining an individuals level of independence or need for assistance.Activities of daily living, or ADL, is defined by the five basic personal care tasks we perform on a daily basis such as, bathing, feeding, toileting, dressing, and transferring (getting out of bed/into bed, moving from a sitting to standing position, etc.). Those tasks that are a bit more complex and not necessarily performed daily include, laundry, shopping, housekeeping, managing finances, food preparation, transportation, self-administering medication, and using the phone and are held as IADLs, or instrumental activities of daily living.Completion of these tasks demonstrates which level of care is best for your family. If you or your loved one can complete all ADLs or IADLs with minimal assistance, assisted living may be the best option.CAN I AFFORD CARE?Costs for assisted living vary from state-to-state. Take time to research the general costs for care in your state before committing to care that may be too expensive for long-term aid. For example, according to the Genworth Cost of Care Survey, the price varies greatly between Georgia and Michigan for 3 years of assisted living in a private room:Georgia:2014 cost: $ 32,4002016 cost (estimated): $ 35,044Total cost for all 3 years: $ 101,140Michigan:2014 cost: $ 39,6002016 cost (estimated): $ 40,396Total cost for all 3 years: $ 119,992Denver: The Assisted Living Facility median annual cost for 2015 was $45,000, with a .78% increase in costs for 2016, according to Gencare Cost of Care Survey.Below are common options many Americans use to pay for assisted living:Housing and Veteran SubsidiesThe US Department of Housing and Urban Development 202 and Section 8 senior housing is available for seniors with annual incomes under $12,000. These options provide rent subsidies that can help balance the room and board portion required of assisted living environments. The Department of Veteran Affairs also offers care options for veterans in their own residences based upon availability.Other options for payment:MedicareMedicatePrivate LoanReverse MortgageWhen its time to start finding help, there are various options to consider when considering assisted living in Denver. Having a clear understanding of how much assistance and care will be needed will help the decision making process easier, and hassle-free.

Our understanding of the human brain has exploded over the last couple decades, yet many misconceptions still exist. Test your knowledge with the following true/false quiz. Answers are at the end.The human brain does not grow new brain cells or change its structure at a cellular level.Use it or lose it is an accurate phrase for our brain.Video games are bad for your brain.Younger brains generally work faster than older brains.Exercising your brain can lower the likelihood of getting Alzheimers disease or other forms of dementia.The best exercise for your brain is to frequently review information you recently learned.Our brain fate is determined by our genes.The brain follows a predictable trajectory of cognitive decline as we age.Medication provides the best hope for preserving or enhancing brain functioning.Under the right circumstances, the brain can recover many apparent age-related losses.Answers:All healthy brains grow new brain cells regardless of age and we continually alter the structure of our brain through a process known as neuroplasticity.Lack of cognitive challenge predicts cognitive decline.While some video games are undoubtedly of little or no benefit, most video games are challenging and get more difficult as the player gets better. This continuous challenge stimulates the brain in beneficial ways.It is true that as brains age processing speed slows down. This does not, however, mean that older brains cannot perform as well as younger brains. In one study, one-third of older brains functioned as well as, and in some cases better than, younger brains.Research has demonstrated that individuals who regularly engage in cognitively challenging activities have a lower incidence of Alzheimers disease and dementia.The best exercise for your brain is new challenges. The key is that it is different and difficult. This stimulates a brain chemical called acetylcholine which is important in growing new brain cells.While genes are certainly important factors in brain performance and health, our brains are significantly influenced over our lifetime by a variety of other factors including mental and physical exercise, nutrition, stress, sleep, and other factors.There is nothing inherently fixed about the path brain functioning takes as we age.A variety of non-medicinal interventions have been shown to be more effective than medication.A variety of techniques have been successfully used to positively impact a wide variety of age-related mental losses.Editors Note: This article was submitted by Zane Robertson who is President of Active Minds, a Denver based provider of educational programs for seniors. He is a frequent speaker on lifelong learning and senior education and has served on the Denver Commission on Aging and the board of the Denver Coalition for Seniors. Active Minds programs are available in most Denver senior residential communities as well as a variety of public venues. For more information, contact Mr. Robertson at 3033207652 or visit www.activeminds.com Copyright 2012 Active Minds. All rights reserved.

A few weeks ago I was invited to a screening of the film Last Will and Embezzlement. The documentary, produced by filmmaker, Pamela S.K. Glasner, underscores the serious and imminent danger of elder exploitation and victimization after her own father, suffering from Alzheimer's disease, was victimized. An individual, who befriended her mother, architected a series of events resulting in a bogus power of attorney which allowed the revision of wills and advanced directives eventually allowing complete control over her now-widowed fathers assets.Entertainer Mickey Rooney's plight with exploitation by a family member is also featured in the film. The 90 year old actor was granted protection from his step-children after he personally filed a case against them charging emotional and financial abuse. Through his civil action, Mr. Rooney was granted court-ordered protection and conservatorship of his estate. Later, in his testimony before the United States Senate urging for tougher laws to protect the elderly from fraud and exploitation he said If it can happen to me, it can happen to anybody.Frustration and anger over what happened to her father prompted Ms. Glasner to produce the film with the hopes of preventing exploitation of other vulnerable adults and those who care for them. Additionally, her hope is to bring exposure to the need for more effective legislation to protect the elderly. I came away from the viewing with a greater appreciation for the plight of caregivers trying to protect loved ones who may not be competent to identify financial exploitation and abuse. The law provides many new vehicles and methods people can employ to help safeguard against exploitation. However, many people have not reviewed their legal documents for years and they may be outdated or no longer effective in achieving long-term goals. Many of us are too trusting of others and not vigilant about keeping our private information safe from identity theft. The film impressed me as a valuable tool to help educate the public about the ever-present danger of victimization and abuse. With that goal in mind, Senior Choices purchased a copy of the film and is scheduling viewings to help educate and empower the public to combat financial abuse and exploitation. If your organization or community would like to schedule a viewing of Last Will and Embezzlement, contact Senior Choices of Southwest Florida toll-free at 1-866-413-5337. If you suspect elder abuse, neglect or exploitation call the Elder Abuse Hotline toll-free at 1-800-962-2873 (1-800-96-Abuse). Senior Choices of Southwest Florida is an area agency on aging which contracts and receives funding from the Department of Elder Affairs to provide services to people age 60 and over and those who are disabled.Editors Note: Submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator, Senior Choices of Southwest Florida.

Imagine the next stage of your life. What does your day look like? What does your health look like? Maybe youre living in your current home part-time and traveling the world. Perhaps you moved to a retirement community where you enjoy pickleball and happy hour like clockwork. Or maybe youve decided to move closer to family, so you can spend time with your grandchildren.Whatever youre doing, youve taken steps to shape your future and live comfortably. You have a plan. When it comes to your health and finances, you want to be in control. Thats why its so important to plan now for retirement and any future care you may need. Planning for long-term care and appointing a decision-maker is one of the best gifts to yourself, and to your family.Your family shouldnt have to guess what your intentions are if youre ever not able to communicate. Set the standard for the quality of life you desire as you age. Put your wishes on paper and appoint a professional to see them through. Editors Note: This article was submitted by Good Shepherd Fund, a nonprofit organization dedicated to providing support services to enhance the quality of life of aging adults and people with disabilities. They may be reached at 720-726-3111.

A main concern for most people faced with terminal illness is whether theyll be able to die wherever they call home.Hospice care helps eliminate that worry, making it possible for people to spend their final moments of life in their preferred surroundings. By definition, hospice is intended to help terminally ill people remain comfortable during the last six months of their lives. The care can be administered at the patients home, hospice inpatient units as well as hospitals, nursing homes and assisted living communities or residential care facilities. When a loved one is receiving hospice care at home, these are the questions hospice providers are often asked:How will pain be managed?Hospice is an end-of-life care option tailored to the needs of each patient and family. It includes expert pain management, but also goes beyond medical care, by providing emotional and spiritual support. The care is provided by interdisciplinary teams of palliative care experts, including physicians, nurses, home health aides, social workers, chaplains, bereavement specialists and volunteers.If the patient prefers to remain at home, what kind of assistance and in-home care will be available?Routine home care is available in accordance to the patients individualized plan of care. Continuous care, during a brief period of crisis, can be available for up to 24 hours a day. When patients or family members have questions or concerns after business hours, they can often get immediate answers and help by calling an after-hours service.What is the role of family members when their loved one is on hospice care? Family members play an important role by providing personal care to their loved one when hospice teams are not present. The hospice team does not take over, rather they teach and support families so they can provide the best in-home care possible. Hospice teams realize that no one knows the patient better than their family.What does hospice care cost? Does insurance cover it? Medicare pays for hospice services. Many states have established Medicaid coverage for hospice, and almost all private insurers and managed care plans provide coverage for hospice care as well.Editors Note: Article submitted by Cathy Carlson, VITAS Healthcare General Manager. For more information about hospice care or your end-of-life care options, call VITAS Healthcare at 866-759-6695 or visit www.VITAS.com

Imagine a team of professionals whose greatest concern is your complete comfort.Imagine being empowered and supported to have the conversations youve always wanted to have. Imagine that pain is no longer involved in your decision-making process. Imagine this is all available to you, a benefit for whenever its needed.This is hospice.Misunderstood and often not taken advantage of, hospice has become thought of as where you go to die. When actually hospice is about living each moment before. A provided service that ensures the most compassionate of care before you die, and support for your family long after.Hospice is appropriate for someone with a life limiting illness who no longer wishes to seek curative measures, and exhibits signs and symptoms that would lead medical professionals to believe they are within the last six months of life. Though patients may have a shorter prognosis, some end up living for years, while others may even graduate from hospice.Talking about death isnt easy. In avoiding it, we forget its nothing more than the end marker. We forget that until that exact moment, we live. We breathe in and out. We experience sorrow and joy. We have things we ache to do. Hospice is about those moments. About respecting the process as much as we do the process of birth.The idea of taking control of our last moments appeals to us all. In viewing death as a process that grants us the ability to do this, we are able to see the service of hospice as the tremendous benefit it is. Available to all, its covered by Medicare, Medicaid, VA benefits, and most insurance plans.So often hospice isnt utilized until the last possible moment, or sometimes not at all. The association with death makes it hard to talk about before its absolutely necessary. Though when we understand what hospice truly is, an individualized plan of care provided by a team of experts, we remove the fear of it. We can see it for the remarkable service it really is: thorough comfort care.That is hospice.Editors Note : This article was submitted by Lynsey Peterson. Lynsey is a Community Outreach Coordinator with Auburn Crest Hospice and may be reached at 970-775-7022 or by email at lynsey.peterson@auburncrest.com

The Alzheimers Association MA/NH Chapters Power + Purpose program is for people living with mild memory loss. While you are facing what may be the biggest challenge of your life, we want to help you live your best life. Research has clearly shown that staying active is the most powerful way to manage your disease.Education:Knowledge is power. Learn more about Alzheimers disease and related disorders by attending an education program in-person or online. Education programs are open to people living with a diagnosis or those who are concerned about their memory, family members, and friends. Consider attending Coping with Early Memory Loss, where you will learn about ways to actively manage your disease and develop coping strategies to live life today. Legal and Financial, presented by elder law attorneys in the community, offers information on organizing and managing finances in order to best prepare for the future.Consultation:Sometimes it is difficult to know what questions to ask and where to start. Speak with a trained Care Consultant to address your unique concerns and prepare for the future. Consultations are confidential and free of charge.Alz Meet Ups:Staying active is a powerful way to manage your disease. Alz Meet Ups offer a unique and enjoyable opportunity for you to connect with others who are also living with mild memory loss. Give yourself the benefit of new experiences by joining with others for art, nature, lectures, fitness or coffee.Advocacy:No one understands this disease like the person who is living it. You can be a powerful voice for research and programs that will make a difference. We can help you to become an effective advocate for Alzheimers issues.The Alzheimer's Association is working towards effective treatments and someday a cure. Our vision is a world without Alzheimer's until that day we want to help you.To get started, attend an education program, create your plan with an expert, discover Alz Meet Ups happening near you or get involved with the cause! Call us at 800.272.3900This article was submitted by Russel Martin, Public Relations and Marketing Manager, Alzheimers Association. Massachusetts and New Hampshire Chapter

Facilities provide 24/7 care for residents and offer full assistance with ADLs. Daily rates typically include a furnished bedroom and a private or shared bath, meals, activities, transportation, phone service, cable television and all personal/nursing care. Payor sources usually accepted are Medicare, Medicaid, VA, some insurance plans and private sources.#listing_mgr{1 basic_search}#

When my father-in-law needed psychiatric care, all we could think of was the worst, says Kim Chalmers, supervisor of senior care at St. Joseph Medical Center in Kansas City. Thats why I can empathize with the fears of families facing heart-wrenching decisions when their loved ones suffer from debilitating psychiatric illness. But after they take one look at what we offer, their whole outlook changes.The Senior Behavioral Health Services (SBH) is one of the many ways St. Joseph Medical Center serves the senior population in the area. As the first hospital in Kansas City to launch a comprehensive Senior Care service line including a senior-friendly emergency room and senior-focused inpatient program, SBH ensures patients and their families receive the necessary support and services to offer stabilization and treatment for adults displaying serious behavioral changes.We offer help and hope to patients and their families who are dealing with the gravity of these life-altering decisions, says Helen Miller, director at SBH. We want families to know what a beautiful place we have created to provide care for their loved ones in a tranquil, peaceful space with safety uttermost in mind.Miller adds that the level of care provided at SBH is helping families receive the counseling and therapy necessary to understand how to offer their loved ones a better quality of life and to communicate more effectively with them.Along with the advanced improvements in psychiatric medications, SBH is helping to reduce the stigma surrounding psychiatric illness.We often say if someone were diagnosed with any other illness, they would seek help for that, Miller says. As a society, we must confront the wrongful notions that prevent people from seeking care.St. Joseph Medical Center is one of the only hospitals in the metro with a 5-star CMS rating.With exceptional providers and a dedicated and caring staff, Miller says she is proud of the comprehensive approach the team takes.Our diverse team of specialists creates an individualized treatment plan specifically tailored to fit yours or a loved ones unique needs to provide them with optimal care, Miller says. We work tirelessly to ensure everyone leaves our program with the tools necessary to meet lifes challenges.To learn more and see a virtual tour, please visit: http://bit.ly/SJMCSBH

To learn more aboutWiscombe Memorial, CLICK HERE.ITS ALL ABOUT TAKING CONTROLGiven time to consider it, youll quickly realize that pre-planning is all about ensuring that your wishes are known, so they can be acted upon when the time comes. Making the commitment to planning ahead:- Is easy. Theres no health questionnaire or physical exam required. Absolutely everyone can make a pre-plan, and there is no waiting for return documents. The plan is completed, and put on file in our office.- Lets your family clearly know your wishes.- Relieves your family members of making very personal decisions on your behalf at the time of need.- Can protect your family from the ravages of inflation. Your expenses can be covered when you need them to be, through a pre-payment plan.DOES PRE-PLANNING REQUIRE PRE-PAYMENT?The simple answer is just two letters: No. You can set plan to paper by simply recording your wishes, and leave it for your family to pay for your desired services at the time of your passing.Or, you can protect you and your family from inflation, by pre-funding your plan. This ensures your expenses will be covered when you need them to be.When you choose to pre-fund your final arrangements, your money is put in a state-approved trust account or top-rated insurance company until required. After your pre-plan is paid for in full, our price is guaranteed. You will never have to pay more for the items you have already paid for.Another point wed like to stress: When you pre-plan with Wiscombe Memorial, your plan will go where you go. No matter where you reside at the time of your passing, no matter what funeral home you choose to work with, your plan will be transferable to any funeral home in the United States.WHY PRE-PLAN WITH WISCOMBE MEMORIAL?By pre-planning with us, youre assured that your final wishes are known. This relieves your family of the burden of making difficult decisions, under emotional duress. Through pre-funding your plan, expenses will be covered when you need them to be. That's guaranteed.Our plans offer a variety of payment options to fit most everyone. Choose the payment option that's right for you.

A clinical social workers purpose in health care is to enhance, promote, maintain, and restore the best possible social abilities of the patient or family. Services provided may be preventive, developmental, or remedial in nature.#listing_mgr{8 basic_search}#

Theres one thing that is certain in this world, yet its the one thing no one wants to think about, let alone talk about. Dying and death.Death is the only thing in life that is guaranteed. Death is the only absolute. We dont know how it will happen or when it will happen, but we all acknowledge and understand that it will happen. So why dont we want to think about it? Why is it so challenging to talk about? The answer is that it is both a difficult and emotional concept. Perhaps our brains think that if we dont think about it, it wont happen, but we all know that is not true.Lets reframe the discussion. Rather than thinking about death and dying, lets think about life and living. It may be more palatable to talk about how we want to live at the end of our life. It can be empowering to share our wishes for end of life care with our loved ones. If your loved ones dont know what you want, and they have to make your end of life decisions for you, its quite probable that they will have feelings of guilt wondering if they made the same decisions that you would have made.Conversation Ready NTX is a local, grassroots organization focused on getting people to think about and share their end of life wishes. We want to help people answer the question what matters most to you at the end of your life. These are not discussions about funeral arrangements or medical interventions but rather discussions about the time period before we die. During our interactive discussions, people have mentioned things such as not being alone at the end, being near nature, having a beloved pet nearby, making sure their glasses are on, praying with family and much more.Having the conversation about your end of life wishes is a gift to your loved ones. It provides a roadmap for those who will be making these tough and emotional decisions based on what you want and what youve shared with your loved ones.It wont make death any less sad, but it will help guide your loved ones to make decisions about you knowing what you want.Have the conversation today!Editors Note: This article was submitted by Laurie Miller, founder of Conversation Ready NTX. She may be reached at 469-619-547. See article on page 146.

Throughout your life, your need for physical and emotional closeness and your sexuality undergo changes. Some of these changes come with maturation and others reflect changes in life circumstances, such as a diagnosis of dementia. As the disease progresses, your relationship with your spouse, domestic partner, family member and friends will change. Learn how individuals with dementia and their care partners can still make their relationships fulfilling.Speakers:Jane Hunley, MSSW, LMSW | Caregiver Support Specialist | The Senior SourceHollie Glover, MA, LPC, NCC | Director of Education and Family Support Services Dementia Care Specialist Certified Grief Counceling Specialist | James L WestA G Black, MA | Long Term Care Ombudsman | The Senior Source

A damage, disease, or dysfunction of one or more nerves especially of theperipheral nervous systemthat is typically marked by burning or shooting pain, numbness, tingling, or muscle weakness or atrophy, is often degenerative, and is usually caused by injury, infection, disease, drugs, toxins, or vitamin deficiency.#listing_mgr{7 basic_search}#

There are a lot of different options for long-term care, as you can see from this book. Each comes with its own unique pros and cons. One of those is the cost of the care. Assisted living can range from the low $2,000s all the way up to $6,000+ per month. Memory care usually starts in the high $4,000s. Skilled nursing can go all the way up to $13,000 in Central Florida! If youre looking through this Senior Blue Book, theres a high likelihood that you or one of your loved ones is needing this type of care. However, from our experience, theres also a high likelihood that you dont know that there are benefits that can help you pay for it! Medicaid is a great option for skilled nursing or some assisted living facilities. Veterans benefits can be instrumental in helping our veterans and their spouses pay for assisted living or memory care. Here is the important thing about those benefits most people can qualify despite what they may believe or have been told. There are many ways to get qualified for these benefits while protecting you or your loved ones nest egg. The best part about this is that you can do so in ways that the benefits programs permit! Now, that doesnt mean that its easy or quick. Sometimes it can take months to get everything in place. If that means saving tens or hundreds of thousands of dollars, its time and effort well spent. In order to make sure that the process goes as smoothly as possible, its important to work with an expert. Thats why so many Floridians choose the Family First Firm to guide them through these complex processes. The Family First Firms main office is located on Colonial Drive minutes from downtown Orlando, with satellite offices around Central Florida. The firm is fortunate to have a caring and compassionate team with extensive experience and uncomparable results. If you are interested in applying for Medicaid or Veterans benefits, you need to call 407-574-8125 for a free needs assessment.

Click here to begin your FREE search!Have you heard ofBenefitsCheckUp? It is a free service of the National Council on Aging, that lets you search for benefits easily, securely, and accurately. In the US, there are over 2,500 federal, state, and private benefit programs available. Start finding benefits with ourBenefitsCheckUp questionnaire or browse our Resource Library to learn more about programs and eligibility.Learn more about the program that can help you save money. Benefit programs include:MedicationsHealth CareIncome AssistanceFood & NutritionHousing & UtilitiesTax ReliefVeteranEmploymentCounseling AssistanceVision Loss ServicesRespite Care ServicesPension AssistancePark & Recreational DiscountsEducation ProgramsTransportation Assistance& More!HowBenefitsCheckUpWorks:Answer some questions. Review your initials results or enter more details to personize your report.Get your report. Provide more information to get a customized report of benefits youre most likely to qualify for.See how to apply. Review your custom report, learn more about benefits, and start enrolling in programs.Click here to begin your FREE search!

To learn more aboutPacifica Senior Living Millcreek,CLICK HERE.Joining an Independent Living program means youll retain the same level of independence you enjoyed before, but you let go of any mundane worries. Surrounded by individuals with similar interests, you have the opportunity to meet new friends, enjoy a variety of life-enriching activities, focus on your hobbies, and do what makes you happy. The only difference is that you will have hotel-like amenities such as cooking, laundry or housekeeping, as we take care of those activities so that you may enjoy your time the way you want in your golden years.Our Independent Living program in Salt Lake City has been carefully designed to provide all the comforts of home, if not more. Mix and mingle with your neighbors at the weekly happy hour, hone your gardening skills on the outdoor patio garden, join our balance and strength exercise program or get involved in one of our arts & crafts activities. And when you want to do something outside our secure gates, you have to take your car from the parking lot, decide where to go, and start the engine.For even more peace of mind, you should know we are a rental community, with no large buy-in or long-term commitment required. Plus, we offer you the option to personalize your apartment by bringing your favorite furniture and dcor items along. Your furry companions are also welcome. Phone today for more details about our Independent Living program in Salt Lake City!At Pacifica Senior Living Millcreek, we want your retirement lifestyle to be as carefree and convenient as possible. We want you to have the time to spend your days as you choose, free from the burdens of time-consuming home maintenance and chores.We offer the following independent living in Salt Lake City features:Delicious and nutritious prepared mealsPet friendlyIndividually-controlled heating and air conditioningHousekeeping & laundryDedicated, 24-hour staffingOn-site amenities, including library and a salon/barber shop and computer center with internet accessAll utilities paid, except phoneEmbrace the World Activity ProgramEmergency Call SystemScheduled transportationFull-time licensed nurse on staffAvailable resident parkingContinuing care program enables residents to stay in their apartment and receive careOptional Personal Emergency Call Pendant

Saint Alphonsus is participating in a new Medicare initiative called Bundled Payment for Care Improvement program. This program was developed by the Centers for Medicare and Medicaid Innovation as part of the Affordable Care Act to improve patient experience, quality of care and find new and better ways to provide and pay for healthcare designed for a growing population of Medicare and Medicaid members.This free program encourages doctors, nurses and specialists to work together in a team so patients receive more coordinated care following hospital care. "Patients want their doctors to collaborate with all healthcare team members and their families," says Dr Chad Boult, Medical Director of Saint Alphonsus Center for Healthy Aging. "When doctors and other health care providers work together patients receive better care. This is a key element as we work toward providing the best care at a more reasonable cost."Certain Medicare patients that fall into a preselected group of bundles while they are at the hospital are automatically enrolled into the program and are assigned a Nurse Navigator, who follow the patient across all care settings. This may include in-person and/or telephone visits made routinely for 90 days. The program also includes skilled nursing facility visits and collaboration with home health services.Our Nurse Navigators work closely with patients and their care givers to review medications, address transportation issues, review red-flag symptoms, manage pain, address home/caregiver support, equipment needs, and social support, and make sure all appropriate screenings (mammograms, colonoscopies, flu shot, etc) are up-to-date.At Saint Alphonsus we are excited to be part of this transformative program as it delivers meaningful patient-centered care. Our Boise, Nampa, and Ontario hospitals have Nurse Navigator's guiding patients to better understand their recovery, to set goals specific to their diagnosis, and to obtain resources as needed. Our collective learnings enable us to better deliver care across all settings and to best meet the health care needs of our patients, in the manner they prefer.

Finding the right information at the right time can be challenging when a major life event happens.Many people do not know where to begin. Others find it hard to admit they need help. Some people do not use computers. Each person has unique needs and every community is different. Information must be tailored to each person and community.Where to start? 2-1-1 and Elder Helpline services offer free, confidential community resource information and referral. Calls are answered by trained specialists that know what types of non-emergency local help is available and can access comprehensive resource databases.What is 2-1-1? It is a 3-digit local number that connects callers to information about social services people of all ages may need in the county they live. For example, food, housing, affordable child or parent care, health/medical concerns, or short-term help for paying bills. 2-1-1 specialists offer information and referral services a caller may not know about. Callers are responsible for making their own contacts with potential service providers. To reach 2-1-1 assistance in Charlotte, Sarasota and Manatee Counties, dial 2-1-1 or the alternate number provided. Charlotte County: Call 2-1-1 or (941) 205-2161 for cell phone, TTY users and residents in Englewood. Charlotte 2-1-1 is a service of the Charlotte County Human Services. Sarasota and Manatee Counties: Call 2-1-1 or (941) 308-4357. 2-1-1 is a service of United Way Manasota.How is Elder Helpline different? Elder Helpline provides information and access to resources for adults over 60, adults with disabilities and their caregivers. It is a toll free helpline answered Monday through Friday between 8am-5pm. Charlotte and Sarasota Counties: Call (866) 413-5337. Elder Helpline is a service of the Area Agency on Aging for Southwest Florida. Manatee County: Call (800) 963-5337. Elder Help Line is a service of Senior Connection Center, Inc. To access the Statewide Florida Elder Helpline, call (800) 963-5337Editors Note: Dale Adler, MA, MSW is a social worker, gerontologist and program consultant. She can be reached at dladler@lifecourseconcepts.com or (239) 466-7812.

According to a recent study by Visiting Nurse Associations of America (VNAA), consumer choice---your choice---is now a primary force changing healthcare in America. Todays consumers are more savvy and skeptical. You want to know what youre getting for your money. You also expect user-friendly interfaces, plus a variety of provider and product options that best suit your needs.Perhaps the consumer choice trending with the broadest implications is home-based care. We all know that the "graying of America" is a very real phenomenon. Studies tell us that by 2019, people older than 65 years will outnumber those younger than five years and the population of people 80 and over will triple between 2010 and 2050.As Americans age and live longer, an increasing number of people will experience a chronic condition or, more likely, multiple ones. Many experts forecast dire fiscal implications as a result.There's very little doubt that in-home healthcare provides a cost-saving measure. One example is cited by Dr. Steven Landers, CEO of VNA Health Group, who says a person who undergoes surgery and is transitioned to home care for a month can expect a bill for about $1,200?as opposed to a $12,000 bill for a skilled nursing facility. While he notes that in some cases patients need a range of medical help that only a nursing home can provide, "more people can go home."There's a wealth of information available to help guide patients and loved ones in all aspects of the decision-making process. For the first time, Medicare officials have posted online quality scores for more than 3,800 hospice providers. These public rankings help you make informed choices about important aspects of hospice care, plus they encourage providers to improve their services. Comprehensive information on home health can also be found at www.medicare.gov, including a provider ratings guide, staffing and services, checklists and other helpful tips.Pennsylvania, along with thirty-six other states, has enacted the Caregiver Advice, Record, and Enable (CARE) Act, which requires hospitals to help designate a family caregiver, take steps to notify that person of discharge plans, and teach the caregiver how to perform follow-up in-home medical tasks.For most of us opting for home health or home-based hospice care services, the choice is a fulfillment of our heartfelt wishes. Older Americans overwhelmingly express a desire to age in place and receive care at home rather than in institutional settings. An AARP survey found that nearly three quarters of a survey population of those age 45-plus strongly agreed with the statement, What Id really like to do is stay in my current residence for as long as possible._________________________________________Editors Note: This article was contributed by Wendy Shumaker, Asst. Director of Marketing for Homeland Hospice, HomeHealth and HomeCare.

Addiction rates are increasing in older adults. 17% of this age group struggles with substances and by 2020 the number is expected to double. Prescription overdose deaths in older adults outrank heroin overdoses in young people.The term accidental addict is often associated with adults 50 years and older who develop problems with alcohol or other drugs. They may have prescriptions for prescription pain pills, sleeping pills or anti-anxiety medications. Mix that, with more free time, isolation, their usual one or two drinks along with a slowing metabolism and the potential for addiction becomes greater.Stigma, shame and denial prevent people from getting help. Sometimes, its difficult to distinguish between the signs of aging and those of alcohol or other drug misuse, delaying necessary treatment.While a personal decision is the first step in facilitating and maintaining sobriety, additional support from members of a healthcare team like prescribers, therapists, social workers and family members, go a long way in improving the odds of successful rehabilitation. Home health agencies are playing an integral role in providing these essential supports to a recovering member.At some home health companies like Middlesex Healthcare Services, one of the main objectives is to receive you in whatever state of recovery youre in and become part of your journey to rehabilitation. They can assist with medication management, extensive education on proper medication use, desired effects and adverse effects. They can monitor response to medication and offer much needed liaison with other healthcare professionals to ensure successful treatment.As part of the recovery process, they recognize the challenges of planning and adhering to the regular appointments with therapists, caseworkers, psychologists and prescribers. Some agencies offers two free rides every month for your appointments.If you are concerned about a loved one, or your own potential for addiction, please reach out to an experienced professional for guidance on a program designed specifically for the older adult. The good news is that people respond quickly when they get the right help.Please feel free to call us at (978) 655-4749 to discuss your rehabilitation needs and options available.Submitted by: Mercy Irura, RN, Middlesex HealthCare Services

Change is hard. Making a move in uncertain times can be scary; navigating all your options can be downright confusing.Assisted living communities are supportive environments meant to help prolong the independence of you or your loved one. This housing option is often overlooked because many dont realize it is a viable option until there is an emergency. There is often resistance because there are many misconceptions surrounding this senior living option, including affordability, access and services provided.Once you start to look around, comparing the various communities is no simple task; from giant continuums of care to very small specialty units, and your job as the consumer is to find which place suits your needs as close as possible for as long as possible. One very important factor for most people when researching communities, besides the quality of care and location, is cost. Do I rent or join a community with a buy-in? Is an all-inclusive program better, or does the a la cart pricing structure work better for me? Looking at your finances is the first step to determine which option is right for you.If you have a long-term care insurance policy, for instance, you want to go to a licensed assisted living facility for your services so you can utilize those funds for your care. If you are a wartime veteran or spouse, you would want to make sure that the community you choose supports the Aid & Attendance benefit.One thing that can very easily get overlooked in the decision-making process, especially if it is an emergency, is what happens if/when the money runs out?In many cases, the options are very limited and it is your responsibility to find your next home. Some communities, however, have financial programs available that allow the resident to age in place through subsidy programs such as a SCO or PACE program, or in some cases GAFC. These programs are a great way to keep your loved one in their assisted living if the community offers it. At the end of the day, knowing your options will help you find the best place for your needs and a wonderful new home for you or your loved one. Written by Stephanie Nordstrom, Director of Admissions & Marketing at Christopher Heights of Marlborough, an Assisted Living Community. She can be reached out 508-281-8001 or snordstrom@christopherheights.com. 

If your spouse has entered a nursing home, you know the governments harsh rules create a tremendous financial strain on the healthy spouse. The general rules of Medicaid for married families only allow the healthy spouse to keep half of the available assets, up to a maximum of about $130,000.Lets consider the situation of Jane and John Jones. John is a stroke patient who needs nursing home care. The Jones family has worked their entire lives to save about $400,000 for retirement. Johns unfortunate stroke is going to result in Jane losing $270,000 to the nursing home over 2 years. In addition, once the money is gone, the State will even require some of Johns monthly Social Security check to be paid to the nursing home.WHY? Why does our government system require Jane to go broke because her husband had a stroke? It shouldnt work that way!Jane starts doing research and meets with a Certified Elder Law Attorney*. After reviewing the situation, the attorney recommends a strategy called a Spousal Annuity plan. This strategy allows Jane to convert nearly all the money she would otherwise lose into an annuity for her own benefit. Rather than losing $270,000, Jane turns the asset into an income stream that she can use to pay her bills for years. Shes allowed to protect almost all her assets through a well-designed asset protection plan!Does this sound too good to be true? Its not. You just have to know the rules and how they apply to your specific situation.Medicaid rules are complex, and you should not assume this strategy will work for your family. A certified Elder Law Attorney* can help you determine if this (or another) strategy can help save your assets. A nursing home admission is a legal problem requiring a lawyers assistance. Dont navigate this alone. Our lawyers are available for no-cost phone and Zoom consultations. Call Today!Editors Note: This article was written by Certified Elder Law Attorney* Tim Sechler, Esq., Sechler Law Firm, LLC. See our ad on the Back Cover or contact us by phone at 724-841-1393 or on the web atwww.SechlerLawFirm.com. *Certified as an Elder Law Attorney by the National Elder Law Foundation as accredited by the Pennsylvania Supreme Court.

Idaho Power offers two weatherization programs for our customers. Both of these programs provide energy efficiency improvements to customers electrically-heated homes, apartments and manufactured homes so less energy is used and homes stay more comfortable. If you own or rent your home, you may be eligible to participate for free. The primary difference between these two programs is the amount of a customers annual household income.Weatherization Assistance for Qualified Customers (WAQC)Through the WAQC program, Idaho Power partners with Idaho and Oregon Community Action Partnership (CAP) agencies to weatherize electrically-heated homes of income qualified customers.Upgrades to your home may include things like new insulation, furnace tune-ups, weather stripping and sealing air leaks. These upgrades help keep cold air out during the winter and hot air out during the summer. CAP agencies in Idaho and Oregon have trained and certified weatherization crews and contractors to ensure improvements meet standards set by the U.S. Dept. of Energy. To see if you qualify for this program, contact your local CAP agency.Weatherization Solutions for Eligible Customers ProgramCustomers whose income is slightly too high to qualify for WAQC, may qualify for Weatherization Solutions. The Weatherization Solutions program serves Idaho Power customers in Idaho who heat with electricity and meet the income guidelines below:Number of people in homeMonthly income range1$1,733 and $2,4752$2,336 and 3,3383$2,940 and $4,2004$3,544 and $5,0635$4,148 and $5,9252016-2017 GuidelinesIf you would like to see if you qualify for this program call these contractors in Idaho: Power Savers (serving Ada, Elmore and Owyhee counties) at 208-377-0700 or Metro Contractor Services (serving Adams, Boise, Canyon, Gem, Payette, Valley, Idaho and Washington counties) at 208-459-0066.Benefits Youll AppreciateThese weatherization programs focus on the entire house. When a home is weatherized, it is weatherized entirely to save energy and provide a healthy and comfortable living environment for eligible customers.Through these weatherization programs, customers learn how to use energy wisely, where they might save additional energy to help reduce their heating costs, and how to use new equipment such as a digital thermostat in their home. This one-on-one education is a good time to have questions about energy efficiency answered by professionals.These home improvements make a real difference in the lives of Idaho Powers customers. We dont get cold, and we dont hear the wind blowing through the house like we did before, said Donna Blay, a participant in Idaho Powers Weatherization Solutions program. Energy efficiency upgrades to her familys all-electric, manufactured home included: a new heat pump, new ductwork, a programmable thermostat, compact fluorescent lamps (CFLs), and ceiling, floor, and pipe insulation.We hope you take advantage of these no-cost programs. Were sure youll be glad you did!This article was written by Idaho Power.

To learn more about Welcome Home Assisted Living, CLICK HERE.Bountiful Utah Assisted Living is a Level 2 facility located in Davis County. We are across the street from Lakeview Hospital and within a 1/2 block of several dentists, chiropractors, hospice and homecare, podiatrists, and other medical professionals. Close to Salt Lake City, the Salt Lake Airport, and only 5 minutes from the freeway. Providing home cooked meals, church services, daily entertainment, and private rooms. Activities include games, bingo, piano and singing, movie nights, holiday celebrations, and outings to the Bountiful temple. We have a 24/7 emergency call system that gives you peace of mind. Reserved private apartments complete with a full bathroom, kitchenette, and maintenance services. Housekeeping and laundry services. Cable TV, phones in every room, 24 hr staff, Incontinent care, medication management and assistance, and more.If youve been searching the Bountiful region for assisted living homes, choose a trusted provider. At Welcome Home Assisted Living, our facilities offer all the comforts of home while furnishing a level of supervision and care thats sure to provide peace of mind for our patients and their extended families.Welcome Home Assisted Livings mission is to provide personalized, high-quality care on an as-neededbasis. We have created a practice that we believe in and choose for our own family members.

Webster defines planning as a map, or a way of doing in pursuit of a desired outcome. Thats why we make plans when it comes to things we value. From the weightier matters of our education, career, taxes and retirement to the lighter topics of vacation, workouts or even yard sales, we invest time and energy to build a pathway to what we want. As we continue to age and look beyond our retirement years, we are confronted with yet another challenge and the need for a plan. Many of us have loved ones or will ourselves eventually need long term care (LTC). Whether in need of nursing home, assisted living or in home care, the cost of these services far exceeds what most seniors can carry on their own. For those who cannot afford or qualify for private LTC insurance, Medicaid remains the most common source of funding such services. However, Medicaid approval comes with eligibility requirements that most applicants lack clear understanding of and are not prepared to meet. That is where the value of Medicaid planning begins. Medicaid planning starts with a financial assessment that provides clarity through accurate information which enables better decisions with greater confidence. Planning identifies potential problems with eligibility and works to find solutions that best match the client needs and priorities. Ultimately, Medicaid planning takes an individual from a point of ineligibility to a position of eligibility before the application is filed. The result is a smoother application process with less stress and worry. Medicaid planning can also identify legitimate means of preserving income and assets. To the surprise of many, Medicaid guidelines enable planning methods that protect income and assets for a spouse, disabled family members or even the applicant themselves. Such preservation can provide a means of supplementing future needs. Remember, proper planning works within the guidelines and never calls one to compromise their integrity. So, if you or someone you love is in current need of LTC, or you simply want to be better informed of the possibilities in Medicaid planning. Seek out the guidance of a qualified professional and begin building your planned Pathway to Approval. Editor's Note: This article was submitted by Michael Sapp, Certified Medicaid Planner Medicaid Consulting Group, LLC. He may be reached at Medicaid Consulting Group at 719-645-8350 or by email at: Mike@medicaidconsultant.org

How a Patient Advocate can ensure the highest level of care for the lowest possible cost.Overseeing long-term care for a loved one is an awesome responsibility, requiring constant vigilance and inside knowledge of how to navigate the bureaucracy of the healthcare system. There are decisions to make, details to monitor, medication to distribute, errands to run, paperwork to file, bills to pay, and appointments to keep.This is especially true during transition stages. When patients are being moved to a new level of care, or when new healthcare professionals are introduced, it is entirely too common for pertinent information to be lost or overlooked, resulting in sometimes irrevocable harm to the patient.Even after successful transitions, most family members worry that their loved one is not getting the best care simply because of the overwhelming nature of our current healthcare system. Having a Patient Advocate on their side greatly reduces - even eliminates - the chaos and confusion that most families experience navigating the healthcare maze.If you are currently dealing with a loved one who needs ongoing care, a Patient Advocate can help you:Explore treatment options so that decisions about care are well informedDeal with paperwork and negotiate with insurance companies to ensure the highest benefit for thelowest expenseMonitor medications and minimize the risk of conflicting treatment options and medicationsCoordinate medical care, appointments and transportation for the patientEnsure clear communication among health care providers, insurers, the patient and the patients familyEnsure the highest level of patient centered care; medical and non-medical needs are taken care ofWhat to look for in a Patient Advocate:An independent provider whose only commitment is the patients best interest - not an insurance company or health care providerOffers Complete Patient Advocacy; works across the entire spectrum of the healthcare system and creates and implements a complete patient care plan that includes medical and non-medical needsCompetence: can rely on years of experience working within the healthcare system, but is also focused on continued educationFor most patients and their families, a Patient Advocate means a potential increase in benefits and reductionof costs, and freedom from paperwork, patient monitoring, insurance hassles, and research of treatment options. It means peace of mind.Editors Note:Marie Connolly is an Independent Patient Advocate with more than 35 years experience in the healthcare system. She practices Complete Patient Advocacy and can be reached at: 303-695-0115. GuidingLightLLC.com

Not Just an Advocate Om-buds-man. Just what in the world is an Ombudsman?! I had the privilege of sitting down with two such individuals the other day who work for the Larimer County Ombudsman program and received first-hand knowledge about this program. I walked away with one solid definition in mind for the term Ombudsman that is simply one who is a trained and experienced SENIOR ADVOCATE. An Ombudsman works as part of a team with the staff of nursing and assisted living homes to protect the civil and human rights of residents. Although an Ombudsman is also defined as a problem solver and mediator, I am left with the strong impression that an Ombudsman would prefer a proactive rather than reactive approach when it comes to protecting the rights of residents. Residents and family members are encouraged to call the local Ombudsman with any questions, big or small, when it comes to resident rights and care. All calls, of course, are kept confidential. A primary goal of an Ombudsman is to address concerns before they could potentially become problems. An Ombudsman is also an EDUCATOR. Starting a new chapter in ones life in a nursing or assisted living residence can be overwhelming. An Ombudsman can tell you many aspects of what you can expect in moving into either type of home, and can also provide information and assistance in choosing the right home to best fit your needs and wishes. Most importantly, you can be educated about what your rights are as a resident living in long-term care. Ombudsmen work within the Department of Human Services in each county. These individuals are dedicated to protecting the rights of residents, and in doing so, are there for anyone who may have questions, comments or concerns relating to a loved one living in or moving to a long-term care establishment. For more information contact your local Ombudsman office:Larimer County Ombudsman 970-498-6806Area Agency on Aging - Weld County Ombudsman 970-353-3800Boulder County Ombudsman 303-441-1173Area Agency on Aging - Morgan County Ombudsman 970-867-9409

Welcome to lan Manatee Assisted Living and Memory Carewhere a lifestyle of distinction is easily found. Located in beautiful Bradenton, Florida, lan Manatee offers senior living services to brighten each new day.Youll feel a new sense of freedom as you experience our ease of living services: Salon Medication management available Bathing, dressing, grooming, and more if needed Weekly housekeeping and laundry service Concierge servicelan Manatee is an assisted living and memory care community that is full of life, where the joys of learning, socializing, creating, and rejuvenating are always found! Be inspired to live life on your terms, with activities you enjoy and new experiences to entertain.Resort Style Amenities: Multi-purpose room Media theatre 3rd floor TV lounge Walking trails Physical fitness roomWe are dedicated to delivering the care and attention your loved one needs and deserves. Our goal is to provide an active and engaged environment, where your loved one welcomes each new day with a smile. Residents will enjoy personal and compassionate care where the utmost in comfort is delivered daily. Inspiration awaits! Contact our office today for more information.

Did you know that healthcare errors, fraud and abuse cost American taxpayer billions of dollars annually? Knowledgeable Medicare beneficiaries, family members and caregivers are the first line of defense in fighting Medicare fraud.The Massachusetts Senior Medicare Patrol (MA SMP) Program works with Medicare and Medicaid beneficiaries, to prevent, detect, and report healthcare errors, fraud and abuse. We conduct regular free educational sessions at Councils on Aging, community centers and many other organizations to encourage consumers to take an active role in their healthcare. We give people the tools to help protect themselves and their loved ones. The MA SMP Program promotes the use of Personal Healthcare Journals to record all medical appointments, diagnostic procedures or prescriptions, and compare all journal entries against Medicare Summary Notices (MSN), Explanation of Benefits (EOB) and all healthcare bills, and to report any irregularities to appropriate authorities.Navigating ones health benefits is often a disheartening task.The complexities of the ever-changing healthcare system can be overwhelming and upsetting. Be vigilant about your health care and protect yourself and your loved ones from healthcare errors, fraud, abuse, and deceptive marketing schemes. We recommend that you:Protect your Medicare card as you would a credit card.Detect any irregularities in your medical bills or statements from Medicare or other insurers by always reviewing them for accuracy.Report any discrepancies/questionable activity to the MA SMP Program. Trust your intuition. If something does not seem right, check it out!Be an engaged healthcare consumer, help save billions of American taxpayer dollars, and most importantly, be proactive in preventing harm to yourself or to a loved one.Join our team and become a MA SMP Program volunteer! Educate your peers, family members, caregivers and professionals about the importance of being an engaged healthcare consumer.Host or schedule an SMP informational/educational session at your organization, request an SMP brochure or obtain additional information, by contacting the MA SMP Program at 800-892-0890 or visit www.masmp.org. We offer sessions and materials in multiple languages.

The story about Alzheimers disease, a powerful degenerative malady that shrinks brain cells, robbing its victims of their memories as well as their physical and mental abilities, isnt about the curethereisnt one. Its about the care.Alzheimers shrivels brain cells, making its victims lose their short-term memory first, before their long-term memory goes. Alzheimers patients lose their cognition slowly, becoming unable to carry out simple tasks like dressing themselvesand using the bathroom. As the disease progresses, affecting more parts of the brain, patients are often left unableto talk, recognize friends and familyor recall how to feed themselves. Theyalso might become violent because their requests or fears are misunderstood.When families care for a loved one with Alzheimers in their own home, they may encounter many unforeseen struggles. Thats where memory care facilities step in.Choosing a Care FacilityToday, there are 220,000 Alzheimerspatients in Illinois, most of them older than 65 and most of them women, according to theAlzheimers Association. That number is projected to jump by more than 18percent during the next nine years.There are nearly 100 Alzheimers care facilities in the greater Chicago area, according to the Illinois Department of Public Health. So how do you choose one?Families should visit the facilities in person and consider a number of factors, says Natalie McFarland, executive director ofTerra Vistain Oakbrook Terrace, which specializes in caring for Alzheimers residents.In memory care facilities, staff members are specially trained to help people with dementia or Alzheimers. McFarland suggests that families ask about the facilitys approach to working with their loved one. Does the facility embrace person-centered care and look at the resident as a whole person, taking into consideration his or her life history, and incorporate it daily? she says.Many facilities offer activities, suchas art and music, which are critical to keeping residents bodies and minds active. The Northbrook Inn Memory Care Community, for example, offers a modified stretching activity similar to tai chi, and residents are given iPods with music they enjoyed in the past, because music evokes memory, says executive director, Karolee Vandrush.Belmont Villagesenior executive director Jeanne Hansen recommends that families look at facilities sooner rather than later so they dont have to make a hasty decision.No two residents are the same, she says. Dementia, including Alzheimers, doesnt manifest itself in the same way or at the same speed for any two people. Families need to find the place thats right for them and their loved one.Paying for ItAlzheimers care can alter retirement plans and the financing of those golden years. As a result, an Alzheimers patient may need many financial resources to cover the bills.SeniorHomes.com, a website tracking those charges, says that the average billin Illinois for someone in a memory care facility runs from $60,000 to nearly $90,000 annually. Yet some memory care facilities in the Chicago area bill more than $100,000 a year, depending on the carean Alzheimers resident requires. These facilities are usually private pay. Short of having the money set aside, how else can you pay these costs?Long-term care insurance can be expensive, but when you think about what it can provide an Alzheimers patient at a skilled nursing facility for a considerable amount of time,the benefit is vast, says Lori Martin, who sells long-term care insurance plans at Riverside-basedEnvisionBenefit Specialists.Some long-term care plans have high annual premiums, but Martinsays that someone in their mid-50s can purchase a policy with good benefitsfor a $2,500 annual premium. The American Association for Long-Term Care Insurances website, aaltci.org,lists agents specializing in selling long-term care plans.Providing Support for FamiliesIn addition to assisting residents, memory care facilities can also provide support for families.All forms of dementia, including Alzheimers, are very stigmatized, similar to depression, says Mary Ann Anichini, a nurse practitioner and executive with Evanston-basedPresbyterian Homes. Families have a hard time accepting it.It is sometimes a shocking diagnosis for families, echoes neurologist Daniel Cacioppo, MD, ofNorthwest Community Healthcare. We tell them theyre not alone and provide them with information about support groups.We provide comfort to the families by listening and talking, Hansen says. We cant make the disease better, but we can absolutely let our family members and residents know that theyre not walking the journey alone. Doug PageEditoris Note: Excerpt reprinted with permission from Chicago Health magazine. Visit www.chicagohealthonline.com to read more or to subscribe to its bi-monthly e-newsletter.

As we age, we often have a greater need for medical and therapeutic services. Lee Healths Senior Care Choices program enables many seniors to remain independent in their own home and enjoy the independence they desire.Our team of Aging Life Care ProfessionalsTM - care managers and social workers - coordinate care with a number of medical and supportive services to find the best fit for each person; to make their lives more manageable and comfortable. We are their advocate, and we do this while communicating with family members who live all over the country.The goal is to keep older adults as independent as possible so they can age in place. This means staying in their current residence, whether that is a single-family home or an assisted living residence. With the services we provide, the older person may not need to move as he or she requires more comprehensive care. Our team will:Accompany client to physician appointments and communicate to families.Develop a Care Plan with input from family members and physicians, which includes a complete medical, social, safety and nutritional evaluation. Coordinate and oversee the Care Plan to be followed by all those in connection with the care of our client.Investigate benefits of home care, assisted living and nursing homes.Arrange for in-home services, such as caregivers, laundry, housekeeping, meal preparation and even installation of grab bars or other assistive devices.Coordinate the delivery of medications, meals, medical equipment, health alert devices and other items.Our team has extensive knowledge about how to assess an individuals needs, determine the best living situation for them, efficiently manage resources and provide the numerous support services to maintain independence and the best possible quality of life as they age. For more information on Lee Health Senior Care Choices, call 239-225-7718.

For more information on the author, Cypress Springs, CLICK HERE!Every October, the world comes together to raise awareness and find a cure for breast cancer. According toBreastCancer.org, its the most commonly diagnosed cancer among American women and the second-most common inCanada. The death rate for breast cancer goes down about 1% a year due to early detection and better treatment but we still dont have a cure.Breast cancer starts in the cells, usually forming a tumor that can often be seen on an x-ray or felt as a lump. Its important to remember that breast tissue cells cover a larger area than just the breast, extending up to the collarbone and from the armpit to the breastbone. Unfortunately, the most significant risk factors are being a woman and being over 70 years old, which means seniors need to be aware of symptoms and how to detect them.Early DetectionWhen breast cancer is detected early, and is in the localized stage, the survival rate is almost 99%. Early detection includes doing monthly self-exams and scheduling regular clinical breast exams and mammograms.Up Your Vitamin D IntakeStudies have shown that vitamin D deficiencies are linked to breast cancer, among other diseases.ExerciseA sedentary lifestyle also increases risk. Senior women who get regular exercise may be able to lower their breast cancer risk by as much as 20%.We understand how important it is to support those affected by breast cancer. As a reminder, if you or a loved one discovers any breast lump or change, it needs to be checked by a doctor to determine if it is benign or malignant.

Believe it or not, Assisted Living Communities have been around since the 80s. Their popularity grew over the next two decades and eventually gained acceptance as an attractive living option for older adults. Despite being more mainstream now, some common myths still exist.1. Ill Lose My Independence Assisted Living Communities (ALs) promote independence, privacy, choice, and dignity, all while offering a personalized care plan to meet an individuals needs. Many people find that moving to an AL frees them up to do the things they choose, rather than using their energy to do the things they must. Those who are no longer driving actually gain freedom with the transportation options offered by the AL. Residents can come and go as they please, have visitors, and even go on vacation.2. Its Too Expensive - When comparing the cost of home ownership (paying for personal care assistance, housekeepers, landscapers, food, utilities, maintenance, insurance, and taxes) with assisted living, many times it is less expensive at an AL. Long Term Care Insurance and the Veterans Aid & Attendance Benefit sometimes help with the cost of AL.3. Moving is Too Overwhelming - Many people are making a living out of helping seniors move theyre called Senior Transition Specialists. They take care of everything from packing, transporting, unpacking, arranging furniture, hanging pictures, to making the bed. Some companies offer estate liquidation services, so you dont have to worry about what to do with the things you no longer need or want.4. My Kids are Putting Me Out to Pasture If your kids are encouraging you to consider Assisted Living, its only because they are concerned about you and want to know you are safe, have help if you need it, and are getting the most out of life.5. I Wont Know Anyone While this may be true, it is also true that as we get older our social circles tend to get smaller. In an AL, you have a whole building full of people who were once in the same position and who would like to get to know you better. Who knows? You may have something in common!There are many benefits to residing in an Assisted Living Community. Keep an open mind, do your research, and know your options so that you can make an informed decision. You have nothing to lose and plenty to gain!Editors Note: This article was submitted by Jennifer Armenia, Marketing Director, One MacDonough Place. She can be reached at 860-358-5802 or Jennifer.Armenia@midhosp.org

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Aquatic therapyrefers to treatments and exercises performed in water for relaxation, fitness, physical rehabilitation, and othertherapeuticbenefit. Typically a qualifiedaquatic therapistgives constant attendance to a person receivingtreatmentin a heatedtherapypool. Aquatic therapy is well suited for seniors and keeps both the body and mind fit.#listing_mgr{7 basic_search}#

Nurse Next Doors unique concept of Making Lives Better through Happier Aging has had a powerful impact in their clients lives.They help their clients rediscover activities and interest they thought they had lost forever or can no longer do. Nurse Next Door caregivers are passionate and empowered to find those happiness gems with their clients and have them come to life during each visit.They make it meaningful, memorable, fun, unusual and unexpected.These constant positive experiences lead to happiness and fulfillment with each client; which in turn promotes overall health and well-being. Its a wonderful and caring client experience!Nurse Next Door is locally owned by Christopher and Ellen Peacock. If you or someone you know needs assistance and could benefit from Happier Aging, please call Nurse Next Door where a live person answers the phone 24-hours a day. At Nurse Next Door, Its about Caring, not just Health Care.Editors Note: Article submitted by Nurse Next Door. For more information call (941) 222-0920 or email sarasota@nursenextdoor.com.

Service Agencies AcronymsCOA. AAA. ASAP. Its all part of the confusing alphabet soup of service agencies for elders. And yes, it can be confusing trying to understand all the acronyms, what they stand for and precisely what each does. But have no fear, were here to help with a basic primer to understanding these different terms.Lets start with COAs, which stand for Councils on Aging, the local level of elder services. These councils are town or city based and generally serve just a single community. Councils on Aging are local volunteer organizations that offer information and direct services to seniors, their caregivers and other people with aging issues. COAs are part of the local government, and work with other senior agencies and city and town departments to provide social, recreational, health, safety and educational programs for seniors in their communities.Most COAs operate Senior Centers for area residents age 60 or older. COAs are also home to each towns SHINE (Serving the Health Information Needs of Everyone) Program representatives, who provide free, confidential and unbiased health insurance information, assistance and counseling.ASAPs, or Aging Services Access Points, are private, non-profit, state-designated agencies under contract with the Massachusetts Executive Office of Elder Affairs to provide seniors and caregivers with access to a variety of programs and services. ASAPs manage the Massachusetts Home Care Program, Meals on Wheels, Money Management Program and Caregiver Support Program, as well as provide information and referrals for senior services. Many services are free, others are based on one's ability to pay, and some are offered on a fee-for-service basis.ASAPs are supported by state and federal funds, as well as private donations. Federal funding is provided through regional Area Agencies on Aging (AAAs), which were established under the Older Americans Act to ensure that seniors have access to all essential services.AAAs solicit and contract with private vendors for services, administer the disbursement of funding, monitor programs for regulatory compliance and maintenance of quality, and generally coordinate operation of services and resources.Most ASAPs also serve as AAAs, but some locations in Massachusetts are served by separate agencies. There are 26 ASAPs across the Commonwealth, each serving a designated geographical area.This article was submitted by Douglas Flynn. Flynn is the Caregiving MetroWest Program Manager with BayPath Elder Services, Inc. and may be reached at 508-573-7204 or by email at dflynn@baypath.org.

In the perfect world, we all want to age in our own home. It is generally the setting where we are most comfortable. However, life often has different plans for us.As we age, our daily activities can get more challenging. Some warning signs are; it is unsafe to be at home alone, the amount of home care needed gets too expensive, family/neighbors/friends can no longer help enough, or loneliness or boredom is starting to set in. Senior Living such as Independent or Assisted Living can often help make life easier, more fulfilling, and provide any care that is needed.By being proactive about moving into Senior Living, we often find that there are several advantages of moving sooner than later. We get a lot more out of the community or home by moving in when we are more active. We make new friends easier, we get involved in the activities, enjoy the food, go on outings, and rekindle old friendships. Plus, time with family becomes Quality Time instead of loved ones simply helping with chores, transportation, etc.We often see thedownsides of waiting too long. For example, something happens as we wait to make the move; a fall, a broken hip, an accident due to dementia. The unfortunate thing is that when something like that occurs, Senior Living may not be an option anymore. We miss the window of opportunity and then only far more expensive options are available (i.e. a Nursing Home). A proactive search can save a tremendous amount of money, and also affect quality of life. Waiting for an event to happen that forces a move can be very stressful to ourselves and our loved ones. By moving into Senior Living earlier, the safer environment can often help avoid more intensive settings later, and quality of life is often enhanced, not diminished.We usually find a great place while we have plenty of time to look, and are not under stress because of a short time line. We have a better chance of finding the perfect place when we look earlier. Living at home can be a challenge as we age. A common phrase we hear is I wish I would have done this sooner.Editors Note: This article was submitted by Ed Wagner. Ed is the owner of Assisted Living Locators and may be reached at 303-981-5021 or by email at ed@assistedlivinglocators.com

As we age, we all hope to stay in the place we call home. But with each passing year, it becomes more difficult to coordinate multiple doctors appointments, medical tests and prescriptions. We often struggle to find safe transportation after our driving skills decline. Even day-to-day activities like cooking, cleaning and bathing can be exhausting. Frequent trips to the emergency room can be scary and unpleasant. Our friends and family members worry about us. At some point, we agree that we need support to stay safely at home.Hope PACE (a Program of All-Inclusive Care for the Elderly) combines the best elements of medical care, home care and personal care to help you meet the challenges of aging at home. This innovative program addresses your medical and psychological needs while also helping you with practical matters. A professional team of doctors, nurses, personal care aides, activity coordinators and drivers provide you with comprehensive and coordinated care.As a Hope PACE participant, you receive all of your medical care through the program. Your prescriptions are included, along with careful medication management. You can visit with medical specialists even dentists. Those who need extra help can benefit from occupational, physical and speech therapy. Hope PACE provides additional care in your own home. If you need assistance with personal care, light housekeeping or equipment and supplies to keep you safe, its all available through this program.Many of your social and medical services will take place at a Hope Care Center. While at a Center, you can enjoy nutritious, warm meals along with fun activities like Bingo, art therapy, games and contests. Musicians and pet visitors frequently drop by for your entertainment. You can enjoy light exercise with interactive Wii games, simple stretches and outdoor activities. Don't worry about how to get there the Hope PACE program even provides free transportation!While you're enjoying your day at the Care Center, your caregiver can relax for a morning or afternoon of respite. Your loved ones will receive expert guidance and support so they can also improve their quality of life.To become a participant, you should be 55 or older with a health issue that requires ongoing management of symptoms or medications. You must live in Charlotte, Collier or Lee counties and be able to live safely at home with help.If you are enrolled in Medicaid - or in both Medicaid and Medicare, the Hope PACE program is free. For everyone else, there is a fee to participate.Hope Care Centers are located in Port Charlotte, Fort Myers, Lehigh Acres and Naples. To begin your enrollment, visit HopePACE.org or call (855) 454-3102.Editors Note: This article provided by Jessica Williams, Precision Imaging, Gulf Shores. She may be contacted at 251-948-3420.

To learn more aboutApple Tree Assisted Living, CLICK HERE.While some of the realities of aging can be stressful for seniors or those approaching senior age, its comforting for many to know that there are several excellent care options for those who have certain needs due to age. And while there are several different programs or community types to consider among seniors who are considering a move to a location where they can receive assistance, two of the most common such communities are assisted living and independent living these are similar in some ways, but also have some notable differences that separate them.At Cozy Retire, were happy to offer high-quality, award-winningassisted living communityservices to numerous seniors throughout Ogden, Kaysville and Layton, offering several levels of assistance and personalized care plans depending on each individuals needs. How do our services compare with independent living communities, and which should you be considering if youre a senior or a caregiver helping with this decision? Here are some basics on each.Assisted Living BasicsAssisted livingcommunities for seniors are meant to combine themes of independence with the basic forms of support that some seniors require. This support will vary widely between individuals some may have physical needs in terms of dressing or grooming themselves, while others may have needs in healthcare, social engagement, bathroom usage, meal consumption and many other areas, and assisted living staff are here to help with all of them.Its important to note that assisted living communities arenotthe same as nursing homes. Nursing homes tend to refer to those for individuals with even more significant medical needs, including complex care programs that involve daily services. Those in assisted living communities may have some of these needs, but theyre generally less intense.Independent Living BasicsIndependent living communities, on the other hand, are meant for seniors who are still pretty active but want to be free of some of the burdens and responsibilities of homeownership while also having care resources on-hand if needed. Basic maintenance and household duties are carried out by staff, giving residents plenty of time to participate in various programs, enrichment activities and more, both on-site and off-site. However, independent living communities tend to have somewhat fewer specific care resources, and may not be ideal for seniors who have particular health or related needs.Choosing Between ThemTo be clear, there is no wrong answer here whether a senior chooses assisted living, independent living or even one of a number of other setups in this realm comes down completely to their needs and preferences. Seniors who dont have many health issues and just want to lessen their responsibilities while enriching their life may gravitate toward independent living; those with a few more care needs who want these maintained while also living an independent life may look to assisted living.

The percentage of senior citizens continues to increase over the years which means the need for senior services is becoming more necessary for living a more comfortable life after retirement. Many of these services are provided across the Austin metro area as well as surrounding towns.However, seniors are increasingly using some of these most sought after senior services in Austin, Texas to ensure they are getting what they need in order to live their lives day to day:Senior TransportationDriving is one skill that suffers as a person ages and often it becomes impossible for a senior citizen to drive. However, maintaining independence to meet daily needs is vital. Many of those seniors who are aware of their deteriorating driving skills limit the time they drive throughout the day to reduce the risk of accidents.Capital Metro Transportation AuthorityThese public transit and paratransit services offer transportation to seniors who dont have the capability of driving. Special accommodations are provided for seniors, including lift and ramp access, front of the bus seating, special stop requests, and more. Capital Metro also operates Special Transit Services (STS) for pre-approved seniors with disabilities who need door-to-door service.Volunteer Caregiver ProgramsThese programs provide service to the greater Austin area to enhance the independence of older adults by offering specialized transportation requests. Volunteers use their own vehicles and provide free-of-charge service but clients pay parking lot fees.This service is available for health care needs and grocery store errands as well as other secondary need services like social/recreational activities, grooming, and personal errands. Seniors can request these volunteer services late morning to early afternoon depending on the volunteer.Medicaid Recipient TransportationThose seniors who qualify for Medicaid may qualify for free transportation to doctors appointments and pharmacies if they are not in a long-term care facility. The Texas Department of Human Services provides seniors free tickets to use for Capital Metro services and taxis.Healthcare at HomeThis service is a crucial part of senior living when transportation is limited and a seniors mobility is hindered. Healthcare at home provides seniors a way to receive care from medical professionals as well as receive medicine through mail or delivery, without having to go directly to a facility or store.Skilled nurses provide daily assistance to the elderly, including administering medicine, cooking meals, doing laundry and helping with personal needs. These service costs vary depending on the services provided to the patient and how often those services are requested.Other services include:Physical TherapyOccupational TherapyHome Care AideSpeech TherapyMedication ManagementAnd More!Meal DeliveryA major problem among the senior community revolves around eating, but many seniors receive help from charitable food organizations that deliver food to homes and facilities where the elderly reside.In 2013, more than 5.4 million seniors over the age of 60 experienced a time of insecurity which eventually led to hunger. Organizations like Meals on Wheels deliver meals to seniors across the Austin area to prevent those numbers from rising.Some of these meals are served at senior centers while others are delivered directly to seniors in their homes. More than 1.2 million volunteers provide service to seniors across the country and more than 300 in the Austin area make sure local seniors never go hungry. This service is provided free of charge to seniors.Finding The Best Senior Services with Seniors Blue BookWhen searching for the most beneficial services for you or your loved one, Seniors Blue Book gives you more than a choice, we give you the best option that will create the most comfortable senior living imaginable.For more information on Seniors Blue Book and our extensive resource guide to senior living in Austin, Texas, contact us today through SeniorsBlueBook.com!

Share your wishesAfter the often hectic buzz and planning of the holidays, we need a little time to regroup, reflect and set new resolutions come January. Maybe you've planned the holidays, the gifts, the decorations and who gets the guest bedroom. Now its time to think about you. Do your loved ones know how you'd want to be cared for if you couldn't advocate for yourself due to a serious illness or injury? Do they know if you would want extraordinary measures including being on a respirator to keep you alive? Are they aware whether or not you want comfort measures, including aggressive symptom management, to keep you comfortable until death? The decisionsabout your treatment and healthcare should be yours.Plan for the What if?While we wish and dream for many things, its understandable that even thinking about death may make us uncomfortable -- and yet a dignified and peaceful death is what we wish for. That sense of discomfort is nothing compared to thestress you and or your loved ones could endure if you haven't shared your final wishes before you are unable to actively make a decision on your own behalf. Additionally, its important to appoint someone who will act for you if any medical condition or circumstance should occur where you cannot speak for yourself. A Simple Form An Advance Directive is a legal document which expresses these preferences. It can contain a Living Will, the naming of a healthcare representative or both. Surprisingly, its pretty simple and can be done in a matter or minutes perhaps some of the most important minutes you can spend to help yourself and your family. You don't need a lawyer or a notary, just a good form and a pen to sign the document in the presence of two witnesses.We Can HelpRegional Hospice and Home Care can help. Visit us at regionalhospicect.org and download a copy of Advanced Directives, What you Should Know. Or, you canemail us at info@regionalhospicect.org and we can send it to you. Make your preferences known while you can consciously and thoughtfully planthem. Make sure to prepare for unexpected healthcare needs and make those final weeks or days less stressful for you and your loved ones by sharing thesewishes now.Make a resolution to get those wishes defined and shared before the next holiday

Uninterrupted sleep is important for overall good health. Sleep is worth taking care of as it is restorative provided that one has at least 5 hours of undisturbed nightly sleep.People with incontinence are often woken several times throughout the night to have soiled underwear and/or soiled briefs changed. Their bedding is often wet and needs to be changed nightly too. Can you imagine how you would feel if you were woken 3 to 4 times each night? Uninterrupted nighttime sleep for incontinent people is achievable with a better understanding of the incontinence products available, which supplies to use, and when to use them.Understanding Incontinence ProductsNighttime is especially challenging for incontinent people and their caregivers. Most products that are sufficient for day use are not sufficient for night use. For some people it may be enough to choose the same type of incontinence product, but of higher absorbent capacity. Others should use a different type of absorbent product altogether for better outcomes. Using the correct incontinence products are beneficial to both the care recipient and the caregiver. Incontinence products can include underwear, briefs, pads, liners, man guards, and underpads.Many manufacturers offer incontinence products in a range of absorbencies. Sometimes recommended nighttime incontinence products are labeled with the word night on the packaging. Typically, incontinence levels will range from light/moderate to heavy/severe. Incontinence product absorbency options will coincide with these levels.A super absorbent night product should be used to aid in uninterrupted nighttime sleep. A misconception is to use a larger size product at night because unfortunately some people believe that a larger size product equates to higher absorbency levels. This is misleading as it is critical to wear the correct product size to maximize effectiveness and minimize skin breakdown and leakage.Product TypesSince the body position is typically different at night versus day, some incontinence products may not be appropriate for nighttime use. For example, underwear and pads are great options for daytime, however, they may not be the best option for nighttime. The surface of their absorbent core is smaller so a person who tosses/turns during the night may experience leakage issues. It is important to understand that certain pads or underwear that are deemed effective during the day may not work at night. Briefs may be a better option for night for individuals who sleep on their backs.For side sleepers, shaped pads may be a better option to prevent leakage. Shaped pads are bigger than regular bladder control pads and their absorbent capacity is similar to briefs. Their advantage over briefs, for side sleepers, is that they do not have closing tabs and so the absorbent core may be moved to any side to adjust it to the body position to reduce leakage. Shaped pads are held in place with washable supporting underpants.To minimize skin breakdowns, it is recommended to use vapor permeable products (100% breathable). Choosing a high quality soft, comfortable, and effective product is critical.This article was submitted by Deanna Vigliotta, TZMO USA INC. Deanna can be reached at 850-503-7534 or deannavigliotta@tzmousa.com or visit www.seni-usa.com

Individuals suffering from hip and knee arthritis have more options than ever to help reduce or eliminate pain and improve their quality of life. The general approach is conservative, non-operative management until that no longer provides adequate relief from pain. This may include anti-inflammatories, acetaminophen, glucosamine, chondroitin sulfate, bracing, use of a cane, or injection therapy. If non-operative pain management does not relieve pain or no longer provides relief, there are several criteria that indicate it may be time to discuss operative management for hip or knee arthritis. These include: 1. If the individual is experiencing more pain than they care to deal with on a regular basis 2. If the arthritis symptoms are affecting the individuals quality of life 3. If the arthritis pain is keeping the individual from their normal daily activities. A fourth, but definitive criteria is if the arthritis pain can only be controlled by narcotic pain medications. Narcotics are not an appropriate long-term treatment for arthritis pain, as narcotics create their own long-term issues and problems, including addiction, dependence, and also make it much more difficult to control post-operative pain.The encouraging news is that there are several new developments in hip and knee replacement that make the surgery and recovery time much easier. The post-operative pain is minimized, and the recovery time is much shorter than before. We now offer minimally invasive hip replacement in which patients generally go home on the day of surgery, or the day after. Most patients are also off of narcotic pain medicines within two weeks, which is shorter than with traditional hip replacement. Regarding knee replacement surgery, partial knee replacements (unicompartmental knee replacements, patellofemoral replacements) are an option for localized knee arthritis. These patients also have similar hospital stays and reduced narcotic usage as the minimally invasive hip replacement patients. With new developments in post-operative pain control, even standard knee replacements rarely require IV pain medicine. Also, virtually all standard knee replacement patients go home after spending only 2 nights in the hospital, and many patients are only spending one night in the hospital.If you suffer from hip or knee arthritis, a visit with an orthopaedic surgeon can provide options available to you to help improve your quality of life and reduce, or eliminate, pain. You may be surprised how easy it can be to take back control of your life!Editors Note: This article was submitted by Ed Szuszczewicz, MD. who is an orthopaedic surgeon specializing in Joint Replacement and Trauma Surgery at Front Range Orthopaedics and may be reached at 719-473-3332. For more information visit Front Range Orthopaedics at www.fro.com

Private duty nursing is the care of individuals of every age; from newborn infants born prematurely or with neonatal health issues to our senior citizens who after many years of productive lives need assistance with the most basic tasks of living.Although we use the term nursing, private duty care can be provided by licensednurses who will perform skilled procedures such as administering of meds, tube feedings, and wound care. Non-nursing care is typically assisting individuals with personal grooming, bathing, meals, assistance with feeding, light housekeeping; as well as errands to pharmacy or grocery shopping. This non-nursing care is done by certified nursing assistants, home health aides or personal care attendants who can also assist with important mobility and functions which include ambulating, range of motion exercises, transfers in and out of bed or bathtub, and monitoring of vital signs.Private duty care can be for persons either on a temporary basis but are often more individualized and for those who require a continuous need. This type of care from non-nursing personnel has the ability to help with activities of daily living, work with people in a one-on-one setting in their homes with the desire to improve care and maintain a professional relationship with the person and their family.Who is responsible for payment of private duty services? Traditionally, private duty nursing was for Medicaid clients who require more individual and continuous care (life-long). Most services are only on an intermittent basis, generally about two hour a day from once to three or more times a week, depending on the need. For Medicaid candidates, those individuals may be referred from private practice physicians, hospital discharge planners or can obtain information and approval from agencies such as the Area Agency on Aging in your local community.Most health care provider agencies will want to obtain as much information regarding the type and amount of care necessary to help with the day-to-day tasks. First, there is no age limit for private duty home care. Individuals may need assistance from a recent acute illness or surgery requiring several months of rehabilitation or someone who become physically unable to care for themselves.A private duty nursing agency will want to develop a service plan or plan of care with you or your loved one. That plan of care will revolve around what services is best for you. A free in-home assessment may be offered by your local private duty agency which will go over topics such as: medical issues i.e. Alzheimers or dementia; physical health diabetes, arthritis, weakness; sleep disorder, pain levels, mobility problems; daily routine: self-care, assistance from family and friends, emergency help; and home issues: fall precautions, safety hazards such as stairs, and / or animals in the home.Ed. note: This article was submitted by Joel Cavalier, RN, MS, Executive Director of Nursing Management, Inc., a provider of private duty nursing service for 30 years, and a Medicaid provider for 20 years. For more information, he may be contacted at jcavalier@nursingmgt.com

As we grow older, changes occur throughOUT THE body. Parts wear down with use.Loss of essential vitamins and minerals, hormonal changes, habits and genetics all prove to be important factors with the way our bodies mature.As with any part of the body, your teeth and gums will respond to aging, depending on many factors. Ultimately, how youve treated yourself throughout the years can make a big difference! Things like good oral hygiene, follow up dental care and a healthy lifestyle can prolong your teeth and gums in a stable and functioning manner. Patients often ask me if certain dental conditions are caused by aging. Over time, age will typically cause the teeth to wear and darken. Certain medical conditions, such as diabetes, heart disease and medications can complicate and add to dental issues and these may require a more aggressive approach to dental treatment and maintenance.In order to maintain a healthy lifestyle, a patient typically needs to be free from infection and able to chew foods, without pain. Modern day dentistry has enabled dentists and patients to reverse the years of wear and tear on your teeth and restore your smile that you remember from youth, or perhaps even better!Crowning and Bridging the Teeth:A dental crown is a tooth-shaped cap preserve the functionality of damaged teeth. Crowns can be made out of porcelain (meaning some sort of dental ceramic), metal (a gold or other metal alloy), or a combination of both.Cerec One-Visit CrownsAn amazing new technology that provides tooth restoration in just one visit! With Cerecs CAD-CAM technology, the crown is made by a computer while you wait, thus eliminating the second appointment and the temporary crown. These Cerec crowns are milled out of pure ceramic.Dental Implants:A dental implant is an artificial tooth root that a periodontist places into your jaw. A small titanium shaft is surgically implanted into the bone and allowed to set. (The titanium is a metal known for its bio-compatibility and lightweight properties.) The bone grows around it forming a tight connection, which additionally slows or stops the bone loss that occurs when the root of a natural tooth is missing.These are just a few of the many cosmetic and restorative procedures used in improving ones dental health and beauty. To see a patient hold their head up high and smile is the best feeling... then you know youve done your job right!Please, contact our dental office if you have any questions about your dental needs or would like to schedule an appointment. Call us today (941) 484-8481.

To learn more aboutFront Range Eye Physicians, PC, CLICK HERE.Dry eye is a common condition when your eyes do not produce enough self-lubrication. It can occur if you are not producing enough tears, or if you are producing tears but they are of poor quality. Dry eyes can cause burning, stinging, foreign body sensation, cloudy vision, redness, and even more tearing!Blepharitis is a condition in which your eyelids become inflamed. The oil glands at the base of your eyelashes become blocked, irritated, inflamed, and sometimes red. Oil is a very important component of your tear film, so blepharitis can worsen dry eye, leading to further irritation and discomfort of the eyes.In places like Colorado, where the climate is quite arid, people are more prone to dry eye and blepharitis. Air conditions, such as poor air quality due to smoke, can make these eye conditions worse.To treat dry eye or blepharitis, it is important to first be diagnosed by your eye physician to rule out other causes of eye discomfort, blurred vision, or red eye. With the advice of your doctor, you may try over-the-counter artificial tears, prescription drops, eyelid scrubs, warm compresses on your eyelids, and omega-3 fatty acid vitamins to improve symptoms.Editors Note: This article was submitted by Sarah Dech, MD of Front Range Eye Physicians PC, in Longmont. She may be reached at 303-772-3611 or by email at, manager@frepeye.com

Residents that requiring daily medical care or rehabilitation after a surgery, accident or illness. Residents may receive physical, occupational, and other rehabilitative therapies following an accident or illness. A skilled nursing facility is licensed to provide health care and services involved in managing complex and potentially serious medical problems. Payer sources usually accepted are Medicare, Medicaid, VA, some insurance plans and private sources.#listing_mgr{1 basic_search}#

Senior living and care decisions are some of the hardest in life - especially those involving Assisted Living or Memory Care. Safety, quality of life, and dignity are all affected and costs average $3,700/mo. A professional called a senior placement agent works in person with families to find peace of mind by addressing 4 vital areas:1 OptionsGreater DFW has over 500 options just for assisted living - and more every month. Try finding a list. Many web sites offer selected information at the cost of unexpected marketing calls and hidden commitments. Large, new, and heavily marketed locations are easy to find. Some of the best care, however, is found at places with limited marketing budgets and even less marketing expertise. A good advisor knows the options.2 SafetySafety should be the first criteria in narrowing options. In Texas, however, only recent violations are published for Assisted Living. Years of historic data plus personal experience make for the best assessment. Long Term Care Ombudsmen are advocates organized by each state. They know their locations intimately. Senior Care Authority is a placement agency that tours extensively and assigns safety ratings based on years of violation and complaint history. A good advisor knows the safety record.3 CareCare is impacted by leadership, staffing, licensing, training, policy, culture and other factors. Many families are pointed in the wrong direction through generic lists, internet research, or inexpert referrers. They invest precious time and energy considering a community, only to later realize it could never meet their needs. A good advisor knows the capabilities of each option - especially when they differ from what is advertised.4 CostThis is used car sales. Not due to unprofessional marketers, but because of similar market dynamics. Every location is unique. High holding costs, combined with monthly corporate goals, create cyclical pressure to fill rooms. Specials are common, change monthly, and can obscure long term impacts of "inflation" and care adjustments. Families have a huge information disadvantage. A good advisor helps get a fair price.Now project each of these factors forward in time. A placement agent helps families consider today as well as the future. Transitions are no longer crises. That's peace of mind.Editors Note: This article was submitted by John Alagood, CSA, CPA, CDP. John is the Area Owner of Senior Care Authority and may be reached at (469) 333-8833 or john@scadfw.com.

For more information on The Palms of Fort Myers, Click Here.Because we care: Five Star Senior Living nears 100% vaccinationThere are many ways to tell someone you love them. You can say it with flowers, a hug, an act of kindness or a heartfelt letter. You can listen or laugh or cry with them. You can simply say, I love you. But prior to last December when the first COVID-19 vaccine was approved, you probably wouldn't have included I got vaccinated among your choices.Yet, for those eligible, getting vaccinated is a powerful way to show you care for others, be they family, friends, neighbors, coworkers or other members of the human family. That is why were pleased to announce that virtually 100% of our Five Star Senior Living team members are now vaccinated against COVID-19.We were one of the first national public companies to mandate vaccination, and we are among the first to be almost fully vaccinated. Its an important achievement and one we take pride in. (Maybe you've seen our social media campaign, HIGH FIVE!)Most of all, though, were excited to tell our residents and families that together with our high resident vaccination rate of nearly 90%, Five Star communities and clinics are among the safest places to live and work.A commitment to safety and each otherWe often say the health and well-being of our residents, clients and team members is our highest priority at Five Star. And we mean it. When the COVID-19 pandemic hit, we proved it time and time again by meeting and exceeding shelter-in-place guidelines, even when that was difficult to do or not the popular choice. Thanks to our team members and with the cooperation of our residents, clients and their families, all of our communities reopened to visitors and new residents in early May 2021 and remain open!On June 1, 2021, for the continued safety of everyone and as part of our commitment to industry well-being best practices, we made the decision to require a COVID-19 vaccination as a condition of employment for all team members working in Five Star communities effective Sept. 1. We are pleased and proud of the overwhelming number who received the vaccine.It was not easy, but we did it together.Supporting our communitiesWhen we announced our vaccination mandate on June 1, Five Star had already demonstrated a commitment to the health and well-being of its communities through multiple vaccination efforts supporting residents and team members:Every Five Star community completed a series of three vaccine clinics open to all Five Star residents and team members.Five Star hosted vaccine education town halls for its team members led by its Chief Medical Officer, Dr. Priti Jindal, and also instituted peer-to-peer networks to provide information and support.Following opening back up, residents and team members continued to have access to the vaccine at Five Star communities as well as through local community resources.Through Five Stars relationship with Omnicare/CVS, team members were given access to a concierge service designed to help navigate and schedule vaccinations.The safest places to work and playAll of these efforts have helped make Five Star communities and clinics among the safest places in senior living to live and work. For those considering a move to senior living for themselves or a loved one, it also means greater assurance of safety, health and well-being, and a lot less worry.Wouldn't you or your loved one prefer to live where everyone's safety matters? Check out Five Star Senior Living communities in your area. You'll find living that's easy and people who care, 100% of the time.

Medicare Parts A and B provide for home health, skilled nursing and therapies as well as skilled nursing and therapies in a Nursing Home for purposes of rehabilitation after a three-day hospital stay. These benefits have long been an important coverage under Medicare.Up until January 2013, Medicare has promoted to providers that Medicare would only pay the providers if the patient was improving his or her abilities as a result of these skilled services. This was counter to the law and Medicare's own rules and policies. As a result of a nationwide class action lawsuit which was approved by the court in January 2013, Medicare has agreed to educate the public and clarify the standards for coverage under Medicare. Under the new clarification Medicare will pay for skilled nursing services after a three-day hospital stay or for home health services if the therapies or skilled nursing services will help maintain the patient and avoid any further deterioration. Medicare will no longer require that the patient has the ability to improve but only that the skilled nursing service or physical therapy enables the patient to maintain their conditions or abilities.How does this affect you on a practical level? This means that the patients ability to stay in rehabilitation after a hospital stay will generally last longer, up to the 100 day maximum and thereby reducing continued rehospitalizations. It also means that patients with chronic conditions such as Parkinson's, Alzheimer's, MS, and ALS, can receive needed therapies enabling them to stay in the own home for longer. Previously these patients would be denied home health coverage for helpful physical therapies because it was viewed as the patient being unable to improve their circumstances and therefore the services were denied.Under the new maintenance standard these chronic care patients can receive these helpful therapies in their own home enabling them to stay in their home longer and healthier Over the next year, Medicare will revise their rules and engage in a public awareness campaign about this new standard for services. Seek help from your local elder law attorney on ways to best secure these additional services.Editors Note: Editors Note: This article was submitted by Lance M. McKinney, Elder Law Attorney, of Osterhout & McKinney, P.A., 239-939-4888.

In 2013, at the age of 73, Ronnie George started competing in numerous Florida Regional and State track and field events where he ran the 50 and 100 meter dashes.He won several competitions and now holds over a dozen Gold medals. Ronnie G credits his success as a top performer to BEMER therapy.BEMER is a class one non-invasive medical device that vastly improves restricted circulation in the smallest blood vessel, supporting the bodys own regeneration processes, and leaves you energized.Only good functional circulation ensures proper supply of nutrients and oxygen as well as proper waste removal within the body.This is fundamental for all metabolic processes. It is clear that the circulatory system plays a critical role in overall health.Bemer technology is easy to apply and anyone can use it. Many medical practices, clinics, and over 4000 hospitals throughout Europe are implementing BEMER for preventative purposes and as a supplement to other treatments. In sports, it is used to enhance athletic training and to accelerate the regenerative process.

Advance directives are written instructions relating to medical care for an incapacitated person. Estate planning is not just about planning for after death; it is also about planning for who will make medical and financial decisions in the event of incapacity and explaining a persons end of life wishes.A medical power of attorney is signed to appoint an agent to make health care decisions in the event that a person is unable to make his or her own medical decisions. Without a valid medical power of attorney, if a person becomes incapacitated the family may need to go to court to establish a guardianship. In a guardianship hearing, the court determines who will be in charge of medical decisions. If there is a disagreement in the family about who should be in charge, this process can be very expensive and difficult for the family.A living will directs when life sustaining treatment, artificial nutrition, and artificial hydration should be withdrawn. If two doctors state that a person has an incurable or irreversible condition or is in a persistent vegetative state and lacks decision-making capacity, that person can let their loved ones know if or when they wish for medical services to be stopped.In addition, a HIPAA release is necessary to ensure that medical information is released to both medical and financial decision makers. A seriously ill person or someone who is already in a nursing facility may also speak to their physician about a Medical Orders for Scope of Treatment (MOST) form, which is designed to summarize a persons wishes.The bottom line is that planning ahead by executing advanced directives will save you and your family time, expense, and conflict. When there is a medical crisis, the last thing that the family needs is an argument about who is in charge and the course of treatment that should be followed.Signing these documents does not take power away from you, it simply allows your loved ones to protect you if you are incapacitated and follow your end of life wishes.This article was submitted by Elizabeth D. Mitchell, Certified Elder Law Attorney (CELA).* Beth is an attorney with Ambler & Keenan, LLC and may be reached at 303-407-1543 or by email at bmitchell@ambler-keenan.com. *The state of Colorado does not certify attorneys in any field.

Public Health Departments Serve Communities throughout Idaho Idahos seven Public Health Districts were established in 1970 under Idaho Code to ensure essential public health services were made available to the citizens of the State. The Public Health Districts are controlled and governed by a local Board of Health appointed by county commissioners from that district. In the Treasure Valley, Central District Health Department provides services to Ada, Boise, Elmore and Valley counties. Southwest District Health provides public health services to Canyon, Adams, Gem, Owyhee, Payette and Washington counties. While Public Health Districts serve the health needs of low-income families and individuals, they also provide a broader range of services that impact everyone. Food establishment and public swimming pool inspections are conducted by health department staff to ensure safety for all. Child care facilities are inspected for health and safety. Public Health Preparedness staff work closely with local emergency response organizations such as law enforcement agencies, fire departments, emergency medical services and health care facilities to plan and prepare for public health emergencies. Women, Infants and Children (WIC) clinics provide supplemental nutrition, breastfeeding information and support, and referrals to other health care services for women, infants and children up to the age of five. Limited clinical services such as reproductive health/family planning, sexually transmitted disease treatment, and oral health education and preventive services for uninsured and Medicaid-eligible children are offered. Free or low-cost community-based Fit and Fall Proof classes for older adults are organized and overseen by local public health departments. Fit and Fall Proof classes are led by volunteer peer-leaders and designed to focus on functional exercises that reduce the risk of falling. The Public Health Districts are playing an integral role in chronic disease prevention. Diseases such as diabetes, heart disease and stroke have risen dramatically over the past several decades due to tobacco use, physical inactivity and poor eating. The Public Health Districts work within their communities to convene and coordinate efforts to increase access to physical activity and healthy eating opportunities and decrease tobacco use within the various community settings such as worksites, child care facilities and schools. Reducing chronic disease is a complicated issue and requires the coordinated efforts of many community partners. Public Health is working to link nontraditional agencies to address the chronic disease epidemic. This is just a sampling of the vast number of services provided by local Public Health Districts to promote healthy people in healthy communities. Jaime Harding, MHS, CHES Program Manager, Health Promotion and Health Policy Central District Health Department Boise, Idaho

Care specific to ALS (Lou Gehrig's Disease) and Multiple Sclerosis. Care plans will include assistance with ALS & MS disease states as well as assistance in providing appropriate healthcare support and therapies for those with these diseases. Caregiver education and support is also provided.#listing_mgr{8 basic_search}#

Navigating the world of Medicaid can be a daunting prospect. There are differing varieties of Medicaid with a variety of different names and an even wider variety of differing requirements.One of the most useful of the Medicaid programs for those who are elderly or disabled is Long Term Care Medicaid. There are actually a variety of different programs that can be accessed if Long Term Care is being received. These can vary from Home and Community Based Services that provides services to allow someone to stay in their home to skilled care in nursing facilities.Medicaid and Long Term Care have different financial requirements. Under the most common form of Medicaid, your maximum income for an individual is $1,305 per month. Under Long Term Care, the maximum income is $2,199 per month. Generally, under Medicaid your assets will not be used to determine eligibility. Under Long Term Care, while a lived-in home and one car is exempt, there is otherwise an asset cap of $2,000 for a single person, $3,000 for a married couple with both asking for assistance, or $119,000 for a married couple where only one spouse is requesting assistance.In addition, to receive Long Term Care services, the person requesting services will need to functionally qualify. This means that a case manager must assess them to determine whether or not they meet nursing facility level of care. Part of this process includes a request for information from the person requesting services doctor in order to assist in the process of determining whether or not the person qualifies.The purpose of Long Term Care is not to get Medicaid just for the health care coverage, although that is an added benefit, rather the purpose is to provide services that will allow an individual to stay safely in their homes as long possible. Examples of services that can be provided include fall buttons, electronic med minders, and caregivers to assist in the home with a variety of needed tasks.The best way to get further questions answered regarding these services is to contact your local ADRC for a discussion of your options.Written by: Derek Lofing, Options Counselor with Aging and Disability Resources for Colorado (ADRC) in Mesa County. Derek can be contacted by calling or emailing the ADRC of Mesa County at 970-248-2746 or adrc@mesacounty.us

Whether to place your loved ones in a facility or leave them their home is a difficult decision. Where do seniors want to live? A recent AARP study indicates that 83% of those over 65 would like to stay in their current residences for as long as possible.Yet, as seniors age, to stay at home becomes increasingly difficult for the senior and the seniors adult children. At least half of the 85+ age group need some type of assistance with their activities of daily living. Providing that care comes at a cost. Sixty-two percent of caregivers, generally adult children, have found that caregiving has affected their jobs, ranging from reporting late for work to giving up work entirely. In one study, 40% of caregivers reported that they lost an average of 17 days per year without pay to care for a disabled elder.According to an AARP/Met Life Study in 1997, the number of Americans struggling with this issue is growing: 54 million Americans are caregivers to an elderly parent or relative; 64% of caregivers are employed; 15 million workdays are missed annually because of elder caregiving; and employers lost $12-29 billion as a direct result. With the aging of the baby boom generation, these numbers are undoubtedly much higher today.The solution to the problem is home care through a licensed personal care agency. They provide skilled caregivers who have been screened and are bonded and insured. Personal care agencies provide a range of services, from one hour visits to 24/7 live-in assistance. This allows seniors and their families to choose just the right amount of care needed to keep the senior safe in her home and keep it within her budget.What both seniors and their adult children want is quality time together. Seniors don't want to burden their children with caregiving responsibilities. A licensed personal care agency can help seniors with bathing, dressing, meal preparation, light housekeeping, errands, medication reminders, and all other activities of daily living. Taking the chores out of caregiving for adult children gives seniors what they need the most: time with their children.Submitted by: Kevin Whatcott is the owner of Homewatch CareGivers in Utah. He is an attorney and Certified Senior Advisor. Homewatch CareGivers has been caring for seniors in their homes for over 30 years. If you have any questions about home care or other senior issues, give Kevin a call at 801-746-1080

To learn more aboutGood Shepherd Home Care & Hospice,CLICK HERE.The laws regarding debt after death are defined by each state so there isnt a single answer to the question above for everyone. On most occasions, the only time a family member would be responsible for your debt is if they cosigned a loan with you. People generally do not inherit another person's debt.When we die, a new entity emerges, called our estate. An Estate represents your assets and your liabilities. Upon death, a legal process called Probate (which is the first step of administering the estate of a deceased person), will resolve your debts and distribute your remaining assets to your heir(s).Creditors may legally seize assets within your estate (money or property) in order to cure a debt owed to them. If you have no assets, your creditors may have to take a loss on your debts. Depending on the state you live in, a creditor has a fixed amount of time to make a claim against your estate for payment.There is a legal pecking order as to who is allowed first claim to retrieve money from your estate. The higher priority goes to funeral expenses, administrative expenses, and federal taxes. The estate may then pay off expenses from the last illness and state taxes. At the bottom of the barrel are unsecured creditors, like credit card companies.Generally, all debts must first be paid by the estate before any remaining assets are distributed to an heir. An outstanding credit card balance, for example, must be paid before any money or gifts can be distributed to an heir. If there are not enough assets to pay the debts, then all assets and property will be sold to pay down as much of the debt as possible and the heir will inherit nothing.In the case of secured debts (e.g. home mortgage or auto loans), property (which is collateral) may be distributed with its debt. For example, you own a car worth $15,000 and the loan on the car is $7,500. If you die and leave that car to someone, it will become that person's obligation to pay off the loan.Except for certain situations (which include joint property or joint debt), creditors are unlikely to go after surviving family members when a debt cannot be paid by your estate money. The majority of married couples have joint accounts and joint debt. In these situations, a surviving spouse will be held legally responsible for the debt of their deceased spouse even if they did not generate the debt themselves. This is something that will often cause problems for surviving spouses who financially cannot pay off old debt and meet their everyday needs.If a creditor contacts a surviving family member about a debt of a relative who has died, the family member should give the creditor the contact information of the decedent's representative. The representative is responsible for paying any outstanding debts from the estate. If a will exists, the representative is known as the executor; if there is no will, the representative is known as the administrator.In community property states (where married couples are considered to own their property, assets, and income jointly) credit accounts opened during marriage are automatically considered to be joint accounts. This could affect what your spouse will have to pay, depending on the debt that you incurred. The following states are community property states:ArizonaCaliforniaIdahoLouisianaNevadaNew MexicoTexasWashingtonWisconsinTo conclude, when you pass away, your estate is responsible for paying off any balances owed by you, not your family. If your estate goes through probate, your administrator (or executor) will look at your debts and assets and, guided by the laws of your state, determine in what order your bills should be paid. The remaining assets will be distributed to your heirs according to your will or state law.

BACK PAIN, most people do not automatically think of a fracture when they first experience back pain.AFragility Fractureis any fall from a standing height or less, that results in afracture. Our bodies, when in good health, should be able to withstand a fall from this height without afracture. The most common areas involved include the spine, hip, and the wrist.What causes fragility fractures?Osteoporosis is the number one cause of a fragility fracture. Osteoporosis is characterized by low bone mass and structural deterioration. This can be caused by many underlying conditions such as; aging, being female, low body weight, low sex hormones or menopause, smoking, and some medications such as cancer medications, SSRIs, and steroids. About 54 million Americans have osteoporosis and low bone mass placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men, age 50 and older, will break a bone due to osteoporosis. Osteoporosis is often called a silent disease because the body cant feel bones weakening. Breaking a bone is often the first sign of osteoporosis but patients may notice they are losing height or their upper back is curving forward. If you are experiencing height loss or your spine is curving, be sure to consult your doctor or healthcare professional immediately. Other causes of fragility fractures include traumatic injuries as well as metastatic tumors.How do I know if I am at risk? You can find out if you are at risk by consulting your doctor. With a thorough medical exam and history, you and your doctor can determine what kinds of tests will be needed.What are the treatment options?There are many preventative options that may include: Prescription medications Calcium / Vitamin D Nutrition and overall health and exerciseIf you experience a fall or quick onset of pain consult your physician immediately. A fracture can occur by stepping out of bed or off of a step. These types of injuries will require intervention from a spine or orthopedic physician that specializes in fragility fractures. In most cases the fracture and pain can be corrected right away without the use of pain medicines and bed rest. If you believe you are at risk or are suffering from osteoporosis or fragility fracture pain, consult your doctor and begin a path to stronger bone.Editors Note: This article was submitted by Luc Koldewyn. Luc is a clinical director with the Colorado Spine Institute and may be reached at 970-342-2220 or by email at luc@eliteregen.org with any questions regarding fragility fractures.

Two types of little-known Veterans Benefits may provide critical benefits to those who need assistance with health care costs: Housebound benefits and Aid & Attendance benefits. Eligibility rules for these benefits are more flexible than those for Medicaid or other public benefits, and are also available to qualified surviving spouses and dependents of a veteran.In addition to meeting requirements regarding active duty service and disability, an applicant must meet medical and financial criteria:DETERMINING ELIGIBILITYMedical Criteria:Housebound benefits are available to a veteran or widow(er) of a veteran who meets certain conditions of disability and is confined to the home. People age 65 or older are presumed to be disabled, and simply must meet financial and military service eligibility requirements.Aid & Attendance benefits are available to a veteran or widow(er) of a veteran who meets certain disability conditions. Notably, the applicant is presumed to need Aid and Attendance if living in an assisted living facility.Financial Criteria:IncomeThe 2008 permissible family income limits range from $763 to $1,427 (for Housebound benefits) and $998 to $1,842 (for Aid & Attendance benefits), depending on whether benefits are for a widow(er) and whether there are dependents.Unreimbursed medical expenses (including home health care, assisted living facility, or skilled nursing home costs) may be used to reduce countable income.Assuming the applicant is eligible, the VA uses a formula to determine the amount of the monthly benefit, based on the sources of income and out-of-pocket medical expenses.AssetsThe VA considers an individuals net worth, excluding his/her home, to determine whether the person has sufficient means to pay for his/her own care. There is no specified resource limit; however, a commonly used resource limit is $80,000 or less in assets, whether married or single. Nevertheless, because the VA now uses age analysis to determine financial need, a 98-year old who has $75,000 may not be eligible, whereas a 78-year old who has $75,000 may be considered eligible.There is no look-back period in determining financial eligibility for applicants of these VA benefit programs. Therefore, excess resources can be gifted to family members and an application filed immediately thereafter with no effect on eligibility.*Donald D. Vanarelli is a Certified Elder Law Attorney by the National Elder Law Foundation, accredited by the ABA and an Accredited Veterans Administration Attorney. For more information, see his ad on page _____or visit his website at www.dvanarelli.com

To learn more about Tracy Aviary,CLICK HERE.Dealing with unwanted rats, squirrels, or otherrodents? Dont immediately reach for the rodenticide! Poisonedrodentslook like easy prey for raptors such as owls and hawks, but rodenticide can be lethal to birds, other wildlife, and even local pets. Glue or sticky traps can also unintentionally harm songbirds that may get stuck in them. Luckily, there are safer alternatives to keep unwantedrodentsout of your home and property.Before resorting to rodenticide bait, try these raptor-friendly alternatives:Seal entry points into the home, and use mesh and vent covers to keeprodentsout in the first place. Use at least a 1/4x1/4 metal mesh to protect crawl spaces and under-porch areas.Eliminaterodentattractants such as unsealed food, leaky pipes, pet food, and open trash containers.Use electronic traps or snap traps to humanely kill the remainingrodents. Snap traps should be placed inside a crate or other enclosed area with small openings so they are only accessible to the targetrodents.

We visited with Jeff Bellomo of Bellomo & Associates and explored how not to become a homeless senior! How do you protect your home and yet be prepared? Are there tax advantages? Jeff Bellomo, Bellomo & Associates, 717-845-5390, www.bellomoassociates.com. More questions? Ask Chris Gartman, Publisher, Seniors Blue Book of South Central PA - pa-info@seniorsbluebook.com #Money #Savings #NursingHomes #Homes #Finances #ElderLaw #BellomoAssociates #SeniorsBlueBook

Medicare Advantage plans are governed by Medicare. They are only offered through insurance companies that have an annual contract with Medicare. They are NOT the same as Medigap policies. They must cover all Medicare approved services. Most Advantage plans include Part D prescription drug coverage.For more information visit www.medicare.gov or call 1-800-MEDICARE. This information is the opinion of the author and intended as an easy to read summary. This is not a contract. Additional limitations and exclusions may apply to services. In the event of any inconsistencies with Medicare or with a published medical insurers certificate, the certificate / Medicare will control. Prepared 09/2018

EliteHealth is all about preventative Healthcare. It is the Gold Standard of Healthcare and it differs from other Medical Centers in that our patients get the red carpet treatment at each visit.Our state-of-the-art Medical facilities and Community Centers work side-by-side for the benefit of our patients to obtain optimal health.Our Doctors prescribe fitness classes to our patients to improve their lifestyles and quality of life. Our Community Centers are open to both our current patients and the community; offering exercise classes, educational, medical and nutritional talks. The progress from our patients are remarkable. Results include; patients getting off their medications, especially those with diabetes and high blood pressure, to positive physical results.Our medical services cater to ages from 18 and over. We have a particular focus on 65 and over, as we offer an Elite Senior VIP program that entails an extensive group of benefits and services.People are usually surprised to hear that EliteHealth offers complimentary transportation, referral coordination, at home doctor visits, as well as a 24 hour on-call nurse for our Senior VIPs . EliteHealth is a one stop wellness facility for all diagnostic testing, such as Lab, stress test, ultrasound, xray and exclusive fitness professionals.Our EliteHealth team believes in quality of care and patient experience. From the moment you enter the front door you are welcomed and made right at home. Our layout gives a spa-like feel to each and every person walking through our door. You are greeted and provided with a tour if you are just inquiring. You are checked-in if being seen as a patient. There is complimentary selection of refreshements to choose from for your enjoyment. But above all EliteHealth stands for quality healthcare offerered by a Board Certified team of Physicians dedicated to keeping you healthy and out of the hospital. We understand that your health is personal.EliteHealth accepts most commercial Insurances and Medicare. Those patients carrying Humana insurance are considered our EliteHealth Senior VIPs. Our VIPs receive extra benefits that are included by EliteHealth at no additional cost to the patient. In addition, our Communty Center extends special invitations to EliteHealth events throughout the year.Editors Note: Welcome to the HealthCare Revolution. Call us for more information, Sarasota & Venice, FL. 941-735-5343.

As nearly 200,000 men and women of all ages and backgrounds across the nation can attest, the rewards of belonging to a Garden Club go far beyond the pure pleasure of growing things. Joining a local Garden Club is a great way to green your thumb, but a membership also provides an opportunity to expand your interests and build lifelong friendships while bettering your community and the environment. A Garden Club will give you access to people who are experienced in gardening in your locality and you will find their assistance in valuable. Our National Garden Clubs Conservation pledge is: I pledge to protect and conserve our natural resources of planet earth and to promote education so that we may become caretakers (stewards) of our air, water, forest, land and wild life. Garden Clubs of Idaho, Inc. is a 501 3 nonprofit educational organization and a member of National Garden Clubs, Inc.. Garden Clubs of Idaho, Inc. is state wide organization associated with the Pacific Region of National Garden Clubs, Inc. and National Garden Clubs, Inc.. Garden Clubs of Idaho, Inc. has fifteen Garden Clubs and almost 500 members. Seven of the Garden Clubs are located in the Treasure Valley. Activities of our clubs include civic beautification funded through grants, charitable donations, and fundraising. Clubs annually sponsor horticulture education and seminars and regularly organize presentations about landscaping, cultivating and growing a wide variety of plants and vegetation. In addition we award annual scholarships to students for the study of horticulture. Flower Show Judges Schools and Landscape Design Schools are offered to our members. Clubs also compete for State, Regional and National awards on a regular basis. Garden Clubs of Idaho, Inc. encourages anyone interested in becoming a member of a Garden Club to contact any of the Garden Cubs listed below or the State Membership Chairman, Janet Petersen at janetnpeter@gmail.com. Go on; why not give it a try. Oct. 2013 Southwest District Garden Clubs of Idaho Garden Clubs of Idaho, Inc. State President: Karen Mallon 208-853-6108 mallonkl@gmail.com Ada Gardeners President: Beth Suhr 208-375-9310 bethstamp28@gmail.com Golden Garden Club President: Karen Mallon 208-853-6108 mallonkl@gmail.com Long Valley Gardeners President: Jan Morrison 208-382-5613 idasambaho@yahoo.com Merry Tillers Garden Club President: Maggie Williamson 208-871-2718 maggiewilliamson@mac.com Nampa Garden Club President: Cynthia Borron 208-899-6521 cynthiaborron@netzero.net Owyhee Gardeners President: Judy MacKenzie 208-896-4441 trublecumin@gmail.com Payette Valley Gardeners President: Maxine Walker 208-642-6686

The recent merger between the University of Chicago Medicine and Ingalls Health System has resulted in a new logo and rebranding as part of a major initiative to reflect the combined enterprises geographic reach and expanded services.UChicago Medicine is now much more than an academic medical center in Hyde Park, and the time is right for us to show that transformation through our logo and a broadened brand promise of being at the forefront of medicine, science and education, said Kenneth S. Polonsky, executive vice president of medical affairs at the University of Chicago. We now can provide a continuum of services in which academic medicine powers community care, fueled by our clinical excellence, research breakthroughs and teaching mission.Ingalls offers a regional network of top-rated outpatient services from highly respected physicians and specialists in modern settings throughout Chicagos south suburbs. It also features innovative service offerings, such as macular degeneration treatment from world-class retinal specialists, spine surgery from renowned experts, and more oncology clinical trials than any other community hospital in the region. Ingalls shows its community stewardship in myriad ways, such as offering free health screening events, educational programs and health fairs that reach thousands of south suburban residents.Integration with IngallsSince completion of the merger in October 2016, the two organizations have been working to improve patient flow and experience, and create unified service lines in heart care, cancer care and orthopedics.This renewed identity will help us become a leading, integrated health system in Chicagos Southland, Ingalls President and CEO Kurt Johnson said. We are working toward providing convenient, community-based health services that seamlessly connect with world-class specialty care.With the new logo, UChicago Medicine is the umbrella brand and Ingalls the supporting entity, which preserves the 94-year history of the community-hospital system and its facilities in Harvey, Flossmoor, South Holland, Tinley Park, Calumet City and Crestwood.Both organizations continue to retain their names and operating licensure, and Ingalls still maintains a local board of directors. Article Submitted by Susan Fine she may be reached at 708-915-6127

If you've taken on the caregiver role for a senior or someone with a chronic illness or disability, chances are you have experienced more than your share of fatigue, frustration, loneliness and stress. Few of us expect to add caregiving to an already challenging list of family and professional responsibilities. But if the task falls on you and the strain of caregiving threatens to throw your hectic life off balance, take a tip or two from those who have walked in your shoes.Get all the help you can. Seek or accept help from family members, friends, neighbors, volunteers from your community or church group, paid caregivers or a geriatric care manager.Safeguard your physical and mental health. Many caregivers take minimal time to care for themselves, not allowing time to exercise, rest or to eat regular meals. Exhaustion can compromise your body's immune system and lead to illness. Surprisingly, the primary reason many seniors are moved from the comfort of their own home into an institutional setting is the decline in health of the caregiver, not the patient. Its important to eat well, get enough sleep, see your doctor regularly and take time for yourself in order to stay healthy, keep your loved ones healthy and avoid burnout.Make time for yourself. Schedule respite times when you can attend to your needs and pursue your interests. Exercise, shop, read or enjoy yourself with friends and other family members - engaging in whatever activities you find most fulfilling and relaxing. Either through finding activities your loved ones are interested in or by having someone else come in to provide you some relief, making time for yourself is an important element in maintaining your physical and mental well-being.Consider connecting with other caregivers. Communicating with people who share your challenges can be a relief. Contact your local senior center, hospital, or homecare agency to learn about caregiver support groups in your area or connect with fellow caregivers.As with other priorities in your life, the responsibility of caring for yourself comes down to you. Even small steps toward positive change can reap significant benefits.Editors Note: This article was submitted by Elizabeth Squires. Elizabeth Squires is a Branch Manager with ResCare HomeCare and may be reached at 801-288-4100 or by email at esquires@rescare.com. For more information visit ResCare Home Care on the web at: www.rescarehomecare.com

You go to visit mom or dad (or both) at their home, as you have done countless times before. The changes may be so subtle or come on so slowly you may not immediately notice the signs, but today something you see causes you to have concerns. Perhaps your parent or loved one is not engaging in activities or hobbies which once brought such pleasure. You could see a pile of unopened bills on the counter. You may even notice that the quality or amount of food in the house is not up to par anymore, or that mom or dad is increasingly disheveled and confused.These may be indications that mom or dad need help.It is not uncommon for an adult child to serve as a caregiver to a parent. Sometimes this responsibility grows beyond that caregivers abilities or the time they can dedicate to that care. As a caregiver, if you have begun to wonder if the commitment is exceeding you, look to yourself as a guide. Is the time required to properly care for your loved one interfering with your job, your personal relationships, and perhaps even your health? Many experience caregivers guilt, but one must rise above the guilt and start to consider alternatives. It is ok to seek out help!Many times the decision to move a family member to Assisted Living has been born of a crisis or medical emergency. However, if you begin to consider options before crisis strikes, an informed decision made with plenty of time to act can make a world of difference.There are senior care advisors out there who specialize in assisting families find the best care for their love one when living at home is no longer a viable option. There are many considerations to take into account during this time, and an advisor can help navigate you through the process. Also, there are local government resources in the community whose primary focus is to assist seniors and their families get the assistance they need.The best thing that you can for your loved one is to equip yourself with the support and knowledge to make the best decision possible, and start to look for that help as soon as you begin to notice the signs.Editors Note: This article was written by Rami Stoner. Rami is the Owner & Senior Care Advisor for Care Patrol of Pueblo and may be reached at 719-433-1096 or by email at ramis@carepatrol.com

Good news for seniors facing hip replacement: A much better outcome with computer and robotic-aided surgery. Why is the outcome better? Because the orthopedic surgeon can better align new hip components with computers and a robotic arm than by older methods using an alignment rod.Not all of us are built the same. When laying on the operating table, our hip may not be aligned as it would be when standing or going about activities of daily living. How can the surgeon know this? If there was a map or picture of the pelvis in normal everyday position, it could be compared to how the hip is aligned on the operating table. With this comparison, and measuring the difference in the patients position, the surgeon could determine the best place for new hip components. This is where computer and robotic- aided surgery can help.Heres how it works: The new system used a CT scan before surgery to map the patients anatomy in small increments, in three dimensions. These measurements are fed into computer software that assists the surgeon in the exact placement of new hip components. This improves longevity, stability, rotation, and other factors affecting the patients outcome. During surgery, when its time to place the cup into the pelvis, the computer guides a robotic arm to assist the surgeon in placing it exactlywhere it need to be for that patient, adjusting placement based on measurements taken before surgery. All of this results in the ideal hip replacement for the best outcome possible.In earlier generations, a hospital stay of several weeks was needed and the new hip joint would not last as long as current-day replacements. Now, with computer-aided and minimally invasive surgery, a hospital stay of two to four days is normal and the new hip may last thirty years. Most important is the patients comfort with the new hip; the better the fit, the more comfortable the patient.Editors note: For further information contact an Orthopaedic Surgeon listed in this resource directory.

What is Active Adult Living?Ready to make a change; downsize your home, spend less time on maintenance, more time having fun, but not sure what that looks like? Enter Active Adult living! For a lot of people, life is spent saving for your first home, raising a family and moving into a bigger home, remodeling your home and keeping up with maintenance on your home. Our homes are where we make our life and spend time with our family and friends. They are our sanctuary, but what do we do when they just become too much, and we want something different? Active Adult living is the answer for a lot of people entering their next chapter of life.Active Adult Communities provide a carefree, maintenance free, lock and leave lifestyle and are age-restricted, so you are amongst your peers. Your time is freed up to discover a new hobby, rekindle an old passion, connect with friends more, travel or really anything your heart desires. Typical exterior maintenance is handled by the onsite management company. In addition, at most communities, there are plentiful amenities and events. Amenities range from beautifully appointed Residents lounges, club rooms and game rooms to high-end fitness centers and pools. Mix in an activities calendar with a wide variety of events and there is enough to keep you busy without ever having to leave your community. Of course, if youre a jet-setter, leaving has never been made easier. Feel confident in locking your door and taking as many trips as you wish, management is there to mow the lawn and clean the pool!This carefree lifestyle created in Active Adult communities does not typical