Imagine being hard of hearing and trying to make do with someone elses hearing aid having only one, not two for both ears. If you reside in a care facility and use all of your funds to pay for your care, what would you do? Imagine needing to move to an assisted living, having limited savings and being just $200 a month shy of being able to pay privately, what would you do?These are real-life examples of residents, in senior care settings who have been helped by St. Joseph Villa Foundation for Charity Care. The purpose of the Foundation is to provide financial assistance to those in senior care settings who require care, services or support but have exhausted all other potential funding sources and do not have the financial resources to pay. Founded in April 2011 following the sale of Christus St. Joseph Villa to a for-profit group, our reach currently extends to qualified seniors who reside in the Salt Lake Valley. As our resources and funding permits, we will grow to cover the entire state of Utah, and ultimately the Intermountain West. While the Foundations name and mission honors the tradition of its Catholic roots, the Foundation is a 501 (c) (3) not-for-profit organization (not a religious charity) which accepts financial donations and provides charity care for qualified seniors, ages 55+, of all faiths, nationalities and ethnicities.The goal of the Foundation is to support our seniors, by providing dignity and improving their quality of life through the fulfillment of unmet needs. Seniors may apply for ongoing assistance or one-time assistance for items such as hearing aids, eye glasses and dentures. Applicants must meet the income resources and asset qualifications criteria and complete the appropriate application (one-time assistance or ongoing support) and submit it to the Foundation. Completed applications must include documentation of reasonable estimates of costs for items/services. Additional criteria for qualifications may be obtained through the Foundations website or by calling the Foundation office. Please note the Foundation does not provide assistance for services already rendered.Editors Note: Presented by Beth Ehrhardt, President, St. Joseph Villa Foundation for Charity Care, and may be reached at (801) 468-6806 or email: behrhardt@ensigngroup.net. For more information or an application, please visit the website: www.stjosephvillafoundation.org.

I am Kim Tucker, a local Kansas City Metro Home Buyer.  I am also a Mom's House Senior Transition Specialist . . . When you put those two together it gives me the unique ability to help seniors and their families who are transitioning to a new living arrangement and are left with a home they no longer need.With my Certification and my partnership with Mom's House, I am getting a lot of referrals from people who are transitioning into a new home and reaching out for help with their home here and all the stuff left in it here in the Kansas City Metro.  I recently recorded a video to tell you a little bit more about me, Kim Tucker.  Our company, kcmoHomeBuyer.com.  And how we might be able to help you.At the end of the video, we share how you can request a free digital copy of my book "Paying for Long-Term Care - The Essential Guide to Understanding and Funding Senior Care"Having helped my Mother at the end of her life, my Mother In Law navigating Alzheimer's, my Brother In Law with Dementia, and my Father In Law moving to assisted living and sell his home in a whirlwind month . . . plus several others, we have been through what many reading this article have been through and we are here ready to help.Grab a cup of coffee and take about 13 minutes to watch my video.

PACE programs help the most vulnerable seniors in the community improve their quality of life.PACE stands for Program of All-inclusive Care for the Elderly. PACE programs coordinate and provide all needed preventive, primary, acute and long-term care services so that their participants can continue to live in the community. At the core of the PACE model is the Interdisciplinary Team (IDT): the IDT is comprised of physicians, nurse practitioners, home-health nurses, social workers, physical and occupational therapists, transportation coordinators, aides and others. They meet regularly to exchange information and solve problems as the conditions and needs of PACE participants change.PACE CentersPACE participants attend the PACE center an average of three days per week. The center includes a health clinic with an on-site physician and nurse practitioner, physical and occupational therapy facilities and at least one common room for social and recreational activities. Because PACE participants have regular contact with primary care professionals who know them well, slight changes in their health status or mood can be addressed immediately.How do you qualify for PACE? A person must be age 55 or older, live in a PACE service area, be certified by the state to need nursing home-level care and assessed to be able to live safely in the community with PACE services at the time of enrollment. PACE programs tend to attract participants who are older and have very high care needs.Who pays for PACE?PACE is a dual eligible program through Medicare and Medicaid; private pay may also be arranged. PACE receives a monthly lump sum payment, which is used to pay for a variety of comprehensive services and care the participants need.Editors note: This article was submitted by Leslie Mader. Leslie is the Manager of Outreach and Enrollment for TRU PACE based in Lafayette, CO. She may be reached at 303.665.0115 or lesliemader@trucare.org (see ad on next page).

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

For more information on Care Patrol, CLICK HERE.Chuck worked as a hospital-based home health medical social worker. One of his roles was to ensure seniors who were discharged from the hospital had supportive services in place for home care or assisted living. The other was to help the Senior in their transition back home or to assisted living. He received a call from his boss that would change his life forever.She told him that the home health agency just signed up a new client who was demanding to leave the facility her daughter placed her in. She was threatening violence, and Chuck needed to get to her immediately. Chuck knew the community well, as it was known for dementia and Alzheimers care.When he arrived, he met Arlene, a 74-year-old woman who demanded, Get me out of here. I dont belong here. He engaged her in conversation for a few minutes, enough to be able to ascertain that she did not have a memory issue in fact, she was completely alert and quite well oriented with her surroundings.After digging in, he learned that Arlenes daughter had placed her in this facility because it was the only one she knew, since she drove past it every day on her way to work.Arlene begged Chuck to help her get out of this place; she knew she didnt belong with the others. Its what inspired Chuck to start CarePatrol, a senior living placement service that enables families to get the proper resources and recommendations on appropriate senior housing solutions that match a seniors budget, preferences, acuity, and lifestyle.The Challenge of Senior Living Community SelectionOne of the most important considerations we face as we age is where to live. Eventually, senior living communities become the best choice, but the choices are nearly endless. In the U.S. alone, there are over16,000senior living campuses. Among these campuses are varying levels of costs, care, and specialties. Since75% of seniorshave at least one chronic health condition, finding the right living community is essential for enjoying a comfortable, safe life in our golden years.Finding the right senior living facility is a challenge that many families face. Often, selecting senior living is left to the families, caregivers, or seniors themselves. Typically, the people responsible for setting up a senior living situation are overwhelmed and lack the resources they need to make the best decision.Jules, one of 10 children, had her mother move in with her after she got sick and needed someone to look after her. In reality, Jules went to work every day, and no one was home to tend to Mom until after dinner. Shed experienced multiple falls, to the point they decided to seek out alternate living arrangements where her mom would have on-site resources, such as independent living.Great in concept, except Mom still fell, and no one was around to check on her until the next day and she spent all night on the floor in pain.Jules sought out hospital resources, social workers, palliative care, no one had an answer.No one could let her know what they should be doing.It is daunting and challenging for families to see their parents or loved ones need increasing levels of care as they rapidly progress through the disease. It is very difficult to anticipate how people age and what physical or mental issues could arise.Sometimes, families are forced to make unrealistically fast decisions regarding senior living. The result is that many seniors do not end up in the safest or happiest environment for their individual needs.Safe Senior Living with CarePatrolCarePatrol was developed to address the gap between the resources people have and the resources they need to choose the best senior living for their relatives or themselves. Unfortunately, these stories are not the exception; they are similar to what happens to seniors and their families on a daily basis.CarePatrol offers the extra set of information you need to choose the right senior living environment. We evaluate your situation and recommend the best fit for you. We pre-screen over 36,000 care providers nationwide so that we know their strengths, their budgets, and the clients who they can best serve. CarePatrol is completely free and a no-cost service to the family because we are compensated by the tens of thousands of providers in our network.

Looking for affordable housing or have an extra room in your home?PLOWS Council on Aging, a non-profit senior agency, offers a unique housing option to seniors in towns within or near the suburban Cook County Townships of Palos, Lemont, Orland and Worth. Our Shared Housing program is a viable alternative to living alone and reduces living expenses for both providers and seekers. It can mean extra funds to participants who are willing to share a house, condominium or apartment. PLOWS provides guidance in developing an agreement between Providers & Seekers and facilitates follow-up visits and meetings. There are no fees for PLOWS service.Some benefits of Shared Housing are:Financial: Reduces housing costs and eliminates long waits for subsidized housing.Companionship: Reduces loneliness and feelings of isolation.Security: Reduces the fear and vulnerability of living alone.Independence: Older adults maintain their independence within their community.Adults of all ages can participate, but one person in each match must be at least 62 years old or have a disability. PLOWS confidentially screens applicants, thoroughly checks references, and arranges a meeting with potential matches. There is never an obligation to enter into a shared living arrangement - the final decision is up to the individual.Shared housing is not designed to accommodate emergency housing, free caregiving, babysitting, housekeeping and transportation service. Participants must be self-sufficient.PLOWS Council on Aging serves individuals 60 years of age and older in Palos, Lemont, Orland & Worth Townships. PLOWS places special emphasis on helping maintain people in their homes and provides a number of services with that objective in mind. Our staff strive to assist older adults and their families with whatever concern may be paramount to them. For more information, call: PLOWS Council on Aging (708) 361-0219 7808 College Drive, 5th Floor Palos Heights, IL 60463Editors Note: This article was submitted by Elaine Grande. Elaine is a Program Manager and resident expert on housing and advocacy with PLOWS Council on Aging and may be reached at 708-361-0219 or by email at e.grande@plows.org.PLOWS Council on Aging does not discriminate in admission to programs or treatment of employment in compliance with appropriate state and federal statutes. If you feel you have been discriminated against, call 708-361-0219.

For fifteen million Americans, something as simple as breathing isnt all that simple. According to the Asthma and Allergy Foundation of America, people with asthma may experience wheezing, coughing, increased mucous production, and difficulty breathing, all as a result of inflammation and/or obstruction of the airways. But while many of us think of asthma as being a disease that begins in childhood, the onset of symptoms can begin well into adulthood and middle age.Asthma is often triggered by allergens such as dust and pet dander, but symptoms can also be brought on by exercise, cold weather, or illnesses such as pertussis or bronchitis. Some long-term diseases such as Chronic Obstructive Pulmonary Disease, also known as COPD, can cause asthma-like symptoms as well. Tobacco smokers, who are at high risk for developing COPD, often develop asthma, so it is imperative that smokers who experience shortness of breath or tightness in the chest consult with their doctor promptly to receive a proper diagnosis and stabilize their symptoms.Diagnosing asthma begins with a thorough medical exam and a detailed history of the onset of symptoms. Certain breathing tests can be done by your doctor to come to a more accurate diagnosis. Since asthma is a potentially life-threatening condition, it is important to be aware of its presence and become educated on how to treat any symptoms immediately when they occur.The first step in treating mild to moderate asthma is by trying to remove the trigger, which is the real culprit, says Dr. Essam Alansari, a board-certified pulmonologist at Watertown Health Center in Watertown, MA. If an asthmatic person knows they are allergic to a certain substance, we will aim to ensure that their environment stays as free of the allergen as possible.Inhalation treatments are most common, with lightweight, easy-to-carry inhalers or puffers that dispense a measured dose of steroidal or bronchodilator medication prescribed for the majority of asthma patients. An inhaler dose, or puff instantly expands the airways so the patient can breathe deeply and comfortably. Children, first-time users, or older patients may benefit from the addition of a spacer, a specially designed chamber that fits onto the inhaler with a molded mouthpiece, making inhaler use easier and simpler. In more severe cases of asthma, oral medication may be necessary to manage the symptoms.Asthma can strike at any age, asserts Dr. Alansari. If breathing becomes uncomfortable or labored, he stresses that early diagnosis and intervention are essential to ensure good health and quality of life.This article was submitted by Elena Kazakevich, Director of Business Development at Synergy Health Centers.

In the Pikes Peak region, the population of 65+ is set to increase by 160%, while the population of 85+ is set to increase 337%. This is a national trend with potentially huge ramifications on the local level as baby boomers age in place, and older Americans move to be with their baby-boomer children.Innovations in Aging Collaborative was formed with the goal of breaking down silos, spurring substantial conversation around what the silver tsunami would mean for the Pikes Peak region, and looking at innovative, collaborative ways to prepare. In March 2016, Colorado Springs was accepted into the network of Age Friendly Cities by AARP and the World Health Organization. By doing so, we have committed to putting in the time and effort to make our city more Age Friendly. To be Age Friendly means to be a community where the oldest and the youngest community members can live full, engaged, and active lives. For example, the old and young are often unable to drive, which means that they are often stranded in a car-centric transportation system. To connect to community activities, maintain social networks, and perform basic activities to living, they must depend on either a public transportation system, safe walking paths, or other people to drive them. Similarly, as people age, they often want to downsize their home while remaining in their community. Having smaller, accessible housing for this population is part of allowing individuals to age in community and continue contributing in ways that benefit everyone.We work to affect change by partnering with community leaders in the non-profit, governmental, and for-profit sectors. By doing so, we have managed to incubate several successful programs that focus on aging well in Colorado Springs. One excellent example is the Age Friendly Business Certification program that is now part of the Better Business Bureau of Southern Colorado. Look for that badge on local businesses and visit their website to check out the list of certified Age Friendly Businesses. Visit our website to learn more about other initiatives and how you can get more involved in making our city Age Friendly!Editors Note: This article was submitted by Innovations in Aging Collaborative and may be reached at 719-602-3815.

In our fast-paced technology-driven world, an abundant amount of information about each and every one of us is readily accessible. Information like addresses, professional licenses, criminal history, property holdings and bankruptcy filing is legally gathered by interested parties and organizations and then shared with others. This open access to personal information does not mean that as savvy consumers we cannot take sufficient precaution to prevent our prized personal information from being stolen. Here are some simple, basic tips to help prevent being victimized by identity theft.Be sure to shred all unsolicited applications received in the mail for pre-approved credit cards rather than just discarding in the trash. Dumpster divers retrieve the applications and complete them, cash the blank checks or simply steal your personal information from your trash. Shred all personal information. If you don't have a shredder, look for a shredding event in your community or suggest to your financial institutions that it would be a great service to provide for its customers.If someone posing as your bank calls and asks for your account number, social security number or any personal information, try to secure the callers phone number, hang up, and then report the call to your bank. Reputable businesses, and all human service agencies like Medicare and Social Security, never make unsolicited calls to obtain any personal information. Be sure to balance your checkbook monthly and review all credit card statements as soon as you receive them to assure that all charges and balances are correct and no one is illegally accessing your accounts. To prevent telemarketers from obtaining your phone number, sign up for the Federal Trade Commission Do Not Call list. To sign up, simply call 1-888-382-1222 from the number you wish to register, or register the phone number(s) on line at www.donotcall.gov.Many of us use the internet for emailing, shopping and financial transactions. It is very important to change your computer passwords often and assign passwords that are secure and difficult to decode.Take advantage of free credit reports to verify that no one is using your credit. Free reports (1 per year) are available from Equifax (800-525-6285), Experian (1-888-397-3742) and Transunion (1-800-680-7289) or online at www.annualcreditreport.com. If you suspect you have been a victim of identity theft, report it immediately to law enforcement, file a complaint with the Federal Trade Commission (1-877-438-4338) and contact your financial institution and all credit card companies.Editors Note: This article was submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator Area Agency on Aging for Southwest Florida, Inc. 239-652-6900 Ext. 240. gregorym@elderaffairs.org

If the COVID-19 pandemic has taught us anything over the past year, it is that no matter who you are, or how old you are, it is important to get your affairs in order. Life can throw a curve ball and you want to be prepared.The best place to start is to contact an attorney who specializes in elder law to discuss what the best estate planning documents are for you. Estate planning is not one-size fits all, so it is important to discuss with an attorney how to best accomplish your goals. Do you have a spouse or child that you want to provide for? Are you concerned about the possibility of probate when you are gone? Are you worried about long-term care planning? All of these questions and more can be addressed in your estate plan.An elder law attorney will likely recommend a package of documents that address who can help care for you while you are alive and who inherits from you when you are gone. These documents include either a Last Will and Testament or a Revocable Trust, Durable Financial Power of Attorney, Designation of Health Care Surrogate, HIPAA Release, Living Will, and/or Declaration Naming Preneed Guardian.All of your estate planning documents are essential, but one of the most important documents is the Durable Financial Power of Attorney (DPOA). The DPOA lists who can stand in your shoes for your financial affairs while you are alive. Not all DPOAs are created equal. It is important to have an elder law DPOA with specific Medicaid planning powers, especially if you are concerned about paying for long-term care in the future.With the right estate planning, you can rest easy knowing that your affairs are in order.This article was submitted by Attorneys Kathleen Flammia and Stacey Schwartz with the Flammia Elder Law Firm. They can be reached at (407) 478-8700 or assistant@flammialaw.com

Salt Lake County Aging Services is the local Area Agency on Aging (AAA). These agencies were set up across the country beginning in 1965 by with the passage of the Older Americans Act. Aging Services is the largest AAA in the state and is housed as a division of Salt Lake County Government.Salt Lake County Aging Services has been serving the countys older adult population for over 35 years. The division, originally located in the countys old hospital, began modestly with a handful of full-time staff whose main focus was to ensure older adults a hot nutritious noon-time meal through the Meals on Wheels Program (one of the first in the nation) and to provide a gathering place where seniors could partake in activities for the mind and body through the Senior Centers Program.Aging Services provides a comprehensive, coordinated system of services that promote the independence of older adults living in Salt Lake County. The division encompasses 10 in-house and two contracted programs (Chore Services/Legal Services) that help older adults incorporate healthy behaviors into their everyday lives as well as foster the independence and dignity of the frail, homebound and isolated segment of the senior population. As the local AAA, Aging Services is mandated by the federal Older Americans Act to provide these services. The system has two tiers:Programs that promote the health and well-being of younger, healthier and more active seniors. These programs have a preventive focus and include: Senior Centers Program Healthy Aging Program Senior Employment ProgramVolunteer Programso Retired & Senior Volunteer Programo Bridges Volunteer Programo Senior Companion Programo Foster Grandparent Programo Legacy Corps ProgramPrograms that provide support and assistance to the older and frailer population. These programs are focused on helping to maintain independence and include: Meals on Wheels Program Senior Transportation Program Caregiver Support ProgramThe Alternatives Program Ombudsman Program Outreach ProgramEditors Note: This article was submitted by Andrea Garry. Andrea Garry is with Salt Lake County Aging Services and may be reached at 801-468-2480 or by email at slcoagingservices@slco.org. For more information visit Salt Lake County Aging Services on the web at: www.aging.slco.org.

Although aging is a natural process, the business of aging is not something we understand intuitively. Most senior adults want to stay in their own homes. We know statistically that elders who remain in their homes can lead healthier, more vibrant lives than those housed in an institutionalized environment.There are third party providers available who offer in home health care, housekeeping services, companionship, meals, and other support. There are also government agencies and nonprofit organizations that provide elder assistance services.The care consultants job is to help the elder sort through his or her needs and match services and programs to existing health and financial considerations. Often, family members are geographically separated and a knowledgeable local resource is important for oversight. Other times, the family may be in town and simply need backup.Through regular contact and a flexible approach, the care consultant works to assure the safety of each client. The consultant interacts with care and service providers to assure that quality and dignity standards are maintained. In most cases, the consultant also oversees doctors appointments and compliance with prescription drug regimens.If the elders condition requires that he or she be moved to a new residence, the care consultant works with the elder and family to decide which type of facility is appropriate and which specific building best meets the elders needs.A distinction is drawn between care management and the relatively new concept of care consulting. Care management generally indicates a loss of control by the elder with the introduction of an outside agent who will manage his or her life. A care consultant, however, works with the elder (and his or her family) to provide as much or as little assistance as called for by the specific situation. A care consultant interacts with the elder and together they determine what is needed. This self determination aspect of care consulting ensures that the elder is included in all decisions, thereby assuring that dignity is maintained throughout the relationship.The care consultant needs to be a good listener and an adaptable planner with a thorough familiarity with available resources. Over time, a relationship based on respect is developed between the elder and the care consultant.___________Submitted by Donna Brumbaugh, Director, American Elder Advocates, a 501(c)3 nonprofit care consulting and elder advocacy organization. 970.744.4526.

Searching for the right adult day health (ADH) provider for your loved one is daunting. You have gone through the process of finding the right primary care physician, seeking specialists, and so many other supports that it may feel overwhelming to vet another service.This checklist is meant to help guide you in identifying the right person-environment fit when it comes to adult day health.Engaging programming. Each ADH center is unique in its size and structure. Would your loved one benefit from a smaller, more intimate group environment? Or a larger center with more space to roam and interact with others? Are there a variety of activities? Taking a tour during the middle of the program day can help to give you a firsthand understanding of what the day is like.Individualized approach. While these are group settings, ADHs should be working with your loved one as an individual. Are they asking questions about their hobbies, likes and dislikes? Do they mention modifying activities, so they can continue to be enjoyed? What about a personalized care plan?The location is right. Is it a quick drive around the corner from home? Or on your way to and from work? The location must work with your schedule and needs.Consider transportation. Regardless of whether the particular center is right down the road or not, your schedule may not allow for drop off and/or pick up. Does the ADH have a vendor? Do they have their own vans or buses? How does scheduling work?Cost is important. ADH programs are typically less expensive than other options, including home health aide services or nursing home care. What is your familys budget for this? Going in for a tour knowing this in advance can help make the decision easier.No two programs will be alike, and it can take time to find what works best for your family. Take a tour, ask as many questions as you need, and know that even when you find a provider you are comfortable with it can take time for your loved one to adjust. It is part of the process, and an ADH can help every step along the way.This article was submitted by Michelle Holmberg, MA, the director of services for Cooperative Elder Services, Inc., and may be reached at 781-863-1166 or by email at m.holmberg@elderdayservices.org.

Refers to services including patient assessment specific diet information, management of the disease process, medication management and education on all the above. Services are provided by Registered Nurse under the supervision of a M.D. Some agencies may have certified diabetic nurse instructors or cardiac care specialty RNs in their employ.#listing_mgr{8 basic_search}##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.

Price listed includes any and all amenities a community has to offer.#listing_mgr{1 basic_search}#

As details emerge about COVID 19 caregivers will be tasked with the decision of whether or not they can provide care to infected individuals. The following areCDC recommendations for COVID 19:Preventing the Spread of Coronavirus Disease 2019 in Homes and Residential Communities Update: February 14, 2020(This guidance provides clarification regarding evaluation for home isolation and a new section with information regarding preventative steps for household members, intimate partners, and caregivers in a non health care setting of a person with symptomatic, laboratory-confirmed COVID-19.This interim guidance is based on what is currently known about the epidemiology of COVID-19 and the transmission of other viral respiratory diseases. CDC will update this interim guidance as needed and as additional information becomes available.Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats, and bats. Rarely, animal coronaviruses can infect people exposed to infected animals, and then spread among people, as has been seen with MERS-CoV and SARS-CoV, and likely now with SARS-CoV-2, the virus that causes COVID-19. This interim guidance may help prevent this virus from spreading among people in their homes and in other residential communities.This interim guidance is intended for:People with confirmed or suspected COVID-19,including persons under investigation, who do not need to be hospitalized and who can receive care at home (see Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for Coronavirus Disease 2019 (COVID-19));People with confirmed COVID-19,who were hospitalized and then determined to be medically stable to go home (see Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for Coronavirus Disease 2019 (COVID-19));Household members, intimate partners, and caregivers in a non healthcare setting of a person with symptomatic, laboratory-confirmed COVID-19.Prevention steps for People with confirmed or suspected COVID-19 (including persons under investigation) who do not need to be hospitalized and People with confirmed COVID-19 who were hospitalized and determined to be medically stable to go homeYour healthcare provider and public health staff will evaluate whether you can be cared for at home. If it is determined that you do not need to be hospitalized and can be isolated at home, you will be monitored by staff from your local or state health department. You should follow the prevention steps below until a healthcare provider or local or state health department says you can return to your normal activities.Stay home except to get medical care People who are mildly ill with COVID-19 are able to isolate at home during their illness. You should restrict activities outside your home, except for getting medical care. Do not go to work, school, or public areas. Avoid using public transportation, ride-sharing, or taxis. Separate yourself from other people and animals in your home People: As much as possible, you should stay in a specific room and away from other people in your home. Also, you should use a separate bathroom, if available. Animals: You should restrict contact with pets and other animals while you are sick with COVID-19, just like you would around other people. Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people sick with COVID-19 limit contact with animals until more information is known about the virus. When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including petting, snuggling, being kissed or licked, and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets and wear a facemask. SeeCOVID-19 and Animals for more information. Call ahead before visiting your doctor If you have a medical appointment, call the healthcare provider and tell them that you have or may have COVID-19. This will help the healthcare providers office take steps to keep other people from getting infected or exposed. Wear a face mask You should wear a facemask when you are around other people (e.g., sharing a room or vehicle) or pets and before you enter a healthcare providers office. If you are not able to wear a facemask (for example, because it causes trouble breathing), then people who live with you should not stay in the same room with you, or they should wear a facemask if they enter your room. Cover your coughs and sneezes Cover your mouth and nose with a tissue when you cough or sneeze. Throw used tissues in a lined trash can. Immediately wash your hands with soap and water for at least 20 seconds or, if soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol. Clean your hands often Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. Soap and water are the best option if hands are visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands. Avoid sharing personal household items You should not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. After using these items, they should be washed thoroughly with soap and water. Clean all high-touch surfaces every day High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables. Also, clean any surfaces that may have blood, stool, or body fluids on them. Use a household cleaning spray or wipe, according to the label instructions. Labels contain instructions for safe and effective use of the cleaning product including precautions you should take when applying the product, such as wearing gloves and making sure you have good ventilation during use of the product. Monitor your symptoms Seek prompt medical attention if your illness is worsening (e.g., difficulty breathing).Before seeking care, call your healthcare provider and tell them that you have, or are being evaluated for, COVID-19. Put on a facemask before you enter the facility. These steps will help the healthcare providers office to keep other people in the office or waiting room from getting infected or exposed. Ask your healthcare provider to call the local or state health department. Persons who are placed under active monitoring or facilitated self-monitoring should follow instructions provided by their local health department or occupational health professionals, as appropriate. When working with your local health department check their available hours.If you have a medical emergency and need to call 911, notify the dispatch personnel that you have, or are being evaluated for COVID-19. If possible, put on a facemask before emergency medical services arrive.Discontinuing home isolation Patients with confirmed COVID-19 should remain under home isolation precautions until the risk of secondary transmission to others is thought to be low. The decision to discontinue home isolation precautions should be made on a case-by-case basis, in consultation with healthcare providers and state and local health departments. Recommended precautions for household members, intimate partners, and caregivers in a nonhealthcare setting of a  patient with symptomatic laboratory-confirmed COVID-19 or A patient under investigation Household members, intimate partners, and caregivers in a non healthcare setting may have close contact2with a person with symptomatic, laboratory-confirmed COVID-19 or a person under investigation. Close contacts should monitor their health; they should call their healthcare provider right away if they develop symptoms suggestive of COVID-19 (e.g., fever, cough, shortness of breath) (see Interim US Guidance for Risk Assessment and Public Health Management of Persons with Potential Coronavirus Disease 2019 (COVID-19) Exposure in Travel-associated or Community Settings.) Close contacts should also follow these recommendations: Make sure that you understand and can help the patient follow their healthcare providers instructions for medication(s) and care. You should help the patient with basic needs in the home and provide support for getting groceries, prescriptions, and other personal needs.Monitor the patients symptoms. If the patient is getting sicker, call his or her healthcare provider and tell them that the patient has laboratory-confirmed COVID-19. This will help the healthcare providers office take steps to keep other people in the office or waiting room from getting infected. Ask the healthcare provider to call the local or state health department for additional guidance. If the patient has a medical emergency and you need to call 911, notify the dispatch personnel that the patient has, or is being evaluated for COVID-19. Household members should stay in another room or be separated from the patient as much as possible. Household members should use a separate bedroom and bathroom, if available.Prohibit visitors who do not have an essential need to be in the home. Household members should care for any pets in the home. Do not handle pets or other animals while sick. For more information, seeCOVID-19 and Animals.Make sure that shared spaces in the home have good air flow, such as by an air conditioner or an opened window, weather permitting. Perform hand hygiene frequently. Wash your hands often with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer that contains 60 to 95% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. Soap and water should be used preferentially if hands are visibly dirty.Avoid touching your eyes, nose, and mouth with unwashed hands. The patient should wear a facemask when you are around other people. If the patient is not able to wear a facemask (for example, because it causes trouble breathing), you, as the caregiver, should wear a mask when you are in the same room as the patient. Wear a disposable facemask and gloves when you touch or have contact with the patients blood, stool, or body fluids, such as saliva, sputum, nasal mucus, vomit, urine. Throw out disposable face masks and gloves after using them. Do not reuse. When removing personal protective equipment, first remove and dispose of gloves. Then, immediately clean your hands with soap and water or alcohol-based hand sanitizer. Next, remove and dispose of facemask, and immediately clean your hands again with soap and water or alcohol-based hand sanitizer.Avoid sharing household items with the patient. You should not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items. After the patient uses these items, you should wash them thoroughly (see below Wash laundry thoroughly).Clean all high-touch surfaces, such as counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables, every day. Also, clean any surfaces that may have blood, stool, or body fluids on them.Use a household cleaning spray or wipe, according to the label instructions. Labels contain instructions for safe and effective use of the cleaning product including precautions you should take when applying the product, such as wearing gloves and making sure you have good ventilation during use of the product.Wash laundry thoroughly.Immediately remove and wash clothes or bedding that have blood, stool, or body fluids on them.Wear disposable gloves while handling soiled items and keep soiled items away from your body. Clean your hands (with soap and water or an alcohol-based hand sanitizer) immediately after removing your gloves.Read and follow directions on labels of laundry or clothing items and detergent. In general, using a normal laundry detergent according to washing machine instructions and dry thoroughly using the warmest temperatures recommended on the clothing label.Place all used disposable gloves, facemasks, and other contaminated items in a lined container before disposing of them with other household waste. Clean your hands (with soap and water or an alcohol-based hand sanitizer) immediately after handling these items. Soap and water should be used preferentially if hands are visibly dirty.Discuss any additional questions with your state or local health department or healthcare provider. Check available hours when contacting your local health department.Click Here for Original Blog Link*

Below is a guideline on choosing the best Caregivers at any agency.Simply ask the below questions to any agency, then record and compare your answers!Does your agency have a drug testing policy? Most agencies: dont have a drug testing policy because its currently not mandatory from the state health department (Colorado), plus it increases costs. These types of agencies could be considered dangerous by allowing themselves to be open for possible issues, law suites, etc. Also, you may find some agencies that do one 5-panel drug test upon hire and to be frank, thats not enough! Instead: try and find an agency that conducts a 14-panel drug test that includes some major pain medications on the panel. Also, ask if they do it upon hire, annually & at random. This will ensure you have a clean Caregiver within your home as long as they are providing care. What kind of background checks does your agency provide? This can be tricky, because not all background check companies are created equal! If the agency: simply conducts a BG check online with any company, you may not be getting the full report. Why you ask? because depending on where the data was pulled, it may be stagnant and outdated, thus your critical results may be tainted. Instead: try and find an agency that conducts at least a 150 point checks that include DMV reports (including DWI and DUI), Social Security trace, county and state-wide searches for felonies and misdemeanors but most importantly freshly updated data! Also, try and use an agency that does the BG check upon hire, annually and at random. This will ensure you have solid, historically clean Caregivers within your presence for the entire time they work in your home. The first visit, do the Caregivers just show up? Most agencies: will do this; they will assign a Caregiver without an introduction. This can be awkward and unnatural because both parties are unfamiliar with each other, their role, duties, etc. Instead: try and find an agency that has an Area Manager that will set up a meeting between the Client and Caregiver for a warm introduction. This is a huge ice-breaker and allows a friendly, comfortable introduction between both parties. Editors Note: This article was submitted by Steve Lee, Founder & Owner of Veterans Aide at Home, a non-skilled home care agency dedicated to Veterans, Spouses and their Widows/ers. He can be reached at 720-326-0319 or by email at steve@VeteransAideAH.com to learn more

Nothing makes adult children more nervous than finding the right words to use when bringing up concerns about their loved one. Maybe you are worried because your dad is living alone and think he would be better off in an assisted living apartment, or you think that your mom should not be driving anymore. You might be struggling with how to bring up the conversation about end of life wishes. These conversations can be very challenging and frustrating.So how do you start to talk to your parents about the future? For most of us it would seem natural to start by making a plan or a list of topics to check off. While a plan is important, it is equally important to realize that often we may be so focused on what we want to say that the conversation becomes one-sided, and we may not take time to consider our parents feelings. Resistance breeds resistance; if you approach a difficult conversation with an ultimatum in mind you probably will be met with an equal amount of challenge. However; if you approach it as Steven Covey would advise seeking first to understand, you may be surprised and pleased at the result.The most effective approach to difficult conversations is to begin by asking your parent about his or her feelings. Some examples are How does it make you feel when I talk to you about moving? You may even try a validation statement like, You hate the idea of depending on others to drive you around. I would be upset too. The more honest conversations you have, the more positive results you get when it is decision time.Remember we do not grow old in a day and likewise, the process of preparing for the future is not something that can be accomplished in one afternoon. So be prepared to start small. If you have a conversation on a sensitive subject, be ready for a no. This happens a lot. Do not become discouraged; give them time to think about it. Respect the fact that, change to many people, is a kin to loss. Letting go may take some time. There are times when you will not have the luxury of taking your time. This may be when your parent is unable to reason due to Dementia or if your parent is in physical danger and cannot be independent at home. At times like these it would be wise to seek out a professional to guide you. Social workers and case managers are readily available in most health care settings. Using the skills of a professional to act as a mediator, facilitator or advocate is wise and can help preserve precious family relationships. The need to face some difficult conversations may never go away, however; these ideas may help bring you closer to your loved one and make the process more gratifying. Editors Note: This article was submitted by Natalie Moyle MA, LAPC. Natalie is a Geriatric Care Manager with Home Option Personal Care and may be reached at 801-274-9100 or by email at nataliem@homeoptionpersonalcare.com. For more information visit www.careutah.com

Innovations in Aging Collaborative, along with the City of Colorado Springs and AARP Colorado are proud to launch the Age Friendly Colorado Springs initiative!In March of 2016, Colorado Springs joined the AARP Network of Age Friendly Communities, and in June of 2016, officially became part of the World Health Organization Network of Age Friendly Cities and Communities. An Age Friendly city is one that is welcoming for people of all ages, that promotes health and wellness, helps sustain economic growth, and helps increase access to key services and resources. The idea of a community that is livable for people of all ages, or livable communities, describes an inclusive approach to community organization and design, an approach which intends to create communities, both physical and virtual, in which people of any age or ability can live a healthy and fulfilling life. Livable Communities are places where people have accessible and affordable homes, necessary services like grocery stores and pharmacies located nearby, convenient, affordable and comfortable transportation that takes them to a variety of opportunities for socialization and civic engagement and live in a cultural climate where their contributions and participation is valued throughout the lifespan. Livable Communities are also walkable, and have a range of outdoor opportunities such as parks and trails that promote health and wellness for everyone, especially those with physical limitations. In a Livable Community, our elders can age in place, continuing their lives within the community that they know and love, pursuing the opportunities and activities that make life worth living.With 100+ recommendations in the Age Friendly Colorado Springs Report and Action Plan, were working hard to make Colorado Springs livable for people of all ages. Many of the recommendations from the plan are already in the works! Check out the Age Friendly Business Designation from the Better Business Bureau of Southern Colorado, or the Old North End Neighborhood iVillage (intergenerational village) for Age Friendly IN ACTION! Visit www.innovationsinaging.org to learn more about Age Friendly Colorado Springs.Editors Note: This article was submitted by: Claire Anderson,Executive Director with Innovations in Aging and may be reached at 719-602-3815 or by email at agefriendly@innovationsinaging.org and Teelin Lucero, Community Outreach Program Director who may be reached at 719-602-3815 or agefriendly@innovationsinaging.org

With the arrival of cooler weather comes winter sports activities such as skiing, football, and holiday shopping (yes, this a sport!), which all lead to us being more active. Of course, being active is good, but these activities could also cause or aggravate an already existing injury to the knee or hip, which is bad.Hip andknee paincan be the result of a variety of causes, including a ligament tear or muscle strain from a direct impact to osteoarthritis or other diseases that cause wear and tear of the joint over time.Common symptoms of knee pain include:increased pain when the knee is bent or extendedswellinglimited range of motionbuckling of the kneeinability to put your full weight on the kneeCommon symptoms of hip pain include:joint painstiffness of the hip joint after sitting for long periods of timeswelling and tendernessdifficulty sleeping on your hipUtilize these top 10 ways to relieve your hip or knee pain:Rest Intense activity can increase hip or knee pain, so give it a rest for a day or two to reduce pain and inflammation. but dont rest too much! Inactivity for long stretches of time weakens the muscles that help support the hip and knee joints. Exercise can improve the health of cartilage tissue and strengthen the muscles that support the joint. Rest when the pain is bad, but then get back to moderate activity and strength training exercises to reduce pain and help prevent further injury.Ice it To reduce pain and swelling, ice your knee or hip for 15 to 20 minutes every couple of hours. Continue this for a few days or until the pain has passed.Compress (Knee). Wrapping your knee joint with an elastic bandage or straps will help keep the swelling down and provide additional support.Elevate (Knee). Keep your knee elevated by placing a pillow or cushion underneath it while sitting or lying down to reduce swelling.Stretch and Strengthen Practice physical therapy exercises that will stretch and strengthen the knee and hip joint to improve range of motion, make supporting muscles stronger, and reduce inflammation and pain. Here are some good strengthening exercises for thekneeandhip.Weight Management Carrying a lot of excess weight not only increases inflammation in your body but also puts a lot of strain and pressure on your joints. Losing weight can significantly reduce joint pain, particularly in the knee.Medication Over-the-counter anti-inflammatory medication such as ibuprofen and naproxen are effective in relieving mild to moderate joint pain.Injections In some cases, injections directly into your joint of corticosteroids or hyaluronic acid are effective in reducing inflammation and pain.Surgery If none of the above treatments help, then surgery may be required to eliminate your knee or hip pain. There are several surgical options available depending on the extent of damage to your joint, such as:Arthroscopic surgery a minimally invasive surgery that repairs problems in the joint.Partial knee or hip replacement surgery severely damaged parts of the joint are replaced with plastic or metal parts.Total knee or hip replacement surgery the entire joint is replaced with an artificial joint made of high-grade plastics and metal alloys.Once your knee or hip pain has been eliminated, its important to practice preventative measures to reduce your chances of incurring a repeat injury and pain.Prevention Tips:Graduallyincrease your workout routine to the intensity level you desire.Stretch your legs and hips before and after performing physical activity.Wear proper-fitting shoes that offer plenty of support.Drop some pounds if youre overweight to lessen the stress on all of your joints.If you feel pain in your knee or hip while exercising, stop, and apply a cold pack if desired.Written & Submitted By: Coastal Orthopedics- click for more information*

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.

Do you want to feel better, meet new people, and be empowered to change old health habits? Are you living with a persistent health condition that prevents you from doing activities you enjoy? Have you learned helpful techniques as a family caregiver, which you would like to share with others? Then consider joining a Healthy Living workshop!Healthy Living workshops are designed to help you manage a chronic health issue like diabetes, heart disease or arthritis, or learn self-care strategies while caring for a loved one. Each workshop is led by two experienced and trained volunteer leaders, who facilitate brain storming sessions and group discussion to encourage participation, peer-learning and personal goal-setting. Participants receive their own book of workshop materials to use as a resource. The workshops use evidence-based curricula, the first of which were developed by researchers at Stanford University, includingMy Life, My Health: Chronic Disease Self-Management and Diabetes Self-Management. Most classes are about two hours long and meet once a week for six to eight weeks. My Life, My Health focuses on setting and meeting personal goals, how to improve communication with your doctor, simple techniques for enhancing quality of life, and better stress-management. Other topics are also covered, such as eating a balanced diet, strategies for preventing falls and staying physically active.Some workshops are more specific, such as A Matter of Balance: Evidence-Based Falls Management Program for Older Adults, which focuses on reducing the fear of falling, how to protect yourself in the event of a fall, and includes exercises to increase physical strength. Additional Healthy Living workshops include Powerful Tools for Caregivers, Chronic Pain Self-Management, and Healthy Eating for Successful Living and Tai Chi for Arthritis Program, among others.Many of the Healthy Living programs in Massachusetts are offered by Area Agencies on Aging for free, or for a small fee. Springwell, Inc., the Area Agency on Aging for Belmont, Brookline, Needham, Newton, Waltham, Watertown, Wellesley and Weston, offers several different Healthy Living programs throughout the year at Councils on Aging, physician offices, community education centers and senior housing sites. A typical Healthy Living workshop schedule can be found at http://www.springwell.com/service/healthy-living-program. For information about workshops offered throughout the state, visit the Healthy Living Center of Excellence at http://www.healthyliving4me.org/workshop-schedule/.Editors Note: This article was submitted by Laura Vanderhill, LSW, MHA. Laura is an Associate Director with Springwell, Inc. and may be reached at 617-926-4100.

Have you made your funeral wishes known to those you leave behind? Have you determined who will pay your burial expenses?Funerals can be a difficult topic to discuss, but a fact all our families will face one day. If you take time to preplan your funeral, you will relieve your family of a great burden at a difficult time in their lives. They will not have to make important costly decisions at a time of great stress. This is a time when emotions run high and can lead to family conflicts about your funeral plans that can be made will in advance, thoughtfully and clearly, without family disagreements and with guaranteed costs. Remember, your funeral is for those you leave behind. It's a time for family unity and love, a time to openly grieve and support one another. It's part of your legacy; a gift you can give to those who love you.How can I pre-plan? It's simple and cost effective; a pre-need funeral plan can be made and paid for in advance. Your wishes are considered in detail, clearly thinking of and planning for this time. Funding has several options; your funeral pre-need planner will explain all this to you and answer all questions. You will have peace of mind and your family will no longer be burdened with this inevitable event. It's a gift they will always be thankful for.For further information contact Sheila Stewart, pre-need planner, 228-596-1848Author: Sheila Stewart

Imagine a close relative going through knee surgery. By all accounts, the surgery is to be simple and the patient should be able to be home that day and even walk up the stairs. Unfortunately, that wasnt the outcome. The patient was hospitalized overnight and was incapacitated for days. While rare to have complications, many experts recommend thinking ahead about the care needed after surgery or hospitalization and for unexpected outcomes. Different types of surgery require different plans. So, the relatives knee surgery did result in problems climbing stairs, and a patients shoulder surgery can restrict the use of the arm completely. If the surgery or procedure is planned, patients are encouraged to discuss the recovery with the doctor or medical provider and identify what can be planned for.Things To ConsiderA recent WebMD posting suggests the following examples of issues to think about, that may sound obvious, but can help patients understand the types of plans needed:Consider the location of the bedroom. If upstairs, consider sleeping downstairs during recovery. Bring any bedding downstairs before the surgery, along with personal hygiene items and medications.Stock the pantry before the procedure, especially if there are special food recommendations from the doctor.Identify and obtain any equipment that is recommended, and ask the insurance company if that is a covered expense. New York Times reporter, Lesley Alderman, wrote about home recovery and pointed out that the patient may need special equipment, such as a walker, a bath seat, or a commode to help ensure the patients do not injure themselves during recovery. Consider if the patient could need any outside help using that equipment.In addition to addressing post-procedure planning, the National Institute of Health (NIH) publication regarding Taking Care of Yourself After Surgery provides suggestions for post-op care that is more medically specific. Lets look at some of those issues, and how outside assistance may be helpful.Managing Pain: NIH recommends clear communication with the doctor regarding how to manage any surgical pain. In most cases, the patient can handle this. However, if the pain medicine, or other ordered medications, need to be provided via shot or intravenously, family members will likely need outside assistance.Surgical Site and Incision Care: NIH recommends following the doctors orders, but also keeping an eye out for separation, bleeding or signs of infection. Despite the perception that wound care is simple, there are exceptions, such as a surgical site that isnt accessible to the patient, or a family member/friend is just not comfortable dealing with wounds, or the patient is not comfortable with non-trained family/friends playing this role. Outside assistance can come in for a short period and perform this service.Activity: NIH encourages patients to get up and be active as soon as possible which encourages faster recovery. NIH also reminds us that the doctor will likely give specific activity instructions which should be followed, and which will likely limit the lifting of objects heavier objects. Often, we find that those who have had surgery, however, need assistance in fulfilling this recommendation. As an example, those with knee surgery, like our example above, may need help walking just a few steps, or walking with crutches. Or, someone who has shoulder surgery may need help bathing and dressing. Health care staff can be of great assistance, in a professional and supportive way.Consider in-home care if family members arent available regularly. Just Like Family Home Care has nurses available to provide superior care in-home or temporary accommodation setting. They can provide daily drop-in care, day or night care, extended hourly and after hours house calls. We offer our clients flexible hours because we understand that it may be difficult to gauge how much care they will need following surgery. Some clients may require more hours and some may need fewer than anticipated. Your nurses work with your surgical team to customize a plan of care that fits your needs. There are no contracts and no minimum hours required: our clients control the schedule.The above, and our own experience results in a recommendation that planning, when possible, help make recovery from surgery or other hospital stays, much easier. Good communication with the medical staff, learning what to expect upon release and for the few weeks after the event, is critical. Planning ahead for higher level skilled care, such as nursing, and more generic care, such as a home health aide, can make the process much easier. But, even if not planned, patients and family/friends should be comfortable asking for outside help. Those who work in this field love to help and can make recovery a much less frightening experience.Recovering From HomeOne final point, research from the American Academy of Orthopedic Surgeons indicates that recovery from home, is equally positive for those who live alone and those who live with others. The Rothman Institute in Pennsylvania conducted a study that showed that with the emotional benefit for patients recovering in familiar surroundings, and the lack of difference in pain or complications, discharge home is appropriate for the clear majority of patients. While the study targeted those having joint surgery, other studies show the same. Obtaining outside assistance, such as health care and nursing staff, at home, was encouraged.As professionals in the field of health care, and in overall home health care support, we do encourage patients and families/supporters to consider recovery from home and do encourage pre-planning when possible.Disclaimer: The blog entry above has been created utilizing different online sources. The blog entry has not been verified by a doctor. Please note that conducting the above-mentioned activities is at the individuals own risk and responsibility. Please always consult a doctor before exercising or doing any physical activity, especially to avoid injuries or harm due to unknown preconditions. Just Like Family is not responsible for any injuries while conducting the above activities.Submitted and Written By: Just Like Family Home Care - click here for more information

At Heart, Body & Mind Home Care, we know that to live a full life, all of the facets that combine to create ones wellness must be attended to actively.Our mission is to enrich the lives of our clients and their loved ones by providing individualized, holistic in-home personal care and wellnessservices designed to appreciate and nurture the connection between ones spirit, physical body, and their emotional and intellectual self.We go above and beyond the traditional approach and really listen to, understand, and engage our clients and their support network. We also recognize the important connection between our clients and their environment allowing us to effectively design a holistic plan of care. We offer wellness services focused on the whole person and provide reassurance to our clients and their families.No matter what our age or mental or physical ability, we are all unique individuals. Our holistic care approach involves thinking about and assisting clients with the effects of illness or age on the body, mind, emotions, spirituality, and relationships. This philosophy allows us to provide a full, well-rounded care experience that helps our clients live safely and independently at home, and makes them feel complete.Editors Note: Learn more about Heart, Body, & Mind Home Care by calling (866) 488-1485 to speak with a member of our Care Team or visit us at www.HBMhomecare.com.

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!

This refers to what happens if someone gets hurt on the job. If the company isn't insured, then the claim gets filed against the homeowner's insurance. If the company is insured, then the claim gets filed against the company's insurance.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

To learn more aboutSalt Lake Behavioral Health, CLICK HERE.A traumatic event can be many different things: intentional harm (combat, abuse: physical, sexual, emotional, assault, witnessing violence, etc.), unintentional harm (accidents, fires, surgeries, etc.) or a natural disaster (hurricane, flood, earthquake, animal attack, or life threatening illness). When individuals experience traumatic events there can be both physical and emotional changes in the body.Sometimes recovery from traumatic events requires medical or therapeutic interventions; this can be symptoms of extreme anxiety, flashbacks of the trauma, avoidance behaviors or disassociation. If you or someone you know is struggling with management of day-to-day life due to a past or recent traumatic event, seek help.You can experience relief from suffering from trauma with therapeutic intervention and support.

Once you understand that depression isnt something your loved one can easily manage without help, it may be more possible for you to offer support and care. Here are some ways you can help:Express your concern. Acknowledge the persons pain without implying that you know how they feel. Listen if they want to talk, but dont try to draw the person out and dont ask intrusive questions. Being withdrawn is often part of the illness. Dont take it personally.Ask how you can help. Your loved one may not have specific suggestions of things that you can do, but they will know that youre willing to be supportive. Offer hope. Remind the individual that depression is treatable, and that they will likely get better. If your loved one is undergoing treatment, gently remind them that it takes time for treatment to work.Give positive reinforcement. Depressed people often feel worthless, and they dwell on their faults and shortcomings. Remind your loved one of their strengths and competencies and how much they mean to you.Keep your sense of humor. Youre likely to feel frustrated and even angry at times. Thats OK but try not to vent in front of the person and dont take your anger out on them. Use humor to diffuse tension and to lighten the atmosphere, but dont make jokes at your loved ones expense.Encourage healthy behavior and activities. Invite your loved one to join you in doing activities or visiting family or mutual friends. But dont push and dont expect too much too soon. Also, gently remind the individual of the benefits of exercise and a healthy diet.The pandemic and mental healthAbout 20% of U.S. adults reported a decline in mental health due to the pandemic. This includes 53% who said that they were very restless and 52% who said that they sat around and did nothing recently due to exhaustion. Caregivers, especially parents of young children who were unable to attend in-person school, reported unusually high levels of stress and anxiety.Next steps:If you think you or a loved one may have symptoms of depression or anxiety, talk to your doctor. It can be as simple as saying that you havent been yourself lately and youd like to talk about it. Counseling (psychotherapy) and medications are common treatments.In older adults with mild depression, psychotherapy can be just as effective as medications. For moderate to severe depression, a combination of psychotherapy and medications is usually best.Mental health apps can be cost effective, portable ways to learn and strengthen your coping skills. Free mental health apps that may be helpful include COVID Coach, Breathe2Relax, Happify, Mindfulness Coach, MindShiftCBT, SuperBetter and Insight Timer. Still, keep in mind that apps should not serve as a substitute for therapy.If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number. If youre feeling suicidal, but you arent immediately thinking of hurting yourself, call a suicide hotline or reach out to a friend or loved one, someone in your faith community, or a health care provider.  For more information:  https://mcpress.mayoclinic.org/emotional-health/mayo-clinic-explores-supporting-someone-with-depression/?mc_id=us&utm_source=pes&utm_medium=e&utm_content=engagement&utm_campaign=

A Lifes Wish helps deserving people realize their fondest final dreams and goalsFounded in 2008, A Lifes Wish, an IRS registered 501(c)3 Public Charitable Organization, began granting wishes in spring of 2009. Our mission is to honor senior citizens and terminally ill adults by helping fulfill their fondest wishes.At A Lifes Wish, we believe it is so important to acknowledge, celebrate and pay tribute to senior citizens and other deserving individuals whose lives are coming to a close. It is our purpose and desire to recognize and appreciate the contributions theyve made by helping them tackle what remains of their bucket list before its too late. Were dedicated to honoring their deepest desires, to help them realize their dreams, large and small.Countless people from age 18 onward have been given a dire diagnosis: their lives will soon come to an end, whether as the predictable result of advancing years or as the result of an unpredictable and terrifying physical condition. It happens every day, every hour. One thing weve noticed is that in many cases the people who must accept and acknowledge the bad news are reawakened to just how much they still want to do, and how precious their hope of doing it becomes. What too many lack are the funds and/or resources to make their deepest desires do-able.If you would like additional information about A Lifes Wish, please visit the website at www.alifeswish.org or call at (801) 597-9535.Please contact us if you can provide assistance to this organization and help someone share a smile, a view, an experience, or the thrill of a lifetime! There are many different ways to donate to this organization. Well be here as long as you are, making sure deserving people are being honored and remembered at the end of their lives. Without you, their dream dies too.If you are interested in requesting a wish for yourself or someone else, you can request a wish through the website. Well do everything we can to make sure their dreams and wishes come true!Editors Note: This article was submitted by Tammy Erdel, President of ALife's Wish. She may be reached at 801.597.9535 or visit the website at: www.alifeswish.org

Sometimes I am asked what planning documents are most important, and people are often surprised when I first mention the need for powers of attorney.A Power of Attorney (POA) is a legal document that appoints a person to act as your agent in your absence or when you are unable to act for yourself. Depending upon how the document is drafted your agent can be authorized to make financial and health care decisions for you.Married couples frequently believe their spouse will be able to handle everything on their behalf should a need arise. This is simply not the case. For example, if a married couple owns property together, and one of them is mentally or physically incapacitated, without a proper POA the other spouse would need to be appointed as a guardian for the incapacitated spouse in order to sell the property. This would likewise apply to investment and retirement accounts and other types of property.Another area where a lack of a Power of Attorney can create problems is in healthcare decision making. Do not make the mistake of believing you have the right to make health decisions for your parent or spouse if they are unable to do so. A Durable Power of Attorney should be in place to deal with these situations or you could end up in court seeking a guardianship order so you can take care of a loved one.Court proceedings can be quite costly in that they involve court filing fees, attorney fees, physicians fees, and other costs. These can be avoided with some simple planning. When my wifes mother suffered a stroke we were able to administer her affairs because we had planned in advance. We never had to go to court, and my wife took care of all her mothers financial and medical needs without ever having to obtain court permission.Moreover, do not be fooled by a one size fits all power of attorney. POAs need to be drafted with your specific needs in mind, so do not trust your needs to something that can be pulled off the web. It could be a very costly mistake.Editors Note: This article was submitted by William H. Moller. Bill is an attorney with The Moller Law Group, LLC and may be reached at 719-687-2328 or by email at whmoller@mollerlawgroup.com.

An Aging Life Care Professional, also known as a geriatric care manager, is a health and human services specialist who acts as a guide and advocate for families who are caring for older relatives or disabled adults#listing_mgr{7 basic_search}#

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}#

SBB University Continuing Education Webinar | Helping Seniors Thrive in a Memory Care Setting During a Pandemic Kathleen Warshawsky, BSN, RN; President of the Dallas Area Gerontological Society and Publisher of Seniors Blue Book Greater Dallas hosts this continuing education webinar.Learning Goals: Understand the challenges of keeping families and residents connected Describe how isolation effects residents with Alzheimers/dementia Identify the connection between physical and mental well-being with the hospitality/dining experience.Speakers:Ke'O VelasquezExecutive Director,The Preston of the Park Cities Goals of Community How that has shifted during pandemic Challenges of keeping families and residents connected Efforts to build communication gapSheila Mutasa Director of Memory Care,The Preston of the Park Cities Goals of Memory Care How Isolation effects residents with Alzheimers/dementia How to keep residents connected and engaged during isolation/quarantine How to keep residents/staff safe while staying connectedKyle BlazerDirector of Hospitality@The Preston of the Park Cities Benefits of food quality during pandemic Additional efforts of hospitality during pandemic Connection between physical, mental well-being and hospitality & dining experienceView the video Presentation Here

For more information on Comfort Keepers, CLICK HERE.For seniors, maintaining social connections and staying in touch with loved ones not only improves quality of life, it improves health. Socially isolated seniors have a 59% greater risk of mental and physical decline than those who do not experience social isolation, and socialization has been shown to slow Alzheimers and Dementia patients decline.According to Statistic Canada, 5 million people (25% of the population) who are aged 65 and older, now live alone and over 40% of women over 80 live alone. By taking intentional steps to reduce isolation and reduce lack of contact, overall wellbeing is also improved.So, how can seniors foster connection and reduce loneliness?Social Media Facebook, Instagram and other social media sites can help seniors stay connected to friends and family across the country. And, many social media platforms have built in chat functions, games and other features that foster connection.Togetherness Activities For older adults, planning activities reduces lack of contact. This can be in-person, when possible, or through video chat and phone calls. Virtual or in-person activities can include good conversation, cooking and eating together, reading together, playing games, scrapbooking, or listening to music. And, studies show that planning and looking forward to an event can have mental health benefits too!Online Interaction Seniors may enjoy virtual meetups, online worship services, Facebook trivia night, virtual communities focused on hobbies, and other online activities can help people connect to others in their community without leaving home. For those that are able to go out, sharing hobbies and activities with others can bring joy and connection.Virtual Volunteers For seniors looking for a sense of purpose, there are opportunities to volunteer to help others from the comfort of home. This can include building Easter baskets for childrens charities, sewing quilts for shelters, writing cards for military service members oversees and other activities that allow people to do good works in their free time.The health effects of social isolation and loneliness on seniors is equivalent to smoking 15 cigarettes per day.Isolation and loneliness can be signs that a senior lacks the support and tools needed to live a healthy, independent life. However, with planning and deliberate action, fostering positive relationships and connections can be incredibly rewarding for everyone involved.Comfort KeepersCan HelpFor seniors that need companionship or help fighting loneliness, Comfort Keepers caregivers can help with encouragement, support and assistance with daily living. And, caregivers can encourage overall health through meal planning, grocery shopping, meal preparation and activities. Our custom care plans focus on physical and mental health and wellness activities. Our goal is to see that clients have the means to find the joy and happiness in each day, regardless of age or acuity.To learn more about our in-home care services, contact your local Comfort Keepers location today.References:Statistics Canada. Living Arrangements of Seniors. Web. 2018.Forbes. Technology can help the lonely elderly endure social distancing Web. 2020.Journal of Aging Research.use of Physical and Intellectual Activities and Socialization in the Management of Cognitive Decline of Aging and in Dementia. Web. 2012.Psychology Today. How to Help Older Adults Fight Loneliness During COVID-19. Web. 2020.Caring.com. Senior Loneliness: The Risks of Loneliness and Senior Neglect by Melanie Haiken. Web. 2015Forbes. Are Social Determinants the Missing Key to Improving Health? Web. 2018

Home health care is provided by skilled medical professionals, such as registered nurses, physical and occupational 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.According to Theresa Santoro, president and CEO of Ridgefield Visiting Nurse Association (RVNA), 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.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 can include assistance with dressing, bathing, mobility, feeding or meal preparation, medication reminders, light housekeeping, shopping and errands.Often non-medical home care services are the kind of personal assistance that allows a person to remain in their own home instead of relocating to a residential facility, Santoro says.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.Editors Note: This article was submitted by Heather McGhie, director of Home Care by RVNA. She may be reached at 203-894-5000 or customercare@hcrvna.com.

Many skilled nursing facilities offer restorative and rehabilitative physical and occupational therapy, and speech-language pathology services. Short-term rehabilitation services may be provided to individuals with diagnoses such as joint replacements, stroke, etc. Long-term rehab may also be provided for permanent residents of the facility who have chronic or progressive illnesses. Occupational therapy services in this setting are generally reimbursed by Medicare Part A for short-term, acute care clients; Medicare Part B for long-term residents who require skilled services and have medically necessary need for rehab; and often by private insurance, Medicaid or private pay for younger clients.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

As Caregivers we are often put into a position where we have to choose between what is good for ourselves, and what is good for our loved one or care partner. Placing someone else needs in front of our own might be difficult for some people to understand, but not for the caregiver!To be a healthy caregiver we have to learn how to live our life in the solutions of our caregiving experience, not the problems caregiving can create in our lives. By living a life focused on solutions, we live life with clarity, hope and love. Focusing solely on the problems of caregiving we live in fear, worry and despair.Here's The Deal:Taking care of self is rule number one while in the midst of caregiving. Whether the words are spoken or not, youre loved one understands the stress you are under and wants you to take care of yourself. When you get to the point where you are at least half as good at taking care of yourself as you are at taking care of your loved one, you be on the right track. But first and foremost you have to start by making a plan! Start by:Create A Care Team:While are super hero's, our caregiving capes are limited. Reach out to family members and friends who can play a role on the care team. Everyone brings different talents to the team, utilize them! Asking for help is a sign of strength, not a sign of weakness!Set a Daily Intention for Yourself:Caregiving can be time consuming, especially if youre balancing your career and raising children at the same time. Schedule something for yourself, every day, even if it is just five minutes of me time in a room alone.Have A Back-Up Plan:What if you get sick? See Create a Care Team Above.As Caregivers, we then to think that we are indestructible, but we are susceptible to illness too. Stress and fatigue will play havoc on all parts of your body, mind and spirit.I believe that there is no greater honor than to be entrusted with the care of another human being. I make no bones about it, caregiving is hard, but in the end, the good days will always outweigh the bad ones.Editors Note: Christopher MacLellan is the host of Healing Ties Podcast and the Author of What's The Deal with Caregiving and a former family caregiver

Coverage For Critical Care And Support Services For the first time, people living with Alzheimers disease will have access to care planning with a medical professional. The Centers for Medicare & Medicaid Services (CMS) has finalized its decision to pay for cognitive and functional assessments and care planning for patients with Alzheimers disease and other cognitive impairments. CMS has now made it easier for physicians to provide critical care and support services for persons living with Alzheimers disease. Following a diagnosis, care planning is crucial to improving outcomes and maintaining quality of life for the diagnosed and their caregivers, as well as controlling costs and planning appropriately for the future.This is a step in the right direction and an important milestone for the millions of Americans living with Alzheimers disease. The decision by CMS will provide much needed care and support to these individuals and their caregivers. The impact it will have on those families is priceless. The fact that this disease is finally being recognized as a true epidemic is critical to the growth in funding and research we need to finally end this disease, said Becky Prince, Executive Director, Greater Dallas, Alzheimers Association.More than 5 million Americans are living with the disease today, and that number could rise as high as 16 million by 2050. Whats more, over 85 percent of people with Alzheimers and other dementias have one or more other chronic conditions, such as diabetes or heart disease. Care planning is critical for coordinating care and managing chronic conditions.Alzheimers is the most expensive disease in America at a cost of $236 billion annually, it is also the only leading cause of death in the U.S. that cannot be prevented, cured or even slowed. In Texas 350,000 people have been diagnosed with Alzheimers disease andby 2025, this number is expected to grow 40 percent to 490,000.Thousands of our families have reached out to us over the past several months to tell us how essential this service is for those contending with Alzheimers disease. Now that CMS is increasing access to cognitive assessment and care planning sessions, individuals and their medical professionals can develop a plan to better manage these conditions, said Robert Egge, Alzheimers Association Chief Public Policy Officer. Proper care planning results in fewer hospitalizations, fewer emergency room visits and better management of medication all of which improves the quality of life for both patients and caregivers, and helps manage overall care costs.For more information about this new Alzheimers care planning coverage, visit www.cms.gov. To find out more information about Alzheimers disease, visit alz.org or call the 24/7 helpline 1-800-272-3900.'

As of April 3, 2020, the Center for Disease Control (CDC) is recommending that all Americans use a cloth type mask when they are in public settings such as grocery stores and pharmacies (Recommendation Regarding the Use of Cloth Face Coverings, Especially in Areas of Significant Community-Based Transmission).In light of this news, many Americans will need to make their own cloth masks. Kathleen Warshawsky, BSN, RN (Seniors Blue Book Publisher and President of the Dallas Area Gerontological Society has compiled some information to assist you to make your own at home. One version will require some sewing to create your mask, the other requires no sewing and is very simple.Easy to Sew DIY MaskTake a 32 x 23 cm cloth. Fold horizontally in half, inner side out.Stitch the edges in place but leave an opening at the center.Cut out the edgy corners then, reverse the cloth to reveal the outer side.Again,sew around the edges.On one shorter side, make 6 consecutive 2-cm markings from a corner. Do the same on the opposite side.Make a fold by meeting the first 2-cm marking with the second. Secure with a clip. Do this with the third and fourth and then, the fifth and sixth. Make sure youre folding upward.Do the same thing on the opposite side. By the time you finish folding, youll have three horizontal lines created by the folds at the center.Stitch edgesof the folds in place.Fold the same edges 1 cm inward. Secure in place using clips.Sew them in place leaving an opening at their centers.Take two 25-cm long garters. Insert them into each folded side. You can use a hair clip for ease in insertion.Tie a knot at the ends of the garters to seal them in place.How to make a mask with fabric without sewing:How to make a face mask out of fabric (Jenny Chang-Rodriguez / TODAY)Use a square scarf or a cut a large square out of a T-shirt (at least 20 inches by 20 inches).Fold two sides of the square in to meet each other in the middle then fold this in half lengthwise. You should be left with a long rectangle with the edges sandwiched inside.Grab two hair ties (or rubber bands) and pull one around each end of the long rectangle, roughly breaking the rectangle into thirds. (It should almost look like a candy wrapper.)Fold each outside third of fabric into the center.Pull the mask on by fitting the hair elastic around ears and making sure the end tails of fabric are against your face so the mask stays put.Click on the photo to view a video of Kathleen making a No Sew MaskHow to Make a "NO SEW" Cloth MaskInstructions from the CDC on making facemasks:https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.htmlCloth Face Coverings: Questions and Answers from the CDC:https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover-faq.htmlPage last reviewed:April 4, 2020Content source:National Center for Immunization and Respiratory Diseases (NCIRD),Division of Viral DiseasesSource of How to make a fabric mask without sewing: https://news.yahoo.com/face-mask-fabric-without-sewing-190232948.htmlSource of Easy to sew cloth mask: https://sewing.com/cloth-mask-diy/#sbbdfw #kareworks #makeyourownmask #diymask #covid19 #sbbcovid19 #clothmask #fabricmask #coronavirus#homemademask

Is it time for a smaller space? Here are some questions to ask:Does my existing home meet my needs?This question can help define your needs.What is the cost to downsize?You should research the expenses for the home you want.What community will suit my life?Choose a community that fits you.Is this a smart financial move?Making a financial plan could help you decide.Is maintaining your home overwhelming?Less maintenance could alleviate stress.Hints that you should consider Rightsizing: You may have health complications that are not suited for your residence. Caring for your yard and house is difficult. Moving could save you money. Your home has space that is never used. You can move closer to family. Selling your home will yield financial benefits.Rightsizing is not easy but these tips can give you a great head start.http://www.caringtransitions.com/blog

BRiTE is an innovative program that promotes brain and body health and wellness by providing our members with integrated activities in a social environment.The Creative Expression, Fitness, and Music activities offered emphasize the components of everyday life that are associated with better brain health among individuals with normal cognition.The BRiTE Wellness Program was developed to help promote a brighter life for older adults with mild cognitive problems. The Brain Training and Exercise Program exists online, with real people, in real time, doing real activities. The goal of the program is to create a supportive online experience for a community of individuals who have mild changes in their thinking or those wishing to proactively maintain their brain health.BRiTE exists entirely online and has been adapted for those individuals who are unable to come to an on-site program. Each participant has the added benefit of promoting socialization which is a major component of good brain health. The virtual program is offered Monday, Wednesday, and Friday from 10:30 a.m.- 2:00 p.m. It is available to any senior living in the community who would like to socialize with others and challenge themselves with novel educational and fun activities in the privacy of their home.In order to participate, you must have a device (iPad, laptop of desk top computer) with Wi-Fi service. Having a device with Wi-Fi capability allows that participant to see and hear the instructors and other members. However, if no device is available, there is the option to call in from a land line or cell phone. If using a telephone, you do not have the ability to view the class session, but it allows you to hear the instructions and even respond and converse with other participants.In addition to the Creative Expression, Fitness and Music classes, each member has unlimited access to Smartbrain Pro, an interactive computer program that features thousands of interactive exercises with different levels of difficulty, which provides critical cognitive stimulation.Editors Note: Article written by Robin Sullivan, OTR/L, BRiTE Program Director and can be reached at 412/404-2405. Visit www.britewellness.org for more information.

To learn more aboutAseracare Hospice, CLICK HEREHospiceis a gift it gives people who are facing a life-limiting illness the freedom to live all the days of their lives by offering comfort, dignity, quality of life and time. Hospice care is 100% covered by Medicare, as well as by most Medicaid and commercial insurances.Hospice is also the most underutilized of all Medicare benefits, with far too few people accessing the care theyre entitled to. And even those who access hospice often only receive a fraction of the 6-month benefit, with many families saying they only wish they would have known about and accessed hospice care soonerAmedisys Hospice is centered on caring for the whole person with expert medical care, pain management as well as emotional and spiritual support for you along with resources, information and emotional support for your family and caregivers.

Older adults fear the possibility of developing Alzheimers disease even more than death and with good reason: five million Americans have Alzheimers disease, approximately 350,000 are diagnosed with the condition each year and it leads to death more often than heart disease, stroke, HIV and breast and prostate cancers combined! In the next 13 years, the number of Utahns with Alzheimers disease will increase 127 percent making it the state with the fastest growing incidence of Alzheimers.These startling statistics lead one to ask: Can Alzheimers disease be prevented or delayed? Here is the good newsyes. A new study shows that half of the cases might be caused by factors people can control: exercise, smoking, obesity, diabetes, high blood pressure and high cholesterol. Additionally, advanced imaging techniques now can diagnose Alzheimers years before symptoms are noticed giving people a jump start on a treatment plan.What is Alzheimers Disease?Alzheimers disease is a progressive, degenerative disease of the brain that causes dementia. Dementia is the deterioration of memory, language, personality and the ability to process information. Other conditions that also lead to dementia include stroke, chronic alcohol abuse, vitamin deficiencies, and Parkinsons disease.What Causes Alzheimers Disease?When we are younger, the body makes amyloid plaques (clumps of protein, like a goo) that surround the brain cells but the brain is able to clear it out. As we grow older, oxidative stress on the brain cells increases inflammation which contributes to making too much amyloid plaques and to the inability to clear it away. Additionally, patients develop neurofibrillary tangles (nerve cells that become tangled and dysfunctional). The tangles and goo prevent brain cells from communicating with each other which creates the forgetting in Alzheimers.What are the symptoms?Alzheimers disease usually comes on slowly, with a gradual loss of memory and difficulty learning new information. The patient develops problems in carrying out familiar tasks, understanding concepts, and taking care of grooming and household chores. Depression may also be one of the early symptoms. Personality changes, restlessness, and disorientation may also occur, and as the disease progresses, these symptoms become more pronounced. In later stages, there is a characteristic lack of concern for appearance or body function, significant sleep disturbances, extreme irritability, and loss of the ability to speak. Gradually, the patient stops eating or drinking regularly.What Can Be Done?The closest we have to a cure for Alzheimers is prevention. But this is good news. This means that people have control over their chances of developing this deadly disease with exercise, a diet high in omega 3 fatty acids, colorful fruits and vegetables, spices such as turmeric, oregano and garlic, vanilla beans, and a moderate amount of caffeine. New imaging technology now allows people to get screened decades before any symptoms begin, enabling early intervention to protect the healthy brain and a delay in the onset of the disease. Drugs are being tested that may someday offer even more hope for patients and families, especially for the one percent that may be genetically at greater risk.Editors Note: This article was submitted by Denae Bybee, LPN and owner of Senior Helpers Utah and may be reached at 801-912-8400 or by e-mail at dbybee@seniorhelpers.com. For more information visit www.seniorhelpersutah.com.

To learn more aboutGood Shepherd Home Care & Hospice,CLICK HERE.How important is social support as a person ages? This may seem like an easy question to answer. Most people would not choose isolation and loneliness versus spending time with companions. However, can lack of social support really hinder a persons overall quality of life?Lack of social support is related to negative impacts on health and well being, especially for older people. Having a variety of positive social supports can contribute to psychological and physical wellness of elderly individuals. Support from others can be important in reducing stress, increasing physical health and defeating psychological problems such as depression and anxiety.When considering who provides social support for an elderly individual our first thoughts are of family members. While it is true that most support does come from family members, there are many circumstances in which family members cannot be supportive (stress due to responsibilities, illness, death, financial problems, job relocation). In the United States the fastest growing age group of individuals are those 85 years and older. Due to this fact, family supports will inevitable decrease for these older individuals. A need for community-based services is more important now then ever before.Community-based services can be extremely useful for elderly individuals. Services for older persons can encompass many areas, but one of the most important areas as discussed previously is social support. Support for elderly persons can be found in many places including: senior centers,assisted living facilities, meal delivery, religious affiliations,adult day care centers, etc. These services can provide positive social supports that can help older persons defeat loneliness and isolation. However, social support must encompass more then physical presence or conversation. Studies have shown that social support services should contain quality activities. These activities should promote positive self-awareness.Self-awareness is key to a persons overall quality of life and satisfaction. Many leisure social activities can be used to help increase an individuals self-awareness. Activities for elderly individuals may include reminiscence groups, journal writing, readings of favorite book passages, group exercise, singing groups, etc. Individuals may also feel more self-satisfied if they are part of the planning of social activities that take place.Two of these community-based service centers that provide quality social support services for elderly individuals are discussed below.Senior Citizen CentersToday, there are estimated to be about 15,000 senior centers across the United States. Senior centers act as a focal point for older Americans to receive many aging services. The most common services offered at a senior center include health programs (including Zumba and Yoga), arts/humanities activities, intergenerational programs, employment assistance, community action opportunities, transportation services, volunteer opportunities, education opportunities, financial assistance, senior rights counseling/legal services, travel programs and meal programs. These programs and activities can help promote positive self-awareness. Lori Beckle describes how participating in her local senior citizens center has given her the independence and life satisfaction she thought was lost when her husband died in 2009. I was devastated and so frightened for my future without Ed. He was my only friend and the one I turned to when I felt alone. My daughter invited me to attend our local senior center where a bereavement group was being held for those who had lost a loved one. I met Phyllis during the group and now I have a new friend I call when I become afraid. Phyllis has helped me develop the skills to get through the tough times and focus on my immediate happiness.Adult Day Care CentersAccording to the National Adult Day Services Association (NADSA), there are currently more than 4,600 adult day care centers nationwide. Adult day care is a program in which activities are provided to promote social support and health services to an older adult during the daytime. Most centers operate Monday through Friday during daytime hours. Social support services at an adult day care can consist of musical entertainment and singing groups, group games such as cards, gentle exercise, discussion groups (books, films, current events), holiday/birthday celebrations and local outings. Not only are these social activities provided, but participants of the program can also develop lasting relationships with staff and other participants. Adult day care centers also provide meals and health services. Adult day care centers differ from other programs for elderly individuals, because they allow the participants to develop and increase self-awareness by encouraging independence. Amanda describes her experience as a volunteer at her local adult day care center. She stated, I was involved in planning the activities for Thursday afternoons. I wasnt sure what kind of activities my older friends would enjoy so I had them share their favorite activities they participated in when they were my age (23). I soon realized that I was hearing the most fascinating stories of hopping trains, college dances, swimming in the lake, etc We decided Thursday afternoons would be spotlights of each individuals lives as a twenty-something. One of the participants told me that Thursdays became a highlight for her week.Adult Day Care CentersandSenior Citizen Centershelp to provide an elderly individual the opportunity to participate in social support activities. Social support activities found in these programs can be beneficial to a persons quality of life and overall satisfaction. With a higher self-awareness and quality of life an individual can reduce the risks of mental and physical health problems as they age.

For More Information on the Author Paul Andrews, ERA Advantage Reality, CLICK HERE!Analyze why you are selling -If you understand your motives, you will be able to better negotiate and to get what it is that you want, whether it be a quick sale, high price, or somewhere in the middle.Prepare your home for the buyer -Maximize the strengths of your property and fix up its weaknesses. You want the buyer to walk away from your home with a lasting good impression.Find a good real estate agent that understands your needs -Make sure that your agent is loyal to you, and can negotiate to help you achieve your goals. In addition, they should be assertive and honest with both you and the buyer.Be prepared for negotiation -Learn and understand your buyers situation; what are their motives? Can you demand a big deposit from them? Try to lock in the buyer so that the deal goes through.Negotiate for the best price and the best terms -Learn how to counter offer to get maximum value from every offer.Make sure the contract is accurate and complete -Be honest with your disclosures; you do not want to lose the deal because you were lying or diminishing your homes defects. Insist the buyers get a professional inspection. This will protect both you and the buyer.

From the cramped cabin of the aircraft, VITAS Healthcare patient Kim peered out through the open door and took in the landscape as it stretched to meet the horizon.In the next moment, she was dropping from 10,000 feet, reminding her senses: You are alive.Kimcouldnt help but smile. She had made a habit of seeking these reminders throughout her 64 years on Earth. Now, as she neared the end of her life, the message seemed to come through with renewed clarity as her wish to fly through the atmosphere one last time came true, thanks toher VITAS hospice team.It takes a lot of coordination, but when you have a whole team coming together, you can make anything work, says Daily, VITAS volunteer services manager.ToKim, cirrhosis of the liver seemed at first like a challenge waiting to be overcome. But after receiving a terminal prognosis and beginning care with VITAS,shestarted to focus on what she could feasibly achieve in the time that remained.Id been seeing Kim for about eight months, and one day she mentioned that shed been skydiving in the past and wanted to do it one last time, says Tammy,Kimsnurse.Dailysuggested that virtual reality (VR) could offer a simulated version ofKimsdesiredexperience without the risks associated with jumping from a plane. The VITAS team manager and physician agreed.On the day of the skydive, Kim was joined by the hospice team at her house. One of her nurses stood ready with the fan asKimsat down and donned an Oculus Rift VR headset.At one point,Kimstood from her chair, ecstatic with the sheer sensation of it all. After landing safely on the ground, she immediately began showering the team with appreciation.ForKim, the experience was clearly a dream come true, but not quite a replacement for the real deal:Tammysays that her patient still jokes about skydivingand bringing her favorite nurse along for the ride.Rikki Muro is general manager for VITAS Healthcare in Chicago. For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

To learn more about Utah Senior Care Advisors,CLICK HERE.CNA Certified Nursing Assistant, as they are called in most states. They provide direct care to the residents and administer medications under the registered nurses direction and license.POA Power of Attorney. Assisted living administration must work directly with person responsible for making decisions for their loved one. Sometimes the resident themselves may have the power of attorney.DNR Do Not Resuscitate. This states that under direction from the power of Attorney, the resident shall not be resuscitated in the case of a medical emergency.POLST Physician Orders Life-Sustaining Treatment; a form that dictates treatment in the case of an emergency. It must be completed by the power of attorney and a physician.ADLs Activities of Daily Living record. A record kept by the assisted living staff. It includes a record of hygiene procedures administered, activities attended, percentage of meals consumed and will even go as far as to track bowel movements if necessary.MAR Medication Administration Record. This is a record of medications administered, usually on a computer software platform.PRN MEDICATION is an abbreviation meaning when necessary from the Latin pro re nata, as circumstances require, as needed. These may include constipation or blood pressure medications and narcotics.SERVICE PLAN A general plan of care tailored to each resident including assistance needed, likes and dislikes, general routine, as well as family directions. This plan is continually reviewed and revised by the care team.INCONTINENCE When a resident requires a brief.BRIEF Diapers are for infants, briefs are for adults.

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.

It probably wont surprise you that Florence Nightingale was responsible for the first nurses uniform.At the time it was thought that long sleeves and full-length dresses and apron would prevent a nurse from falling ill to fever.At that time nurses were not wearing masks or gloves, but like so much in health care, they wouldnt understand proper protective precautions until later in the century.In Europe, where we first see the cap, nurses were called Sisters because most of them were nuns.If they werent nuns, they were asked to take on the same lifestyle; single and a lifetime of service.The cap was originally worn for sanitary purposes and holding hair in place.It was against decorum for proper women to be seen in a hospital otherwise.WWI brought about the first capes or tippets, giving the public a sense of service and honor to improve the concept of women seeking a nursing profession.The cape, like the dress, apron, and cap, were thought to be a sanitary measure.Soon the demand for better training swept through the country.In the early days of 20thCentury nursing in America, the schools were run by nurses and didnt offer degrees or any direct patient care experiences; it was all book training. Hospitals began to open nursing programs and the cap started to shake things up! In any profession, one would expect to see competition. For nursing, the cap became the first visible evidence of a nurses training.Each school had its own design that made their nurses recognizable.The capping ceremonies branded their students for life.Their graduates accepted positions in hospitals and it was that same cap they would wear every day.Not only did the caps identify education but also it identified student nurses versus graduated nurses.Military culture further left its mark on nursing, using stripes and symbols on caps and capes to identify levels of education. The iconic cap and cape struck a competitive cord in women and elevated their academic goals.Nursing schools began to raise their academic requirements and educational opportunities, improving curriculum and elevating the quality of graduates they produced. Although the look isnt seen on the hospital floors present day, they helped give rise to nursing as a profession and the quality care that nurses represent today.Editors Note: This article was written by Megan Kleiman, Administrator at Acappella In Home Care.

Kare Works presents Opportunities for ConnectionDuring Isolation in Senior Living.Hosted by Kathleen Warshawsky, BSN, RN, Publisher of Seniors Blue Book and President of the Dallas Area Gerontological Society. Featured speaker, Hayley Moseley, MA, ACC and Manager, Life Enrichment Team at CC Young Senior Living.Learning goals: Identify opportunities that have been created during this difficult time and strategies to maximize these opportunities Implement strategies to create improved connections between the facility and community Identify needs of the activity department to implement a new model of care and resources that assist with meeting these needs Provide resources for the new model of careResource Links:Resources for Managing Activity Services Delivery during COVID-19 PandemicTechnology ChecklistClick on the photo to watch the video.To learn more about CC Young:CC Young Assisted Living|CC Young Memory Support|CC Young Skilled Nursing|CC Young Adult Day CenterPHONE(214) 305-9662Learn more about CC Young Senior LivingCC Young Assisted Living|CC Young Memory Support|CC Young Skilled Nursing|CC Young Adult Day Center

Finishing Well Ministries presents The Exciting Potential of This Season of Life, What The Bible Says About Growing OlderYou never fish in the same river twice. The river is always changing. Thats true of life as well. Each day is different from the day before. We ourselves are different. Therefore, God keeps giving us opportunities to grow. Because this is true, lets consider some important biblical principles about aging.Read it Here! What The Bible Says About Growing OlderWritten by Dr. Hal Habecker

Weve always had a passion for belonging to a community and serving in a capacity where our efforts will improve the experience for others.Youll notice a big difference in Caliber Patient Care when comparing us to other transport companies. Our entire staff is trained in CPR and First Aid, while many are certified EMTs, and each undergoes a battery of background checks and defensive driving training before they ever get behind the wheel. Our uniformed drivers are also monitored daily, coached frequently and get regular refresher training on driving skills and people skills to ensure they are at their best when you come onboard. We provide one-to-one rides, so youre ensured of getting to your appointment on-time and not waiting long when your appointment ends and youre ready to go home. Our fleet of customized vans are new models with low mileage, maintained regularly and able to transport wheelchairs, scooters, stretchers as well as ambulatory passengers in air-conditioned comfort.At Caliber we say Compassion Drives Us and were confident you will see it in the comfortable ride you get, with an experienced, safe, qualified team. Were thrilled to be here in Southwest Florida, serving our community, from bedside-to-doctorside.

Women are Veterans too! A fervent adage held by women who have fought alongside their male counterparts in the U.S. Military ever since the Revolutionary War. Although women have been serving their country for decades, they have not always received the recognition, benefits, and care entitled to them or even self-identify as a "Veteran." At VA we aim to change this!Currently there are 1.8 million women Veterans (WV); the fastest growing segment of the Veteran population. Today women make up 15% of active duty military and 18% of guard and reserve forces. In Utah, there are over 13,000 WV with more coming home every day.VA's Women Veterans Health Care provides WV with a full range of services necessary for healthy aging. From disease screening and prevention, to home health care, access to specialty clinics, Veterans nursing homes, geriatric care and support with end-of-life decisions.The VA Salt Lake City Women Veterans Program is committed to meeting the unique needs of WV by delivering the highest quality health care to each woman, while offering her the privacy, dignity and sensitivity to gender-specific needs that she deserves. One example of this quality of care is the Women's Clinic; a comprehensive primary care clinic which provides treatment for heart disease, high blood pressure, colon and breast cancer, nutrition and fitness information, safe driving evaluations, help with osteoporosis, menopause management and specialty GYN and pharmacy services. In addition, we offer groups, activities, events and retreats specifically for WV.Do you live in a rural area? We can take care of you at one of our Community based outpatient clinics or through women's telehealth; speak face-to-face over a computer monitor with a women's health provider or pharmacist. In addition, use My HealtheVet to view your medical record, refill prescriptions, make appointments or email your provider.Additionally, on April 23, 2013, the Department of Veterans Affairs launched its new Women Veterans hotline1-855-VA-WOMEN (1-855-829-6636)an incoming call center that receives and responds to questions from women Veterans, their families, and caregivers across the nation about available VA services and resources.Remember VA knows women Veterans!Editors Note: This article was submitted by Gina Painter, LCSW, Women Veterans Program Manager at the George E. Wahlen Department of Veterans Affairs Medical Center. She may be reached at 801 582-1565 x5423 or by email at gina.painter@va.gov. For more information visit the website at http://www.saltlakecity.va.gov/services_women_veterans.asp

Today, people are living longer than ever before.With advanced age often comes the need for care. Many seniors are able to continue to live at home without assistance. However, the time may come when your elderly loved one needs help. Physical and cognitive changes often come on quite suddenly. Here are 20 signs that your loved one may need assistance. Spoiled food that doesnt get thrown away Missing important appointments Unexplained bruising Trouble getting up from a seated position Difficulty with walking, balance, and mobility Uncertainty and confusion when performing once-familiar tasks Forgetfulness Unpleasant body odor Infrequent showering and bathing Strong smell of urine in the house Noticeable decline in grooming habits and personal care Dirty house, extreme clutter and dirty laundry piling up Stacks of unopened mail or an overflowing mailbox Late payment notices, bounced checks and calls from bill collectors Poor diet or weight loss Loss of interest in hobbies and activities Changes in mood or extreme mood swings Forgetting to take medications or taking more than the prescribed dosage Diagnosis of dementia or early onset Alzheimers Unexplained dents and scratches on carThere are many resources available when more help is needed. Seek out those resources and have them ready to share so that you can refer your loved one to the right professional who can guide everyone concerned through an often draining process. Listen to what your loved one tells you. And most of all let your loved one know you care.Editors Note: This article was submitted by Randy Chipman, Certified Senior Advisor with CarePatrol of Utah. He can be reached at 801-717-9328 or RandyC@carepatrol.com.

TV commercials or online ads may imply something different, but there are 3 critical factors to successful hearing treatment. A lack of any of the 3 could negatively impact your success to better hearing.The first and most important P is the Professional. Finding the right professional is essential! In fact, 7 of the top 10 factors in patient satisfaction are directly related to the relationship and best practices performed by the professional!The second P is the Process. The majority of hearing-impaired people did not lose their hearing overnight. Patients only realize they are missing things when it affects conversations that are valuable, but by then there are many sounds that have disappeared.Since patients dont realize they have hearing loss until years later, hearing cannot be restored overnight either. The brain needs to be slowly reintroduced to the sounds that have been missing.Finally, the 3rd P is the Product. The product is still an important part of a patients success, but a good professional can work with many quality hearing technologies. You have to have a good Professional and good Process set up before finding the right Product.You get what you pay for; make sure your investment covers all three.Editors Note: This article was submitted by Whitney Swander, Au.D., which is a condensed excerpt from her co-written book Isolation is Optional. Dr. Whitney Swander is the owner of Hearing HealthCare Centers and may be reached at 303-720-7516 or by email at info@hearinghealthcarecenters.com.

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

Ombudsman: Swedish word meaning One who speaks on behalf of anotherOur Purpose: We are a free advocacy service mandated by the Older Americans Act to help all nursing home and assisted living residents maintain their quality of life by ensuring that their rights are protected.Who We Help: Residents, families, and friends of long-term-care residents are encouraged to contact the Ombudsman. We work with facility staff, hospice, adult protection, and others to get the resident what they need.What We Do: Within facilities, we help with things as simple as hot coffee or negotiating shower times. Feeling uncomfortable for any reason, your Ombudsman will listen and keep what you say confidential until you give us permission to act. We also investigate serious violations of residents rights. Substandard care, verbal or physical abuse, privacy, and the right to self-determination are examples.If you are considering long-term-care for a loved one, contact an Ombudsman. We can provide information and suggestions that will make choosing a long-term-care option easier. We can also refer you to resources that might be able to help keep your loved one at home longer.When To Call: If you need help understanding your rights, feel that your rights are being violated, think that your choices are not respected, or if you have questions about what long-term-care services are available, it is time to call your Ombudsman.Our Contact Information: Call 800-288-1376 for a referral to the Ombudsman serving your area.Editors Note: This article was submitted by Jonelle Roberts. Jonelle is a Volunteer Ombudsman with the Northeastern Colorado Area Agency on Aging and may be reached at 970-500-4909 or by email at ombudsnecolo@gmail.com

Absolutely, finding better treatments and cures for diseases takes a large team, from basic science to clinical researchers, medical teams, clinics, hospitals, research centers and most importantly, participants who volunteer to be in clinical studies also known as clinical trials. Dr. Kerwin, with the assistance of participants like you who volunteer to be in clinical studies, has specialized in clinical trial research for Alzheimers and other neurodegenerative diseases for more than 15 years. While many people have a general concept of what a clinical trial involves, for most, the process is unfamiliar and in this article we will provide an overview of what to expect and an understanding of the process.A few definitions:Study Participant: a person who volunteers to be in a clinical trial/study, signs informed consent to under-go study procedures such as blood work, imaging, completing questionnaires, memory testing, etc.Informed Consent: the process of learning about the possible risk and benefits of being in a study before volunteering to participate, the study team is responsible for giving you this information and answering questions before the study begins.Ethics Committee/institutional Review Board (iRB): this is an independent committee that provides oversight for participation safety during a clinical trial. All clinicaltrials must have IRB approval and oversight. Protocol: the study plan developed by the research team to determine if a medication is effective over current treatment or no treatment.During a clinical trial, participants receive an investigational treatment according to a research protocol and under the close supervision of a physician and research team. The goal of the clinical trial is to determine if the treatment is safeand effective for the disease being treated.are there potential benefits? Participating in a clinical trial provides the opportunity to:Have a more active role in your healthcare Help improve medical care for others by contributing to medical researchAre there potential risks?As with any medical intervention there are risks of participating in a clinical trial that are discussed with you in detail before you consent to be a participant in any clinical study.Dr. Kerwin and Kerwin Research Center specialize in clinical trials for the treatment and prevention of neurologic diseases such as Alzheimers, Lewy Body Disease, Progressive Supranuclear Palsy, Multi-system Atrophy, Mild cognitive impairment. To find out about current clinical trials in the DFW area call 214345-4449 or visit: www.KerwinResearchCenter.com or www.clincialtrials.gov. Editors Note: This article was submitted by Diana Kerwin, MD. Dr. Kerwin is the medical director of the Kerwin Research Center & Memmory Care. She is board-certified in internal medicine and geriatrics. She may be reached at 214-345-4449.

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.

Im not trying to be greedy, but I had to quit my job to take care of my mom.My husband isnt comfortable having a stranger take care of him.My insurance will pay for someone to take care of my disabled sister and Im a trained medical assistant cant they just pay me?Family caregivers often spend a large portion of their income not to mention their savings to care for their loved ones. You might even be taking unpaid leave or feel forced to quit your job to fulfill your family obligations. Family caregivers are saving insurance companies and government agencies billions of dollars by providing care shouldnt there be a way to get paid something?Check out the following programs: Medicaid Relative Care Program: If the parent, spouse, or other person you're caring for is eligible for Medicaid, you can get paid as a relative caregiver. The Dept. of Human services case manager can qualify and set you up for this program to get paid up to 8 hours per week. Medicaid In-Home Support Services (IHSS)- if the patient need some medical care such as medication management and wound care the family caregiver can get up to 40 hours per week to care for them. The care is supervised by a licensed home care agency under an RN Long-term care insurance- if the person you're caring for has that includes in-home care coverage, in some cases those benefits can be used to pay you. Veterans Benefits I- Veterans needing home-based care may be eligible for Veteran-Directed Home and Community-Based Services (VD-HCBS). Beneficiaries can manage their own flexible spending budgets for personal care services, and can hire their own workers, including family and friends. For more information visit their web siteNational Resource Center for Participant-Directed Services. Also ask your VA case manager for more information. Veterans Benefits II- Pension service connected benefits Aide and Attendance pay the veterans and/or surviving spouse benefits $1787 for veterans and $2120 per month benefits, surviving spouses can receive $1149 to help with medical expenses. Comfort Keepers can help you through the process or application at no cost to the veterans. The process can take from 3-6 weeks. Veterans can choose relatives and friends to care for them and they can be paid as the agencys employee that will provide training and benefits. Drawing up a personal care agreement-if the person or people you're caring for are going to pay you for caregiving, it's a good idea to draw up a simple contract that sets out the terms of the care and payment. If the person or people you're caring for ever need to enter a nursing home and aren't already on Medicaid, the agreement will show that these payments to you were legitimate.Editors Note: This article was submitted by Ora Lee. Ms. Lee isthe owner of Comfort Keepers Home Health Care Agency. For further information call our office at 970-241-8818 or email : grandvalley@comfortkeepers.com

Drinking Enough FluidsIts important for your body to have plenty of fluids each day. Water helps you digest your food, absorb nutrients, and then get rid of the unused waste.With age, some people may lose their sense of thirst. To further complicate matters, some medicines might make it even more important to have plenty of fluids.Drinking enough fluids every day also is essential if you exercise regularly. Check with your doctor, however, if youve been told to limit how much you drink.Go4Life has the following tips: Try to add liquids through out the day. Take sips from a glass of water, milk, or juice between bites during meals. Have a cup of low-fat soup as an afternoon snack. Drink a full glass of water if you need to take a pill. Have a glass of water before you exercise or go outside to garden or walk, especially on a hot day. Remember, water is a good way to add fluids to your daily routine without adding calories. Drink fat-free or low-fat milk, or other drinks without added sugars. If you drink alcoholic beverages, do so sensibly and in moderation. That means up to one drink per day for women and up to two drinks for men. Dont stop drinking liquids if you have a urinary control problem. Talk with your doctor about treatment.This article was extracted from the following website:www.nia.nih.gov/Go4LifeGo4Life is a registered trademark of the U.S. Department of Health and Human Services.

For more information on the author, The Sheridan at Lakewood Ranch, CLICK HERE!When youre ready to tour a senior living community, its important to prepare yourself. Although your senior living professional will be able to show you around the community, they may not address all of your questions unless you ask them.You should be prepared with questions to ask on your visit about staffing, living spaces, activities, health care, nutrition, and whatever else may come to mind.Weve put together a list of 32 questions in several categories that you might find helpful while visiting a senior living community. Take these with you and ask them if they havent already been answered for you. That way, you can make your final decision with confidence.StaffingAre staff members onsite 24/7?Are staff members subjected to background checks?Is the staff trained on elder abuse and neglect?Does the community have a policy to report suspected abuse?Living SpacesWhat floor plans do you offer?Are your residences furnished or unfurnished?Can residents decorate and personalize their own spaces?Is internet access provided? Wi-Fi?What is your pet policy?Is housekeeping included?ActivitiesWhat types of activities are available to residents, and how often do they occur?Is there a posted schedule of events and activities?Are residents actively encouraged to participate?Do you provide transportation to the grocery store?Are there opportunities to interact with the surrounding community, such as scheduled outings or volunteering opportunities?Is live entertainment part of the activities schedule? If so, what kind, and how often?Health CareDo you have nurses on staff?Do you have an in-house physician?Does someone on staff coordinate home health care visits if needed?Are services such as hospice and physical therapy available?Are incontinence supplies included?Is there a written plan of care for each resident?Do you have transportation for doctors appointments?NutritionHow many meals are provided per day?Are there snacks available for residents?Can meals be provided at varied times, or are there set times for meals?Can meals be tailored to a residents specific needs or special requests?Are residents allowed to take food back to their rooms?MiscellaneousAre overnight guests allowed?Are visitors allowed at any time, or are there specific visiting hours?Are religious services provided onsite or available nearby?Are there any other extra fees? If so, what are they?Of course, if you have more questions, feel free to ask. Senior communities should be happy to accommodate you and make your visit more enjoyable.

Diversity within the family unit today can cause much confusion over who is in charge when you die. Many believe a power of attorney will take care of everything when death occurs. But unfortunately the power of attorney ends with death. Therefore this can create challenges with family members who have the right for example to authorize cremation. The next of kin will be determined as the next living blood relative. This may be a long lost daughter you have not talked to for 20 years who is the only child or shares equal rights as the other children regarding your disposition and service arrangements. This can be avoided if you plan ahead of time. If a pre-arrangement with a funeral home is made, you can sign your own cremation authorization in the state of Florida, which authorizes the funeral home to move forward without the signature of a family member in the case where that person is estranged from the family. At Fuller we work with families ahead of time to plan their wishes for several reasons to ensure their wishes are met, to sign paperwork ahead of time ensuring this issue doesn't arise, relieving the emotional burden from their family which can cause overspending, and locking in todays price if they pre-pay for their services with the various payment plans available. As parents we have always planned and taken care of everything for our family why stop now?Editors Note: This article submitted by Jan Smith, Managing Partner of Fuller Funeral Homes-Cremation Service, 239-592-1611.

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.

Finding that special place for Mom or Dad is one of the most important decisions you can make. Listed below are some helpful hints on what to look for when you tour a senior housing community. As you are touring, remember that it is not the dcor that counts, but the quality of care your loved one will receive.1) CLEANLINESS Is the community fresh and clean? Look past the furnishings and into corners, baseboards, and windows. Ask how often housekeeping is provided in the apartment or room. What services does maintenance provide? What is their response time?2) WHAT DO YOU SMELL? Odors may indicate lack of cleanliness or a temporary problem that was caused by a recent Incident. If you find odors in a concentrated area of the tour this may indicate a single incident. Odors throughout the community are likely to indicate a problem. Ask the manager what they believe to be the problem before proceeding.3) WHAT ARE THE RESIDENTS DOING? Ask to watch activities. Are they well attended? Does the staff seem to be enjoying the activity as well? View the community event calendar.? Do they match your loved ones interests? Look for small and large group activities, trips or outings. Inquire about religious services if this is important.4) WHAT IS THE STAFFS ATTITUDE? Staff attitude and friendliness are of the utmost importance. Observe the staff interacting with current residents. Do they listen and make eye contact? If you feel welcomed while you tour, so will your loved one. Make sure to get a good understanding of the staffing pattern. How many people are truly involved in care? Introduction to the management team will help you understand the goals of the property. Is the manager willing and available to meet with you?? Do you have confidence in management style and experience?5) ARE THERE OUTDOOR AREAS? Everyone wants to go outside on beautiful spring days. Investigate the outdoor areas for the residents. Does it feel safe and secure? Find out if the staff uses the same area for breaks. Do they host activities such as gardening in these areas?6) WHAT DOES THE MENU OFFER? The dining room experience is very important to seniors. Discuss entre choices and ask about dining hours and procedures. Bring your loved one in for a meal to taste the food and meet some of the residents. Discuss what happens if a resident cannot make it to the dining room for a meal. Don't forget to ask about the laundry service. Who does the laundry and what is the cost? Ask about laundry procedures.7) ARE THE SURROUNDINGS SAFE? Safety and security features are very important for seniors. Are the bathrooms accessible and do they have grab bars in convenient locations? How does a resident contact staff if they have an emergency in their room or apartment? What other safety features are available in the apartment and throughout the community? Ask about staffing patterns to understand who'll be on-site to assist residents. How may licensed nurses or staff members are available? What are the staffing patterns at night versus daytime? How are medications managed?8) DO THE RESIDENTS LOOK WELL-CARED FOR? As you tour, ask lots of questions on personal care. Look at current residents. Are they clean-shaven with well-groomed hair and nails? Discuss bathing options and your loved ones preferences. Are the residents dressed appropriately? Is the staff treating residents with respect and a smile?9) WHAT IS THE MOVE-OUT CRITERIA? No senior likes to move a lot. Ask about specific move-out criteria. Under what circumstances is a resident asked to move? What type of notice is given by them or by you? In many cases, a 30-day notice may be required.10) LISTEN TO YOUR HEARTAs you're touring, can you imagine you or your loved one living there and being comfortable? Did you feel at ease while touring? Was the staff friendly and inviting? The property doesn't have to be the most beautiful to be the best place for them to live comfortably! Follow your instincts and your heart.

The Osher Lifelong Learning Institute (OLLI) at The University of Southern Mississippi offers opportunities to experience learning with peers, whether out of curiosity or to satisfy a long-held interest in a particular subject. OLLIs membership has grown nearly tenfold since 1991, and is on both USM campuses, Hattiesburg and Long Beach. OLLI members gain access to nearly 300 different seminars, classes, and travel opportunities annually. Courses span the spectrum of interests and pursuits in an attempt to provide everyone who has reached 50 years and beyond the opportunity to continue learning whatever it is they want to learn. Our hope is to create an environment thats conducive to learning in the purest sense, said OLLI Director Brett Harris. There are skill building classes from beginning and advanced art, to media specific courses like watercolors, colored pencils, and digital photography, and from jewelry making to salad table construction. Theres no limit to what you can learn and how you can grow at OLLI.Regular social events, lunch gatherings, a rotating art display in the Peck House gallery (Hattiesburg), and free public experiences help bring members from across the community together in a friendly atmosphere and at a cost thats affordable for every budget. Theres an annual membership fee ($50 in Hattiesburg, $40 in Long Beach) thats good for one year from the day you register. After that, you simply pay for the courses you want to take. Courses are as low as $8 and rarely exceed $50, though longer field trips can cost more depending on where they take you and for how long. OLLIs summer schedule of classes is now available in our schedule guides you may have seen around town or on our website (www.usm.edu/olli). Questions? Contact us at (601) 264-2780 or email olli@usm.eduThis article provided by Brett Harris, Director of OLLI. The article was edited to conserve space. The original is available from thad@seniorsbluebook.com

To learn more aboutWeber/Morgan Senior Services, CLICK HERE.Weber Human Services The RIDE provides transportation services for seniors who have no other means of transportation to access appointments, senior centers or other community interests. It is not medical or assisted transportation, but a curb-to-curb program. Curb-to-curb means that the driver will pull up to the curb or the end of the driveway. The individual must be able to get from his or her residence to the vehicle without assistance. Scheduling is done by telephone, with at least five business days notice required to schedule a ride.Registration for new clients or scheduling is doneby telephone with The RIDE office at801-625-3776.YOU MAY QUALIFY TO USE THE RIDE PROGRAM IF:You reside in a Weber County city, in a home or apartment.You do not drive and have no other means of transportation (i.e., you do not qualify for Medicaid medical transportation or UTA Paratransit; are not able to use UTA buses; and do not have any transportation support from family, friends, or others).You are age 60 or above (except for clients of Weber Human Services, for whom age is not a determining factor). This age requirement includes wheelchair service.You are in a wheelchair or can access a RIDE vehicle with minimal assistance.SCHEDULING TRIPS FOR THE RIDE:Services are available from 8:00 a.m. to 3:00 p.m., Monday through Friday (except holidays).Five working days notice is required for all appointments, including medical appointments. (This includes trips to Weber Human Services for all authorized clients. Weekends and holidays are not considered working days for purposes of scheduling.)All trips must be pre-scheduled for both initial pickup time and return time (destination pickup).Donation:There is a suggested donation of $4.00 per round trip for the riders. Donations from businesses, residents, and other community leaders are also much appreciated. You can donate to Senior Services through Weber Human Services Foundation. Please click the Donate button above this screen to access our Foundation page.Registration/Scheduling:Registration for new clients or scheduling is done by telephone with The RIDE office (801-625-3776). A determination is made at the time of the call regarding eligibility for using The RIDE.

One of the toughest conversations a family will have is about whether their aging loved one need assistance and support, and what kind is needed. It can be stressful to anticipate whether the individual will agree and accept the care they need.Nine out of 10 seniors prefer to remain in their own homes, rather than be moved to an assisted living facility or nursing home. The care team at Home Care Assistance, a provider of home-based caregiving with 165 locations around the world, including three in the greater Chicago area, helps seniors age well at home.Many seniors fear the loss of independence and physical frailty, and dont want to be a burden to their families. But their families need to make sure their loved one is safe and capable of taking care of him or herself. Some signs that they arent doing that include worsening forgetfulness, poor hygiene, a messy home, bruising from a fall, a change in personality and social isolation. These symptoms could be signs of dementia or the inability to manage their medical conditions, such as diabetes or Parkinsons disease. These signs often indicate a conversation about care should take place.Home Care Assistance can help. Our Client Care Managers can assist with everything from arranging family meetings to discuss the situation, to providing the needed level of care, which can range from a few hours a day to a 24-hour, around-the-clock arrangement.Introducing care should be positive conversation since caregivers can help promote the independence of your loved one. Home Care Assistance caregivers are there to be of help when it is needed, to stand back when it is not, and provide a regular source of comfort, compassion and understanding. The care team at Home Care Assistance is available to help you speak with your loved one about in-home care and how a caregiver can help promote their independence, where they prefer: at home.HomeCareAssistanceChicago.comMargalit TocherPresidentHome Care Assistance of Greater Chicago

Opening in April, 2017, All Seasons Naples is designed to offer seniors in the Naples community a new choice in senior living, unlike any other senior living residence they have experienced!The apartments will be exclusively deemed as rentals so there will never be an expensive buy-in fee and the community features 100 independent and 62 assisted living residences and 25 memory care rooms, so residents can successfully age in place. All Seasons is uniquely designed to offer todays seniors a world of quality and luxury commensurate with their best travel and residential experiences. The building and interior decor were designed by an accomplished team of professionals recognized for creating distinguished resorts, hotels and American Embassies, both here and abroad.The community boasts spectacular venues specially designed to optimize the health, well-being and experience of each the independent living, assisted living and memory care populations: the gardens, lounges, libraries, bistro caf, game rooms, art studio and a balcony-crowned main lounge where special parties and entertainments will be enjoyed, are sure to be among the favorites!Dining will be a true experience through which all of the senses will be delighted as chefs prepare meals with the freshest and finest of ingredients and serve in any one of many formal or private dining rooms or even at the bistro or poolside terrace.We know that what is most important in selecting a new home is the feeling of community and the service of the on-site team. While the building will be new, our team members are veterans of the senior living industry bringing with them, a wealth of professionalism, knowledge and compassion.Our team supports our unique Vibrant Life Activity Program which is designed to optimize the health and well-being of each of our residents by passionately promoting joyful experiences, meaningful endeavors, and abundant opportunities to connect with family, friends, and the local community.Depending on the resident interests, All Seasons Naples will offer a wide array of services and activities specially geared for each resident population: diverse social, educational and cultural programs, fitness center with regularly scheduled classes, chauffeured transportation for individual needs or group outings, 24-hour emergency response monitoring, personal living assistance including bathing, dressing and grooming, medication assistance and administration, on-site licensed medical support in a variety of specialties, and so much more!We are pre-leasing and invite you to come by to come by our temporary leasing office to select your new home.Totally Captivating

With the growing senior population, there is a need for professionals with senior-specific training and knowledge to assist them as they navigate through later in life move transitions. Certified professionals with this specialized training are available to serve as compassionate resources to help seniors and their families in making informed planning decisions, or for ongoing support when the needs, concerns, and options may seem overwhelming.Seniors Real Estate Specialists (SRES) are Realtors qualified to address the needs of homebuyers and sellers over the age of 50. They have demonstrated the necessary knowledge and expertise needed to counsel clients 50+ through major financial and lifestyle transitions in relocating, refinancing, or selling their family home.With special knowledge about reverse mortgages and the importance of universal design to the uses of pensions, 401k accounts, and IRAs in real estate transactions, SRES can create a customized approach to marketing and selling the home. They also work with families to explore options to ensure the next home serves both current and future needs.Certified Senior Advisor (CSA) is another designation for Professionals serving seniors. Having the CSA certification designation, signifiesthat the professional you are working with has advanced knowledge about a number of broader-based, aging related areas involving social, spiritual, financial, and health issues facing seniors today.In addition to having extensive senior-specific knowledge, CSAs must adhere to the CSA Code of Professional Responsibility that encompasses these five governing standards:1. Competence 2. Honesty 3. Trustworthiness 4. Fairness 5. Professionalism The CSA community has a variety of experts to reach out to for expertise, such as; Veteran Services, Senior Housing Advisors, Financial Advisors, Real Estate, Elder Care Attorneys and Estate Planning, Accountants, Reverse Mortgages, Home Health and others who offer valuable guidance and services to seniors.Editors Note: This article was submitted by Brad Redfield with Keller Williams Realty. Brad is both a Seniors Real Estate Specialist and a Certified Senior Advisor. He may be reached at 214.471.0624.

Paying for Long-Term Care and Medicaid Eligibility One of the most critical needs faced by a person who is chronically ill is the need to pay for care in a nursing home or in an assisted living facility. Unfortunately, this is expensive, with the average cost of care in a nursing home in the State of Colorado at $6,394 monthly (that doesn't include extras such as Medicare copayments and personal needs). Since many senior citizens don't have that kind of income, they are placed in a position where their savings are at risk. Long-term care insurance is frequently not an option because its expensive and cant be purchased once someone has a diagnosis like Alzheimer's. The last resort for payment for long-term care is qualifying for Medicaid. You can apply at the local county department of human services. In Colorado, most nursing homes accept Medicaid as a form of payment and offer good basic care to Medicaid beneficiaries. You need to have income and assets below certain levels to get Medicaid. The maximum amount of income depends on the county in which the nursing home (or assisted living facility) is located. In most of the metropolitan Denver counties, the income maximum is $6,914 monthly for 2011. In Douglas County, it is $6,412 monthly. In terms of assets, a married couple (when only one of you is applying) can own a home regardless of its value. They can also own one car, an unlimited amount of household goods and personal effects, and an irrevocable prepaid burial plan, regardless of value. On top of that, the spouse who needs Medicaid can have $2,000 in other assets. The spouse who doesn't need Medicaid can have $109,560 in other assets (this figure can be increased under certain circumstances). The spouse staying at home may be eligible to keep a portion of the institutionalized spouses income, if they can show that they need it. Single people don't have as much ability to shelter assets but some advance planning can help. Trusts and annuities frequently cause problems with respect to Medicaid eligibility and should be used carefully. Otherwise, Medicaid benefits could be lost needlessly. The best advice is to consult someone knowledgeable in the field of Medicaid planning well in advance. Careful future planning can save dollars without losing Medicaid eligibility, and can remove much of the fear and uncertainty people experience when someone gets sick.Editors Note: This article was submitted by Bernard A. Poskus, Esq. He is an Attorney at Poskus, Caton & Klein, P.C. and may be reached at 303-832-1600. For more information visit Poskus, Caton & Klein, P.C. on the web at: www.poskuscatonklein.com.

Tucker Vision Center has been in practice serving the tri-county area for over 26 years. Whether you just cant see as clearly as you use to or you need more detailed medical care to treat your diabetes, glaucoma or age related macular degeneration, Dr. Terry L. Tucker can make sure you receive the best care possible.One thing you will find at Tucker Vision Center that you wont likely find at any other optometrist in Lee County is Oxy-View glasses. These glasses offer patients the benefits of oxygen therapy without the discomfort of the nasal cannula. It combines oxygen therapy and vision, and discreet oxygen delivery. Originating in Italy in 2000 and later imported here, the original frame and design were not good and were redesigned by a U.S. Company who modified the design and material and had it patented.Oyx-View oxygen therapy eyeglasses are designed for those individuals who require supplemental oxygen. Oxy-View allows you to ditch your nasal cannula, improve your quality of life, and feel better about yourself, while assuring that you are receiving the oxygen prescribed by your doctor.For more information on the Oxy-View glasses and how they could benefit you or someone you know, call 239-656-1778 or go to www.tuckervisioncenter.com.Editors Note: This article was submitted by the Tucker Vision Center.

Aging in place is a term used to describe a person living in the residence of their choice, for as long as they are able, as they age.This includes being able to have any services, assistance, or other support that they might need over time and as their needs change.As we get older, our bodies age and our health status changes. Aging in place initiatives help older people navigate these changes while preserving their quality of life and, most importantly, living at home or in the place of their choosing. Supports for people who are aging in place are designed to help with activities of daily living, such as getting around home easily, accessing transportation, maintaining health, performing home maintenance and upkeep, and other needs.Aging in place is highly beneficial to older adults it increases feelings of independence, contentment, comfort, safety, and security, and often helps to ensure that older adults remain in close proximity to family, friends, and loved ones. Indeed, most older adults will seek to age in place for as long as is feasible. After all, theres no place like home. Thats why initiatives that support aging in place focus on helping older adults maintain and improve their quality of life.Many of the programs offered by Area Agencies on Aging (AAAs) emphasize aging in place. AAAs are local government agencies that provide services and assistance to older adults and caregivers and theyre located across the state of Utah. One of the foremost goals of these agencies is to develop and sustain programming that supports the ongoing independence and autonomy of older people. AAAs typically offer in-home supportive services, nutritional programs such as Meals on Wheels, volunteer opportunities for people of all ages, and Senior Centers where older people can stay active and social. Connect with your local Area Agency on Aging to learn about what services are available to help you remain independent and living at home as you grow older. For more information visit: https://slco.org/agingEditors Note: This article was submitted by Afton January, Communications Manager at Salt Lake County Aging & Adult Services. Contact Aging & Adult Services: (385) 461

1 Assess your Finances Are your investments & income sources aligned to cover your expenses? Do you need a financial advisor?2 Insurance/Asset protection Have you considered your legal exposures to your property and assets? Do you know how to reduce your exposure to fraud, predators and creditors?3 Estate Planning Do you have the 5 Essential Estate Planning Documents?4 Living Arrangements/Care Providers Have you considered your options for living arrangements and care providers?5 Life Insurance Has your policy been reviewed recently? Are the beneficiaries updated?6 Pet planning - If you own pets, do you have a backup plan if you are unavailable to care for it/them? Have you considered creating a Pet Trust?7 End of life planning - Have you considered your wishes for your final resting place and have you planned for the expenses? Editors Note: This article was submitted by Andrew Hill Investment Advisors, Inc., 4081 Tamiami Trail North, Suite C-105, Naples, FL 34103, 239-777-3188. Disclosures Firm is a Registered Investment advisor in the State of Florida. Their disclosure statement is at www.responsibleadvisors.com. Tax and estate planning advice is general and the firm does not practice law.

As Caregivers we are often put into a position where we have to choose between what is good for ourselves, and what is good for our loved one or care partner.Placing someone else needs in front of our own might be difficult for some people to understand, but not for the caregiver!To be a healthy caregiver we have to learn how to live our life in the solutions of our caregiving experience, not the problems caregiving can create in our lives. By living a life focused on solutions, we live life with clarity, hope and love. Focusing solely on the problems of caregiving we live in fear, worry and despair.Heres The Deal: Taking care of self is rule number one while in the midst of caregiving. Whether the words are spoken or not, youre loved one understands the stress you are under and wants you to take care of yourself. When you get to the point where you are at least half as good at taking care of yourself as you are at taking care of your loved one, you be on the right track. But first and foremost you have to start by making a plan! Start by:Create A Care Team: While are super heros, our caregiving capes are limited. Reach out to family members and friends who can play a role on the care team. Everyone brings different talents to the team, utilize them! Asking for help is a sign of strength, not a sign of weakness!Set a Daily Intention for Yourself: Caregiving can be time consuming, especially if youre balancing your career and raising children at the same time. Schedule something for yourself, every day, even if it is just five minutes of me time in a room alone.Have A Back-Up Plan: What if you get sick? See Create a Care Team Above.As Caregivers, we then to think that we are indestructible, but we are susceptible to illness too. Stress and fatigue will play havoc on all parts of your body, mind and spirit.I believe that there is no greater honor than to be entrusted with the care of another human being. I make no bones about it, caregiving is hard, but in the end, the good days will always outweigh the bad ones.Editors Note: Christopher MacLellan is the host of Healing Ties Podcast and the Author of Whats The Deal with Caregiving and a former family caregiver.

Continuing Care Retirement Communities (CCRC) are a popular senior living option in our region. The Chambersburg to Lancaster corridor is rich with outstanding communities, offering todays retirees an active, healthy lifestyle and valuable answers to their financial and health-related what-ifs.Visitors to a modern and comprehensive CCRC leave impressed with the beautiful Residential Living accommodations, the great programming and thoughtful assistance in Personal Care, and the compassionate care and expertise in the Health Care Center. At the end of the day, however, first-time visitors often debrief at the kitchen table and come to the conclusion that the program is almost a conveyor belt to decline: you begin in an apartment or a cottage, you progress to Personal Care, then to Nursing Care, and thenSuch thoughts are a common misconception. While some residents in a CCRC transfer through all the levels of care, many will not. Most apartment or cottage dwellers will take advantage of the Health Care Center on a short-term basis only, after a surgery or a hospital stay, and return home to their apartment or cottage with the support of residential nurses and other services if needed. Unlike their old friends who decided to stay at home on Main Street no-matter-what, they will see people every day, exercise mind and body, and take advantage of transportation, dining options, and support services. To tell you the truth, moving to a CCRC is likely to decrease their chance of needing long-term care later on.Aging in Place is a great idea, and it is what we all wish we could do when we get older. Interestingly, your chances to age in place increase if you move very close to a Health Care Center, into a modern and well equipped CCRC. (Hint: When you start comparing villages to determine the perfect fit for your requirements and your budget, be sure to inquire about the availability of la carte nursing services in apartments and cottages.)__________________________________Editors Note: This article was submitted by Oliver Hazan, Vice President of Sales and Marketing at Cross Keys Village-The Brethren Home Community in New Oxford.

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.

The Programs of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits. An interdisciplinary team of health professionals provides PACE participants with coordinated care. For most participants, the comprehensive service package enables them to remain in the community rather than receive care in a nursing home. Financing for the program is capped, which allows providers to deliver all services participants need rather than only those reimbursable under Medicare and Medicaid fee-for-service plans. PACE is a program under Medicare, and states can elect to provide PACE services to Medicaid beneficiaries as an optional Medicaid benefit. The PACE program becomes the sole source of Medicaid and Medicare benefits for PACE participants.Financing for the program is capped, which allows providers to deliver all services participants need rather than limit them to those reimbursable under Medicare and Medicaid fee-for-service plans. The PACE model of care is established as a provider in the Medicare program and as enables states to provide PACE services to Medicaid beneficiaries as state option.PACE EligibilityIndividuals can join PACE if they meet certain conditions:Age 55 or olderLive in the service area of a PACE organizationEligible for nursing home careBe able to live safely in the communityThe PACE program becomes the sole source of services for Medicare and Medicaid eligible enrollees. Individuals can leave the program at any time.#listing_mgr{1 basic_search}#

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.

Does your loved one constantly forget items that you know youve discussed with them, or is it possible that they didnt actually hear the message correctly?New research shows that hearing loss may be mistaken for signs of Alzheimers disease or Dementia and it may actually contribute to cognitive problems! Untreated hearing loss can significantly increase the risk of developing memory problems. CNN reports that the risk of Dementia RISES as hearing ability DECLINES! AARP quotes a study from Johns Hopkins that finds that Men and Women with Hearing Loss are much more likely to develop Dementia and Alzheimers Disease! They further state that Even mild Hearing Loss DOUBLED the Dementia risk, and people with severe hearing loss were five times more likely to develop dementia. If you are over the age of fifty and have not had a Baseline Hearing Test, you should begin monitoring your hearing acuity annually. Hearing tests are provided as a FREE public service by Hoglund Family Hearing and Audiology Centers, at our Fort Myers, Bonita Springs and Estero Clinics, and a FREE Memory Test can be arranged by experts in Cognitive Research! Please Call (239) 494-8651.

Person Direct Care meets the unique needs of individuals confronting Alzheimers/Dementia, as well as those of their loved ones. Person Direct Care practicing the Eden Alternative Philosophy is the method which develops strong, open, and transparent relationships for all concerned and provides individualized care. Standard institutional care approaches its delivery of care by strict adherence to processes, schedules, staff needs and relentless organizational rules and red tape.Many institutions are a form of what has been termed in the industry as warehousing. Institutions have a difficult time maintaining control of their patients care. This lack of individualized attention can cause their patients to experience: Premature Loss of Mental Capacity Physical Degradation Malnutrition: Poorly Prepared Meals Dehydration: Lack of Attention Over Sedation "Lock and Key" Syndrome Extreme Boredom Abuse: Staff-to-Resident/ Resident-to-Resident Neglect from constant changes in Management and Staff Lack of Long-term, LovingRelationships. Possible Outcome: Loss of self and the potential of early passing. In contrast to institutional care, Person Direct Care: Aims to see the person with dementia as an individual, rather than focusing on their illness or on abilities they may have lost Treats the whole person instead of a collection of symptoms and behaviors Takes into account residents unique qualities, abilities, interests, preferences and needs Is focused on treating residents with dignity and respect Outcome: Dignified Quality End of Life By employing a highly trained and monitored staff coupled with a high staff to resident ratio, our primary focus is to uphold the dignity and respect of our residents NOT patients. We find that the combined efforts between residents, family members and caregiving staff are essential to our residents' and their loved ones autonomy and life quality. What type of care suits your loved one best?Editors Note: This article was submitted by Becky Grindle, Owner/President of Aging Alternatives 

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.

Seniors have more options than ever to pursue a healthy, social lifestyle in retirement. Often, staying healthy in retirement means making smart nutrition choices, planning for a rainy day and putting in the extra effort to make new friends while maintaining bonds with those who have been close for decades. At New Pond Village in Walpole, our community takes a comprehensive approach to helping residents age in the best way possible conveniently in one place where fitness opportunities, nutrition options, financial security and social interaction are all part of the daily routine.Here are some tips that anyone can use to age well:Are you engaging in enough physical activity? Physical exercise is one of the best activities you can enjoy to keep your body and mind in top shape. Avoiding physical activity can lead to a reduced level of health and quality of life. At New Pond Village, our residents enjoy strolls on our walking paths, work up a sweat in our fitness center and even join an exercise class to achieve personal fitness goals.Another way to age healthily is by spending time in the great outdoors. Getting outside promotes relaxation and overall well-being. At New Pond Village, that often means residents enjoy a Sunday afternoon hike or spending time in the community garden. A trip to nearby Boston or Cape Cod also proves a popular option.The importance of social interactions for seniors should also be top-of-mind. We have known for years that many seniors are at risk of feeling isolated, which, according to some studies, can leave a person at higher risk of developing dementia. Meanwhile, those who engage in daily social interaction may have a significantly lower risk. Our residents stay social by joining each other for activities throughout the day, enjoying a glass of wine at our newly renovated community bar, or by sharing a meal and conversation in our dining room.At New Pond Village, taking advantage of Lifecare also means that you have the confidence that comes with projecting the cost of future health care needs. And as a continuing care retirement community, New Pond Village is ready to meet your care needs in the future if they happen to increase.Aging is about taking care of the mind and the body and being deliberate each day in committing oneself to live well in retirement.Editors Note: This article was submitted by Adam Manchester, Executive Director. He may be reached at 508-660-1555 or by email at amanchester@benchmarkquality.com

There are many important considerations while doing your estate planning.Sometimes, it is difficult to understand the terms and language that are brought up during this time. Here is a breakdown of some of the most important aspects:Probate Defined:Probate is defined as the court process during which a deceased persons assets are transferred to their beneficiaries. During that time, there is a creditors claim period where we publish the proceedings in the newspaper and any legitimate creditors can make a claim on the estate within a specific timeframe.Power of Attorney defined:A Power of Attorney is a legal document delegating authority from one person to another. In the document, the principal of the Power of Attorney grants the right to act on the principals behalf as their agent. A typical Power of Attorney document gives the agent the right to make health care and financial decisions for the principal.Living Wills defined:The Living Will is a legal document which allows a person to place into writing their specific end of life desires with regard to their health care. The purpose of this document is to provide the principal the opportunity to direct a person to speak on their behalf for the withholding of, or withdrawal, of any life prolonging procedures in the event one should have a terminal condition that is unrecoverable.Last will and testament:A properly executed will allows you to specify exactly how you would like your estate handled upon your death, including how and to whom property should be divided and who should manage the administration of your estate. Certain specific formalities are required for execution of a valid will. When there is a will with no revocable living trust, there will be probate of a persons individual assets.Revocable Living Trust:In Florida, you can make a living trust to avoid probate. A trust document is similar to a will in that it names someone to take over as trustee after your death or disability. You must transfer ownership of your property to yourself as the trustee of the trust. Once all thats done, the property will be controlled by the terms of the trust during your lifetime and the successor trustee will be able to assist with financial affairs. At your death, your successor trustee will be able to transfer it to the trust beneficiaries without probate court proceedings.

Refers to services including patient assessment, specific diet information, and management of the disease process, medication management and education. Cardiac rehabilitation is a program designed to help a person with heart disease return to health. Cardiac rehabilitation may consist of exercise, modifying risk factors to prevent further heart damage' or psychological rehabilitation.#listing_mgr{8 basic_search}#

Taking care of your brain is just as important as taking care of your body. Below are the top ten things you should know about brain health as you age. Use it or lose it. Exercising your brain is key to maintaining its functioning. Do things that are new and challenging to best work your brain. You can grow new brain cells. This is scientifically proven for brains of all ages. Exercise, nutrition, and mental stimulation are the keys to growing new brain cells. Your brain is constantly changing. The pathways in your brain are not fixed and static. Through a process known as neuroplasticity, our brains are constantly rewiring and changing. The more we are learning, the more this process occurs. Brain exercise can lower the likelihood of dementia. Research has clearly demonstrated that increased cognitive activity levels are associated with significantly lower incidence of Alzheimers disease and dementia. Social activities are important. Participating in cognitively engaging activities with others have positive effects on brain health. Some functional decline is normal. The speed and accuracy of recall and some types of cognitive functioning do decline as the brain ages. By taking care of your brain in the ways listed above, however, you can have a significant positive impact on this process. Functional improvements are possible. Under the right circumstances, the brain can recover many apparent age-related losses. Purpose and meaning in life are beneficial to your brain. The more you engage in activities that have meaning, purpose and joy for you, the healthier your brain will be. As the saying goes, When you stop growing, you start dying. Lifelong Learning can keep you young! Henry Ford once said, Anyone who stops learning is old, whether at twenty or eighty. Anyone who keeps learning stays young. The greatest thing in life is to keep your mind young. You can create your own brain health plan. For a variety of resources on how to take charge of your own brain health, go to activeminds.com/brains.html.Editors Note: This article was submitted by Zane Robertson, the President of Active Minds, a Denver based provider of educational programs for seniors and adults. 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 area senior residential communities as well as a variety of public venues. For more information, contact Mr. Robertson at 303?320?7652 or visit www.activeminds.com. Copyright 2017 Active Minds. All rights reserved.

To learn more about Adult Case Management, CLICK HERE.Qualifying for the New Choices Waiver program can be complicated. There are two primary ways that an individual qualifies for the NCW. Learning how one qualifies is better understood when you realize why the State has this waiver to begin with. The NCW was designed to help individuals live in a community or home-like setting as opposed to a nursing home. Meaning, the goal of the NWC waiver program is to transition individuals from a more restrictive and expensive nursing home to a more home-like setting like an assisted living or even their own home. With that is mind here are the 2 primary ways individuals can get on the NCW program.1. An individual can apply for the NCW after they lived in a nursing home for 30-90 days. The length of stay depends on when they qualify for Medicaid. This is referred to as Reserved Slots and can be done any time of the year. When an individual qualifies for the NCW this way, they will move from the nursing home on the 1st of the month. This is the most common way people get onto the NCW.2. An individual can apply for the NCW after they have privately paid for an assisted living for more than 12 months. This is referred to the Non-Reserved Slots and can only be done during the open enrollment periods. March 1st-14th, July 1st-14th, and Nov 1st-14th. The state only admits 35 residents on the NCW in each of these enrollment periods. They prioritize all the applicants based on how long they have been privately paying an assisted living. So while residents can apply after 12 months, in practice its closer to 24 months for those that will meet the cut-off.For more information on how to qualify and to apply, please call 385-273-1456.

To learn more about American Dental Group, CLICK HEREBefore committing to a dental procedure, make sure you choose a dentist you can trust. Learn more about your dentist by asking these five questions.Are you experiencing dental pain? Do you want to improve the appearance of your teeth? Does one of your dental crowns or fillings need to be replaced? When you visit the dentist, he or she will most likely recommend a particular procedure to restore the health or improve the aesthetic of your smile.Its easy to agree to a dental procedure when you trust your dentist, but what if youre visiting with a new dentist? Not everyone has a dentist they know and trust. To find a great dental team near you, find one that has these qualities:A variety of servicesExperienced dentistsSpecialized servicesA welcoming environmentModern technologyRegardless of who your dentist is and what procedure he or she recommends, you should ask these five questions to ensure the procedure is right for you:Can you describe my dental problem so I can get a second opinion?If you have a trusted relationship with your dentist, this question may not be necessary. But many adults dont go to the dentist regularly so getting a second opinion may not be a bad idea.Have the dentist explain exactly what your dental issue is and how the procedure will fix the problem. A second opinion can confirm the treatment or offer an alternative.Red flags that may lead you to consider a second opinion include a dentists refusal to explain your need for x-rays or multiple appointments. Make sure every part of the treatment is beneficial and necessary before committing.Once youve agreed to the procedure, be sure to get the answers to the next four questions.Is this the least invasive dental procedure for my problem?Many modern dental techniques are minimally invasive and tend to be better for a patients oral and overall health. However, in some cases, traditional methods may be the best option. Ask your dentist to tell you about the different procedures that treat your dental issue, even if he doesnt offer all of them.What are the advantages of this treatment?To help you feel more comfortable about the procedure, your dentist should explain the benefits of the recommended treatment. Obviously, the goal of a restorative procedure is to relieve any pain or discomfort, and the goal of cosmetic dentistry to make your smile more beautiful.Other advantages could include the success rate of the procedure, how long the results will last, and how realistic or natural your smile will look.What are the disadvantages?Dentists should always explain the risks or disadvantages involved with the procedure they recommend. In some cases, the procedure may require irreversible changes to your teeth. Other disadvantages you should be aware of include:Surgical risksLength of treatmentSuccess rateAesthetic resultsHow much experience do you have with this procedure?Before scheduling your procedure, make sure the dentist you chose has successfully completed the procedure many times before. Ask the dentist about his training and certifications as well as before and after pictures. Knowing these facts will ease any fears or anxiety you have about undergoing the treatment.

Alzheimers disease is the sixth-leading cause of death in the United States and the fifth-leading cause of death for individuals age 65 and older. This devastating and debilitating disease is the ultimate thiefof memories, independence, control, time, and, ultimately, life.The disease is often dealt with in silence. Those facing the disease feel a stigma surrounding their diagnosis and often dont seek the support they need. At the Alzheimers Association, we hear from individuals daily that they feel alone. Family and friends stop visiting because of abnormal behaviora symptom of the diseaseand caregivers become more and more isolated.We want patients and their families to know that there is hope, and there is help, through the Alzheimers Association of Greater Pennsylvania Chapter. We are here to provide education and support to the millions who face dementia every day, while advancing critical research toward methods of treatment and prevention, ultimately to end Alzheimers disease. Our offices are located locally and support groups are available to attend throughout the region. To find one near you, please visit www.alz.org/pa or call our 24/7 Helpline at 800-272-3900.The Greater Pennsylvania Chapter also hosts the Walk to End Alzheimers. This is the Alzheimers Associations largest annual awareness and fundraising event, which occurs every fall. The Walk to End Alzheimers is a day of hope, an opportunitya day we all come together to see that were not alone in our fight.Some walk to honor and remember those they have lost. Some walk to share stories of living with Alzheimers or related dementias. Some walk so that future generations wont have to face the debilitating and devastating effects of the disease. Some walk because they want to help make a difference and bring this disease to the forefront. The money raised allows our chapter to contribute to research to find a cure. These funds also help support free programs and services that advance accurate and timely diagnosis of people with Alzheimers and other dementias.Help us break the silence and start the conversation today! Register today at www.alz.org/walk or call our Helpline at 800-272-3900.Local Walks include:Harrisburg September 16thAdams/Franklin County Walk - September 30thLancaster September 23rdYork October 7thThis article was submitted by Jeremy Bland. Jeremy is the Director of Marketing and Communications with the Alzheimers Association Greater Pennsylvania Chapter.

Primary Care Providers (PCPs) connect the dots between your lifestyle, health and goals to keep you at the center of diagnoses and treatments. Ask yourself these questions to tell if your primary care measures up.Is Your PCP Personal?A great PCP understands your medical history, personal history and health goals. They regularly check in between appointments. They respect you and your decisions.Does Your PCP Listen?Many doctors only give you an average of 11 seconds to speak before interrupting.1 Yet public opinion research2 found that listening and taking time to answer questions outranked current medical knowledge as an important characteristic of a good doctor.Does Your PCP Give You Quality and Quantity Time?Many PCPs focus on minimizing wait times. They manage smaller caseloads so they can dedicate more time to individual patients and truly get to know them and their health concerns.Is Your PCP Focused on Your Needs?Look for facilities with facilities with lower exam chairs, wider hallways and doorways, non-slip floors or handrails, which allow for easier mobility and increased independence.Is Your PCP Tech Friendly?You as the patient should be at the center of the PCPs telehealth technology not the other way around. It should be easy to use and intuitive.Does it offer additional services?A great PCP will offer additional services like onsite lab work or coordinated care with a health coach and/or behavioral health specialist to make maintaining your health easier.Its time you got the kind of primary care you deserve.Humana is a Medicare Advantage HMO, PPO, and PFFS organization, and stand-alone prescription drug plan, with a Medicare contract. Enrollment in any Humana plan depends on plan renewal.1 https://www.forbes.com/sites/brucelee/2018/07/22/how-long-you-can-talk-before-your-doctor-interrupts-you/#496810b144322 https://www.aamc.org/news-insights/what-makes-good-doctor-and-other-findings-2019-aamc-public-opinion-researchEditors Note: This article was submitted by Mark Iorio, who is the Central West Region President with Humana. To learn more about the unique kind of care in Humanas network, visit HealthThatCares.com or contact your local licensed Humana Sales Agent at 1-877-868-0796 (TTY: 711)Colorado Springs:719-532-7700 . En espaol? Llame gratis al 1-888-280-0774 (TTY: 711).

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.

According to the Alzheimers Association, it is anticipated that by 2050, 14 million Americans will be living with some form of dementia. Every area in the country will be affected including Adams and York Counties in gray state Pennsylvania.In 2018 Jennifer Holcomb, Director of Memory Support at Cross Keys Village The Brethren Home Community in New Oxford, collaborated with representatives from the Alzheimers Association, Visiting Angels, UPMC Pinnacle Hanover, Mooney & Associates, Good News Consulting, York County Area Agency on Aging, Adams County Office of Aging, and individual volunteers to launch the local chapter of Dementia Friendly America (DFA). This chapter is part of a nationwide movement which began in 2015 in Minnesota.Living well with dementia symptoms is near-impossible without support from the community. The goal of DFA is to make local communities aware and better prepared to care for family, friends, co-workers and neighbors who live with dementia symptoms. This movement seeks to cultivate a community that is safe and respectful of individuals living with the disease as well as their caregivers, and a dementia friendly culture that eliminates stigma and promotes socialization and engagement.DFA in Adams and York counties partners with business sectors. For example, imagine living with dementia symptoms and wanting to go grocery shopping when you are no longer allowed to drive. DFA in Adams and York plans to partner with 1) local transportation to transport the person with dementia to the grocery store, and 2) with local grocers that will provide friendly check-out or a trained personal shopper. Similarly, a dementia-friendly Financial Advisor will be trained trained to identify warning signs (such as financial exploitation) and notify a family, and congregations can create a dementia-friendly service that is familiar, accessible, and rich with symbols and music from the past.While there are 1,508 Dementia Friends in Pennsylvania, they arent evenly spread out: Adams/York is the only chapter between Pittsburgh and Bucks County! The first step consisted of informational sessions to anyone interested in becoming a Dementia Friend. In March of 2019, the Jewish Healthcare Foundation in Pittsburgh traveled to New Oxford to make 100 Dementia Friends and 50 Dementia Friends Champions over a two-day period. In the ensuing months, 52 businesses have expressed the desire to move forward and hundreds of individuals have signed up as friends.If you are interested in partnering with the Adams and York county DFA initiative or if you have questions about launching your own initiative, please contact Jennifer Holcomb directly at j.holcomb@crosskeysvillage.org or 717-624-5474. You may read more about the local initiative by visiting www.crosskeysvillage.org/blog/dfa1/, the national initiative by visiting www.dfamerica.org/, Dementia Friends by visiting www.dementiafriendsusa.org/ and Alzheimers Association by visiting https://www.alz.org/. Editors Note: This article was submitted by Jennifer Holcomb, Director of Memory Support at Cross Keys Village-The Brethren Home Community in New Oxford and Dementia Champion and convener of Dementia Friendly America for York/Adams County.

For patients and their families, a terminal diagnosis can produce spiritual pains that physicians cant treat.VITAS Healthcare, the nations leading provider of end-of-life care since 1978, employs a chaplain on every interdisciplinary team to meet the spiritual and emotional needs of patients and their families. VITAS chaplains draw from their own faith practices to provide support to patients and families regardless of their culture, traditions or belief system (or lack thereof).Hospice chaplains are equipped to navigate the complex issues of spirituality and mortality, even when answers are evasive: What is death like? Where do we go? Will we face judgment? Do we simply cease to exist?Im more like a coach, says one VITAS chaplain. I help the family find their own answers and their own release from fears and worries.Chaplains may share stories, pray with a patient or simply listen to their fears. It can be a slow, uncomfortable process full of long silences, but chaplains know the value of patience.When I first started as a chaplain, I found the silences hard. Now I honor those silences, because I know that Im not here to fix things, the chaplain says.The daily work of a hospice chaplain is demanding. A VITAS chaplain may have to visit several patients each day. They may be called to provide spiritual counsel or attend a death in the middle of the night. Before a death and during the mourning period, they help develop a plan of bereavement care for patient and family.Hospice chaplains create comfort in a world of mystery and paradox. They know that some of the most important questions dont need answers. Love, not doctrine, is the best remedy for spiritual ailments at the end of life.In the words of one VITAS chaplain: Every day, I ask the Lord to fill me up with love, and then I go out and give it all away to our hospice patients and their families.Editors Note: Article submitted by Cathy Carlson, General Manager for VITAS Healthcare in Chicago. For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

Many times, families assume they know who the Next of Kin is and later learn they are wrong. Knowing who Texas law designates is important when making end-of-life arrangements. However, even more critical is knowing what to do if you want to designate someone other than your Next of Kin to handle your arrangements.Texas official order of Next of Kin The Texas Health & Safety Code outlines the priority order for Next of Kin. First on the list, and surprising to many people, is specific written instructions. A correctly executed written document takes higher priority than a spouse. The exact list according to Texas Health & Safety Code Sec. 711.002: (1) the person designated in a written instrument signed by the decedent; (2) the decedent's surviving spouse; (3) any one of the decedent's surviving adult children; (4) either one of the decedent's surviving parents; (5) any one of the decedent's surviving adult siblings; (6) any one or more of the duly qualified executors or administrators of the decedent's estate; or (7) any adult person in the next degree of kinship in the order named by law to inherit the estate of the decedent. Essential information if choosing cremation Although the code states the minimum requirement, most funeral homes request all parties at the same level of Kinship sign if cremation is chosen. This ensures everyone with a legal right to decide are aware of the cremation since the process is irreversible. Designating another person You can designate any competent adult to make your arrangements IF you meet State requirements. The best way to do this, and avoid possible issues, is to use the state provided form called the Texas Appointment for Disposition of Remains. This is ideal for families with a large number of children; for those not in a legally recognized marriage structure (including non-registered common law); and for those with estranged family members. In general, its a good idea for anyone wanting to designate who makes their arrangements. As always, if you have questions about the form or legal kinship, you should seek legal counsel.Editorial Note: This article was submitted by Frank Seddio, General Manager & Funeral Director at . He may be reached at 214-343-4040. See ad pages 26-27

How Long Will It Take To Declutter?Each project is different. And everyone has different organizational needs.  It is hard to judge ahead of time how many hours are needed for each project. Quite honestly, it depends more on you than us. It depends on how much we can accomplish together, how much you do on your own between sessions, howquickly you can make decisions, and how much organizing is required.  However, some spaces only take one 4 hour session while others can take several sessions.

Each year, between 3 to 10% of the total US health care costs have been attributed to medication nonadherencethis totals up to approximately $100 to $300 billion in health care spending! In fact, nearly half of all adults in the US have at least one chronic disease, with the number of adults taking three or more medications doubling between 2007 and 2010. In managing chronic disease, medication adherence becomes key.Taking your medications as prescribed, not missing doses, and close communication with your provider reduces the risks of hospitalizations and poor outcomes from medication nonadherence. This is a fact that we have all heard, but what makes it so hard? Maybe the medication is too expensive. Maybe you just cant get to the pharmacy. Or maybe you arent sure how the medication is going to help.This is where the hidden gem that is your local independent pharmacy may offer valuable assistancethey offer all the services of the larger chains plus more. Most of these independent pharmacies offer blister packing services that organize your medications, making it easier to take them correctly and on time. They provide delivery services bringing your medications conveniently to your doorstep and useful educational materials through Specialty Disease State programs. Many of these pharmacies are even moving towards Collaborative Drug Therapy Management agreements between the pharmacist and provider. Such practice agreements allow the pharmacist to be directly involved in managing patient medication therapies, serving as an accessible resource to the community.Frequenters will often speak of a personalized experience that keeps them coming back. The additional services, Specialty Disease State education, and co-pay assistant services are more than recognized to promote health and wellbeing within the community. So, the next time youre out in the neighborhood--look for these local gems that can provide a multitude of services reducing barriers to taking your medication and ultimately, help you better manage your health.Yung-En Fung, PharmD, RPhProgram ManagerV-Care Pharmacy and Surgical Supplies151 Cochituate Rd.Framingham, MA 01701P: 508-202-9993 ext. 3857F: 508-202-9343

Life Transitions, such as dealing with health issues, getting divorced, taking care of aging parents, and becoming widowed are part of all of our lives. Everyone is likely to go through at least one of these life changers. The real key to successfully navigating lifes transitions is being ready for them, and then understanding what is happening while its happening.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 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.Some situations where a family transition coach can be of service include when an adult child realizes that his or her aging parent can no longer stay in his own home due to health and/or memory issues. Or, a coach can be helpful when a decision has been made to divorce and there are many decisions to be made in a short period of time. Often, when a spouse has died, the surviving spouse is serving as Personal Representative and is uncertain about the many steps and decisions required to settle the estate and move on with his or her life.LifeBridge Solutions provides family transition coaching, along with specific services including daily money management, insurance claims advocacy, senior move management, and estate administration support.For more information, visit www.LifeBridgeSolutions.com.

Respite Care for the CaregiverRhonda Pepper was her mother, Vera Ruth Goodrichs caregiver. She was diagnosed with Frontotemporal Dementia (FTD). This is due to progressive nerve cell loss in the brains frontal lobes; it is the area behind the forehead or just behind the eyes.Rhonda started noticing some behavior changes in her mother. She started getting up in the middle of the night and getting dressed. She would set the table for the entire family. She was doing things out of nature financially, Rhonda said.She moved in with us in January of 2009 but we didnt get the diagnosis of Frontotemporal Dementia until May. Finallyeverything we had been experiencingthat just pulled it all together, said Rhonda, with a look that can only be described as bitter sweet. They finally had the answers to the why? but now what? Caregivers are so often put in this role or a position of a role reversal.Ruth was referred to palliative care and eventually found herself on hospice care. As a full-time caregiver, Rhonda was able to utilize hospices respite program. This allowed me some down-time. I could go sit at the park and read a book; go to my own doctor appointments; attend group meetings for caregivers; it just allowed me to remove myself from the environment and recharge my batteries, said Rhonda about her experience with the respite program.Rhonda shared the realistic views behind closed doors and what its really like to care for an ailing adult. Its like taking care of an adult infant. Every two hours I would take her to the bathroom; I would shower her; I dressed her; I would change her wet and soiled pants; I would feed her. Rhonda also said she was never fully rested, only sleeping lightly at night because she always had one ear on her mother.As an educator in the community, to physicians, people are often surprised to learn of the many additional programs hospice offers and how, sometimes one program can collaborate with another. Until or unless someone is in the position of being a caregiver, people dont realize the effects, physically and emotionally, it has on them. The term respite literally translates to a time of rest.Editors note: This article was written by Gina Paradiso. She is a Liaison with Arkansas Valley Hospice, Inc. and may be reached at 719-384-8827 or by email at gina.paradiso@arkvalleyhospice.org

To learn more aboutThe Charleston at Cedar Hills - MBK, CLICK HERE.According to the Alzheimers Association, every 65 seconds someone in the US develops Alzheimers Disease. That means the time it will take you to read this article; eight people in will develop this disease. 5.7 million Americans are living with Alzheimers, by 2050 that number is projected to rise to nearly 14 million if a cure is not found. The statistics are staggering.Alzheimers Disease is a progressive illness that increases in intensity and impact as time goes on. As Sir Francis Bacon said in 1597 (and was later oft-quoted by Thomas Jefferson), knowledge is power and knowing the Seven Stages of Alzheimers can empower you to adapt for yourself or your loved ones.While some Alzheimers experts break the disease into three stages (early, moderate and end), Dr. Barry Reisberg from New York University developed a much more specific identification model with seven distinct stages. While the speed of the progress through the stages is different for each patient, the stages are present for everyone with the disease. As shared onwww.alzheimers.net, the Seven Stages are:Stage 1: No ImpairmentDuring this stage, Alzheimers disease is not detectable, and no memory problems or other symptoms of dementia are evident.Stage 2: Very Mild DeclineThe senior may notice minor memory problems or lose things around the house, although not to the point where the memory loss can easily be distinguished from normal age-related memory loss. The person will still do well on memory tests, and the disease is unlikely to be detected by physicians or loved ones.Stage 3: Mild DeclineAt this stage, the friends and family members may notice, in the senior, memory and cognitive problems. Performance on memory and cognitive tests are affected, and physicians will be able to detect impaired cognitive function.Patients in Stage 3 will have difficulty in many areas including:finding the right word during conversationsremembering names of new acquaintancesplanning and organizingPeople with stage three Alzheimers may also frequently lose personal possessions, including valuables.Stage 4: Moderate DeclineIn stage four of Alzheimers disease, clear cut symptoms of Alzheimers disease are apparent. Patients with stage four of Alzheimers disease:Have difficulty with simple arithmeticMay forget details about their life historiesHave poor short-term memory (may not recall what they ate for breakfast, for example)Inability to manage finance and pay billsStage 5: Moderately Severe DeclineDuring the fifth stage of Alzheimers, patients begin to need help with many activities. People in stage five of the disease may experience:Significant confusionInability to recall simple details about themselves such as their phone numberDifficulty dressing appropriatelyOn the other hand, patients in stage five maintain a modicum of functionality. They typically can still bathe and toilet independently. They also usually still know their family members and some detail about their personal histories, especially their childhood and youth.Stage 6: Severe DeclinePatients with the sixth stage of Alzheimers disease need constant supervision and frequently require professional care. Symptoms include:Confusion or unawareness of environment and surroundingsMajor personality changes and potential behavior problemsThe need for assistance with activities of daily living such as toileting and bathingInability to recognize faces except for closest friends and relativesInability to remember most details of personal historyLoss of bowel and bladder controlWanderingStages 7: Very Severe DeclineStage seven is the final stage of Alzheimers disease. Because Alzheimers disease is a terminal illness, patients in stage seven are nearing death. In stage seven of the disease, patients lose the ability to respond to their environment or communicate. While they may still be able to utter words and phrases, they have no insight into their condition and need assistance with all activities of daily living. In the final stages of the illness, patients may lose their ability to swallow.

For more information on the authorPatricia Rockwood, Instructor and Staff Writer at Suncoast Technical College, CLICK HERE.This course was inspirational for a lifestyle/behavior change vs. just short-term actions to declutter.ACE student in Decluttering classTherearegood reasonswhy courses in decluttering elicit comments such as these on evaluation forms. People recognize the fact that decreasing the clutter in our liveswhether physical, digital, or emotionalcanhelp us to feel better. Why?Getting rid of clutter reduces stressIn 2015, fullya third of respondentsin a survey by the National Association of Professional Organizerssaid that they felt overwhelmed by the clutter in their livesand didnt know where to beginto remedy the situation.The unused software on your computer that makes itrunwaytoo slowly;the zillions of pictures on your phoneso many that youcan never find the one you wantto show a friend;the jammed closetsand drawers; the garage that is hopelessly piled with junkall ofthesesituationscause stresson our bodiesand minds, which can build up over the years.Thats not just a theory. Its backed up by research. For instance,a study published inPersonality and Social Psychology Bulletinfound that women who described theirhomesas cluttered had higher levels of the stress hormone cortisol in theirbloodstream, andwere more likely tobefatigued or depressed,thanwomen who described their homesasrestful andrestorative.A study by Indiana University found that cleaning can have a positive impact on physicalhealthbecause it increases the amount of physical activity a personregularlyengages in, andanother one by Connecticut University found thatduring times of high stress, people sometimes find relief by doing menial jobs such as cleaning.Declutteringhelps you feel better about yourselfEven small steps to start decluttering have a wonderful calming effect.Taking that first step to declutter is like a breath of fresh air.One woman said: I organized my sock drawer the other day, and now sometimes I open the drawerjustto look at it it just makes me feel good!Every small accomplishment is something that canbe celebrated, because its a step in the right direction.Its the glass half full attitude, rather than the glass half empty one.Decluttering improves focus and concentrationWithso muchstuffclamoringforyourattention from so many differentcornersof your home,it's hard to know where to start, and sometimes, its even hard to start, period.But according to astudypublished in theJournal of Neuroscience,people are more productive and better able to process informationin an uncluttered and organized space.Once you begin to declutter your environment, it will get easier to continue.Everysmall declutteredspace is a small oasis where you can breathe, relax, and focus on your next project.Have a planConsider beginning bythinkingabout how you want to organize the space youneedto tackle. Whether its digital or physical, and whether you need physicalcontainers or digital folders, draw a diagram of how you want to organize your material. For instance, considering your images, you might want to create albums by subject matter (e.g., family, vacations, animals, work). If youre lookingto declutteryour garage,you might need topurchase some sturdy shelving or cabinets, and you might organize items by type (e.g.tools, toys, lawn/garden, sports, pantry, car parts).Set up the folders on yourcomputer, ororder the shelves or cabinets as soon as possible so youll be ready to start.The Swiss cheeseconceptTake on decluttering piecemeal, a little at a time, likethe holes ina slice of Swiss cheese. The feeling thatyou dont have to tackle that entire folder of a thousand images and organize them all at once is reassuring, isnt it? Start with20, andorganize those today. Then organize another 20 tomorrow; or maybe 50. Its totally up to you.The idea is to be comfortable, to be easy on yourself so that you enjoy doing it. That way, youll be more likely to keep doing a little of it every day or so until the job is complete.Theres no time like the present. Start today!

Florida Medicaid BenefitsAt Senior Medicaid Solutions we provide you with all the facts and information you need to file an application for skilled nursing or assisted - living facility Medicaid benefits.Our knowledgeable staff can guide you through preparing for and filing your Medicaid application. Senior Medicaid Solutions is here to guide you through the entire filing process. We can reduce your stress, knowing that all of the details along the way are taken care of properly.Not only can we help guide individuals and families when dealing with the Medicaid filing process, but we offer case management, and professional guardianship services as well. Guardianship services are typically utilized when a person can no longer express safe and secure decisions about their self and/or property. They may be susceptible to misinformation or fraud with their lack of knowledge or assistance. Our initial consultation is always free and well explain how we can help you with these services.Editors Note: This article was provided by Senior Medicaid Solutions. They can be reached at 941-201-5871 to answer all of your Medicaid Questions

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}#

Evaluating an Adult Day Health ProgramAdult day health (ADH) programs provide professional care and companionship for older adults and adults living with cognitive or medical challenges. ADH programs include a variety of health, social and support services in a safe, caring environment.When searching for an ADH Center for your loved one its important to look for licensed and accredited programs. Youll also want to find a center that is local, affordable and offers the right level of care for your loved one.LocalIts best to find an adult day health provider that is close to your home or work and has hours suited to your schedule. You may also want a program that offers transportation to and from the center.AffordableWhile other options including in-home health and nursing home care are typically more expensive than adult day health programs, you want to ensure that the program you select is affordable and fits within your budget.Level of CareEach ADH center offers its own unique programming. Youll want to evaluate potential ADH programs on the activities they offer participants, health monitoring, nursing care and physical therapy services, nutrition offerings and services and accommodations for physically or visually impaired.While most ADH centers offers some level of the above services, youll also want to ensure that the program offers support services tailored for you and your loved one.Caregiver SupportSeeking support and maintaining your own health are key to managing your role as a caregiver. Many adult day health programs offer caregiver resources that provide information and referral services to support the care of your loved one.Inclusive EnvironmentMassachusetts became the first state in the country to require all state-funded or licensed providers of services to older adults complete training in how to provide meaningful care of LGBT older adults and ensure lesbian, gay, bisexual and transgender adults can access services.Finding and selecting the right ADH program for you and your loved one can be daunting. Make sure you contact the centers you are interested in to discuss their program offerings and services. Visit the centers in person and observe the atmosphere, daily activities and staff interactions with participants.This article was submitted by Michelle Holmberg, MA, the director of services for Cooperative Elder Services, Inc., CESI operates four centers in Eastern Massachusetts that focus on the holistic approach outlined above, empowering seniors to age in place. Michelle may be reached at 781-863-1166 or by email at m.holmberg@elderdayservices.org.

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.

As we age we navigate many changes including social, work, physical, and financial to name a few. Weve become pretty good at addressing our physical, work and social opportunities.We might downsize to a smaller home as our children move out. We may plan for retirement by considering volunteer and travel opportunities. We also connect with a doctor to identify ways to stay healthy. As we are busy planning and enjoying the next phase of our lives, we sometimes forget about formally considering our legal and financial futures if faced with a life changing illness. Weve paid into Medicare and saved into a 401K, but how do we protect ourselves and our assets in the event of an unforeseen medical crisis? One worthwhile solution is a Life Care Planning approach. Life Care Planning is a holistic, elder-centered approach to the practice of law that helps families respond to many of the challenges caused by chronic illness or disability.There are several benefits to a Life Care Planning approach. One, Life Care Planning is a prevention based model rather than a crisis-oriented one. In preparation for a possible debilitating health change, an individual can educate himself on available resources, evaluate current investment/insurance/burial policies, and budget accordingly, avoiding crisis driven decisions.Second, good Life Care Planning relies on an inter-disciplinary team that evaluates current and future needs and locates and coordinates appropriate resources, helping to ensure quality care and services. When an individual receives advice from several independent sources, communication and continuity suffer and important information can fall through the cracks. In contrast, Life Care Planning offers a one stop shop team of specialists, including a social worker, attorney and paralegal, that provide a more comprehensive, cohesive long term care plan.Three, Life Care Planning assists with preserving family wealth. When a person requires professional in-home or residential care, families are often shocked at the cost. The average cost of home health care is $23-$37/ hour. If an individual requires residential living, an assisted living can cost between $2,500-$8,000 and skilled nursing runs anywhere from $7,500-$11,000 per month. Life Care Planning includes estate planning, asset preservation, and public benefits qualification whenever possible thereby helping families to pay for care without breaking the bank.Life Care Planning is an improved method to assist older adults in navigating our long term care maze by helping them find, get, and pay for quality long-term care.Editors Note: This article was submitted by Sandy Tobin, MSW, and 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

Staying healthy and feeling your best is important at any age. As you grow older, you may experience an increasing number of life changes. How you handle and grow from these changes is important to staying healthy. The following tips can help you play it safe in the game of life.WELLNESSHealthcare starts with you. Prevention and early detection is the key to wellness. Having a primary care physician is a must. Routine screening tests and preventive measures are recommended for maintaining good health, as is staying up-to-date on vaccinations. Getting vaccinated can help keep you, your family and your community healthy. To keep germs at bay, washing hands or using sanitizer frequently is the best defense.CATCH THE SIGNS EARLYDo you know the signs of a stroke? F.A.S.T. is a memory aid that stands for Face drooping, Arm weakness, Speech difficulty and Time to call 911. Some heart attacks are sudden and intense, but most start slowly with mild pain or discomfort. Call 911 if you experience pain, pressure or fullness in the chest, pain in one or both arms, shortness of breath, dizziness, fainting, nausea or vomiting, pain in the jaw, indigestion or heartburn.STAY ACTIVE & EAT HEALTHYKeep moving to maintain a healthy body and mind. Choose activities you enjoy, and make sure to wear proper clothing and shoes. Healthy meals consist of a variety of foods and include more fruits and veggies. Portion control and exercise balances calories in and out. Drink plenty of fluids to prevent dehydration and urinary infections.SAFETYDid you know that most falls occur at home and most fractures result from a fall? Get rid of tripping hazards such as throw rugs, install grab bars in the bathroom, use chairs with arms, use your cane or walker and be sure your house and entrances are well lit. Keep emergency contact information and medication lists on your refrigerator.Be wary of financial exploitation and scams. Ask questions and dont give out personal information, especially your social security number.If you need a doctor, call the 24/7 MetroSouth Find-A-Doctor line at 708-489-7925.Editors Note: Submitted by Maureen Rafa, Community Outreach Coordinator, MetroSouth Senior Behavioral Health Unit. Call 708-334-9080, or email Maureen_Rafa@MetroSouthMedicalCenter.com.

A life settlement generally refers to the sale of a life insurance policy by a policy owner for less than the face value of the policy to third party investors. The third party investor(s) plans to profit at death of the insured by collecting more in death benefits that were paid out (e.g., the purchase price, the transactions costs, and premiums).#listing_mgr{7 basic_search}#

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 wasn't 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 childs 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.

Volunteering has long helped to rebuild communities and solve serious social problems. Often it is money or other items that are needed and at other times it is simply our time that is requested. Did you know that giving of your time and talents can also improve your physical and mental health? Its a fact!Why does volunteering improve the wellbeing of the volunteer? It is primarily because it helps grow your social network. People with strong social supports have lower premature death rates, less heart disease, and fewer health risk factors.Medical and scientific documentation also supports that volunteering can improve your self-esteem, enhance immune systems, buffer the impact of stress and combat isolation. This is especially true for older adults. As we journey through life, our experiences and knowledge make us highly skilled for volunteering in a myriad of circumstances.Volunteering puts people into highly social situations, increasing the opportunity for close personal relationships. It is a chance to participate in fulfilling activities that can make a difference in the lives of others. Older adults who volunteer feel a sense of community inclusion. This inclusion helps guard against stress and illness. Studies report that older adult volunteers live longer than non-volunteers.Volunteering is a Win-Win for everyone! When caring through volunteering you tap into your healing powers for all who share the same road. Many times, what is most needed is for someone tolisten and understand. We can all do this - - and will reap unexpected health benefits.The place to look for ready opportunities is the senior care community in your neighborhood. You can bring a talent or simply an interest in being with a wise elder. In a residential care community some volunteer opportunities might be; serving coffee in the dining room for breakfast before you go to work; bringing in your slides or video of a recent trip to share; starting a book club where you read a few chapters aloud in a group each week; bringing your grandchilds kindergarten class to visit and create an art project with the residents; sharing a bouquet from your garden; showing and sharing your treasures such as a collection of old Cappers Weekly newspapers or some vintage clothing from your mothers mother and on and on. . . . . This is a place where you are sure to touch lives, simply by being there!Get Fit!! Volunteer! Your heart and your new friends in the neighborhood . . . . . will thank you for it.Submitted by Grace Pointe Continuing Care Senior Campus: 970-304-1919

Powers of Attorney are the most underrated legal documents.It seems to be common knowledge that everyone needs a Will but many people dont know that Powers of Attorney are even more important for the majority of people. Without a Will your estate will usually be divided among your decedents under Colorado lawjust like the vast majority of all Wills say.While a Will only takes effect after death, Powers of Attorney cover you while youre unable to act on your own behalf. Dementia is a common cause of incapacity but so are strokes and car accidents. If youve driven in Colorado Springs you know that you could have an accident any day, at any age.Once an individual has lost capacity to act on his or her own behalf someone else needs to act for him or her. Otherwise, bills cannot be paid, contracts cannot be signed, and medical decisions cannot be made. Executing Powers of Attorney are the way to plan for your incapacity now, while you are still able.Powers of Attorney allow you to nominate an agent or co-agents to make decisions for you in the event of your incapacity. A backup or co-agent is often nominated as well. Powers of Attorney come in two self-explanatory flavors; Medical and Financial (also known as durable).If you didnt execute Powers of Attorney before becoming incapacitated, the only way to appoint someone to act on your behalf is through the court. This can cost thousands of dollars and take months.Powers of Attorney dont typically expire but they do get stale. They should be less than ten years old; five if youre over 80. Even if you choose not to do a full estate plan, start with Powers of Attorney and know that youve planned for the worst even though the hope is youll never need to use them.Editors note: This article was submitted by Ryan N. Morey, Esq. an elder law attorney with Morey Law, P.C. and may be reached at (719) 465-4324 or ryan@moreylawpc.com.

Do you have a favorite song that you hum in your head?Can you remember the song that was played at your wedding? What was one of your favorite songs growing up in high school? These are the first questions I pose to my clients; many of whom have suffered strokes, brain trauma, and have become confined by dementia. Music is a profoundly powerful tool- to the delight of loved ones the music playlists I create for clients help them remember specific memories from their past. Some advanced staged clients can even remember how to speak after careful and regular music sessions.Neuroscientists have determined that in many types degenerative cognitive conditions the area of the brain responsible for musical memory is the last to atrophy. Alzheimer Disease, for example, can impair language to the point where simple conversations arent possible. Happy Birthday and the ABCs rhyme are songs we all know. I asked a recent client early on in our session to sing along to Happy Birthday. A man who could barely utter a word began singing the verses word for word. These are powerful moments which routinely lead to break-through session. Singing along, he certainly surprised himself, too!Music & Memory is a non-profit organization that brings personalized music playlists to elderly people suffering from a host of late life cognitive issues. For Home Care Assistance of El Paso County, we are the only non-medical home care company in Colorado Springs that is certified in Music & Memory. The secret power behind the music is using specific music that resonates with that client. More can be learned in the film, Alive Inside which features a man named Henry who is in the very late stages of dementia. Henry can longer remember family, he cannot speak or care for himself. Then, a song that he recognizes from his young adulthood is played and he is immediately animated with eyes lit up. He begins singing the song word for word and rocks in his wheelchair. Specific music brought him back from the depths of dementia. Henrys clip can be viewed on YouTube under Henry Music & Memory.Home Care Assistance has works with clients whove suffered strokes, brain injury, dementia, Alzheimers disease, and PTSD from warfare. For my take, the most rewarding experience came from my most challenged client. This man had suffered four strokes and could no longer hold conversations with his family and friends. He lost the capability to convey even the most routine request. As I began my work, he and his wife sat silent and resigned opposite a large dining room table. After some musical forensic work I understood they grew up listening to Motown music. Easily, I searched my database for My Girl by The Temptations. The first notes took hold. To all our surprise, he pointed to his wife and sang the song to her- My girl, my girl, talking bout my girl. Both their eyes welled with tears as he had returned home in that moment. Later, I learned it was the longest form of conversation they had together in years.Why does music have this effect on people? Harvard Health reports,Listening to and performing music reactivates areas of the brain associated with memory, reasoning, speech, emotion, and rewardResearchers at the music and neuro-imaging laboratory at Harvard-affiliated Beth Israel Deaconess Medical Center have shown that singing lyrics can be especially helpful to people who are recovering from a stroke or brain injury that has damaged the left-brain region responsible for speech. Because singing ability originates in the undamaged right side of the brain, people can learn to speak their thoughts by singing them first and gradually dropping the melody.Medical research is finding a solution in music for people who have experienced cognitive decline. Its exciting to see how much music can really assist someone.Home Care Assistance of El Paso County offers personalized music playlists on mp3 players for each of their clients as a gift. Owner Dorothy Silvanic says, Music has helped so many of our clients and we enjoy how happy it makes them. Home Care Assistance has their own music library of CDs to make these personalized playlists. Donations of CDs can be sent to Home Care Assistance at 13395 Voyager Parkway Suite 120 Colorado Springs, CO 80921.Jessica Colson is the Cognitive Therapeutics Director for Home Care Assistance of El Paso County. She is a Colorado State Dementia Care Specialist, a Cognitive Therapeutics Interventionist, a Music & Memory certified volunteer and she is a certified yoga instructor.

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.

To learn more about Oasis Senior Advisors - Northern Colorado, CLICK HERE.Understanding the challenges, diagnosis and options availableAlzheimer's disease can be one of the most emotional and devastating diagnoses that effects an individual and their family. As a progressive brain disorder, the disease depletes memory and thinking skills, making even daily life tasks difficult. Estimates vary, but experts suggest that more than 5 million Americans may have some form of Alzheimers. It is currently ranked as the sixth leading cause of death in the United States. Although extensive global research continues to explore the causes and treatments, unfortunately no cure currently exists.Alzheimers disease damages the hippocampus, the part of the brain that controls the formation of memories. Vital nerve cell connections to the brain also begin to deplete which prevent the brain from sending messages to the body's muscles and organs. Over time, as nerve cells perish, other parts of the brain are altered.Simple activities like preparing a small meal, spending time outdoors or driving a car become more difficult for your loved one. As the disease progresses, your loved one can get lost easily, misplace items and even become confused doing the most basic of tasks. As the disease advances, some personalities can develop into a worried, angry, or even violent state.Treatments for Alzheimers disease can include a variety of options and modalities. Working with professionals such as an Occupational Therapist, Neurologist and Geriatrician can help greatly. Cognition-enhancing medication can also prove helpful for some people. Research that is helping loved ones and caregivers establish a better quality of life with Alzheimers disease is on-going but keeping your loved one safe is often the greatest challenge.Oasis Senior Advisors of Northern Colorado can provide you with support and guidance when you feel its time for your loved one to move to a memory care or assisted living community. We offer many free resources so you can feel confident in your senior housing selection. To learn more, visit oasissenioradvisors.com/northern-colorado or call 970-218-5982.Editors Note: This article was submitted by Stacy Wagner, Senior Living Advisor withOasis Senior Advisors Northern Colorado. She may be reached at 970-218-5982 or by email at: swagner@youroasisadvisor.com

A facility that will take on a resident with complex care needs such as trachs.Complex careis a person-centered approach to address the needs of people whose combinations of medical, behavioralhealth, and social challenges result in extreme patterns ofhealthcareutilization and cost.#listing_mgr{1 basic_search}#

Heart n Home Hospice & Palliative Care was awarded The ?Best of Treasure Valley? 2019 in home care by Inbound Systems! ? ?The Best of Treasure Valley introduces a new way of identifying and recognizing the best businesses in the community. Using a combination of online reviews and community votes, winners were determined across nine categories and 184 subcategories. More than 18,000 unique ballots were cast during the voting round by Treasure Valley residents.Local businesses and attractions were nominated last fall and the top 10 nominees in each subcategory moved on to the voting round in October. In addition to votes, online reviews from Google, Yelp, and Facebook were included in scoring. Overall ratings and the number of 5-star reviews from the previous 12 months helped determine the winners.We were very humbled by not only the nomination and being a finalist, but to win best in class is truly an honor. Our staff Embrace Innovation so that we will be relevant in the future, on the cutting edge of cares, yet timeless in how we love and care for our patients and their families. Said Todd Stice, Heart n Home Co-President.Heart n Home, amongst the other category winners were announced at the Best of Treasure Valley Awards Banquet, held on December 4th, 2018 at the Zions Bank Ballroom.About Heart n HomeHeart n Home affirms life by providing emotional, physical, and spiritual support to our patients and to those who love and care for them. Heart n Home is a family owned and operated company and serves 11 counties across Oregon and Idaho.To learn more about our end-of-life services visit www.gohospice.com.

In early April, FEMA will begin providing financial assistance for funeral expenses incurred after Jan. 20, 2020 fordeaths related to coronavirus (COVID-19) to help ease some of the financial stress and burden caused by thepandemic. The policy was finalized today, and FEMA is now moving rapidly to implement this funeral assistanceprogram nationwide.To be eligible for COVID-19 funeral assistance, the policy states: The applicant must be a U.S. citizen, non-citizen national, or qualified alien who incurred funeral expensesafter Jan. 20, 2020 for a death attributed to COVID-19. If multiple individuals contributed toward funeral expenses, they should apply under a single application asapplicant and co-applicant. FEMA will also consider documentation from other individuals not listed as theapplicant and co-applicant who may have incurred funeral expenses as part of the registration for thedeceased individual. An applicant may apply for multiple deceased individuals. The COVID-19-related death must have occurred in the United States, including the U.S. territories and theDistrict of Columbia. This assistance is limited to a maximum financial amount of $9,000 per funeral and a maximum of $35,500per application. Funeral assistance is intended to assist with expenses for funeral services and interment or cremation.In the coming weeks, a dedicated 800 number will be established to help individuals who apply. In the meantime,potential applicants are encouraged to start gathering the following documentation: An official death certificate that attributes the death to COVID-19 and shows that the death occurred in theU. S. The death certificate must indicate the death may have been caused by or was likely the result ofCOVID-19 or COVID-19 like symptoms. Similar phrases that indicate a high likelihood of COVID-19 areconsidered sufficient attribution. Funeral expense documents (receipts, funeral home contract, etc.) that include the applicants name, thedeceased individuals name, the amount of funeral expenses, and the dates the funeral expenses wereincurred. Proof of funds received from other sources specifically for use toward funeral costs. Funeral assistance maynot duplicate benefits received from burial or funeral insurance, financial assistance receivedfrom voluntary agencies, federal/state/local/tribal/territorial government programs or agencies, or othersources.More information regarding this assistance can be found at COVID-19 Funeral Assistance | FEMA.govContact UsIf you have any questions, please contact FEMA Office of External Affairs: Congressional Affairs at (202) 646-4500 or at FEMA-Congressional-Affairs@fema.dhs.gov Intergovernmental Affairs at (202) 646-3444 or at FEMA-IGA@fema.dhs.gov Tribal Affairs at (202) 646-3444 or at FEMA-Tribal@fema.dhs.gov Private Sector Engagement at nbeoc@max.govFollow UsFollow FEMA on social media at: FEMA Blog on fema.gov, @FEMA or @FEMAEspanol on Twitter, FEMA or FEMA Espanol on Facebook, @FEMA on Instagram, and via FEMA YouTube channel.Also, follow Acting Administrator Bob Fenton on Twitter @FEMA_Fenton.FEMA Mission -Helping people before, during, and after disasters

Sliding scale or income qualifying food resources for seniors and also list of congregate meal sites.#listing_mgr{7 basic_search}#

With two Adult Day Service centers and a 40+ year history of caring for the community, Neighborhood House is more than just supervised care for older and disabled adults, its a way to connect with a rich legacy and vibrant community.Programs for adults support the physical, cognitive and emotional health of clients. Services are available on a sliding fee scale, making them affordable to those who need them most. Neighborhood House is also the only Adult Day Service program in Salt Lake County that contracts with the Veterans administration for services.Neighborhood House provides door-to-door transportation, nutritious meals, field trips, medication management, and daily activities to support physical, cognitive, and emotional health. Engaging activities, interactions with staff and regular meals can help older or disabled adults maintain or stabilize their physical and mental health, while also providing a valuable respite to their caregivers. Neighborhood House Adult Day Services are open Monday - Friday, 7:30 a.m. to 5:30 p.m. and centers are located near downtown Salt Lake and Cottonwood Heights. The average client at Neighborhood House is 80 years old and has Alzheimers or dementia. Younger adult clients have typically experienced a traumatic brain injury or stroke and are in need of supervised care on a temporary or more permanent basis.Monthly service projects at Neighborhood House get adults involved in giving back to the communities they are a part of and include preparing care packages for troops overseas during Halloween, delivering donations to local shelters, and tying blankets for children in need. These service projects, and Adult Day Services at Neighborhood House as a whole, are designed to be accessible to those with a range of physical and cognitive abilities. Service projects cultivate a feeling of usefulness among clients and can help improve mood and behavior.Adult Day Services at Neighborhood House also feature intergenerational activities, helping to reduce the isolation that many older and disabled adults may feel. Activities include arts and crafts, simple games, and holiday related events with children.To learn more about Neighborhood House or to schedule a tour, visit: www.nhutah.org or call 801-363-4593Services Offered: Programs designed by a Certified Recreation Therapy Specialist (CRTS) Door-to-door transportation available within our boundaries Nutritious breakfast, lunch and afternoon snack Eleven activities daily Field trips for clients Individualized care plans Title VI Plan Compliance Partnerships with the US Department of Veterans Affairs, Aid and Attendance Program, DSPD and Salt Lake County Care Giver Support and Alternatives Program.Contact Information: Riverside Adult Day Center423 South 1100 WestSalt Lake City, Utah 84104(801) 363-4593Email: adsdirector@nhutah.orgCottonwood Adult Day Center1580 East Vine Street (6100 South)Salt Lake City, Utah 84121(801) 277-3264Email: cottonadmin@nhutah.org

More than 5 million Americans are living with Alzheimers disease with the greatest risk factor being increasing age. In order to tackle this growing epidemic, the Alzheimers Association is launching a $20 million U.S. clinical trial--US POINTER (PrOtect through a lifestyle INTErvention to Reduce risk).The study will assess the impact of physical exercise, nutritional counseling and modification, cognitive and social stimulation, and improved self-management of medical conditions on cognitive decline. The POINTER study is a critical study to promote and protect brain health and potentially reduce an individuals risk of developing dementia. The research study will bring more awareness and education regarding the brain benefits of remaining mentally, physically and socially active, shares Dr. Claudia Padilla, Medical Director for Research at the Baylor AT&T Memory Center and Greater Dallas Alzheimers Association Advancing Research Advisory Committee Chair.Starting in January 2018, there will be 2,500 study participants ages 60-79 years old who have no current cognitive symptoms, but are at increased risk for later cognitive decline through medical conditions that increase the risk for dementia (e.g., hypertension and other cardiovascular events, elevated blood sugar). Local Alzheimers Association offices will work with community-based organizations to deliver the exercise, nutrition, social and medical aspects of the intervention. The success of the intervention will be evaluated based on two-year change in cognitive function, focused on short-term memory, attention and concentration. The trial will provide health education and support through in-person group meetings on health-and aging-related topics, as well as annual feedback on laboratory tests.Dr. Mary Quiceno, Associate Professor of Neurology at University of Texas Southwestern Medical Center and Associate Professor of Medical Education at TCU/UNTHSC School of Medicine is also encouraged by the potential of this study, As a researcher and clinician diagnosing people every clinic with mild cognitive impairment and dementia, I am looking forward to the POINTER study. We must be proactive and prevent as much cognitive impairment as possible. Similar studies in Europe have shown positive results slowing cognitive decline & keeping brains healthy through lifestyle changes. I need something very specific to prescribe to my worried patients. Dr. Quiceno also serves on the Advisory Committee for the Alzheimers Association. For more information, please visit alz.org/trialmatch orAlzheimers Association, Greater Dallas Chapter

Grow Your World and Green Your Community by Joining a GARDEN CLUB 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

To update, or not to update: that is the question.The question real estate agents repeatedly hear from homeowners is, Why would I do anything to my house if Im going to sell it anyway? Conventional wisdom tells us that we should avoid doing anything to our homes that the new owners may not like and will change the moment they move in. The reality is much different, however. Because home prices have risen so dramatically over the past five years, homebuyers have little to no money to improve the home they just purchased. With the cost of borrowing money currently so low, buyers dont mind spending more if the home is move-in ready.When evaluating where to spend the money, assign your projects into two categories: 1) deferred maintenance and 2) cosmetic improvements. Deferred maintenance should take priority: a furnace that is on its last leg, a leaky faucet, or a deck with peeling paint are some examples. Addressing these will not precipitate a high return on investment (ROI), but ignoring them will significantly decrease your sales price, and may even turn away buyers from considering your home. Once priority items are completed, consider budgeting for cosmetic items, which will bring the highest ROI. Home design trends are cyclical and what was in style last year may not be next year. Focus on updating the appearance of your flooring and paint. Your current carpet may last you another 10 years, but nothing transforms a space more effectively than new carpet. Carpets that are a mix of neutral beiges and creams are the most appealing to the buying public. Be careful not to spend more than $5 per square foot for carpet, pad, and installation. The cost to replace carpet typically brings a three-to-one ROI at the time of sale. When combined with new paint, new flooring gives a property a new home smell, neutralizing the evidence of years of living, cooking, and even smoking. Fresh, neutral paint also enhances the appearance of a home, providing a blank canvas that allows a homebuyer to easily visualize their own dcor and furniture in the home.Editors Note: This article was submitted by Blair Bryant of The Steller Group at Keller Williams Realty. He may be reached at 720-593-9355

With lots of choices for senior care in the valley, how do you know which places provide good care? Fancy brochures and friendly marketers can make it difficult to make that determination.As someone who does this full time, I want to help you learn one way I use to measure quality of care in an assisted living.Caregivers are the backbone or foundation of any assisted living facility. There is a shortage of caregivers in our community and nationwide. The amount and type of training caregivers receive when first hired is important, as well as the ongoing training the facility provides.*Ask when you tour about the training caregivers receive, How long is it? How are their skills evaluated? or How much experience does the most experienced caregiver here have?*Ask specifically what the facility is doing to attract and retain excellent caregivers. You may consider asking- Of all the caregivers that work here, who has been here the longest? *Ask what is the process is if a resident or family member is not happy with the care that is provided by a caregiver. If this process sounds vague, odds are there isnt an official process in place.Make a free call to Charity Young, RN, BSN, Senior Care Advisor with Boise Care Connections for more tips 208-917-3776.

When an individual is diagnosed with dementia, the entire family is affected, from spouses and adult children who become their loved ones caregiver to grandchildren who notice the change in their grandparent but may not understand it. The diagnosis will inevitably lead to many questions, but learning what to expect will help families to better understand the changes your loved one is experiencing.There are many resources available, from the Alzheimers Association to local organizations, who can provide information on Alzheimers disease and other dementias so you have a good basis in understanding memory impairment.To start, learn the symptoms, and share them with other family members. Common symptoms like increased agitation and changes in personality can be very hurtful, particularly to children, but knowing these are typical changes can help to remind family and friends that the changes are a part of the disease, and are not personal.While its a difficult topic to discuss with children, its important they are included so they too can understand that their loved one is going through changes and may not always act in the same manner the child is used to. When discussing the topic with children, try to: be patient and explain in age-appropriate terms how the disease affects a person; reassure them that their loved one still cares for them; encourage them to ask questions; and, remind them that their loved one still needs the support of their family despite any changes in their mood and personality.Witnessing the onset of dementia is incredibly difficult and family members should know that emotions like grief, guilt and anger are perfectly normal and should not cause a person even more guilt for feeling them. To counteract these emotions, open communication is encouraged. Id also recommend attending support groups.Support groups are a wonderful way to meet other caregivers and families going through the same thing while also learning valuable tips on how other families work to support and provide the best of care for their loved one.Helping your family understand dementia is good for everyone and will help your loved one get the love, support and care they need to cope with their own journey with memory impairment.Editors Note: This article was submitted by Erik Hammerquist, Executive Director of Bridges by EPOCH Memory Care Assisted Living at Trumbull, who may be reached at 203-397-6800 or ehammerquist@bridgesbyepoch.com.

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.

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

To learn more aboutPioneer Valley Lodge,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.

The winter months can be especially difficult for seniors. With snow and ice on the ground, slipping and falling is a real danger, resulting in serious injury or even hospitalization. Luckily, there are some practical steps that caregivers and seniors can take to keep safe during the winter months.Keeping Walkways Clear of Snow & IceThe most important step in preventing falls is keeping outdoor walkways clear of snow and ice. This includes not only your driveway and sidewalks, but also any areas where you may need to pass such as entryways to buildings or public transportation stops. Investing in a reliable snow shovel or snow blower will make it easier to keep these areas clear, although many services offer snow removal at an affordable price so you dont have to do it yourself. Its also important to use rock salt or kitty litter on icy patches; these items provide better traction and help prevent slips.Dress AppropriatelyProper clothing is essential for staying warm while outdoors during the winter months, but it can also help protect against falls. Shoes should have non-slip soles that provide additional grip on slippery surfaces; boots with treads are ideal for this purpose. Additionally, garments such as hats and gloves should fit snugly so they dont get caught on anything when walking outside. Lastly, dressing in layers helps retain body heat while still allowing for movement without feeling weighed down by bulky clothing.Get Help When NecessaryIts important to recognize when assistance is needed while out in the cold weather; getting help from a friend or family member can be invaluable when navigating slippery surfaces. Additionally, using assistive devices such as walkers or canes provides support when walking outside and helps reduce stress on joints that could otherwise lead to falls. For extreme conditions, it may be best to limit outdoor activities until warmer weather arrives; if this isn't possible, then look into using transportation services like ride-sharing apps or buses that allow you to stay off your feet entirely until you reach your destination safely.As we head into winter months with colder temperatures and snowy conditions all around us, it's essential for seniorsespecially those who live aloneto stay aware of their surroundings and take precautions against slipping or falling on icy surfaces outside their homes. Clearing pathways of snow and ice combined with proper clothing outfits for warmth will go a long way toward ensuring safety during these treacherous times of yearbut don't forget about reaching out for help when necessary! With just a few simple steps taken ahead of time, seniors can enjoy their winter days knowing they're doing everything they can do remain safe while outdoors in cold weather conditions! Stay safe and warm this winter! Your Friends at Seniors Blue Book Utah

If you had an opportunity to visit with your friends, have lunch together and maybe even travel together, why wouldnt you?Perhaps find an opportunity to learn something new or see a site that you might not go to on your own? Maybe you recently moved to the area, lost your spouse/partner or are recently retired?We, as humans, are designed for interaction and socialization with others, even if we are introverts. In addition, as we age, we have an ability to learn new things. So, while it is true that old brains can learn new things, where can these opportunities be found?Support from others can also be important in reducing stress, increasing physical health and defeating psychological problems such as depression and anxiety. In addition, says John Feather, PhD, What we know is that lonely hearts are hearts at risk, because social isolation is a killer. Specifically, social isolation is associated with, and a powerful predictor of cardiovascular disease,cognitive decline, institutionalization, stroke, re-hospitalization, depression, and increased risk of suicide, just to name a few. It is linked to everything from a higher risk of contracting the common cold to faster tumor growthin cancer patients. All in all, socially isolated people aretwice as likely to die prematurely(even controlling for other relevant factors) than are people with many strong social relationships.When we think of Seniors Centers, sometimes we dont realize the impact they can have on a seniors life. Providing an opportunity for socialization, and new learning, has been found to increase our overall self-awareness and in turn, increase our well-being. In fact, studies show that lack of social support is related to negative impacts on health and well-being.So, what can you find at your local Senior Center? You may find opportunities to socialize, including meals, socials, concerts, day trips and classes. Perhaps you had to lay down that paint brush as your career or family took over your life? You can find these opportunities at Senior Centers near you. Have you wanted to learn more about that computer or want to email friends or family members? You can find those types of classes too.Senior Centers and Active Adult programs are focused on the well-being of adults, age 55+, so there are always opportunities to do and learn more.Look for a Senior Center or Active Adult program near you today to get engaged and increase your quality of life!watch Get Out movie online nowEditors Note: This article was submitted by Submitted by Jody Barker, Executive Director of Aging Initiatives of the YMCA of the Pikes Peak Region and Director of the Colorado Springs Senior Center. She may be reached at 719-955-3401 or by email at: jbarker@ppymca.org

Home Health Care (HHC) comes in a variety of different services and agencies such as Nursing services, Physical, Occupational and speech therapies it may also include social workers and hospice services. These services are often needed when discharging from a hospital or rehab or in the home when there is a decline in condition.These types of short term services help to ensure you are progressing in a positive direction.Other services and agencies may be in place along with HHC in a supportive manner. You may need a full time Certified Nursing Assistant caregiver or a Registered Nurse to help you while retaining services through another agency. This is allowed when you are paying private or through a long-term care insurance or trust, however, two Medicare agencies getting paid from Medicare cannot have services overlap.Medicare agencies often cover medication fills, injections, wound management and therapies. After a period, they may not be able to cover some of these things. With HHC you have the option of privately paying for an agency to pick up where the Medicare agency may have left off.A common misconception is that Medicare will cover the cost of a Caregiver in your home who would do housekeeping, go shopping, cook meals or sit with you for extended periods of time. Medicare does not cover the cost to these performed tasks. When private pay is involved, two agencies can often be found in one home at the same time.Over the years I have been asked, If hospice is already in place and I need help all the time what happens? The hospice agency cannot be with you twenty-four hours a day or for long periods of time. If you wish for your loved one to remain in the home, it is recommended that you call another agency to help you fill the hours needed and support the hospice agency already in place.It is an easy decision to keep you and your family well cared for while honoring their wishes. The time and labor caring for them following that decision is the challenge.With so many agencies in our area providing different levels of care and supportive services it is becoming easier to keep our loved ones in place longer while honoring their wishes. This is when several agencies can come together and provide the level of care needed to keep everyone safe and happy.Editors note: This article was submitted by Theresa Poole, Director of Community Relations at Brightstar Care. She can be reached at 970-667-7778 or email at Theresa.poole@brightstarcare.com with any questions regarding Home health care.

For more information on the author, Paul Andrews, ERA Advantage Realty, CLICK HERE!In todays world of busy probate courts and exorbitant death taxes, the living trust has become a common manner of holding title to real property. The following may help you understand a few of the requirements of the title insurance industry if title to property is conveyed to the trustee of a living trust.What is a trust?An agreement between a trustor and trustee for the trustee to hold title to and administer designated assets of the trustor for the use and benefit of one or more beneficiaries.Can a trust itself acquire and convey interests in real property?No. The trust is an arrangement between a trustee and the trustor. Only the trustee, on behalf of the trust, may own and convey any interest in real property. The trustee may only exercise the powers granted in the trust.What will the title company require if a trustee holds the title to the property which is part of the trust?A certification of trust containing the following information:Date of execution of the trust instrument,Identity of the trustor and trustee,Powers of the trustee,Identity of person with power to revoke trust, if any,Signature authority of the trustees,Manner in which title to the trust assets should be taken,Legal description of any interest in the property held by the trust, andA statement that the trust has not been revoked, modified, or amended in any manner which would cause the certification to be incorrect and that the certification is being signed by all currently acting trustees of the trustMy trust contains certain amounts of money to be given to various charities which is none of your business. Can I omit these pages?Because many different provisions may be on the same page, the answer must be no -- but if the title company requires a copy of the trust, it may accept a copy with those amounts blacked out.If there is more than one trustee, can just one sign?Maybe. The trust must specifically provide for less than all to sign.Can the trustee give someone a power-of-attorney?Only if the trust specifically provides for the appointment of an attorney-in-fact.What will the title company require if all the trustees have died or are unwilling to act?If the trustor is not able to do so, or the trust provisions prohibit the trustor from appointing a new trustee, the court may do so.How does a notary acknowledge the signature of the trustee?Title is vested in the trustee. Hence, if the trustee is an individual or a corporation, then the new general form of acknowledgment will be prepared to reflect the intrinsic nature of the trustee.How would the deed to the trustee ordinarily be worded to transfer title to the trustee?John Doe and Mary Doe, as trustees of the Doe family trust, under declaration of trust dated January 1,1992.Are there any limitations on what a trustee may do?Yes, the trustee is limited principally and most importantly by the provisions of the trust and, thus, may only act within the terms of the trust. The probate code contains general powers which, unless limited by the trust agreement, are sufficient for title insurers to rely on for sale, conveyance, and refinance purposes.

Accepts Private Pay#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

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.

Residents may receive significant assistance with 2 ADL's and minimal assistance on More than 2 ADL's daily. The resident must also be able to evacuate a community under their own power and have stable health. Residents receive 24/7 monitoring and may have an independent home health agency help with services.#listing_mgr{1 basic_search}#

The Pikes Peak Area Council of Governments (PPACG) Area Agency on Aging is home to several programs that assist older adults in maintaining their independence and remaining in their communities.The insurance counseling program called Senior Insurance Assistance is one of these programs. Our trained staff bring more than 30 years of experience in the health insurance field to assist you.Our Senior Insurance Assistance program is also a State Health Insurance Program (SHIP) office, and while the PPACG AAA serves only El Paso, Park and Teller counties, our SHIP program serves those counties as well as Chaffee, Custer, Fremont, Huerfano, Lake and Las Animas counties. We visit those rural areas on a rotating basis, but we are always available to county residents by phone toll-free at 888-696-7213.Our staff and volunteers are trained in the most current insurance information by the Colorado Division of Insurance. We do not sell any insurance, only give free guidance and support to those receiving Medicare benefits or to those who soon will be.Our staff is here to help you understand Medicare and your health insurance plan so you will feel secure in your health insurance choices. We will help you review and compare insurance plans, including supplemental programs, employer group health plans, Medicare Part D and Medicare Advantage plans and long-term care insurance programs. We will help you review and understand your insurance statement or bill, if you are concerned about proper billing. We can also advise and educate you about other insurance-related programs and how to get the greatest benefit for which you are qualified. And, if you are disputing an insurance claim or appealing a decision by Medicare or another health insurer, we can help you with that too.If you are new to Medicare, come attend one of our free monthly Medicare 101 classes. These classes are taught by our experienced staff and will give you a chance to ask questions and make follow-up appointments with a familiar face. We look forward to seeing you at the PPACG Area Agency on Aging soon!Pikes Peak Area Council of Governments is located at: 14 S. Chestnut St, Colorado Springs, CO 80905 and may be reached at 888-696-7213 or 719-635-4891Editors Note: This article was submitted by Pikes Peak Area Council of Governments, Area Agency on Aging Senior Insurance Assistance program. Their office may be reached at:888-696-7213 or 719-635-4891

Skin cancer has reached epidemic proportions with the incidence of nonmelanoma skin cancer up 300% since 1994. Annually there are more new cases of skin cancer than the combined incidence of breast, prostate, lung and colon cancer. Given the gravity of this epidemic, seniors may find themselves asking, how do I recognize skin cancer and what can I do about it?What is skin cancer?The three most common forms of skin cancer are: Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), and Malignant Melanoma (MM).Although BCC and SCC are rarely fatal, they can be quite disfiguring if they are not detected and treated early. Malignant melanoma kills approximately8,790 people in the US annually and early diagnosis and treatment are essential to ensure the best outcomes.What can I do to prevent, detect and treat skin cancer?Being aware of your own skin is an important measure to aid in early detection and treatment of skin cancer. A monthly self-skin examination has been shown to reduce the risk of melanoma. Suspicious lesions should be evaluated by a dermatologist or other medical provider. Learn how to perform a self-skin examination here:http://www.aad.org/spot-skin-cancer/understanding-skin-cancer/how-do-i-check-my-skin/how-to-perform-a-self-examWhat to look for.-An existing mole that has changes: Asymmetry Border that becomes irregular Color that becomes varied Diameter larger than the head of a pencil eraser Evolution or changeOr.-A sore that does not heal-Any lesion that changes-A new lesion on the skinWhat should I do if I am concerned?A regular (often yearly) recurring full body skin examination performed by a dermatologist or other health care provider, regular use of sun block, sun protective clothing, and sun protective behavior (including sun avoidance and seeking shade) are essential additional important protective measures.If you have any questions at all, it is advisable to seek personal advice from a health care provider. At Swinyer-Woseth Dermatology we value your questions and would be happy to help you in any way.Editors Note: This article was submitted by Angela Brimhall, D.O., FAOCD,.Dr. Brimhall is a Dermatologist with Swinyer-Woseth Dermatologywww.dwoseth.com and may be reached at 801-266-8841

Do you have an ongoing health condition like high blood pressure, diabetes, heart disease, stroke, arthritis, cancer, asthma, emphysema, depression, multiple sclerosis, high cholesterol or kidney disease?Do you feel frustrated about not only managing your condition but dealing with the impact it has on your life and emotions?Youre not alone. About 80% of older adults have one chronic health condition and 68% have at least two. Many of them find it challenging to manage their symptoms and condition. They may have a sense of hopelessness or frustration at not being able to live their lives as they would like to.Take Charge of Your Health and Take Charge of Your Diabetes offer a series of free workshops for people who would like to learn skills and tools to manage their health conditions. Trained leaders guide the workshops, which include topics such as action planning, problem solving, decision making, stress management, talking with your doctor or health professional, dealing with emotions and depression, physical activity and healthy eating.The workshops are also an opportunity for participants to share the impact their conditions have on their lives and emotions with others who have similar concerns and problems.People who have completed Take Charge workshops report that learning how to manage their chronic disease symptoms has improved their quality of life and increased their confidence. Reports of participants in similar programs show that a year later they reported improvement in communication with health care providers and medication compliance, less pain and depression and improved stress management.Find a Workshop Take Charge of Your Health and Take Charge of Your Diabetes workshops are offered in English and Spanish in community settings throughout the area. For more information and to find a workshop near you, visit www.ilpathwaystohealth.org and click on Programs or call the Take Charge Team at AgeOptions, (800)699-9043.Take Charge of Your Health is a program of AgeOptions, the Area Agency on Aging of suburban Cook County. It was originally developed by Stanford University.Editors Note: Submitted by AgeOptions: (708)383-0258; ageoptions.org

I spent January, February and early March helping many folks who were at different stages of downsizing. Some knew they had a home waiting for them in one of the Homestead Communities, while others were moving out of the area to be closer to grandchildren. None of them expected a moratorium on real estate activities.Those early days were filled with questions by my Sellers, leading me to research and uncover answers for what was essentially new territory in real estate...it was quite an adventure. It has led to much evolution and change in the buying and selling of homes. New technologies have emerged, new forms have been authored, new strategies have been adopted. Proactive agents have adapted and helped their buyers and sellers to do the same.So, where are we now? To start, as of Wednesday May 20th, real estate has been deemed essential by the Governor. This means that regardless of Red, Yellow, or Green designations, people across the State can buy and sell homeswith restrictions. These restrictions focus on the human interaction portion of the buying/selling process, and most elements will make sense. Lets touch on the highlights.The guidelines below apply to all business that support real estate. This means Realtors, appraisers, inspectors, notaries, title companies, etcshould operate by these standards.Showings are allowed no more than 3 people can be in attendance. Typically, this will be the realtor and 2 others. Social distancing protocols must to be followed.No Open Houses showings shall be by appointment only as per above.Visitors shall avoid touching surfaces, items in a home.Seller should have lights on, doors/cabinets open, to minimize the need to touch surfaces in the home.Anything touched during a showing must be sanitized before the next visit.Allow for 30 minutes between each showingAny in-person activity (showing, appraisal, inspection) shall require the use of a face maskVerbal screening of a visitors health must occur 24 hours prior to the visit.Name/Contact information must be gathered for each in-person visit (for purposes of contact tracing) and kept on file by the Realtor.When possible, viewing a home online first is recommendedWhen possible, the use of electronic signatures is recommendedNo materials to be left out (marketing materials) or left behind (business cards)A Property Access Notice (PAN) form must be signed by Seller and anyone doing in-person activity at the property. This is a new Pennsylvania Association of Realtors (PAR) form and is required.A Seller should be provided with CDC guidelines for cleaning and disinfecting a home by their Realtor.As you can see the State is taking this seriously, and so you and your realtor should too. What are the practical implications of this and what should you think through?First How strong is the virtual presentation of your home? Is the home staged? Professionally photographed? Is there a virtual tour? Is there a 3D tour (allowing you to move through the home and pan left or right at the click of the mouse)?With the emphasis on using an online viewing before visiting a home make sure your home shines and is fully marketed. From my own experience, Ive had my listings professionally photographed and staged for the last 10 yearsit makes a BIG difference. More recently Ive used virtual tours in the last few years, and have now begun to use the 3D tour for homes. As times change so should the tools your Realtor brings to the table.Second How will you handle the cleaning of a home post-showing? Will you return to do it after each showing? Will you expect the Buyers agent to clean? Who provides the cleaning materials? What happens with the trash produced as a result?None of these are difficult questions but it will be critical for Sellers and their Realtor to create a plan for the process. In my experience, I would have the home properly prepared so visitors will only need to touch surfaces minimally, if at all. To that end, if anything is touched I would ask the Buyers agent to clean those surfaces since they will have firsthand knowledge and know what specifically to clean. I do recommend that the Seller provide appropriate cleaning materials. As a Seller, you may have special cleaning solutions for different parts of your homea brass door knob for exampleand a disinfecting wipe with bleach may not be the best choice for every surface. I would also provide plastic bags (like the ones from the grocery store) that can be used to transport out of the home (by the person visiting) any trash that is generated.I have created simple document for my Sellers that allow them to indicate how they want showings handled, along with any special instructions on cleaning, where cleaning supplies will be located, and a place to indicate other concerns. I provide this completed form to all agents or other visitors so all parties can know the expectation. Again, as times change so must we and Ive found my Sellers have appreciated the forethought.Third Confirm that your Realtor will be asking the screening questions on the health of visitors, and will be gathering the name and contact of all visitors. This may seem obvious since it is a requirement issued by the Governor, but of all the guidelines issued regarding real estate this is the one Ive heard the most argument regarding. I wont debate the merits of these two guidelines, but would suggest that whether I agree or not I must abide by them.In closing, Ive heard the phrase the new normal used quite a bit during this pandemic. It is often said with a bit of sarcasm and regret for what weve lost over these months. There has indeed been loss weve experienced and there are changes we are learning to live with. I choose to use the phrase the current normal because circumstances will continue to cause us to adaptit is part of life. And in truth, not all change is bad. I trust you are well, adapting to the current normal and I wish you success in selling!_________________________________This article was written by Mike Julian. He is an agent with Realty One Group Unlimited and is a Director of theCertain SaleRetirementLiving Program.

We talk to a lot of families who are helping Mom or Dad transition from their forever home to some sort of living situation where they can get the care they need.  Perhaps assisted living, perhaps with another family member.  They have a lot of questions about selling the forever home and one of the big ones is what kind of house do you buy?You see many families are super busy helping Mom or Dad, often after their parent has had a health scare.  So they are dealing with everything that goes with that - doctor visits, sorting out medication, finding them a new place to live, figuring out finances and more.  Then there is the house sitting there that they know they need to sell.  But everything they've been told over the past 20 years or so is that you can't sell a house until you get it ready.  And they just don't have the time or energy and sometimes the money to deal with the whole getting the house ready thing.So many will call us before at the beginning of the process and ask "What kind of houses do you buy"  trying to find out if Mom or Dad's house is what we are looking for.  So today we want to share a few before and afters of a house we purchased on NE 51st Street in Kansas City Missouri in the video below.This house was a typical split-entry home.  You walked in the front door and had a few steps up to the main floor with the Kitchen, Dining, Living Room, 3 Bedrooms and a Bathroom.  Then a few steps down to a Family Room (or Main 4th Bedroom), 2nd Bath, and Bonus Space.The hardwoods were in rough shape, and there were peel-and-stick tiles over the hardwood floors in the kitchen.  The carpet was old and worn out with lots of ripples, The kitchen had no storage or counter space, so a whole new kitchen was in order.  We had a lot of other little updates including a good cleaning and fresh paint.  And since it was springtime we spend a bit of time cleaning up the front flower bed so it was ready to bloom for the new owners.So what kind of houses do we buy - just about any house in the Kansas City Metro is a candidate.  We have bought houses built all the way back in the 1920s,.  We buy a lot built in the 1950s, '60s, and '70s.  But we buy newer homes too.  Generally, most are at least 10 to 15 years old as a totally brand new house usually does not need a lot of repairs and our services are not needed.If you have questions about your Mom or Dad's house in the KC metro that you want to sell sooner rather than later and you don't want to waste your very valuable time on cleaning it out, fixing it up and "getting it ready" give us a call.  We would love to take a look at your home and make you a cash offer closing in about 30 days or on your time line.Phone:  816-408-3600Website:  www.kcmoHomeBuyer.com

Periodontal, or gum disease, is an infection of the supporting tissues and bone which hold the teeth in place.Generally affecting adults in their 30s, 40s, and 50s, periodontal diseases are caused due to a number of reasons such as poor oral health, genetic susceptibility, chronic illnesses like diabetes, smoking, and certain medications. This infection can also contribute to heart disease, diabetes, premature aging, and weight gain. The infection continues to circulate throughout the body via the blood system and affects every major organ in the body, 24 hours a day!Treatment for Periodontal Disease used to consist of but one way, scaling and root planning, as well as invasive surgery. In addition, the dentist had no idea which type(s) of bacteria may be present.Oral DNA and Laser Periodontal Therapy is a less traumatic and much more effective procedure to treat Periodontal Disease. The Oral DNA identifies exactly which type(s) of bacteria are actively causing the infection. Based on the results, we are able to prescribe the proper antibiotics targeting those bacteria. We then utilize the Laser to access the infected pockets and to treat the infected tissue. Laser treatment is more comfortable and evidence suggests that it helps to stimulate regeneration of tissue.A topical antibiotic, which is effective for 3 weeks, is placed in the clean pocket. With proper home care and regular visits to the dentist, your Periodontal Disease can be treated and allows you to maintain teeth for the rest of your life, as well as improve the health of your entire body. It is a fact that the continual bombardment of your body with the infection and inflammation of Periodontal Disease, is devastating to all of your organs.Editors Note: This article was submitted by Couchman Center for Complete Dentistry. To determine if you have Periodontal Disease, call 719-593- 0263 for an appointment.

VISION Services for SeniorsMany of the people we work with have age-related macular degeneration, diabetic retinopathy, glaucoma, or other vision-related conditions that are often a part of aging. Frequently, in addition to vision loss, our clients also face other health issues. Our goal is to help customers meet the challenges of vision loss based on their own particular needs and circumstances.Losing some or most of your vision later in life can be frightening and overwhelming. Yet many of our clients tell us that they're pleasantly surprised to realize how a little bit of training, some creative solutions, and perhaps some additional technology can give them both confidence and independence.We provide services directly or through referral to community agencies. Services include:Low vision aids and other adaptive devicesTravel skill trainingTraining in daily living skillsTraining in assistive technologyAccess to the Radio Talking Book, a closed-circuit broadcast network for listening to readings of the local newspapers, magazines, and the latest bestselling booksAccess to books and other print material in audio and other alternative formats through our Communication Center.Living Well at HomeDon't let vision loss limit your independence. In addition to our services, Minnesota's Living Well at Home program helps seniors and their families get connected with the resources they need to make wise choices tailored to your unique circumstances.Technology to Assist YouMore and more seniors are discovering how technology can make a world of difference in staying active, safe, and independent. People with no vision or low vision use technology every day, and we offer training thats tailored to each individuals specific needs, abilities and goals.Contact UsFor more information, please call 651-539-2324 or fill out our online form. Visit http://ow.ly/XXzU50JzkYK

What is a Medicaid Waiver?In 1981, Congress passed legislation allowing states greater flexibility in providing services to people living in community settings.This legislation, Section 1915 of the Social Security Act, authorized the waiver of certain Medicaid statutory requirementsThe Waiving of these mandatory statutory requirements allowed for the development of joint federal and state funded programs called Medicaid 1915 Home and Community Based Services WaiversThe New Choice Waiver programPurposeThis waiver helps eligible individuals to move out of nursing facility settings. Services are designed to help people transition out of a nursing facility and re-establish themselves back in the community.EligibilityMust be 21 years plus 1 month old;The primary condition must not be attributable to a mental illness;The individual does not meet Intensive Skilled level of care criteria; andThe individual does not meet level of care criteria for admission to an intermediate care facility for people with mental retardation (ICFMR)In addition, eligible individuals must be:Receiving Medicaid reimbursed nursing facility care on an extended stay basis of 90 days or more;Currently receiving Medicare reimbursed care in a licensed Utah medical institution (that is not an Institution for Mental Disease), on an extended stay of at least 30 days, and will discharge to a Medicaid certified nursing facility for an extend stay of at least 60 days; orReceiving Medicaid reimbursed services through another of Utahs 1915 waivers and have been identified as in need of immediate or impending nursing facility care.Waiver ServicesAdult Day Care Adult Residential ServicesAssistive TechnologyAttendant CareCaregiver TrainingCase ManagementChore ServicesConsumer Preparation ServicesEmergency Response SystemsEnvironmental Accessibility AdaptationsFinancial Management ServicesHabilitation ServicesHome Delivered MealsHomemaker ServicesInstitutional Transitional ServicesMedication Assistance ServicesNon-Medical TransportationPersonal Budget AssistanceRespite CareSpecialized Behavioral Health ServicesSpecialized Medical EquipmentSupportive MaintenanceEditors Note:This article was submitted by Blake Minardi. For more information contact: Vicki Ruesch (801) 538-6148 or Blake Minardi (801) 538-6497; UDOH Bureau of Authorization and Community Based Services 288 North 1460 West (PO Box 143112) Salt Lake City, Utah 84114-3112.

The VA Aid & Attendance (more accurately called the Pension Benefit program) is a great program to help war-time vets pay for long term care costs. There are three qualifications.First, the vet must have served for 90 days or more with at least one day during a war period. Actual combat action is not necessary; serving stateside is sufficient if done during the war period.Second, the vet or the widow of the vet, must be 100% disabled or 65 years of age or older. To qualify for the highest benefit amount, the vet or the widow must have ongoing care costs that a doctor has certified are medically necessary such as assisted living or memory care as well as in home care.Third, there is a two-part financial test. Income, as adjusted for this program, must not exceed the highest benefit rate available to the vet or widow. In addition, the net worth of the vet or widow must stay within prescribed limits. (My team can help you sort out the details.)If these requirements are met, the vet may qualify for a benefit ranging from a few dollars to over $2100 per month. The surviving spouse may qualify for a few dollars to over $1150 per month. These extra dollars can be used to help keep a vet at home and bring in extra help as needed, pay for assisted living or allow the spouse to remain at the family home. This is an absolute blessing to those families trying to take care of their loved ones.So if youre a vet, the surviving spouse of a vet, child of a vet, friend of a vet, neighbor of a vet, caretaker of a vet, just happen to know a vet, then you need to get educated on the Pension Benefit or Aid & Attendance program and make sure the vet you know is taken care of. If you need more information, call us (208) 939-7658 or check out our website at www.idahoestateplanning.com.This Article was submitted by Mark E. Wight, attorney, President of Idaho Estate Planning. For questions call (208) 939-7658 or check out our website at www.idahoestateplanning.com.

Alzheimers disease is the Sixth-Leading cause of death in the United States. March 11, 2013 will be Advocate for Alzheimers 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 Alzheimers 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 Alzheimers. The time has come for our voices to be heard! Utah is #2 in the United States for diagnosis of Alzheimers and related Dementia and we are projected to be #1 by 2025. Unless we can get continued support from our legislature, the cost of Alzheimers 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

The Medicare Hospice Benefit is a federally mandated benefit. Because of that, all Hospices are required to follow the same core guidelines when providing Hospice care. Those performing the care and their philosophy of caring for their patients are what separate one Hospice from another. Make sure you connect with their team of clinicians. You always have a choice when deciding which Hospice to care for you and your loved one. Choosing the right hospice is very important. One that can be confusing; here are some tips to help make the process easier. When choosing the right hospice; I recommend a few things to consider when making your decision. One of the most important factors is the level of involvement from the Hospices Medical Director. Every Hospice is required to have a Medical Director, but the regulations aren't very detailed in how involved they have to be. Here are some examples of questions you can ask. Who is your Medical Director? How often will I be able to see them? Do I have to go to their office or will they make house calls? Hospices use their Medical Director differently; I recommended choosing a Hospice that has the Medical Director very closely involved with the patients and one that will visit them in their home. Secondly, I would ask the Hospice to describe their Bereavement Program. This is a program that Medicare requires each hospice to provide to families and caregivers for up to a year following the death of your loved one. Often times, I tell families, the medical management of the patient themselves is the easy part its everything else that goes along with a dying loved one that complicates matters. I recommend choosing a Hospice that has a variety of offerings in their bereavement program and one that is specialized in Grief Recovery. Peace of mind goes a long way when you are grieving. Knowing that the Bereavement Program will create an individualized plan for you is valuable. Knowing you are not alone is very important. There are many factors when deciding which Hospice to choose to care for you and your loved one. You may also ask your friends, family, neighbors and church members what experiences they have had and what they've learned was important. Hopefully these tips will help make your decision easier when the time comes. Kristi Hartway, Director of Operations Harrisons Hope Hospice

The stark reality? There is a housing crisis for people with developmental disabilities.More than 6 million Americans have an intellectual or developmental disability (IDD).Nearly 500,000 young people with autism will enter adulthood in the next decade.There is a severe shortage of independent living options for people with disabilities.Nearly 1 in 3 young adults with a disability had no community participation in the last year.Governmental cutbacks have left social workers spread severely thin, reducing their capacity to assist people with disabilities.Nearly 3 in 4 people with disabilities live in the family home, often relying on parents for basic activities like preparing meals and dressing, as well as transportation and connecting to the outside world.Our response? Bethesda Cornerstone Village.Cornerstone Village is a residential community designed to unite people with developmental disabilities with other members of the community in a loving, Christian environment.Each Cornerstone Village will be developed to maximize accessibility, and a specific percentage of the units will be reserved for independent adults with developmental disabilities.Heres why:It furthers the cause of inclusion by creating an opportunity for people with IDD to live in an integrated community.Providing a safe home for people with IDD gives parents peace of mind knowing their child is safe.Intermingling people with developmental disabilities and people without disabilities results in a more meaningful and rewarding life for all.Living in a Christian environment will strengthen the spiritual lives of all residents.Community programming and activities will bring people together, fostering deep friendships and lifelong learning.What does the future look like?The Cornerstone Village in Victoria, Minn., is the first of its kind in the U.S.and it wont be the last.We are moving forward with a thoughtful but aggressive strategy to open multiple Cornerstone communities in several states, including Wisconsin and California in addition to Minnesota.In addition to providing truly inclusive living for people with disabilities, Cornerstone will provide much-needed revenue to help Bethesda Lutheran Communities continue to deliver quality services for adults with disabilities across the country.Many of the services Bethesda offers are reimbursed by the government, but we still rely on other sources of incomelike donationsto fund more than 30% of our services. So not only will Cornerstone address the immediate need of housing and community for people with disabilities, but it will help us continue to deliver on our mission for years to come.

Refers to respiratory patients and families who will be entrusted on the use of oxygen, nebulizers and breathing exercises and other treatments as ordered. Chronic Obstructive Pulmonary Disease (CDPD) emphysema, pneumonia, etc.Pulmonologyoften involves managing patients who need life support and mechanical ventilation. Pulmonologists are specially trained in diseases and conditions of the chest, particularly pneumonia, asthma, tuberculosis, emphysema, and complicated chest infections.#listing_mgr{1 basic_search}#

To learn more aboutRevel Province, CLICK HERE.The real estate market is booming across the United States and its truly a sellers market. According to experts, now is the time to sell your home if you are in a position to move. Americans need to know that the housing market will not be on fire like it is today forever. Rates will not stay this low and neither will inventory, says Jared Kessler, CEO of EasyKnock and Forbes contributor. Americans who are waiting to sell should not wait. I always say its better to act when you can, not when you have to.Here in Colorado Springs, residential real estate inventory is down 13% and prices are up 3%, compared to the same time last year. Revel offers incentives for individuals selling their home and moving to one of our communities. You can receive up to 50% off your first three months rent through our Home Sale Program. We also provide services to make the move as easy as possible, including assistance with rightsizing and moving.Imagine the freedom of living in a brand-new home where your time spent on the constant fix it jobs around the house is replaced by resort-inspired amenities an art and creative studio, a modern-American restaurant, a luxurious pool, a relaxing spa, and more. At Revel, you can sip on your favorite brews at the pub while laughing with friends, relax poolside with your nose in a book in the afternoon sun or watch your favorite movie at the theater steps away from your front door. Revels monthly leasing prices are inclusive of housekeeping, meals, transportation and utilities leaving you more time to enjoy what matters most.

Its no secret being a caregiver is hard work. It harder than anything you may do. Many of us know at least one person who has been, or currently is, a caregiver. It can sometimes feel draining and as if youre alone and isolated so it's important to maintain your own vitality.There are over 44 million Americans who provide unpaid care to an older adult or someone with disabilities.Did you know: About 75% of caregivers are women Most are middle-aged 34% are age 65 or older 59% also have jobs in addition to caring for someoneCaregivers are an important part of society so making sure each caregiver cares for themselves is important. With the rising cost of healthcare, there is an increase in families taking on the task of caregiving for parents and other loved ones. One of the greatest treats is finding activities that you are your family member can do together: Check local listings for no-cost or low-cost events you can attend (if your loved one is able to) Make a list of favorite TV shows and just choose a few to watch each day Get books from the library that youll both love and have your own Reading Club Go to a matinee movie Visit a craft store, make crafts together and donate them to charity Check colleges, religious organizations, community centers and senior centers for activities and free classes Do chair exercises or go for a short walk Plant flowers or a small garden Join a senior center, choir, other organizations or volunteer togetherRemember to set aside time just for you thats important. Go out to dinner with family or friends at least once a week. You deserve it! Ask another family member to be the caregiver while you have your date nights. Think about writing a goal or mission for yourself its a great way to say what you believe and who you are as a caregiver and share it.Although challenging, caregiving also has many rewards: It gives you a feeling of giving back to a loved one Caregiving can lead to a stronger relationship with the person receiving the care You appreciate life more and feel better about yourselfKeep your sense of humor. Laugh with the one you love and make sure you set aside time for YOU!__________________________________Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels of Lancaster, Hanover and York.

To learn more aboutDanville Support Services,CLICK HERE.Fall is such a beautiful time of the year especially along the Wasatch Front. Its a time to drink cider, reflect and take in the colors. Fall is also the perfect time to prepare for Winter, and that means preventing senior citizens from falling.According toCenters for Disease Control and Prevention, one in every three adults ages 65 or older falls and two million are treated in emergency departments for fall-related injuries each year. The long-term consequences of fall injuries, such as hip fractures and traumatic brain injuries, can impact the health and independence of older adults. Thankfully, falls are not an inevitable part of aging. In fact, many falls can be prevented.The ability to maintain your balance is, of course, central to staying on your feet. whatever your age. To improve balance and leg strength, develop an exercise routine that includes stretching and walking. Also, exercise programs such as Tai Chi can increase strength and improve balance, making falls much less likely.Vision is another key aspect in the prevention of falls. When you dont see the obstacle, you cant avoid it! All adults need an annual eye exam. This is especially true for people in their 40s and 50s, as vision deteriorates with time. Most seniors rely on corrective lenses to read, to drive or for all day use. By keeping up with eye health, youre doing yourself a favor in more ways than one.Medications are another area to monitor, as many medications successfully address one condition, but can also increase the likelihood of a fall due to dizziness, drowsiness, or other side effects of the medication. You dont want to be lightheaded on an icy sidewalk this Winter, so please check with your doctor or pharmacist to adjust medications, as needed.Finally, there are several things you can do around the home to help prevent falls.Remove things you might trip over from stairs and places where you walk.Install handrails on all staircases.Remove small throw rugs or use double-sided tape to keep the rugs from slipping.Keep items you use often in cabinets you can reach easily without using a step stool.Put grab bars inside and next to the tub or shower and next to your toilet.Use non-slip mats in the bathtub and on shower floors.Improve the lighting in your home. Hang lightweight curtains or shades to reduce glare.Wear shoes both inside and outside the house.Danville Supports Services is here to help you and your aging loved ones stay safely in their homes for as long as possible. Our services range from personal care, running errands, shopping, light housekeeping, transportation, laundry, meal preparation, all the way to respite and in-home nursing care. Call me (Lynn) today at 801-363-1521 to set up a free home assessment, or to discuss how we can work together to keep your mom and dad healthy and happy at home.

As the time comes to enjoy your retirement or assisted living community, one of the most common dilemmas for you or your kids is what to do with your house. Everything around you is changing; the last thing you should worry about is selling your house. The market may not even allow the sale of your home. The market has been declining over the last several years and days on the market can be long. You may not even have any equity in it and have to bring money to the table just to get it closed. Maybe the house is your only investment and you want to keep it. At some point in time, the market will surely rebound, but how long will that be? One of the best options may be to rent your home. If not for you, maybe for your kids.Rental property vacancy rates are close to record lows!The Denver and surrounding areas are experiencing record low vacancy levels and the housing rental market is as strong as it has been in years. In many cases, you can rent your home for more than your mortgage and actually make a little money. How nice would it feel to not have to sell your home and actually make money on it.Relieve the stress and rent your home!With all that is going on in your life, the last thing you want to do is be a landlord. This is why you hire a qualified property management company. Many people know this market is booming right now so everyone is getting into the business. Be careful and do your due diligence. You should look for an established company and someone that has rental experience. It doesn't hurt if they own some of their own rental properties. Make sure they are insured, do credit and background checks on all potential tenants, and have the ability to take care of all maintenance issues. They should be partnered with an attorney in case of evictions or keeping up with new laws. Ask how they handle the maintenance issues. Some companies up charge you for the services that are rendered. Make sure the property manager has to get your permission to do repairs over a certain dollar amount. Finally, make sure you have an agreement in writing. A good property manager can help you make the most out of your rental property. In this market, it may be good idea to rent your property, but make sure you hire the right property management company.Renting your house is a great solution for the short and long term.Editors Note: This article was submitted by Lance Becker and Tim Emery of Investment Strategies Property Management Services. They may be reached at 303-770-2409 or by email at lbecker@stixandstones.net . Visit their website at www.stixandstones.net

Aromatherapy is a non-pharmacological treatment to help improve physical, mental, and emotional health. It is a holistic option that is often combined with traditional medical treatments to relieve chronic conditions such as pain, anxiety, insomnia, and nausea. Aromatherapy utilizes essential oils derived from plants such as flowers, herbs, and trees, and they are commonly in haled from diffusers or applied to the skin through lotion or patches.Does it work?Aromatherapy has been used by many cultures for centuries, and modern studies have shown its potential benefits. An Allina Health study of over 10,000 patients who received aromatherapy found that patients treated with essential oils had reduced levels of pain, anxiety, and nausea.1Is it safe?Aromatherapy has very few, if any, side effects when quality essential oils are properly used. It is important to use pure oils that only include the distilled plant as the reliability of essential oils for sale vary greatly. Additionally, a Certified Aromatherapist will help you achieve the best results and lessen the chance of the negative side effects.CareAparents Aromatherapy ProgramYour physical, mental, and emotional well-being affects your overall health, and CareAparent is excited to provide aromatherapy to help improve your life. Our Certified Aromatherapist will conduct an in-home health assessment and will then customize essential oil products that are tailored to your needs and support your specific areas of concern. The Aromatherapist will also provide you with holistic recommendations to complement the current treatment plan prescribed by your physician and aid further improvement of overall quality of life.There are many ways aromatherapy can improve your health. Contact CareAparent by phone at 651.702.HOME (4663) or online at CareAparent.com to schedule a complimentary consultation with our Certified Aromatherapist. You can also learn about our in-home health services including personal cares, skilled nursing, physical therapy, and occupational therapy.1 Joswiak, et al; https://pubmed.ncbi.nlm.nih.gov/27062964/

Rarely do people initially associate hospice services with an opportunity to get the most out of life. After all, hospice is a service provided exclusively for individuals with a terminal condition who no longer wish to seek treatment. Doctors send patients home on hospice when they can no longer do anything to treat their condition.But in reality, hospice is not intended to help people die; it is intended to help people live every moment to the fullest before they die, and then when death does come, hospice allows the natural processes to run their course while preserving dignity and maximizing comfort. Helping people get the most out of life is a deeply personal journey because each person defines his or her life so differently.The special and unique touch that the hospice team brings to each person is its ability to meet people where they are in their experience, rather than telling them where they need to or should be. Hospice focuses on the person as a whole; a person who has a diagnosis and is facing death, but who also has hopes and dreams.Hospice provides an interdisciplinary team that provides a wide range of services. In addition to providing physical comfort, the most important shared responsibility of all team members is to assist the patient in accomplishing his or her goals before death when possible. Some have a desire to repair relationships with estranged family members. Others want to travel to New York, or Hawaii. For some, that may mean an actual family trip and for others it may mean bringing New York or Hawaii home with a special luau or watching a movie of a Broadway play. This approach helps people focus on the joys of life rather than on the fear of death.Although facing the prospect of death can be overwhelming, hospice can help patients get the most out of the time they have left. The hospice commitment is to improve quality of life and contribute to the joy of the journey before life is over.Editors Note: This article was written by Steve Eastman, LCSW for First Choice Home Health & Hospice. He can be reached at 801-434-4100.

In March 2016, Colorado Springs became an Age Friendly City, a designation through AARP and the World Health Organization. Since then, Innovations in Aging Collaborative has administered the Age Friendly Colorado Springs program on behalf of the City of Colorado Springs to make our city livable for people from 8 to 80 years old and everywhere in between! The AARP Age Friendly cycle is a five-year timeframe, and Innovations in Aging Collaborative is nearing the end of those first five years of implementation, with a plan to release a final report in December of 2020. Make sure you look for that report on our website in late 2020!Since 2016, Innovations in Aging Collaborative has incubated and fostered several major programs to improve the lives of older adults in Colorado Springs.In Spring of 2019, Colorado Springs became a Dementia Friendly Community. IIAC has worked, with the help of numerous community members, experts and professionals, to create a report and action plan to improve how our community supports people with dementia and their care givers. The mission of the Colorado Springs Dementia Friendly Community Initiative is to create a local community where people living with dementia are supported to enjoy a high quality of life with meaning, purpose, and value. We seek to foster a dementia friendly community by educating the community on the signs of dementia and how best to interact with a person living with dementia and by encouraging all sectors of the community to adopt dementia friendly practices. Keep an eye out for the Dementia Friendly Colorado Springs Report and Action Plan, coming early 2020!IIAC, along with local boutique market research firm Elevated Insights and the Pikes Peak Area Agency on Aging, and funded by NextFifty Initiative, released the Age Friendly Colorado Springs Needs, Awareness and Satisfaction Benchmarking Report that profiles the ways in which older adults prefer to receive/find information, services and resources. Further, it describes the satisfaction with older adult services in our community, and the needs and wants of older adults and their caregivers to effectively age in their community! This report is available on our website.Over the past two years, the Colorado Springs Commission on Aging has been working to advocate for our citys older adults, and look at all city happenings through an aging lens. Did you know that the public is invited to attend Commission meetings? Meetings are held on the 1st Wednesday of each month from 3-5 pm.More information here! https://coloradosprings.gov/office-innovation-and-sustainability/page/commission-agingEditor's Note:This article was submitted by Innovations in Aging Collaborative and may be reached at info@innovationsinaging.org or 719-602-3815. Additional information can be found at: www.innovationsinaging.org

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

Everyone knows suffering. Often, when we are the most wounded, and we need help the most, we dont know where to get it. Navigating the dizzying medical-care maze can be both time-consuming and confusing.This is where a Patient Advocate comes in. What does a "Patient Advocate" do? The simple answer is that they help people navigate the healthcare system. A Patient Advocate acts as a support structure, and if legally contracted to do so, may act as a liaison between a patient and their Health Care Provider and/or Insurance Company. The Patient Advocate does not compete with your healthcare provider, they offer assistance where the role of physician becomes limited. A Patient Advocate can help alleviate the pain and the frustration that goes with the worry of uncertainty, fear, and the unknown related to health care issues.The Healthcare system is changing dramatically. There are thousands of pages to read to keep up with the changes. To add to the complexity, each insurance plan and each insurance company have different contracts and rules for individual policies. Each insurance company has a different contract and payment schedule with individual hospitals and providers. It is easy to see how we find ourselves in a maze that is difficult if not impossible to navigate. The addition of long waits and runarounds add to this frustration.Do you need a Patient Advocate? Consider hiring an advocate if:You have several medical conditions to follow.You are unable to think clearly. Some people are in shock following a diagnosis. Some medications impact the patients comprehension and concentration, and some conditions are complicated to understand.You have been diagnosed with a progressive or degenerative illness. You have a chronic illness that requires follow up care.You have medical bills that you don't completely understand or have the time or energy to deal with. Each provider bills separately, even within the hospital, and there is a high percentage of bills with errors. An advocate can be a medical bill detective.The need for Patient Advocacy relates to people of all ages and life styles. It doesn't discriminate.Editors Note: This article was submitted by Patricia Horne, a Professional Patient Advocate with Patient Advocate Solutions, and may be reached at 801-698-0919 or by email at pat@PatientAdvocateSolutions.com

Other Veterans Benefits, you may not be aware of. First, if you are a Veteran, let me thank you for serving our great country. It is a privilege to provide this article in some way of showing my appreciation and gratitude for your contribution to our nation. We feel privileged to provide home care, as well as information for veterans who served our nation in its time of need. We provide you with the information to work through the paperwork to help you avoid potential pension claim delays. Our team will help guide you through the myriad of questions you may have regarding the benefits that you may be entitled to, including the VAs Aid and Attendance Program. Once you become an approved participant in a VA program, myself and the Comfort Keepers team will assist you along the way. You may be familiar with the VA Hospital and Long Term Care benefits, but there are other benefits which allow for services to be brought into your home. Certain VA credentialed agencies can provide the quality home care and companionship our veterans deserve. There are several veteran in home care programs for which an individual may qualify: Improved Pension Benefit Program Homemaker/Home Health Aide Program In-Home Respite Program Who Qualifies? If you or your spouse served 90 consecutive days of active military duty at least one of those days during a U.S. declared war you may qualify or be partially qualified. Other qualifications include specific financial criteria and documented physical need, requiring assistance with at least 1 Activity of Daily Living, be Legally Blind, or Suffer from Dementia or Alzheimers disease for example, but there are many other conditions that may qualify for the in home care.. The best way to find out is to have a credentialed agency provide a free assessment of your situation. To begin the application process, you will need: Original discharge certificate Marriage certificate (divorce papers from any prior marriages, if applicable) Death certificate of veteran (if applicable) Social Security numbers for the veteran and spouse If you think you may qualify for one of the VA programs, you may contact our office, our any home care agency you choose, and once we have an accurate picture of your specific situation, we will advise you of your options. I look forward to serving you and your family, as you have protected mine. Written by Sonjia Yates, owner of Comfort Keepers, 208-895-8822 sonjiayates@comfortkeepers.comAuthor:Sonjia Yates

Why is prevention so important?I firmly believe that when you see a doctor regularly, your health improves. An annual wellness exam is all about preventing illness. Seeing your doctor once a year gives the opportunity to talk about your specific family history and helps in assessing your risk for cardiovascular disease, metabolic syndrome and various cancers. In that visit, you will be offered important preventative measures, like age-appropriate cancer screenings and vaccinations.I feel fine. Why should I go to the doctor every year?You might feel fine, but you already may have some diseases or conditions; youre just not symptomatic yet. These can be detected early by U.S. Preventative Task Force (USPSTF) recommended screening tests.March is Colorectal Cancer Awareness Month. What can I do to prevent colon cancer?The gold standard for colon cancer screening is a colonoscopy. Starting at age 50, men and women should schedule a colonoscopy screening. If you have a family history of colon cancer, the screenings start as early as 40.Are there other options besides a colonoscopy?Lets be honest, most patients dont want a colonoscopy. While it remains the best screening tool for colon cancer, there are other options approved by the American Gastroenterological Association (AGA) such as FIT, FOBT, Cologuard or Stool-DNA test, flexible sigmoidoscopy or CT colonography. The AGA highly recommends getting one of the other tests for colorectal cancer screening in specific intervals if you do not want to get a colonoscopy.Can annual exams and screenings really make a difference?I believe 100 percent that the earlier you detect and start treatment of any condition, the better your outcome is going to be.Gnanambal Manivel, M.D. is board certified in Internal Medicine. She moved to Florida in 2018 to practice medicine. She firmly believes in educating her patients about a healthy lifestyle and welcomes you to her new location at 5741 Bee Ridge Road in Sarasota.About Dr. Gnanambal ManivelBoard Certified in Internal MedicineInternal Medicine Residency at Western Reserve Health Education, Trumbull Regional Medical Center, Warren, OhioFocus on wellness and prevention, chronic disease managementContactMillennium Physician Group5741 Bee Ridge Road, Suite 250, Sarasota, FL 34233(941) 552-8808millenniumphysician.comClick Here to View Original Article*

Hearing a loved one receive a dementia diagnosis is among the hardest news a person could hear. My grandmas diagnosis left a defining impact on my family. Fortunately,adequate preparation can lead to less stress on you and a better quality of life for your loved one. At Oasis Senior Advisors, we love to help families solve these problems before they happen. First, understand that some cognitive decline is completely normal. Signs of normal cognitive decline include:More thinking timeMultitasking becomes more difficultSome new information, like technology, can be difficult to learnCommon, everyday tasks take longerIf youre worried your loved one may be suffering from dementia, see a physician. We encourage our families to see a neurologist or other clinic that specializes in dementia.If your loved one receives a diagnosis, get your team of support ready. Your children, close friends, and extended family need to be made aware of the diagnosis, and you, the family, need support! Some people are keenly aware and understand their diagnosis, while others cannot grasp what is happening and may be certain nothing is wrong. Your loved one may even blame you. Do not take this personally; its frequently outside of your control. As a family member or caregiver, it can be frustrating when your loved one can no longer understand you. If they dont understand, they no longer can, so please dont expect them to. It robs them of their dignity, causes frustration, and accomplishes nothing. They cannot change, so we must. Join them in their reality. If they believe theyre in a different time and place, as is common, join them there. There are many ways to care for a loved one. If you care for your loved one for a period of time, deep into disease, or not at all, you are wonderful! Admitting that caregiving is not for you may actually be the best way for you to care for him or her. Assisted Living, Memory Care, and Home Care are all valid and correct options. Were here to help, regardless of what your correct decision may be. Editors Note: Written by Steven Moses, CSA CDP CPRS, with Oasis Senior Advisors of Orlando. He can be reached at 407 250 8100 or visit www.OasisSeniorAdvisors.com/Orlando

To learn more aboutThe Wellington - MBK Senior Living,CLICK HERE.We all know that a balanced fitness program is important to maintain, but how many of us do it? Between our busy lives and the daily aches and pains, we associate with aging, going to the gym slips further and further down our to-do list. We constantly tell ourselves Ill do it tomorrow or Ill start next week until the excuses become our mantras. When we look at the proven plethora of benefits associated with staying active (it helps to control our blood pressure, it can lower cholesterol levels, it strengthens our bones, muscles, ligaments, and tendons, it reduces our risks of falling, it can reduce our chances of getting osteoporosis, it helps prevent depression and isolation, it helps us maintain our independencethe list goes on and on), its amazing how many of us still find excuses. Its not the benefit of the fitness program that is the issue; its our internal dialogue. We let ourselves off the hook, we make excuses that today is just not right, and well do it tomorrow. Or maybe the next day. Or the next.We need to change the way we look at ourselves and our fitness routines. Our ability to stay fit is not measured in our desire to go to a gym and sweat to the oldies for 90 minutes. We dont need to run in the NYC marathon to be considered fit or be able to do 100 laps in the pool. Changing our internal dialogue to reinforce what we can do today and set a goal for tomorrow will turn the stay fit mantra from excuses to the excitement.Think about it! If today we walk around the reservoir, then tomorrow well stroll through the museum with our grandson and then when it gets warm out, well be out playing in the sand on the seashore with him too! Instead of thinking of fitness as a chore, much like cleaning the kitty box or taking out the trash, lets view it more as a path to greater enjoyment.Just 30 minutes of activity several times a week will open a whole world of possibilities for us. Think about it. In the time it takes us to watch one episode of Jeopardy, we can be creating a healthier, happier and more active future.Does walking on a treadmill still send boredom shivers down your spine? So instead, how about we do chair exercises? Gentle Yoga? Tai Chi? Swimming? Water Aerobics? Biking? Rowing? Play with an exercise ball? There is a huge array of options limited by our imagination. Do 30 minutes sound like a marathon? Lets start with 10 minutes instead, or 5 minutes. The point is that we need to move. We can do this. Our exciting, active, and adventurous future is waiting for us!(See your doctor before beginning any exercise regime!)

When a person is diagnosed with a serious illness, the whole family feels the impact. Roles change. Everyday life is altered as tasks shift toward caregiving and navigating the course of illness. Family caregivers often report uncertainty, fear and fatigue. Some describe feeling at sea in their experience.Understanding this, hospice views a patient and family as a unit of care, providing support throughout the caregiving journey. Hospice starts with a plan co-created by the patient, family caregiver(s) and hospice team, made up of a physician, registered nurse (RN), certified nurses aide (CNA), social worker and chaplain.The top priority for the physician and RN is helping patients feel as comfortable as possible, as quickly as possible, through skilled symptom management. Hospice CNAs visit on a regular basis, providing a special kind of hands-on care. Social workers help families understand and access resources and provide support through listening, counseling and compassionate guidance.Chaplains can facilitate communication between the family and their faith community, provide resources and help families with spiritual concerns. In addition, specially trained hospice volunteers lend friendship and support to the entire family, including respite care that may allow a caregiver to have time free from the day-to-day responsibilities. People living their last season of life deserve the encompassing support of hospice. So do families. If the time is right for hospice care, dont hesitate. You can talk with your doctor, or get in touch with a hospice provider. The initial step of choosing hospice can feel difficult, but what we hear so often from caregivers is, We wish wed found you sooner. For more information on Hospice and Palliative Care visit: www.agape-healthcare.comEditors Note: This article was submitted by Kelly Bastian, FNP-C, Managing Director of Agape Palliative Care. She may be reached at 720-482-1988 or by email at: kbastian@agape-healthcare.com

Subsidized housing is government sponsored economic assistance program aimed towards alleviating housing costs and expenses for impoverished people with low to moderate incomes. Forms of subsidies include direct housing subsidies, non-profit housing, public housing, rent supplements, and some forms of co-operative and private sector housing. Subsidized housing is often called "Affordable Housing."#listing_mgr{1 basic_search}#

For the last three years, Deborah Mills has been caring for her mother, who has Alzheimers and needs constant supervision. While Mills is happy to be in a situation in which shes able to help, the experience has been stressfulespecially given the high financial cost of caregiving. Kamilah Williams-Kemp, vice president of long-term care at Northwestern Mutual, has seen firsthand the struggles of family caregivers, having watched her mother-in-law care for a family member. Northwestern Mutual s C.A.R.E. (Costs, Accountabilities, Realities, Expectations) study found that expenses relating to caregiving made up around one-third of a caregivers monthly budget.What we saw in the study was that many of the people needing care had used up their assets to cover the costs of care, said Williams-Kemp.The Costs of CaregivingWhen it comes to the impacts of caring for a loved one, the financial burdens of caregiving were cited in the study as the second biggest impact after reduced personal time. Thats not surprising given the rising costs of caregiving.Many people dont expect these expenses, according to Williams-Kemp. In the study, only one in four potential future caregivers said that financial support was a key attribute of caregiving, but nearly two-thirds of caregivers actually end up providing financial support.How to Plan Ahead:Four in ten Americans are current or past caregivers, and one in five non-caregivers expect to provide care in the future. Still, a financial plan that includes long-term care can be a sensitive topic.Ensuring that you have a plan can give you more options to make choices about care and protect your family.How to Cope Financially if You Didnt PlanWhile the financial demands of caregiving can feel overwhelming, there are strategies that can help caregivers manage. The first thing youll want to do is work with the financial advisor and attorney of the person who needs care, Williams-Kemp said. Look at his or her assets to figure out how to best leverage them in caregiving situations.Planning Ahead Provides Certainty in Uncertain SituationsThose who do have a plan in place feel comforted, according to Williams-Kemp. Ive been told by people whom weve helped plan ahead that theres an incredible peace of mind to not having to worry about the financial aspects of their care or feel like theyre a burden to the family members who otherwise would have stepped in to help, she said. The full article can be found at www.northwesternmutual.com/life-and-money/long-term-care-should-be-a-part-of-your-financial-planArticle prepared by Northwestern Mutual with the cooperation of Bruce Mozinski. Bruce Mozinski is a Wealth Management Advisor with Northwestern Mutual, the marketing name for The Northwestern Mutual Life Insurance Company (NM), Milwaukee, Wisconsin, and its subsidiaries. Bruce Mozinski is based in Southborough, MA. To contact Bruce Mozinski, please call (508) 251-7223, e-mail at bruce.mozinski@nm.com, or visit brucemozinski.com.

Nearly one million people in the United States are living with Parkinsons disease. The cause is unknown, and although there is presently no cure there are treatment options to manage the symptoms. Parkinsons disease is a chronic and progressive movement disorder, meaning that symptoms continue and worsen over time. Despite no cure for Parkinsons, symptoms can be helped by rehabilitative therapy based programs that improve the swallowing, speech and physical limitations.Did you know that swallowing problems are a major concern for Parkinsons patients? Problems swallowing are a major cause of aspiration pneumonia, which can lead to hospitalization and even death in this population. There is help. The benefits and positive outcomes that result from using the Synchrony Dysphagia Solutions Program include safer swallowing, reduced hospitalizations, drink and diet upgrades to consistencies that better enable ones dining experience and socialization, and an improved quality of life and self-image. To learn more, please watch this live demonstration video: https://youtu.be/eFI1QMbg_I4Another evidence-based, nationally recognized treatment approach is called LSVT BIG and LSVT LOUD. Patients who have undergone these therapies have shown excellent improvement in physical abilities and voice function and tremendous improvement in self-image, confidence, and social engagement. These benefits and positive outcomes result in using these programs for speech and physical therapy. The LSVT BIG program improves physical limitations such as balance, strength and walking skills, reduction in falls with resulting injury and hospitalization, greater confidence and self-image, and overall quality of life. To learn more, please watch this live demonstration video: https://youtu.be/9fUQ6jptaBYThe LSVT LOUD program improves voice quality and loudness, facial expressions, and communication with others. To learn more, please watch this live demonstration video: https://youtu.be/gNIdxYjGVV8Editors Note: Mary Wade offers all of the programs mentioned in this article. Our on-site team of therapists are trained and nationally certified in Synchrony, and LSVT BIG and LSVT LOUD. This article was submitted by Kara Hunter, Marketing Manager, Mary Wade. For more information, please contact Ms. Hunter at 203-562-7222.

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.

The following types of memory loss are normal among older adults: occasionally forgetting where you left your keys or glasses, forgetting an appointment, walking into a room and forgetting why you entered or not being able to retrieve information you have on the tip of your tongue. These memory lapses have little impact on your daily performance and often require no assistance.So when should I ask for help?If you are having difficulties performing simple tasks such as: paying bills, forgetting how to do things you have done many times, getting lost or disoriented (even in familiar places) having trouble following simple directions, or making simple decisions you need help.There are many reasons older adults have memory issues. Some are reversible and some are not. Hormones and proteins that protect and repair brain cells and stimulate neural growth also decline with age. Older people can experience decreased blood flow to the brain, which could impair memory and lead to changes in cognitive skills. Reversible causes can include: stress, depression, vitamin deficiencies, side effects of medications, Thyroid problems, dehydration, poor diet, insufficient sleep, lack of physical activities and being alone most of the time as well as smoking and alcohol abuse.If your memory loss is persistent, disabling, disrupts your work, hobbies, social activities, and family relationships - you should ask for help. Schedule an appointment immediately with your primary physician for examination. Your doctor can evaluate your symptoms, eliminate reversible causes of memory loss, lessen decline in vascular dementia or improve quality of life in Alzheimer or other types of dementia.Aging well depends on various factors, such as genes, environment, and lifestyle. Healthy lifestyle choices may help you maintain a healthy body and brain. Keep your memory sharp by doing mentally stimulating activities. Playing games, learning new things, and attending social activities may help. These types of activities tend to help make people feel happier and healthier.Editors Note: This article was submitted by Theresa Poole, LPN. Theresa Poole is the Director of Community Relations with BrightStar Care Fort Collins/Loveland and may be reached at 970-667-7778 or by email at Theresa.Poole@brightstarcare.com

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}#

To learn more aboutNamaste Alzheimer Center - CHI Living, CLICK HERE.Reacting to their anger with negative behavior usually only escalates the situation. How can you deflect their anger while helping to ensure your health and well-being remain unaffected?Stay C.A.L.M. CARE about what theyre sayingby simply listening. Donotsay anything nor interrupt them. Hear them out until they run out of steam even if it takes several minutes. Often what people need most when they lose their cool is simply to be heard. Avoid being defensive; most probably, you have done nothing wrong. Anger is often rooted in fear; many times, what an angry person actually needs is assurance that things will get better.ASSURE they have been heardby repeating what theyve said You thought the store opened at 8 oclock so you drove all the way over there only to learn theyre closed for the weekend. The store hours on their website are wrong. No wonder youre angry! I understand.LINK to themby showing you have experienced similar frustration Its unfortunate you wasted all of that time. Of course youre upset I feel the same way when my time is wasted; you cant get it back.MOVE forwardby focusing on whats next. Use statements to redirect their thoughts to the future, such as, What else are you planning to do today? or The weather is so beautiful. Are you planning to get outdoors over the weekend?When people are upset, its best to keep your comments brief. Unless you are at fault, do not apologize. While you can empathize and listen to their frustration, do not accept responsibility or blame for matters unrelated to you.If needed especially with individuals who can become volatile or easily provoked promptly remove yourself from them until their emotions are under control. And, of course, if you ever feel their anger may be harmful to your own health and well-being, or that of others, call 911 if an immediate danger arises.If this person is a part of your everyday life, your health care provider, clergyperson or community resources, such as an area office on aging, are experienced with dealing with such matters and can provide you with the support you need.

Most individuals plan for death, or believe they have been adequately planning for death.But, very few individuals address the potential that they will become incapacitated. If an individual does not plan ahead for incapacity, the result is often an expensive guardianship where the court and the persons family has the final say. Every adult person should have valid advanced directives and keep their important personal, health and financial information in a location that is easily accessible by a trusted relative.A person can potentially avoid guardianship by executing a valid Florida Durable Power of Attorney and Designation of Health Care Surrogate. These documents are called advanced directives and allow the agent designated by the person to make financial or health care decisions on behalf of that person.Florida Durable Power of Attorney laws changed in 2011. Anyone who is new to Florida or hasnt updated their documents in a long time, should at least get their documents reviewed by a Florida licensed elder law attorney. Often times a person has executed a durable power of attorney after 2011, but it didnt have Floridas required super powers which can prohibit an agent from being able to engage in certain long term care planning strategies.A veterans discharge papers do the veteran no good, if the veteran is incapacitated and the family cant access the document. A person should keep a copy of their Medicare supplement or health insurance information, photo identification, most recent social security statement, pre-paid burial plots, life insurance statement, investment statements, retirement accounts and bank statements in a location that can be accessed by your agent named in the durable power of attorney.

Imagine after working hard and accumulating a lifetimes worth of possessions its now time for you to downsize.How do you choose what to keep and what to let go? How do you get rid of the stuff you wont be using or know what you wont be using it? How do you make sure you are keeping the right things? How do you know you are making the right choice for your new home? I have noticed that you can feel overwhelmed both emotionally and physically at this time in your life.I have been so blessed to have the opportunity to work with hundreds of seniors over the last few years of my career. While I have found it very rewarding to help the aging population manage this transition in their life, it can be very challenging.Its important to remember that while I have worked with hundreds of seniors who were faced with making these very same decisions, I have noticed that they all felt the same way but here is what they have discovered. By choosing the right new place to call home, you have a happier social life, eat better, and have the proper level of care to fit your needs, making for an overall happier, healthier and more independent life.They also found that by hiring the right real estate professional, that has developed a team of experts and advisers to help you with every step it makes this transition that much easier!When you are making this critical decision, be sure to look for an agent who has a successful history helping seniors, one that has the resources to help you with the unique challenges that may arise.How do you find a buyer for my property? Do you have a team of professionals to help me? How many seniors have you helped recently? Be sure their team includes people who can help move you, sell your unwanted items and recommend other helpful professionals that are available to help you solve your specific and unique challenges.Jan Wallace is a real estate professional who has experience in seniors issues, and who can put you in contact with other similarly-trained professional advisors, will be an invaluable resource at this time. You can count on Jan Wallace a Seniors Real Estate Specialist (SRES) to help guide you through the process and the special considerations, making the transaction less stressful and more successful.Editors Note: Email Jan at Seniors@JanWallace.com and she will send you a FREE brochure Moving On -A Guide to Housing-Related Resources Tailored to Seniors and their Families - Jan Wallace your local Senior Real Estate Specialist who is a National Award Winner for Senior Service.

To learn more about Intermountain Healthcare, CLICK HERE.Vaccines have been held up as one of the greatest achievements of modern medicine. Not only do they greatly reduce the suffering and death caused by illness, they reduce the cost of care significantly by preventing the need in the first place.Examples range from what is generally considered childhood diseases such as polio and measles, to diseases such as influenza and pertussis (whooping cough) that affect people of all ages. Vaccines that prevent the childhood disease chicken pox also prevents adult from developing shingles since both come from the same virus, varicella-zoster. Another vaccine, theHPV vaccine, prevents multiple forms of cancer.In some cases, diseases have all but disappeared thanks to strenuous vaccination efforts. You rarely hear of smallpox, diphtheria, or rubella today thanks to vaccines.Vaccine development and safetyDevelopment of vaccines have been a discussion of conversation lately with the rapid introduction of the COVID vaccines. What has typically been a multi-year process has been compressed into an incredible 12 months, said Tamara Sheffield, MD, medical director for Intermountain Healthcare Community Health and Prevention.Dr. Sheffield, who works closely with state and federal partners on vaccine practices and guidelines, said the process has been sped up but steps werent skipped nor was safety compromised.The same phased trials have been conducted around the world, involving tens of thousands of people, that would be conducted with any vaccine, said Dr. Sheffield.Weve seen the same development hurdles and challenges for COVID that weve seen for shingles, influenza, or other vaccines, said Dr. Sheffield. No vaccine protects perfectly. Nor are all vaccines without potential symptoms or side effects. However, by and large, the risks associated with vaccines are far, far less than those associated with the diseases they protect against.Creating herd immunity against COVID-19 and other diseasesThe COVID vaccine was recently approved for use in everyone over the age of 12. There are current trials underway for children as young as six months, but development and approval for those ages are weeks if not months away.We had been working to create protection for those who couldnt be vaccinated by immunizing adults, said Dr. Sheffield. Having a vaccine that can be given to kids as young as 12 is a huge step forward. The more people that are immunized, the more protection there is for those that cant yet receive the vaccine or have only partial protection."If a disease isnt circulating in the community, then its harder or impossible for someone to be exposed and fall ill, said Dr. Sheffield.Now is a great time to look at the other vaccinations an individual should receive. We dont want to give COVID vaccine within 14 days of other vaccines, said Dr. Sheffield. We want the best protection we can get from our COVID vaccinations, and the clinical trials did not test to see how other vaccines might impact the effectiveness of the COVID vaccine. By separating them, we are more confident we will get the same good results as those in the studies.Keeping up on childhood immunizationsRight now is a great time tocatch up kids on other vaccinationsbecause they dont yet have the opportunity to receive the COVID vaccine, said Dr. Sheffield. Check with your pediatrician to see what vaccines are recommended, or what you might need to catch up on.Vaccines are a great way to create natural and lasting protection against viruses and illness, said Dr. Sheffield. We put kids in car seats, encourage them to wear helmets, and give them good foods and warm clothes to protect them. Vaccines are one more way we keep our kids healthy and safe.And while were protecting our kids, we can protect ourselves as well, adds Dr. Sheffield. If we protect ourselves from COVID, we protect our children, our aging parents, and those in the community that are at risk. The COVID vaccine can help us to get back to spending time with those we care about doing the things we care about with the peace of mind that we are protected.

As Florida begins to open up after a long, strange spring, many seniors are wondering what they can do for fun this summer while avoiding the crowds and staying safe.The Naples Senior Center is one organization that is working hard to make sure local seniors have plenty of virtual activities to choose from. We compiled some of the highlights from their list here, plus we tossed in a few additional ideas to help you plan your socially distanced summer fun.Take Up Line DancingGet ready to hit the dance floor and steal the spotlight at your grandkids weddings next year. Popular line dances, like the Electric Slide and Cupid Shuffle, are easy to learn and a ton of fun. These instructional videos are designed with seniors in mind, so get those dancing shoes on and get ready to learn some new moves!Get Some ExerciseWe all know exercise is key to maintaining healthy bodies, but fitness also contributes to healthy minds. Lace up those sneakers, grab some water, and join one of Senior Planet's virtual group exercise classes. From chair yoga to balance and strength to tai chi, there are plenty of options to keep your body and mind fit this summer.Visit the Worlds Best MuseumsTraveling may not be an option right now, but that doesnt mean you cant experience the worlds most famous art exhibits from home. Technology transports us around the globe to take in the beautiful paintings at Muse dOrsay in Paris, see some of Vincent Van Goghs most famous pieces at the Van Gogh Museum in Amsterdam and be amazed by the collection of ancient sculpture, artwork, and artifacts at the Uffizi Gallery in Florence, Italy.Learn to PaintNow that youve spent some time visiting museums, you may be inspired to make your own art. YouTube is full of painting tutorials for beginners, so pick your favorite medium and get ready to create a masterpiece! Here are some resources for getting started with acrylicsand watercolors. If you are feeling adventurous, try out some of these tutorials.Spend a Night at the OperaEach day, New Yorks Metropolitan Opera will stream a different encore presentationof a performance featuring some of the worlds greatest and most talented singers. If you would like to learn more about a specific opera or the art form in general, the Met provides an educational videoseries covering a variety of topics.Take a Cooking ClassBecause restaurants arent a great idea right now, and you are probably tired of cooking the same old meals, YouTube can help you out of your food slump. With hundreds of cooking classes and videos to help you get creative with quarantine cuisine, you are sure to find a new dinner favorite, or at least have fun trying. If youre not much of a cook, never fear. YouTube is also great for learning kitchen basics.Social distancing is an important way for seniors to stay safe this summer, but that doesnt mean you cant have fun. Try one (or all!) of the ideas above or check out some of these additional activitiesto stay active and entertained.If you do need to venture out, play it safe and follow the Centers for Disease Control guidelines, like wear a mask in public, avoid crowds, and stay two arm lengths away from others to protect yourself and them. Though its hard to stay inside, especially now that summer is here, seniors need to make health and safety a priority. There is plenty of fun to be had indoors, but if the beach is calling, I hear its lovely at sunrise.Submitted and Written By: Barrington Terrace of Naples - click here for more information

Q: I have wanted to change my Medicare Advantage plan, and I was told I could during the Annual Enrollment Period. When is this, and how do I change my plan?A: The Medicare Annual Enrollment Period is October 15 December 7. During this time, you can make changes to various aspects of your Medicare Advantage and Part D drug coverage. Changes made during this time will take place January 1, 2022.One of the best tools to help you during the Medicare Annual Enrollment Period is the PlanfinderTool located at www.medicare.gov/find-a-plan. It takes you step-by-step through available Medicare Advantage and Part D prescription drug plans while taking your prescription drug costs into consideration.Another great tool for beneficiaries is MyMedicare.gov. You can register for online access to your preventive health information and track your preventive services, get a calendar of the Medicare-covered tests and screenings you are eligible for, and print a report to take to your health care provider.If you have already created an account on MyMedicare.gov, you will use that same username and password to log into the new Plan Finder there is no need to create another account. Another great resource for Medicare beneficiaries is SHIP! The State Health Insurance Assistance Program (SHIP) provides free, impartial assistance with Medicare questions. SHIP Counselors are thoroughly trained and are located throughout Indiana. See a list of our Indiana locations at www.in.gov/ship/find-an-indiana-ship-location/.You can meet with a SHIP Counselor by phone, virtually with an online meeting, and in some areas, in person. SHIP Counselors are able to help walk you through the online Planfinder Tool. SHIP offers events throughout Indiana. You can find a current list of events www.in.gov/ship/ship-presentations-and-events/.Find SHIP on Facebook at facebook.com/Indiana.SHIP. SHIP often hosts Live Educational events that assist Medicare beneficiaries.If you or someone you know have questions about the Annual Enrollment Period, the Planfinder Tool, MyMedicare.gov, or any other Medicare related topic, contact SHIP at 1-800-452-4800, 1-866-846-0139 TTY or online at www.medicare.in.gov. You can also find us on Facebook, Twitter, LinkedIn, and YouTube.

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Skilled Nursing Facilities (SNFs) vary greatly in their ability to provide high quality individualized Rehabilitation services to patients. Patients, families, & healthcare professionals often choose a SNF based on geographical factors, physical plant (e.g. interior/exterior design, meals, availability of private rooms); also, often used in the selection process is an environment that is clean and odor-free, as well as positive regulatory agency reports. Although these factors can play a role in the decision making process, other very important factors that should be considered are often overlooked. Successful Rehabilitation, measured by positive functional outcomes, can best be achieved in facilities that provide highly individualized Rehabilitation services -- where there is a close working alliance between patients/families/caregivers & a highly skilled team of healthcare professionals. The goal of this team is to maximize a given patients physical, functional, emotional, social, spiritual, vocational, & leisure potential --often after life changing/catastrophic illness. Healthcare professionals that should be part of this team include primary care physicians (PCP), and physiatrists, who should work closely side by side. While the PCP attends to the general medical needs of the patient, the physiatrist --a physician specializing in Physical Medicine and Rehabilitation -- attends to the patients individualized Rehabilitation program. The physiatrist serves as the team leader of a group of individuals, which include, but is not limited to: occupational therapists, physical therapists, speech language pathologists, social workers, recreational therapists, patients and their families/caregivers. Also important to the Rehabilitation process is around the clock availability of highly qualified nursing staff, as well as the easy availability of other healthcare consultants as needed. There should be close attention to the proper equipment needed for rehabilitation and the actual amount of time that a patient actively participates in the rehabilitation program, and this should reflect the actual needs of the patient. The proper matching of a specific patients need for rehabilitation services and the services that a specific SNF can actually provide, will help to maximize a successful rehabilitation outcome; this is turn, will help to minimize psychological & financial difficulties for the patient and their family -- during a usually very stressful period in their lives.Editors Note: This article was provided by Jose A. Alonso, M.D., full time physiatrist on staff at Prospect Heights Care Center. Dr. Alonso is the Medical Director of Rehabilitation Medicine Services, Prospect Heights Care Center located at 336 Prospect Avenue, Hackensack, NJ, The PM&R Center, P.A., Englewood, NJ and Assistant Clinical Professor of Rehabilitation Medicine, Columbia University College of Physicians and Surgeons, New York. He can be reached at 201-678-1800.

There are so many things to stay on top of as a family caregiver and frequently it feels overwhelming. The telephone is one of those things that can add to your stress and frustration.You want your loved one to stay engaged with family and friends. It is important to keep them connected, to ward off loneliness and isolation. But for many caregivers, dealing with the frequent late-night and repeated calls gets to be too much. The teleCalm service empowers you as the family caregiver to use and tailor features to best fit your familys needs. Easily stop repeated calls, and set custom quiet hours to manage incoming and outgoing calls during late night hours. Prevent outgoing calls to TV shopping channels and other troublesome numbers. All features are easily managed using the free Caregiver App on your iPhone or Android smartphone.I am a happy camper. This works BEAUTIFULLY!!!! I am telling EVERYONE with aging parents that I know about it incredible!!!!! Thank you -Julie, family caregiver If your loved one lives independently, you want to help keep them safe and independent as long as possible. teleCalm will notify you immediately if your loved one dials 911. teleCalm helps me out nightly. No more repeated calls at am! -Sally, family caregiver If your loved one lives in Assisted Living or Memory Care, teleCalm can help address inappropriate 911 dialing issues as well, while still allowing your loved one to stay connected with family. All I have now is my family. But they took away my phone when I came here [memory care] - so I couldnt even call them! But now they gave me this new phone service which is just perfect. Its made all the difference in the world! -Emily, memory care resident teleCalm offers phone scam protection and enhanced call blocking. Only approved callers ring straight through to their home phone. NO calls from known bad guys ever get through. The teleCalm Home Phone Service: Replaces existing home phone service - not an additional fee Works with ANY home phone Doesnt need internet Has no long term contractEditors Note: Article submitted by Jill Schriefer, VP Customer Success and Co-Founder of teleCalm. She may be reached at Jill@teleCalmProtects.com.

Non-medical homecare can be difficult asking a stranger to come into your home and provide care for your loved one. Its even more difficult finding the right agency a reputable one that you feel you can trust to provide the best care and offer you peace of mind. There are many benefits of using homecare: Keeping your loved one in the comfort of their own home Homecare is personalized to the individuals needs and allows you to be in control It is safe and reduces the burden for familiesWhen you start your search, use this partial list of questions to interview homecare agencies:Important Starting Questions:? Is your agency licensed by the state (ask to see the license)?? Is your agency and caregivers bonded and insured? Do you have workers compensation insurance?? May I have a copy of the results from your most recent state survey?About the Staff:? Are the caregivers employees of the company or independent contractors?? Do you run criminal background checks on employees?? Is a Department of Transportation check done to verify driving record?? Do you check references?? Do you do drug screenings?? Do you require caregiving experience? How many years?? Do you provide ongoing training?About the Services:? What specific services does the agency provide?? What type of service agreement is required?? Do you have guidelines or standards of conduct for the caregivers?? Will we be able to meet the caregiver before they start working?? Is a supervisor available 24/7 if there is an emergency?? How often will you review the plan of care?The Details:? Do you have consistent assignments or will the caregivers change on a regular basis?? What happens if my caregiver is sick or there is inclement weather?? Can the caregiver provide transportation to appointments or social outings? Is there a charge for mileage?? How do I communicate with my caregivers?? Do you have current or former clients that I can call for references?Whether you need specialized care, personal care, meal preparation or friendly companions, homecare keeps your loved one in their home surrounded by family. Start the discussion now and interview agencies so you are prepared. Homecare giving you and your family the peace of mind you need and deserve.Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels or York, Lancaster and Hanover.

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.com According 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.

Click here to begin your FREE search!You may be eligible for programs thatsave money on medications and other health care costs(such as copays and deductibles). People who have applied for these benefits can save, on average, $4,900 annually in assistance.Learn more about programs 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!

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.

To learn more aboutGentle Shepherd Home Care,CLICK HERE.The internet has its benefits to help keep people connected, but there are also many negative effects of technology. Sadly, seniors often reap those negative effects due to isolation, a willingness to trust, and the seniors vulnerability. To combat these statistics and to protect our loved ones in senior care, we may need to help seniors set healthy boundaries with their devices.Educate Your Seniors About TechnologyTechnology has been part of our lives for many years, but there are still people who dont understand how it can affect them. To convince seniors to use technology wisely, they must understand how too much technology can negatively affect them.TheVision Councilreports 60% of adults suffer from digital eye strain, causing discomfort, headaches and blurred vision.TheNational Sleep Foundationcorrelates heavy cell phone use and sleep disorders.Social media overuse has been linked to depression and suicidal ideation.Excessive use of digital devices can impact physical health through inactivity.Technology does have some good benefits when used wisely. The trick, at any age, is to find the balance between using technology and having time away from the devices. Seniors may need help finding that balance, even though they are adults.Tips For Setting Tech BoundariesTheres no reason to completely disconnect from technology. Talking about technology use with your parent can help you introduce best practices:Limiting time on digital devices.Dont check notifications immediately on waking up.Block accounts that make you feel negative.Decrease notifications to keep productivity high and to lessen distractions.Turn off devices at night to respect sleep patterns.Find time to interact with real people each day while putting your device down.Seniors may need to find ways to keep themselves busy to replace screen time. Virtual connections arent the same as interacting in person. It may take a planned strategy to adjust a relationship with technology by making sure that your senior has people to connect with to prevent overuse of technology.Seniors and technology can be a good mix, but technology needs to be used mindfully. If you need assistance helping seniors set healthy boundaries with their devices,contactour home care providers at Gentle Shepherd Home Care. We can provide education, care, and assistance to help you take care of your seniors.

Transportation to medical appointments can be difficult to find, especially if the appointment requires a friend or family member to pick you up after the procedure. With transportation becoming an increasingly prevalent issue for older adults, RSVP of Boulder County has created a program, in conjunction with Special Transit, to provide volunteer drivers and escorts to medical appointments.What is Medical Mobility?Medical Mobility is a new transportation program within RSVP of Boulder County that provides rides to doctors appointments for ambulatory seniors and adults with disabilities. RSVPs program allows clients to stay secure, comfortable, independent and living in their homes for as long as possible.How does it work?Volunteer drivers use their own cars to transport the clients to their appointments and can wait for the duration of procedure before taking them home. The service is offered throughout Boulder County and clients that RSVP cannot serve are referred to Special Transit or other local transportation services that provide a broader range of services that we cannot provide, such as assistance with wheelchairs. Rides can be scheduled on weekdays from 8:30am-5pm with the RSVP Transportation Coordinator, and at least 24 hours notice is requested, but rides cannot be guaranteed as they depend on the availability of the volunteer drivers. The service is cost-effective and is based on an affordable sliding scale in compliance with our partner agency, Special Transit, which is $2 each way within the city or $4 each way between cities. Please call for more details and schedule your ride today!Allison Dellwo, RSVP Transportation Coordinator, 303-443-1933 ext. 407, allisondellwo@rsvpboulder.orgAuthor:Allison Dellwo

Take advantage of everything your plan offers to achieve optimum health and well-beingIf you're one of the 14 million Americans enrolled in a Medicare Advantage plan, you already know that your plan covers hospital stays, doctor visits and other major medical needs. But are you aware of the additional benefits and features that your plan offers?Being familiar with your Medicare Advantage plan will not only help you maximize the value you are receiving in benefits, but, in many cases, it will also help you achieve better health and well-being.Here are five important ways you can take advantage of your Medicare Advantage plan.Preventive Care: Medicare Advantage plans place a strong emphasis on preventive health care services that help keep you healthy, detect diseases at an early stage, and avoid preventable illnesses. That's why we encourage you to schedule regular health screenings fully covered by your Medicare Advantage plans, as well as an annual medical exam. These screenings can help your doctor catch things early when they're easier to treat.Care Management: If you are living with a chronic condition, such as diabetes or heart disease, what educational programs and support does your plan offer? Some Medicare Advantage plans offer personalized, telephonic care management, health coaching, education and support provided by registered nurses and other health professionals. These plans also offer a toll-free help line where you can speak with a registered nurse about your health concerns anytime.Wellness Programs: Many Medicare Advantage programs offer fitness programs at no extra cost and, in some cases, even include a fitness center membership. Through your health plan you may also be eligible to participate in exercise classes specially designed for older adults.Immunizations: Flu and pneumonia shots are another important part of your covered preventive care, since people 65 and older are at greater risk of serious side-effects of these common illnesses. Because this years flu season was one of the worst in recent years, make sure you are up to speed on your shots. Community and Financial Resources: If you have limited financial resources, you should be aware that there are plans available that provide extra services and lower plan costs for low-income beneficiaries, along with additional choices and benefits. If you qualify for both Medicare and Medicaid you may also be eligible for significant support and assistance from the government. If you're not sure, visit medicare.gov, or call 1-800-MEDICARE.These are just some of the benefits and features that can help you maximize your Medicare Advantage coverage and improve your health and well-being. Be sure to take a look at your health plan today to ensure you're getting the most from your plan.Editors Note: This article was written by Dr. Richard Smith, Medical Director for Humana's Senior Products in Utah and submitted by Humana. For more information on Humana's senior products in Utah call (800) 884-8328.

The most effective strategy for identifying what your advanced illness patients want near the end of life is to have goals-of-care conversations early, regularly and matter-of-factly.VITAS can help. So can these seven key points about advance directives, the written documents that outline a person's healthcare preferences:Everyone over 18 should have advance directives.The most common types of advance directives include a living will, durable/medical power of attorney for healthcare decisions, Five Wishes document, and Physician/Medical Orders for Life-Sustaining Treatmentdocument.Advance directives give patients controlof their medical care if they cant speak for themselves.Advance directives are billable.Medicare reimburses youup to $86 to discuss end-of-life care with patients.The conversation is easier when the patient is healthy and alert.Ideally, families should be involved in the conversation to explore values, preferences and goals for care.Advance directives can be modified over time.Your patients are waiting for you to start the conversation.Ninety-two percent of people surveyed indicated they would be at least somewhat comfortable talking with a doctor or health care provider about their end-of-life medical wishes, including two-thirds (66%) who say theyd be very comfortable.People who document their healthcare preferences in an advance directive are more likely to get the care they prefer at the end of life.Submitted and Written By: VITAS Healthcare - click here for more information

Lets chat about Powers of Attorney. While the information contained in this post might be applicable to you, it might also be applicable to your elderly relatives, so, read this with them in mind.You may be asking yourself (i) what is a Power of Attorney, and (ii) why would I need it? A Power of Attorney is a document that gives a person authority to act on your behalf, thus becoming your Attorney-in-Fact. The Power of Attorney document can be very specific or very broad. You can give your Attorney-in-Fact the power to handle your bank accounts, sell your real property, run your business or apply for public benefits. Or you can give them the specific power to sell one piece of property.Why do you need one? Because its a simple tool that allows your Attorney-in-Fact to handle your financial matters without entering into more complicated agreements, like a Trust. The Power of Attorney helps eliminate the need for a guardian or conservator. You should pick someone you trust to hold the legal authority to make decisions should you experience an unforeseen event like a stroke or car accident.There are four types of Powers of Attorney: A General Power of Attorney: allows the Attorney-in-Fact to act as you in dealing with financial accounts and managing personal finances. However, it is terminated upon your incapacitation. It can also be revoked. A Durable Power of Attorney: allows the Attorney-in-Fact to act on your behalf and includes a durability clause that keeps the Power of Attorney in place after you become incapacitated. A Special or Limited Power of Attorney: this is when you have given the Attorney-in-Fact very specific powers which limit their authority and responsibility.A Springing Durable Power of Attorney: this only becomes effective upon your incapacitation. In Utah, a Power of Attorney is considered durable unless it expressly states that it terminates upon your incapacitation. As is so whenever you write a legal document, you have choices to make. So, you need to be clear about what you truly want your Power of Attorney to do for you. Some additional important points about Powers of Attorney are:The power must be given, it is not something you can obtain over someone on your own.In order to create one, you must have the legal capacity to understand the authority that you are assigning to someone.The Attorney-in-Fact only has the authority to do those things that are designated in the document.The appointed person must make decisions the way you want. They cannot follow their own desires when representing you.Once again, while you could certainly benefit from a Power of Attorney, there might be someone in your life who needs one right now. Whether you would like to have a Power of Attorney ready for use in the future, or whether you have a loved one who could benefit from one right now, call us today to set up your free consultation.

When it comes to hearing loss, most people think the only choice they have is to spend thousands of dollars on hearing aids, but thats not true - you DO have choices.Did you know that by age 65, one out of every three of your friends will be living with a notable level of hearing loss? Statistics show 75% of those living with mild to moderate hearing loss will never see an Audiologist, but rather continue to struggle to hear in difficult settings such as restaurants, cars and social gatherings.Assistive listening devices, such as personal amplifiers, are one solution that many find to be a suitable option, as they are very cost effective and can offer enough amplification for mild, moderate and profound hearing loss. PSAPs, or Personal Sound Amplifying Products, often closely resemble hearing aids. So what is the difference? A hearing aid is a medical device that addresses your specific level of hearing loss and may be programmed for your individual needs. A PSAP, however, is NOT a medical device it is a product that provides amplification only, with pre-programmed options for different environments such as noisy restaurants. While the cost of hearing aids varies greatly, an average hearing aid will cost approximately $2,500 each. Comparatively, a high quality PSAP will only cost you around $425 each a very notable savings!Whether you have been suffering from hearing loss for years or if you are just starting to experience difficulty hearing certain sounds, I encourage you to explore your options, gather information and find out which solution may be right for you. PSAPs may be a great alternative for those who are not ready for, or cannot afford, a hearing aid.Editors Note: This article was submitted by Abby Armijo.Abby is the President and Owner of ADCO Hearing Products and may be reached at 303-794-3704 or by email at abby@adcohearing.com

To learn more about Tracy Aviary,CLICK HERE.Fish? But I thought Tracy Aviary was all about birds!Birds and fish are closely connected. In the wild, birds rely on fish as their food source. Even here at Tracy Aviary some of our birds eat fish as part of their diet, including our American White Pelicans. By being conscientious about which fish we eat, we can help ensure a sustainable fish supply in the oceans for years to come.We may not live near the ocean, as much as Id like to imagine Great Salt has hidden tidepools on the west shore. But that doesnt mean we cant still enjoy some nice sushi or grilled salmon. Fish is imported here from all around the world, so there can be a wide range in how sustainably that fish is caught or raised.Try to get fish that is caught or farmed in a way that doesnt harm the environment or other wildlife. That includes:Species has a healthy population (Not overfished)Fishing gear has a minimal impact on the environment (no dredging!)As local as possible (other countries may have weaker fishing regulations)There are so many different types of fish, and so many different ways to farm them or catch them, that it can be overwhelming. Ponds, pens, raceways, recirculating tanks, trolling, purse seining, trawling (bad! It scrapes the seafloor), gillnetting, harpoons, longlining, pots. I even learned a few new things myself while writing this! How are you supposed to know which exact fish to buy? Thats where the Monterey Bay Aquarium Seafood Watch guide comes in handy.If youre looking for shrimp, go for US farmed instead of imported. If youre more of a salmon person, they recommend buying salmon from New Zealand, as opposed to salmon from Chile, Norway, or Scotland.

More seniors are spending time online than ever before. Technology can benefit seniors in so many ways it can help them connect with loved ones, get essential goods and services without leaving their home, and provides opportunities to stay in contact with their communities.Like all powerful tools, the internet and mobile technologies come with some risks. These risks can be managed if users follow some basic rules: Here are five ways that seniors can stay safe online:Security software There are a variety of anti-virus and anti-spyware software options that can help protect a senior online. Ensuring the program is installed properly is critical and running updates on a regular basis ensures that new threats are mitigated.Limit access to accounts Scammers often try to steal the personal and financial information that seniors access online. To keep this data secure, users should enable two-factor authentication where it is offered and never send personal information to those they dont know. Most importantly, users need to be mindful about creating smart, strong p@$$w0rdz!.Evaluate emails Email is one of the primary tools that people use to steal information from older people online. Remember that financial institutions will never ask for account information through email, and sending account numbers,Shop online and access social media safely One common way that information can be stolen online is through fake shopping sites. Shopping trusted vendors is helpful and there are often online reviews for merchants that will alert shoppers to potential scams. Seniors should also remember to use a credit card instead of a debit card when possible, and monitor accounts regularly for fraudulent activity.Ask for help Seniors should not be afraid to reach out to their trusted loved ones or friends if they feel uncomfortable online or need help navigating security measures. For those concerned about the seniors in their life, they can help educate them about known scams and tactics for staying vigilant, and can help with software updates.Written By: Nathan Miller

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.

The benefits of a Pre-Arranged Funeral Plan removes the decision-making burden from the survivor by making personal choices will in advance of need. Makes sure services and merchandise you choose now will be guaranteed, no matter what the cost in the future. All growth earned in the plan adds to the final benefit, with excess refunded to the survivors A variety of payment plans are available to meet any family's needs. The plan is transferable if the insured moves from the area. When transferred, the receiving mortuary or funeral home determines status of the price guarantee.Plans can provide First Day Coverage (two or three health questions), or be Guaranteed Issue (no health questions) depending on the individuals health. The Plan may be made Irrevocable to preserve the ability to obtain any government assistance in the future Plan is Insured through a national insurance company. The consumer enjoys risk protection during payment period. Accidental Death Benefit included for Guaranteed Issue multi-year contracts. Transportation Benefit (additional $500) if death occurs 250 or more miles away from principal residence, and basic plan exceeds $2000 Grandchild Protection plan ($2,500 benefit) for a nominal premium at the time of application.When you plan ahead, you will never be caught off guard. By choosing a pre-arranged funeral plan you can take the financial and emotional burden off of your loved ones. You can be sure that your choices are honored while giving peace of mind to those left behind. This article was submitted by Caesar Procunier, Pre-Need Counselor for Broomhead Funeral Home. He can be reached at 801-633-8238 or 801-254-3389 - broomfh@msn.com www.broomheadfuneralhome.com

Musictaps deep memories notlost to dementia and can bring those suffering from dementia back to life, enabling them to feel like themselves again, to converse, socialize and stay present. Most people suffering from Dementia have short term memory loss, so tapping into their long-term memories canhave an amazing impact on mood. Since music is linked to emotion, our brains connect music with long term memory.Music has the power to transport us back to another part of our story, to connect us, to make us feel seen and understood. One does not have to be especially musical to respond to music, to recognize music, or to react to music emotionally, shares the late neuroscience legend Dr. Oliver Sacks. Virtually everyone does, and they will continue to do so with dementia. Music opens the door to engagement. What is happening that elicits this universal and emotional response to music? As neuroimaging continues to improve, in addition to researchon living with dementia, a picture of what is happening is beginning to emerge. What seems to happen is that a piece of familiar music serves as a soundtrack for a mental movie that starts playing in our head, explains Petr Janata of UC Davis Center for Mind and Brain. This phenomenon lasts through the journey of dementia. The part of the brain activated by music is the medial prefrontal cortex, which is often one of the last parts of the brain to be changed by dementia. Janata has seen music open new pathways to memories thought lost. The parts of the brain which respond to music are very close to the parts of the brain concerned with memory, emotion, and mood. So familiar songs will bring back memories.The best music for your loved one living with dementia is the music that helps you connect with them. Here are some tips for beginning the search for music that connects to the heart of any person.Ask What are some of your favorite songs? or What song would you love to hear right now? Thanks to music streaming, most songs are readily available.Create playlists for different moods or life stages. Music can calm, energize, help us grieve, and more. Be mindful about what music you play and when.If verbal communication is limited, use trial and error. When a song clicks with the individual, add it to the playlist.A good place to start is with songs from when the person was between 18 25 years old. Depending on what years were most transformative for them, move forward and backward within the time frame or decade youre exploring.Find songs in your loved ones native language and recordings by the original artist. Try finding live recordings of a concert you know they went to and was important to them.Anecdotally, the positive effects of music are endless. Stories of improved mood, reduced anxiety, subsequent medication reduction and deep connections abound. Formal research is now starting to catch up. The takeaway? Music is amazingly powerful but only with human connection and a nurturing supportive environment.'Editors Note: This article was submitted by Home Care Assistance Collin County.

For More Information on VITAS Healthcare, CLICK HERE!Recent articles inAnnals of the American Thoracic Societyhighlight whygoals-of-care (GOC) conversationsandadvance care planning (ACP) sessionsshould be common in primary practices, specialty clinics, hospitals, and care facilities for patients facing the challenges of advanced lung disease and other advanced illnesses.Suggesting a goals-of-care conversation should be as commonplace in a clinicians daily routine as taking vital signs.We want our healthcare colleagues to know that we are prepared at any time to step in and help facilitate these conversations on their behalf, and to follow up by providing expert end-of-life care in patients preferred settings so that they receive thecomfort-focused modalities and supportthey want and deserve.Engaging in and completing these conversations delivers measurable, high-impact results for all parties involved.Where to Start a Goals-of-Care Conversation: 5 QuestionsFirst, palliative care discussions identify key parameters for a patients care moving forward. Here are 5 questions you can ask your patient with advanced illness to help guide their care:What do you understand about your disease?What are your fears and concerns about your worsening health?What is important to you?What do you want your medical care to look like moving forward?Are you ready to put your wishes and goals for care in writing so that you, your family, and your medical care team know your preferences?For patients, GOC conversations result in better outcomes and greater satisfaction with care. For healthcare providers, they result in goal-concordant care that delivers measurable cost savings for patients who have incurable diseases likeadvanced chronic obstructive pulmonary disease (COPD)or lung cancer.Data cited in this quarters perspective (Ruggiero, R. and Reinke, L.), in fact, notes that the inclusion of palliative carewhich is built around GOC conversations and advance care planningsaves an average of $3,237 per patient over the course of a hospital stay, compared with patients who do not receive palliative care.Sooner Is BetterOur message to our non-hospice, non-palliative care healthcare colleagues is that the sooner these conversations take place, the better it is for everyone involved.Many patients with advanced lung disease, in fact, are eligible for hospice carelong before these conversations occur.Follow along with an example of an advance care planning conversation:If physicians or specialists do not feel comfortable with these difficult-but-rewarding conversations, trained VITAS facilitators are always available to meet with patients and familieswherever they are and whenever they are ready to decide the course of their care as their health declines.VITAS Can Help You Educate Your PatientsJust as we can help physicians overcome their unease or perceived lack of training to engage in goals-of-care conversations, we can help patients overcome their concerns about the transition to hospice care, by:reassuring patients that hospice care does not mean giving up the medications or treatments (e.g., inhalers, access to arespiratory therapist) that currently provide comfort and symptom managementexplaining the value of theinterdisciplinary hospice teamto address physical, emotional, and spiritual needsoffering an individualized care plan and one offour levels of hospice careto meet their individual needs and goalsadjusting medication delivery seamlessly as their symptoms worsen to maintain comfort (e.g., switch from inhaled medication to nebulized versions in the home)delivering the necessary equipment, medications, and suppliesdirectly to them, wherever they prefer to receive care, usually at a cost savingeasing the concerns of anxious family members and caregivers through regular team visits, training, educational materials, and 24/7 availability of VITAS clinicians to manage crises and keep their loved one comfortableGoals-of-Care Conversations Should Be CommonplaceOur goal is to support our healthcare partners in private practices, specialty practices, hospitals, and care facilities. We want them to embrace a 360-degree view of advanced disease so that they know when its time to call VITAS for a goals-of-care conversation. Ideally, suggesting a GOC conversation should be as commonplace in a clinicians daily routine as taking vital signs, interpreting laboratory findings, and exploring treatment options, particularly for those with advanced illness.What are signs ofhospice eligibility in a patient with advanced lung disease?A no answer to the surprise question: Would you be surprised if this patient were to die in the next year?Shortness of breath at rest or with minimal exertionMore than 50% of waking hours spent sitting or resting (Palliative Performance Scaleof about 50%)More dependence for activities of daily livingFunctional decline over timeWe know that talking with patients about their disease and wishes is one of the hardestand most importantactivities that healthcare professionals can undertake, especially for patients with advanced illness.

Abuse of a senior or vulnerable adult happens much more often than most of us have any idea. Approximately 9.5% of the US population over the age of 65 experiences some type of abuse, neglect and/or exploitation. We like to think that it wont happen in our families. Unfortunately, it can and very well may. Females are abused more frequently than males, and the older the individual is, the more likely they are to be abused. The vast majority of abusers are family members (approximately 90%); most abusers are adult children, spouses, or partners. Family members who abuse drugs or alcohol, who have a mental/emotional illness, and those who feel burdened by their caregiving responsibilities abuse at higher rates than those who do not. Abuse comes in many forms, neglect being the most frequent, followed by physical abuse, financial exploitation, and emotional abuse. Neglect is the refusal to provide an elderly person with life necessities such as food, water, clothing, shelter, personal hygiene, medicine, comfort, and personal safety. Physical abuse is a physical force that causes or is likely to cause injury, pain or impairment to an elder. Financial abuse or exploitation is the illegal or improper use of an elders funds, property or assets. The elder is often reluctant to acknowledge or report abuse themselves because of fear of retaliation, fear of abandonment, lack of physical and/or cognitive ability to report, or because they don't want to get the abuser, often a family member, in trouble. We must be willing to stand up to protect our elders. If you have concerns, or suspect abuse, do your part - talk to someone, call Adult Protective Services (APS). APS provides services in each state to insure the safety and well-being of elders and adults with disabilities who are in danger of being mistreated or neglected, are unable to take care of themselves or protect themselves from harm, and have no one to assist them. A staff member will make contact with the elder to assess their current risk factors. With the help of the elder, the APS worker will develop a plan to assist them. Those who have the capability to understand their circumstances have the right to refuse services, regardless of the level of risk. If you suspect abuse, call 208-334-3833.

To learn more aboutCharter Healthcare, CLICK HERE.A hospital stay can be stressful for loved ones and caregivers, and the stress can increase when its time for the patient to be discharged. Often, the patient will need accommodations to support ongoing healing and recuperation, either at an inpatient rehabilitation facility, outpatient center or at home. This need can sometimes be an afterthought, leaving caregivers feeling overwhelmed. By thinking through the options for care in advance, loved ones and caregivers can reduce stress and be sure the patient has a safe environment conducive to healing after discharge.Start Planning EarlyIf your loved one is in the hospital due to illness or injury, its likely the care team will want to schedule a time to discuss discharge expectations and aftercare. If you are serving as a caregiver for your loved one, its important to gather all the important details that will help you make an informed decision for their long-term well-being. Be prepared to discuss the expected date of discharge, what skills will be required for provided ongoing care that meets your loved ones needs and what the options are for facility, outpatient or at-home care. Depending on the level of care your loved one needs and their insurance coverage, you might opt for one option over another.Consider Your Care Availability RealisticallyIt is common for caregivers to feel a sense of responsibility and guilt around being able to meet their loved ones needs. These feelings are normal yet can weigh down the caregiver and cause stress for everyone involved. If you are a caregiver for a loved one who needs increased support, ask yourself a few important questions to evaluate the level of support you may need. How much time do you have available to dedicate to helping out? Does your loved one need around the clock care? Will intermittent care meet their needs? Are you retired or able to take time off work to meet your loved ones needs? In the event of an illness or other emergency, do you have a back-up caregiver who can step in? Are you able to meet all of the physical needs of your loved one (i.e., physically moving them, lifting them, etc.)? Are you able to complete ancillary tasks such as taking your loved one to doctor appointments, ordering and picking up medication and taking care of things around the house?Having an honest conversation with your loved ones care team can help determine the best option for supporting their long-term health.Understand Your OptionsVarying levels of care can be provided at home, in a residential care facility or both. Some of these care options include: Skilled home health offers a wide range of health care services delivered by specially trained health care professionals wherever the patient calls home. Private duty home care makes it possible to maintain the independence of living at home while receiving assistance with daily living activities such as personal grooming, meal preparation, housekeeping and companionship. Palliative care focuses on providing relief from the symptoms and stress of a serious illness or injury and can be administered at home or in a care facility, regardless of prognosis.

Written By: Dr. Meredith Butulis, of Coastal OrthopedicsFor more information on Coastal Orthopedics, CLICK HERE!Welcome to February, a month to recognize spine health, heart health, and senior independence. What do these national health celebrations have in common? All of them require a strong core.What is the core?We often think of sit-ups when we hear the word core, but the core contains so much more! The core is literally the entire center of the body. It is like a cylinder with a roof and floor. More than 40 muscles wrap around the center of our bodies to form the cylinders walls. The diaphragm, or breathing muscle, serves as the cores roof. All of the muscles in the pelvic floor serve as the cores floor. Glute strength and stability hold our core up on top of our legs for endurance in walking, standing from a chair, rolling in bed, going up stairs, and playing sports. All of the muscles attach to our skeleton, as the spine, discs, other bones create cement-like structures to anchor our strength.Deep within the core, we have another muscle that can be strengthened too: the heart.With heart disease being the leading cause of death in the U.S.,1we also need to strengthen our hearts with aerobic exercise to help decrease risks of strokes and heart attacks.How do you strengthen core muscles?While returning to the sit-ups we were taught as kids might seem like a great start, many adult spines have some level of degenerative joint disease, disc degeneration, or arthritis that may make sit-ups difficult. Great news! You can still work on strengthening every muscle in your core without sit-ups. Here are a few essential exercises for inspiration:Ab activation:While sitting at a desk or table, press your forearms down gently. Feel your abs contract. Hold for 10-30 seconds. Repeat 5-10 times.Inner thigh squeeze:While lying on your back or sitting, squeeze a folded pillow or sports ball between your knees. Hold for 5 seconds. Repeat 10-20 times.Balloon inflation:Blowing up a balloon works the diagram. Your diaphragm is your breathing muscle, or roof of the core. No balloon? No problem. Practice breathing out for a count of 5. Repeat 10 times.Hip bridge:Lie on your back with your knees bent ' 90 degrees. Squeeze your glutes and then raise your hips any amount. Do not push through pain or muscle cramping. Hold for 5 seconds. Repeat 10-20 times.When it comes to heart strength, begin with a walking program. The CDC recommends brisk walking 150 minutes per week.2Starting a walking program too quickly, however, can lead to tendinitis, hip bursitis, stress fractures, back pain, knee pain, and foot pain. Here is a sample program to help you build up to 150 minutes/week.If walking this duration all at one time feels overwhelming, it is OK to work on accumulating minutes over the course of a day. For example, you could walk 5 minutes in the morning, and 5 minutes in the evening on each day of the week to achieve 10 minutes. With practice, your stamina will increase, and your walking program will feel easier. If walking isnt your favorite activity, try swimming, biking, water aerobics, or other favorite total body continuous movements to build your aerobic base.How do strong core muscles support independent living?If you sense that daily activity like stairs, getting off the floor, or enjoying recreational activities are getting harder, you are not alone. Sarcopenia, or muscle fiber shrinking, is part of the normal aging process. This leads to muscle weakness and decreased endurance. You can restore your strength and stamina with exercises, like the ones above.With the core being the center of strength, and heart supporting endurance, your capacity to perform your daily activities and recreation originate from your daily exercises to stay strong.Summary:Your core has 40+ muscles, a spine, and a heart. Keep them strong by incorporating the above exercise suggestions into your fitness routine today. Feel free to modify to fit your bodys needs.

My mom had a stroke, she lives in an apartment with stairs. She calls me at all hours of the day and night to come help her, I am frazzled trying to make sure her needs are getting met. Help. My dad passed a year ago, he was our moms primary caregiver, us girls have been taking care of her full time since he passed. We have families, we have jobs, we just cant do it anymore.When the needs of an older adult become greater than the families ability to care for them, then most likely it is time for a change.Change is difficult for both the older adult and the family members who are caregiving. It is common for older adults to want to stay in their home, which can leave the family feeling guilty about no longer being able to honor their wishes.Moving an older adult into a senior community can ultimately bring relief to all concerned. The family transitions out of the role of full-time caregivers and back into the role of being supportive loved ones. The older adult now has a 24/7 support system in place to ensure all their needs are being met. Easy access to meals and socializing are often the icing on the cake for older adults who move into a senior community.The process of finding the right senior community can be extremely stressful and time consuming. Every community is different, and your loved ones needs are unique. One way to make the search less stressful is to work with a free, local, Senior Living Advisor.A Senior Living Advisor assists with narrowing down the communities, checking availability, confirming pricing, scheduling tours, attending the tours with the family, and providing guidance in making an informed decision.When it is time for a change, enlist the support of a local Senior Living Advisor; you dont have to navigate this difficult journey alone.Editors Note: This article was submitted by Danita Nixon (CSA), Certified Senior Advisor, Owner of Senior Living Advisors of Colorado, she may be reached at970-541-4592 or by email danita@slacolo.com

Staying calm, healthy, and productive may not be the first thing on your mind when emptying a home after a loss. But the better you feel, the easier a trying task will be to complete.While I am not a medical professional, I believe the healthy habits outlined in this article are what enable me to empty my Clients homes quickly and efficiently. If you are planning to empty a Loved Ones home yourself, perhaps you will find some of these tips useful.EATING While on the job, we like to increase our intake of high magnesium foods like organic dark green vegetables, chickpeas, and other beans. In our experience, because magnesium is a natural tranquilizer and muscle relaxer, its intake minimizes the aches and pains that can come with hard labor.BOOSTING THE IMMUNE SYSTEM Every home on the planet contains dust and germs. In our experience, an emotional time coupled with the stagnant air inside a home can put stress on the immune system. We find that eating onions and garlic (sulfur compounds) as well as organic multicolored vegetables (beta-carotene) help us prevent infection. To avoid respiratory illness, we like to take vitamin C and zinc supplements throughout the day. We also enjoy drinking a hot homemade beverage made of water, apple cider vinegar, lemon, raw ginger, and honey.INCREASING ENERGY If we are under a deadline and short on sleep, we eat Alaskan salmon omelets first thing in the morning to get a big boost of B12. We take B-complex and B12 supplements to maintain this high energy throughout the day.AVOIDING SUGAR AND ALCOHOL Sugar and alcohol provide the seemingly positive feelings that come with dopamine hits, but ultimately, these benefits are just temporary. In reality, sugar and alcohol have anxiety forming capabilities. Therefore, you may want to consider avoiding sugar and alcohol when cleaning the home of a Loved One who has passed away. We think that kombucha and stevia are great alternatives to alcohol and sugar. Weve also found that limiting our caffeine intake helps us maintain a calm composure in stressful situations.SLEEPING We have all had the experience trying to manage racing thoughts when its time to sleep. Magnesium citrate, tryptophan, and taurine have each helped us with relaxation and late-night anxiety reduction. *Other tips* Listening to relaxing music like Larraji or the Light in the Attics New Age collection while were working helps keep us calm. Finally, no matter how busy things seem to be, at least once a day, we like to take a break to stretch and then sit quietly in the fresh air for 20 minutes. Finally, organizers Marie Kondo and Margareta Magnusson highlight the importance of saving sentimental items and family photos for last when putting a home to rest. This is because these belongings tend to prompt feelings that may interfere with our productivity. Saving these items for last or better yet, removing them from the property and reviewing them later may hasten the process overall and allow you to concentrate on the larger task at hand: that is, preparing your Loved Ones home for rental or resale. Best of luck as you complete this task.Editors Note: Article Submitted by: Pamela Martin, Owner of Long World Services she may be reached at 312-286-0586.

For the most part, Utahans are a healthy bunch. Average life expectancy in the Beehive State is 79 the third highest in the nation. But helping people stay healthy and independent as they age requires expertise.The Senior Clinics at Intermountain Healthcare are much more than a doctors office. These clinics specialize in helping people age 65 and older to maintain and improve their quality of life. Clinic staffers do this by paying attention to the needs of the whole individual, not just their medical problems. Senior Clinic employees are also on the alert for common risks, including the three main causes of premature disability and death:1. Difficulty in managing multiple chronic illnessesOften seniors find it challenging to manage multiple illnesses. Intermountain Senior Clinics are in a unique position to coordinate care for a variety of conditions, including arthritis, chronic pain, diabetes, heart disease, and memory loss.2. Problems managing medicationsSeniors may see several physicians and specialists who prescribe different treatments and medications. Some medications may actually counteract the benefits of other drugs. A Senior Clinic physician can evaluate all of a seniors medications and address these concerns. 3. FallsWhen seniors fall, they are often hurt both psychologically and physically. Twenty-five percent of older adults lose confidence and avoid movement after a fall. That can lead to the development of other conditions, such as pneumonia. Fall prevention is a necessary part of treating seniors. The Senior Clinics assess a patients risk of falling at each visit.In addition to these services, the Senior Clinics also provide: Timely appointments Acceptance of Medicare and most Medicare Advantage plans Longer appointments to allow time for questions and a thorough exam A board-certified physician and a nurse practitioner trained in geriatric care Help with memory loss Diabetic management and instruction Laboratory services, including blood and urine tests Nutritional counseling for cardiovascular disease, diabetes, and weight loss or gain Assistance with community resources, memory screenings, advanced care planning, referrals for home healthcare, medical equipment, and moreTo learn more, visit www.intermountainseniors.org. Or call one of our clinics directly:Alta View Hospital Senior Clinic9720 S. 1300 East, Suite E240Sandy, UT 84094801-501-2025Intermountain Senior Clinic5770 S. 250 East, Suite 210Murray, UT 84107801-314-4544Editors Note: This article was submitted by Carol Wilcox, LCSW.Carol is the manager of the Alta View Hospital Senior Clinic and may be reached at 801-501-2025.

To learn more aboutHome Care Assistance of Utah,CLICK HERE.Seasonal Affective Disorder, also known as SAD, can affect people of any age. From children to seniors,SAD leaves people feeling blue.It occurs most often in the winter months following the hustle and bustle of the holiday season. Knowing how to spot the signs that you might need to intervene and get help for a senior loved one is important.Symptoms of Seasonal Affective Disorder in Older AdultsIf the senior you love always seems a little down during the winter months, it might be more than just the post-holiday blues. The long grey days of winter and lack of exposure to sunlight may actually be the culprit.A few of the common signs that might indicate an aging parent or older loved one is battling more than a case of cabin fever include:Sleepiness and fatigueFeelings of sadness that dont go awayLethargy or a loss of energyProblems sleeping including both insomnia and sleeping too muchUnintended weight gain or weight lossFeeling worthlessWithdrawing from favorite groups, hobbies and organizationsDifficulty concentrating and maintaining attention spanChange in personal hygieneShort-tempered and irritableTearful or weepyIf the senior you love is exhibiting one or more of the symptoms listed above, it is likely time to talk with their primary care physician. He or she is the best one to be able to decide if it is the post-holiday blues or something more serious that requires professional medical treatment.Helping a Senior Overcome Seasonal Affective DisorderThere are steps you can take each winter to prevent yourself or a senior loved one from developing SAD. They include:Avoid alcohol or limit intake to just one or two glasses a weekEliminate sugary foods, sodas and sweets from your daily dietCommit to 30 minutes of daily exercise, like walking or swimmingAdopt a mindful form of exercise, such as chair yoga or PilatesEat a healthy diet consisting of lean proteins, fruits and vegetablesSpend time with family, friends and loved ones on a regular basisFinally, mental health professionals often recommend a device referred to as a light box. It helps people suffering from the winter blues by decreasing the amount of melatonin in the body. Less melatonin helps you feel less fatigued. Talk with your primary care physician to see if this might be an option for you or the older adult you are a caregiver for.

A small child, ravaged by cancer, needs specialized treatment at a hospital 300 miles away.A senior citizen needs to travel to medical treatment not available at home. A father, separated from hisfamily during a disaster, wants desperately to be reunited. A domestic violence survivor longs to start a new life in another city, but cannot afford to leave. A young burn survivor wants to attend a special camp for other kids who understand her emotions. They can get there when theres an angel in the cockpit.For those whose lives are in turmoil, the financial, physical, and emotional burdens of travel can make ordinary trips difficult. Thats when they turn to Angel Flight West, a network of 1,200 volunteer pilots who fly their own planes and pay for all costs (which average from hundreds of dollars to thousands of dollars per flight) out of their own pockets. Angel Flight West pilots fly more than 3,500 of those every year.These pilots who give so much of their time and money to help strangers, come from all walks of life. But as different as these men and women are, they all have two things in common: The love of flying, and the desire to touch peoples lives.Not only have they earned the gratitude of their passengers, theyve earned the trust and respect of a long list of organizations of all types. Seventy one year old Larry G. needs to travel from his home to a major medical facility for treatment of his cancer. 120 miles away but several hours of driving in traffic, Larry isnt strong enough to make the drive. As pilot Tom Close noted about this particular flight The events around Larry and this flight are indeed emblematic of AngelFlight West. AFW puts in touch those in need, and those of us with the luxury of giving back, using the opportunities and capabilities in our lives where they can have the biggest impact. The passengers and their families, the healthcare organizations pay nothing at all, ever.At the Santa Monica, California, headquarters, a dedicated staff manages the complex system of matching pilots with passengers, coordinating the flights, spreading the word among referral agencies, and continually recruiting new volunteers among 13 western states. If you are a caregiver, a patient who needs assistance, or someone who would like to donate, please visit their website www.angelflightwest.org or call them at 888-426-2643.Editors Note: This article was submitted by Cheri Cimmarrusti, Associate Executive Director of Angel Flight West. She can be reached at 888-426-2643 or by email at cheric@angelflightwest.org.

Caring for someone with Alzheimers or dementia can be one of the most challenging roles any of us will ever face. Alzheimers can be a very long course of illness. It is the only one of the ten top causes of death in America with no treatment, prevention or cure. It robs the person living with the disease of their memories and basic social skills, which can leave the caregiver feeling isolated even from the person they care for daily. In addition, studies have shown that caring for someone with Alzheimers can impact the caregivers health and cognitive function. To help address the unique challenges of Alzheimers and dementia caregivers, the nonprofit ClergyAgainstAlzheimers has produced a book of meditations, Seasons of Caring available at www.seasonsofcaring.org where you can read excerpts of the book free of charge. Grouped by seasons of the year, the books interfaith meditations offer spiritual support and motivational insights to comfort and encourage caregivers. Edited by Dr. Daniel C. Potts, Seasons of Caring features watercolors by his father, Lester, who began painting after being diagnosed with Alzheimers. Dr. Potts writes, Alzheimers and other dementias are no respecters of persons. In this cold, dark reality, how do we share the warm hope of spring? We share our stories of having been there before, of having found faiths fire in our own cold reality. Another resource is the USAgainstAlzheimers Facebook Caregivers Community for those with Alzheimers, their family members and friends. Members share information and questions about caregiving and Alzheimer's/dementia, share family updates and the stresses of caregiving, and provide advice, understanding and comfort to others. The groups moderators have each been Alzheimer's caregivers and maintain a warm, safe and supportive environment, offering advice from their personal experiences. The closed community is at https://www.facebook.com/groups/usagainstalz/. Finally, please join USAgainstAlzheimers in demanding action to stop Alzheimers by going to www.usagainstalzheimers.org and adding your name. I hope these resources will bring you new insights, comfort, courage and inspiration. Caregiversparticularly for those with Alzheimers and dementiainspire us all.Author:Virginia Biggar

People often ask the question; Is it Alzheimer's or is it Dementia? The fact is; Dementia is the name that refers to all types of memory loss diseases, including Alzheimer's disease. In other words, Alzheimer's disease is a type of Dementia, the same as Vascular Dementia, Picks disease, Alcohol dementia, Lewy Body Disease, and the many other diseases that cause memory loss. Long ago, before these types of dementias had a name, it wasn't uncommon to hear families talk about their senile old grandma who just got crazy when she got old. Grandma probably suffered from one of these diseases and went undiagnosed and untreated. Fortunately, people started understanding the need for specialized care. Both Assisted Living and Memory Care communities started coming around. Families are usually distressed and at wits end by the time they realize there is help out there. Many people have a hard time moving a parent or loved one into a community. They feel an overwhelming amount of guilt. But families are usually surprised and relieved when they see their loved ones doing well in an environment that is tailored to their needs. Its usually not long before grandma is engaging in activities, both group and individual. She's eating nutritious meals, having personal care done by caregivers that specialize in dementia. These diseases don't reverse, so grandma will continue with this journey, but she will be in good hands and take each day as it comes. Often the families or caregivers say they wish they had done this sooner, but they had no idea that there were places available where grandma could still have a quality life. Here are some common tips when the time comes to look into getting help. First understand that the people caring for the person with dementia need help, guidance and reassurance as well. When visiting communities, look for happy employees that are engaged with the residents. Ensure the community is secure with outdoor spaces that allow residents to wander safely. Does it have the look and feel of a home? Are their odors? A Steinberg study shows that smaller homes, or clusters are the most desirable environment. Avoiding too much stimulation or confusion. And finally; does it feel good; is it right for you and your family? Being a caregiver for your loved one 24/7 can become exhausting and overwhelming. Just know you don't have to go through it alone. There are many free resources available to help you along the way. If you need help finding resources, give us a call and we will be happy to assist you. Authors Note: Written by JoAnne Mohrland/Executive Director Regency Columbia Village 208-344-2954

Caring for a loved one with alzheimers disease can be rewarding and a life changing experience. It can also be the most difficult of tasks and can take a serious toll on the mental and physical well-being of the caregiver. Current statistics show that almost 10 million Americans are caring for a person with Alzheimers disease and related dementias. According to a new study conducted at New York University School of Medicine, counseling and support is not only good for easing stress in those caring for loved ones with this disease, it may also boost physical health. Dr. Mittelman, Research Professor in the Department of Psychiatry at New York University states that those caregivers who have poor physical health are more likely to have difficulty providing appropriate care for their loved ones.As a caregiver, how many times have you heard yourself or others say Im alone and nobody can help? Caregiver burnout intensifies when it appears as though no one understands what you are going through. Signs to watch for caregiver burnout are as follows.1) You begin to curtail visits and phone calls with close friends.2) You have given up hobbies and activities that you have enjoyed for years.3) You are developing stress-related problems such as back pain, headaches, chronic feelings of fatigue and depression.4) You are coming down with colds, flu and other illnesses more than usual.5) You have a short temper. You find youre getting mad in the checkout line at the grocery store, in traffic, and at friends and family.6) You have outbursts of anger at your loved one with Alzheimers when he or she behaves erratically or becomes difficult.7) You have gained or lost weight unintentionally.8) You have an unshakable feeling of despair or pessimism.9) You are crying for no reason or over minor problems.10) You complain about lack of sleep or chronic insomnia.A targeted program of counseling and support services can ease depression, sadness, burnout, stress and isolation while caring for a loved one with Alzheimers disease and related dementia. Therefore, encouraging ongoing support for caregivers to join groups or counseling can help preserve their health as well as ease stress.Support groups are made up of caregivers, family members and friends of persons who have memory loss or who have been diagnosed with Alzheimers disease or a related dementia. Support groups offer emotional support and information as well as provide a safeand positive setting to express fears and concerns, and to share experiences. Arden Courts is pleased to offer a directed discussion group with Dr. Bill Beckwith, Clinical Psychologist. This group meets on the third Thursday of each month at 3:00 pm in Naples. It is free and open to the public with adult day care services onsite. For additional support group information in Naples, please contact the Alzheimers Support Network at 239-262-8388.This group also meets on the second Wednesday of the month at 2:00p.m. at Arden Courts in Ft. Myers. For additional support group information in Ft. Myers, please contact the Alvin A. Dubin Alzheimers Resource Center at 239-437-3007.Arden Courts is an assisted living community dedicated to caring for individuals with Alzheimers and other related dementias. Arden Courts is part of HCR-ManorCare which has been named by Fortune Magazines Most Admired Companies in Healthcare in 2007 and 2008. The Most Admired list is the definitive report card on corporate reputations. HCR-ManorCare continues to be a strong and stable company dedicated to providing your loved one with the highest quality in health care services.Arden Courts of Lely Palms is located at 6125 Rattlesnake Hammock Road Naples, Florida 34113. For more information on the support group or additional Alzheimers resource information please contact Michelle Serigne at 239-417-8511. Arden Courts Fort Myers is located at 15950 McGregor Blvd Ft. Myers, Florida 33908. For more information on the support group or additional Alzheimers resource information please contact Karla LaFreniere at 239-434-1277.

In todays senior living arena there are so many options, different pricing, different levels of living, traditional stand-alone facilities, full continuum care facilities, group homes, skilled nursing facilities and even cottages within a campus. Whichever facility type you chose for yourself or your loved one it is important to understand what care levels are being offered and what is being provided.There are options from Independent Living, Assisted Living services, Memory Care services, Assisted Living plus/Extended Care services, and Skilled Nursing services which are the highest services provided to our seniors. Independent Living offers a life-style and offers a range of services. For our Assisted Living services this varies from facility to facility if there are levels of care depending on the needs of the resident and there are options that can be customized to provide medication management. Memory Care facilities provide a calming atmosphere for residents with cognitive impairment. These facilities can vary from levels of care to all-inclusive pricing. Skilled nursing is for individuals with a high acuity and need extensive nursing services 24 hours 7 days a week. So then what does Assisted Living Plus/ Extended Care offer in this mix of levels of living? Assisted Living Plus/ Extended Care is the highest level of care within an Assisted Living licensure community. This program is unique that residents that have high acuity however are not ready for a skilled nursing facility can live in their own apartment with 24 hours 7 days a week nursing on site. It is holistic program allowing seniors to continue to live and thrive in a residential environment while receiving comprehensive care. The services offered under this unique program are diabetic management, two person assist and transfers, pain management, mechanical life support, oxygen therapy and many more. As we are moving into the future the senior living industry has to be evolving with what are seniors are needed and wanting. What a great time to be a senior knowing all the options that are available. Especially know that there are options for care needs from being independent to needing nursing care in a residential environment to true skilled nursing.Editorial Note: This article was submitted by The Landing at Watermere. They may be reached at 972-577-0275 Article on page 198

In sickness and in health, until death do us part; words recited with the expectation of a life-long happy marriage and a golden retirement. One day an unwelcome visitor, Alzheimers disease, shows up at the front door. We live with a spouse who has no recollection that we were once a young, active, married couple. Our spouse has becomes a person, much like a child, for whom we provide care.We wake in the morning to toilet, dress, and make breakfast. We stay home for fear of leaving our loved one alone. Each night we listen for our loved one to get up out of bed. Sleep is illusive. Worry, stress, and overwhelm our new constant companions.What happens when a spouse admits that he or she can no longer care for a spouse with Alzheimers disease? Blame, guilt, and shame from family, children, friends, and acquaintances is freely offered, I would never put my husband (or wife) in a homewhat are you thinking? He (or she) would never do that to you.Until one walks in the shoes of a caregiver for a loved one with Alzheimers it is impossible to understand the day to day joys, pressures, and struggles. The caregiver and the care receiver become prisoners in their own home, opposite of the life imagined by many in retirement.What happens when the person you married no longer recognizes you or believes you to be a friend whose name cannot be remembered? Is the marriage still a real marriage? Should the healthy spouse dedicate their life to caregiving and sacrifice what most would consider a normal life of friends, activities, and companionship?What if the healthy spouse finds a companion outside of the marriageis that cheating? What if the Alzheimers spouse finds a companion in a care communityis that cheating? Many individuals fail to consider the realities of the isolation involved in care relationships created by Alzheimers disease that changes the dynamic of a marriage.Who is to say if this is cheating? Just as beauty is in the eye of the beholder, compassion should be in the hearts of family, children, and friends to support caregivers when the unwelcome visitor of Alzheimers arrives and tosses life upside down. It is impossible to imagine the journey of caregiving and unfair to expect a caregiver to live a life of isolation.Editors Note: Pamela D. Wilson, CSA, MS, BS/BA, CG is owner of The Care Navigator and author of the book, The Caregiving Trap: Solutions for Lifes Unexpected Changes Pamela may be reached at 720-726-3111 or by email at: pamela@thecarenavigator.com

To learn more aboutRevel Province,CLICK HERE.The average adult begins to lose muscle mass in their early 40s at a rate of about 5% a decade. That means someone in their 70s has lost 20% of their muscle mass. No wonder the typical idea of aging includes frailty, falls, and dependence!The good news is that strength (or resistance) traininga.k.a. lifting weightscan reverse that loss of muscle mass. And you can start at any age and see benefits. Inmultiple experiments, older people who started to lift weights saw increased strength and muscle mass, as well as improved mobility and mental sharpness.In fact, onestudyshowed that 85-year-old weightlifters demonstrated similar power to 65-year-olds who did not lift, suggesting continued, long-term resistance training offers an approximately 20-year advantage.Help with chronic conditionsStrength training has been extensively studied and can reduce the signs and symptoms of many diseases and chronic conditions, especially those connected with aging: Arthritis Reduces pain and stiffness, and increases strength and flexibility Diabetes Improves glycemic control Osteoporosis Builds bone density and improves balance to help reduce risk of falls Heart disease Reduces cardiovascular risk by improving lipid profile and overall fitness Obesity Increases metabolism, which helps burn more calories and helps with long-term weight control Back pain Strengthens back and abdominal muscles to reduce stress on the spineMore independenceStudiesat Tufts University have shown that strength training is one of the best ways to fight the weakness and frailty that can come with age. It also makes other daily activities easier: Youll be able to lift that gallon of milk easilynot to mention get in and out of a chair, climb stairs, and carry groceries.Better quality of lifeOverall, lifting weights can do some amazing things for both your body and mind. Strength training hasbeen shownto be directly associated with reductions in depressive symptoms. In addition, higher intensity training has been associated with greater positive improvements in vitality, quality of life, and positive change in sleep quality.People have successfully started strength training in their 70s, 80s, and even 90s, and you can tooespecially if youre a resident at a Revel community, which offers a fitness studio and certified instructors. You will need to start slowly and follow basic safety rules (after checking with your doctor, of course). But theres no such thing as being too old or out of shape to benefit from strength training.

Seniors have more housing options than ever, from the booming tiny house market to roommates and retirement communities. Senior living communities, however, remain a popular choice.What makes these communities so popular? Here are some common reasons.1. No need for Lawn Care or Home Maintenance. No two residences are exactly alike, but one common feature is that residents dont have to worry about household chores, repairs or lawn care.2. Tailor Amenities to Seniors Needs. Most residences offer a variety of amenities, and residents choose the level and type of care they receive.3. It Helps Preserve Family Relationships. Caregiving is an important job, but it is also exhausting. Disagreements about caregiving can cause tension and strained relationships among families. By taking on many caregiving duties, senior residences allow family members and their loved ones to spend more relaxed, enjoyable time together.4. Living Communities Encourage Safety. Secure entrances, monitoring, and the constant presence of other people in the community encourage safety. Most living centers also provide residents with some type of alert system to request help in case of an emergency, such as a fall.5. They Offer Many Activities.Art, fitness, and outings are common at most residences.6. Socializing is Encouraged. Loneliness can be a serious problem among older adults, but it doesnt have to be permanent. Senior living communities offer many opportunities for socialization, from coordinated activity schedules to simply having coffee with a neighbor.7. They are built for Accessibility. Because they are built with seniors in mind, these communities are accessible to people at all mobility levels. Doorways, rooms, and hallways can accommodate wheelchairs.8. They Come in All Varieties. There are many different options for senior living, depending on your loved ones needs. Options include active-adult communities, assisted living, memory care and skilled nursing care.9. Seniors Can Consolidate and Even Reduce Expenses. Senior living communities are not inexpensive. They do, however, include many services and amenities. Communities also offer the convenience of a single monthly fee for benefits like housekeeping, meals, cable TV, and social activities. Because they often include transportation services, residents usually dont need a car, further reducing expenses.Editors Note: This article was submitted by Tina Mitchell, Executive Director of Randall Residence of Wood Dale. She can be reached at 630-242-2988 or tmitchell@randallresi

The Salt Lake City VA Fisher House provides a home-away-from-home for families of veterans to stay, FREE of charge, while their loved one is receiving medical treatment. Because veterans often travel long distances in order to receive medical care at the Salt Lake VA or outlying hospital, the Fisher House fulfills a critical need in a vast geographical area that is highly rural. Having someone you love seriously injured or ill is traumatic for the families and the last thing they need to be worried about is where they will lay their head to sleep or how they will pay for a hotel bill. Veterans and their families can enjoy a spectacular view of the Wasatch Mountains while they are in a comfortable environment that offers hope, community, and healing.The Fisher House was donated by the Fisher House Foundation, a unique private-public partnership. The Salt Lake City VA Healthcare System maintains the Fisher House for maintenance issues, however the Fisher House relies solely on community donations for the day to day operations of the Home. We continue and will always continue to require ongoing support to maintain this reality that all families stay for free. The Fisher House offers an easy and great way to give back to our Veterans by either donating or volunteering. We welcome individuals, families, organizations, churches, Cub scouts of any age to come and meet the families while making them a meal or doing an activity. Our wish list, or ideas, of things we most need as well as ways to volunteer can be found on our website at fisherhousesaltlakecity.com. We also need advocacy with getting the word out there and helping us find consistent support.Remember, what your home needs our home needs!Why Fisher House? Because A Family's Love is Good Medicine!Editors Note: This article was submitted by Quinn Kiger-Good, LCSW SLC VA Fisher House Manager. She may be reached at (801) 582-1565 ext. 5900 or (801) 588-5900 For more information visit the website www.fisherhousesaltlakecity.com

What is a Medicaid Waiver?In 1981, Congress passed legislation allowing states greater flexibility in providing services to people living in community settings.This legislation, Section 1915 of the Social Security Act, authorized the waiver of certain Medicaid statutory requirementsThe Waiving of these mandatory statutory requirements allowed for the development of joint federal and state funded programs called Medicaid 1915 Home and Community Based Services WaiversThe New Choice Waiver programPurposeThis waiver helps eligible individuals to move out of nursing facility settings. Services are designed to help people transition out of a nursing facility and re-establish themselves back in the community.EligibilityMust be 21 years plus 1 month old;The primary condition must not be attributable to a mental illness;The individual does not meet Intensive Skilled level of care criteria; andThe individual does not meet level of care criteria for admission to an intermediate care facility for people with mental retardation (ICFMR)In addition, eligible individuals must be:Receiving Medicaid reimbursed nursing facility care on an extended stay basis of 90 days or more;Currently receiving Medicare reimbursed care in a licensed Utah medical institution (that is not an Institution for Mental Disease), on an extended stay of at least 30 days, and will discharge to a Medicaid certified nursing facility for an extend stay of at least 60 days; orReceiving Medicaid reimbursed services through another of Utahs 1915 waivers and have been identified as in need of immediate or impending nursing facility care.Waiver ServicesAdult Day CareAdult Residential ServicesAssistive TechnologyAttendant CareCaregiver TrainingCase ManagementChore ServicesConsumer Preparation ServicesEmergency Response SystemsEnvironmental Accessibility AdaptationsFinancial Management ServicesHabilitation ServicesHome Delivered MealsHomemaker ServicesInstitutional Transitional ServicesMedication Assistance ServicesNon-Medical TransportationPersonal Budget AssistanceRespite CareSpecialized Behavioral Health ServicesSpecialized Medical EquipmentSupportive MaintenanceEditors Note:This article was submitted by Blake Minardi. For more information contact: Vicki Ruesch (801) 538-6148 or Blake Minardi (801) 538-6497; UDOH Bureau of Authorization and Community Based Services 288 North 1460 West (PO Box 143112) Salt Lake City, Utah 84114-3112.

Governments Decision Expands Retirement FlexibilityIts not often the federal government makes a decision that nearly everyone is happy with, but thats what happened with a regulation that was recently finalized by the U.S. Treasury Department. Changes to the regulations under Internal Revenue Code section 401(a)(9) allow individuals the ability to defer the distribution of their qualified assets beyond age 70 through the purchase of a Qualifying Longevity Annuity Contract (QLAC).Generally, the new rules provide an exception to Required Minimum Distributions (RMDs) by allowing a QLAC to start making payments as late as age 85, meaning people can defer paying taxes on money that they may not need in early retirement. Letting you take RMDs when you want to.A QLAC can provide more flexibility for your retirement planning by allowing you to better match your retirement income to your needs, and the ability to control when taxes can be paid on your qualified assets. A QLAC will also ensure that you will not outlive your money, because as an annuity it provides guaranteed income for life.There are some limitations to QLACs. There is a cap on how much of your qualified money you can put into a QLAC. Contributions are limited to the lesser of $125,000 or 25% of the owners qualified account balances, less previous QLAC contributions. The 25% limit applies on a plan by plan basis and to IRAs on an aggregate basis. Also, QLACs can only be established through a deferred income annuity with no liquidity features.Other important rules you should be aware of include: Eligible accounts include 401(a), 401(k), 403(b), governmental 457(b) or IRA, Income payments must begin no later than the first day of the month following the owners attained age 85. The contract must state from inception that it is intended to be a QLAC. Once income starts, the payments must satisfy RMD rules. The contract cannot have any cash surrender value or commutation benefitA QLAC can be a powerful tool for those who want more control of how and when they start taking money out of their qualified retirement accounts. The government has taken an important step in allowing people to have more flexibility with regard to their retirement assets. This opportunity is a serious consideration for many people nearing, or even in, retirement. Contact your tax/legal advisor for implications to your specific situation.This educational third-party article is being provided as a courtesy by Gordon L. Szerlip. For additional information on the information or topic(s) discussed, please contact Gordon () at New York Life Insurance 617-820-2534 or at glszerlip@ft.newyorklife.com.

No one wakes up in the morning with a deliberate plan to fail, but I do believe many of us plan for failure by simply procrastinating because while we all know we will die it all seems so far off. Unfortunately, too often the unexpected arises, and families are left scrambling to figure out what to do for those they love. When my mothers health became such that my father had to place her in long-term care I remember telling him how much the planning to care for her might cost. He told then he would gladly pay more than that for the problem to just go away.My parents had basic estate planning in place, but what they did not have was a plan for life and a plan for death. What is a plan for life? Well, it involves basic estate planning such as a will and powers of attorney, but it also includes contingency planning for the unexpected. For example, what is the plan if one spouse needs long-term care and the other does not? What happens if both require it? What happens if one spouse is in long-term care and the stay at home spouse dies. What happens if in a situation such as the ones Ive named the families are blended; who makes what decisions for whom?A plan for death is easier, but often neglected. We found out at my mothers death that we did not have the first idea how to have my mom interred in the local VA cemetery, and we had to wade through a lot of misinformation until we got the right information.What to do then? Plan for the unexpected. Consult with the necessary professionals today so that the unexpected does not catch you unawares. The decisions you make today will affect your family tomorrow; help them to enact your wishes by giving them the tools they need to implement your plans for both life and death. The problems will not just go away.Editors Note: This article was submitted by William H. Moller, Attorney and Counselor at Law, The Moller Law Group, LLC. He may be reached at 719-694-1284, or by email at whmoller@mollerlawgroup.com.

Seniors and those recovering from surgery/injury can often feel isolated and/or afraid. Caregivers, whether family or professional, can participate in their care and provide personal interaction, but often are only in attendance as needed. Fortunately, we have come a long, long way in how technology can help create needed connections to the outside world. Most of us cannot imagine a world without computers, or at least tablets and smartphones. But, many seniors still find these to be intimidating, having grown up in a time where telephones had wires and dials! The good news is that technology has made the new tools incredibly simple to use.We at Just Like Family, encourage our clients, families, and friends to take advantage of the technological connections that are possible. Minimally, todays cell phones can provide access, inexpensively, to basic phone calls, email and texting to family and friends, even internationally. Helping seniors, especially, understand the service they have, and how much access it can provide is critical.While the phone can handle much more than basic calls and texting, access to a tablet and/or a computer makes access to these other tools much more enjoyable, if only for the size of the screen. Phones & TabletsWe encourage seniors and patients to obtain a tablet/computer and learn how to participate in the following:FaceTimeHaving a conversation where you can actually see the other party is amazing. Not only can the senior see how the grandkids have grown, but the other party can check on the condition of their loved one and even their surroundings. Simple explanations of how FaceTime works are offered via YouTube and other how to sites. Other programs, such as Skype, offer similar service, but FaceTime seems to be the most popular and easiest to use.MusicWith a little help, seniors can set up their tablet (or phone) to play their favorite music, perhaps re-living special memories connected to certain songs. Most of us find that music lifts our spirits, if even just for short periods of time.Brain ActivityTablets or computers are especially good for activities that keep the brain engaged, as a larger screen makes these more enjoyable. We encourage seniors to use technology for:ReadingThe ability to adjust the font, colors, etc. is very helpful to those whose vision is not as sharp. Online e-books can be found for free, or at a low cost. Those who struggle with memory issues find that highlighting certain passages improves memory, and appreciate the ability to search for a person or action that they dont remember. In addition to e-books, newspaper subscriptions are available at a significantly lower cost than print versions and can help the reader stay current with local events.Mind/Brain Exercise Apps, many for free, are available for many games or activities that help keep the brain sharp. Examples are Sudoku, Scrabble, and crossword puzzles. A simple search for brain games, however, identifies many more.Technology Supporting Seniors Living At HomeBeyond the basic computer/table/phone ideas, new technologies provide other services that specifically help senior and the homebound. Three specific components we recommend be considered:Emergency Response SystemWe tend to think of this as the Ive fallen and I cant get up system, but much more is available. A button you can push to summon help is still there, but the systems can also track whether the client has been still for too long, or has actually fallen. Seniors report that the button makes them feel much more secure about continuing to live at home, as well as feel connected to the outside world. In the worst situation, this technology can literally be a life-saver.Medication Management (Reminding/Dispensing)You dont have to be a senior to have trouble remembering to take your medication, but many of our clients report this as an issue. Simple options, such as a weekly box that is loaded with medications for each day of the week, and even for A.M. and P.M., are widely available. Many pharmacies, and companies, now package prescriptions for their clients by the day, or multiple times a day. Technology is also bringing us systems that remind us what to take when, and how much. These systems can include alarms and reminders (such as take at bedtime.) Use of these systems is encouraged, and we look forward to even more options in the future.SmartHome TechnologyThe ability to see what is going on, inside and outside of the home, as well as to control ones surroundings is the latest technological advancement. The ability to see who is at the front door, and even to talk to that person, is a technology our clients might find useful. Many report that they feel much safer, and therefore more comfortable being alone, with this simple device. Other technologies to consider include those that allow the resident to address comfort issues without moving, including applications/devices that allow the resident to use their phone to adjust the temperature, turn the lights off and on, and even lock/unlock doors.Technology And Home CareTechnology will never replace personal care, but it can help reduce the amount of care needed and increase self-sufficiency. Technology will never replace the joy of an in-person visit with a caretaker, family member or friend. But, the ability to connect via technology can overcome long distance, and well as time challenges. We all can find technology a challenge, but the joy and connection it brings make the effort worthwhile. Written and Submitted By: Just Like Family Home care - click here for more information

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.

The Alzheimers Association is here for you day or night whenever you need us. Our free 24/7 HelpLine allows people with Alzheimers disease or dementia, caregivers, families and the general public to:* Speak confidentially with our masters-level care consultants for decision-making support, crisis assistance and education on issues families face every day.* Learn about the signs of Alzheimers disease and other dementias.* Find out about local programs and services for individuals with dementia, caregivers, family and friends.* Get general information about medications and other treatment options, and legal, financial and care decisions.* Receive help in their preferred language through our bilingual staff or translation service, which accommodates more than 200 languages.We are ready to talk when you are. Whether you need information about the disease, caregiving, local resources, problem solving through complex care issues, or you just want to talk to someone who gets it we are here for youand as close as your telephone. The people on our HelpLine are handpicked for this work and carefully trained. They receive over 100 hours of new-hire training as well as on-going coaching and training every month. Some of them have been with us for 5-10 years or more. You are not calling someones pager or waking someone up. Our team is staffed round the clock, waiting for your call. This is part of our mission and we feel honored to assist in any way we can. So please keep our number handy 1.800.272.3900 and call us any time 24/7were here to help. Alzheimers Association, Greater Idaho Chapter

There are many different orthopedic injuries and conditions that can occur. Some orthopedic conditions are more common than other orthopedic conditions. Everyday in our office, we see a variety of different orthopedic injuries and conditions. We have put together a list of the most common conditions and injuries we see in our office.FracturesFractures are seen frequently in our office. Fractures can occur anywhere from the hand and wrist to the spine to the foot and ankle. When a fracture occurs, it is important to see an orthopedist soon after the injury, because fractures begin to heal themselves soon after the initial break. An orthopedist needs to be able to assess the fracture, before it starts to heal, in order to create a plan for the bone to heal correctly. Treatments such as using a brace or possibly even surgery, may be used to treat the fracture. ArthritisArthritis is a condition that can cause pain, swelling, and stiffness in the joints. There are a few different kinds of arthritis, such as osteoarthritis and rheumatoid arthritis. Arthritis can decrease the range of motion of a joint, which can interfere with normal daily activities. Treatment for arthritis can include physical therapy, medications to reduce inflammation, and possibly surgery. Ankle and Foot InjuriesAnkle and foot injuries are some of the most common orthopedic injuries that occur. Ankle and foot injuries can affect all aspects of life because they keep you off your feet. Injuries that occur in the foot and ankle can keep you from doing the things you love to do. When an injury happens in the foot or ankle, it is important to see an orthopedist as soon as possible so that they can help you get back on your feet and be able to do the things you love to do.Knee PainExperiencing knee pain can be a symptom of an orthopedic condition. Knee pain can make it difficult to walk and do daily activities. An orthopedist will be able to discover the cause of the pain and create a treatment plan. Depending on the source for the pain, the treatment plan can include physical therapy, injections, and possible surgery. Back and Neck painBack and/or neck pain can range from mild to severe. Depending on the intensity of the pain, it can cause reduced mobility and even limit normal activities. Orthopedists can help identify the root of the pain and create a plan of treatment for back and neck painIf you are experiencing any of the conditions, symptoms, or any other musculoskeletal conditions, please contact our office at 239 - 325 - 4090 to schedule an appointment for

I received a letter with an AARP logo informing that I may have sewer line issues and that I should contact a particular company to investigate or I might be personally liable for damage to my sewer line and to the homes of my neighbors. The reality is that I have a well and septic and no sewer system. Letter tossed.You might be amazed to know that many older adults fall for these scam letters. Physical and mental health, and dependency on others are factors that increase the likelihood of financial abuse and related mistreatment.Research indicates that many variables affect the ability of an older adult to succumb to financial abuse or making a poor medical decision. One variable is a decline in arithmetic skills. Another variable is specific to the concept of numeracy Numeracy is different from adding or subtracting numbers. Numeracy relates to mental engagement, comprehension, and the ability to use numbers or math skills to make a decision. Numeracy also involves the ability to gauge probability that relates not only to financial but to medical decision making.It is important for older adults to utilize the assistance of family members or professionals when managing finances, completing financial transactions, or responding to financial mail becomes challenging. I have personally known older adults who wrote checks emptying their bank accounts to scams promising more money, ownership of land in a foreign country, or funds required to claim a lottery.Evaluation of financial information requires deliberate reasoning and decision making skills.It is never too early to consider appointing a financial or medical power of attorney to assist with these decisions when aging occurs and reasoning and decision making skills become faulty. Protect yourself and your loved ones from financial exploitation and from making poor medical decisions. If you or a loved one are seeking information related to aspects of daily care, my book, The Caregiving Trap: Solutions for Lifes Unexpected may be found at www.TheCaregivingTrapBook.com.Editors Note: This article was submitted by Pamela D. Wilson, MS, BS/BA, CG, CSA. Pamela may be reached at 303-810-1816 or at pamela@thecarenavigator.com

To learn more aboutV R Diverse Essential Medical & PPE Supplies, Click HereFive types of masks were examined: an N95/ KN95 mask, surgical mask, a cloth mask, a two-layer cloth mask and a wet two-later cloth mask.Each mask was tested with a machine that uses an air generator to blow tiny liquid droplets, like those that would escape from a nose or a mouthThe N95 /KN95 blocked the most at 100% of droplets and the regular cloth mask blocked the least at 96.4% of dropletsThe cloth mask allowed more than 1,000 sneeze droplets and the two-layered cloth mask let through more than 600 sneeze dropletsResearchers say each droplet could contain millions of virus particles that, when standing less than six feet apart, could be breathed in and infect others.Studies show wearing a cloth mask may not shield the user from coronavirus as too many infected droplets can slip through. Scientists found that while all masks blocked at least 95 per cent of droplets from coughs and sneezes - there was still a high risk of the disease being spread. Although cloth masks stopped 96.4 per cent of sneeze droplets at a distance of six feet, they still let more than1,000 through - which the scientists said could carry enough virus particles to trigger an infection.As documented in Physics of Fluid,the team built a machine that mimics coughs and sneezes from humans. It uses an air generator to blow tiny liquid droplets, like those that would escape from a nose or a mouth. The machine was tested on five different types of masks: an N95 / KN95 mask, surgical mask, a cloth mask, a two-layer cloth mask and a wet two-layer cloth mask. Each of the masks were able to block most of the droplets with thebest-performing beingthe N95 / KN95, which blocked 100 percent of droplets. Meanwhile, the worst was the regular cloth mask, which only blocked 96.4 percent of the droplets. At distances of less than six feet, allowing three percent of droplets is enough to make someone ill. The average infection threshold for COVID-19 is 1,000 virus particles, inhaled either all at once or on separate occasions.A single sneeze has the potential to carry up to 200 million virus particles.The cloth mask allowed more than 1,000 sneeze droplets, each of which could have millions of virus particles. The two-layered cloth mask let through more than 600 sneeze droplets.This means that if someone wearing one of these masks is close to an infected individual, enough dropletscould escape to make them contract COVID-19.Please stay safe out there and do your best to follow the CDC guidelines. Remember dont just wear a maskwear an effective mask to keep you and everyone around you safe. Editors Note: Submitted by Vasanth Stephen Cofounder Of VR Diverse- Essential Medical & PPE Supplies. For More Info. Please Contact Vasanth Stephen, 630 205 3387, stephen@vrdiverse.com, www.vrdiverse.com

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 your 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.

To learn more aboutThe Charleston at Cedar Hills - MBK,CLICK HERE.Caring for aging parents is never easy. Inevitably, though, there comes a time when your loved ones need more care than you can provide on your own. Even if theyre independent, perhaps your parents would enjoy a maintenance-free lifestyle with plenty of social and recreational opportunities. Either way, the right senior living community can help you in caring for your parentsand helpyour aging parents live their best life in an environment tailored to their needs. Here are some suggestions to help your aging parent discover a happier, healthier way of life:Prepare for the conversation.Make a list of questions and concerns you have about your parents current and future needs. For example, home maintenance, socialization, managing daily medications, etc. Ask where they envision living out their retirement. Ask if theyre concerned about future health needs and having the appropriate care/support available. Then, educate yourself about the differentsenior care options, including independent living, assisted living, memory care, or short-term/respite stay.Take your time, allow them time.This is a big decision, one that is best discussed in person and when you and your parent are relaxed and in a rational versus rushed state of mind. Even if youre ready to make the move, keep in mind your parent might need more time. They need your empathy and support to arrive a decision that is best for one and all.Consider these conversation starters.a. Would you like less home to manage/maintain?b. Would you like to spend more time with people your own age? Are you lonely?c. Do you feel safe behind the wheel or would you feel more comfortable having other transportation options available to you?One step at a time.Theres a lot to learn and discuss, but your parent doesnt want to be overwhelmed with statistics and research. Start with basic information, schedule an informal visit to introduce the idea, time the time to ask questions and listen to responses, be patient, be ready to wait as your loved one mulls over the information, comes to realization of needs and embraces new idea and change. In most cases, the journey to a new home is just thata journey.

When someone you love has dementia, youll notice that things are changing quickly. When they make mistakes and fumble with the little things, our instinct is to correct and remind. Thats to be expected. After all, youre hoping that a little push and a dose of reality would be enough to lead them back to the person you know and love.As you will see below, corrections and reminders wont always work. Effective communication with a dementia patient requires an adjustment of expectations. In the following, well get you started.Forced choicesEveryone likes to have a choice. But having too many options can actually be confusing to a patient with dementia. Thats because their working memory is operating in limited capacity. Working memory is where the brain retains just the right amount of information to finish a task think of dialing a new phone number. So you can see how loss of working memory can be problematic in conversation and hinder decision-making.Thats where the forced choice method can lift that burden for your loved one, and cut the confusion. Watch thevideo here.Help with sequencingWe take basic daily tasks for granted: eating, standing, brushing our teeth. Though these tasks feel natural and automatic, we rely on the frontal lobe to help us complete these tasks. When someone is experiencing dementia, the brain degeneration can make them lose their ability to access this command center. When you see your loved one freeze, as if in confusion, you can help them through the basic task with sequencing, by breaking down the tasks into simple steps.This video about sequencingprovides some examples.The therapeutic fibYou can never go wrong with the truth, or so youre taught. But when it comes to dementia and Alzheimers, the truth actually has a cruel side. Because when someone is living with degenerative memory, they sometimes lose track of key details of their loved ones. The fact that a partner or a child is deceased or gone can literally be forgotten. In cases like these, telling the truth can be devastating it will be as if theyre hearing this horrible news for the first time. This is where a therapeutic fib can get you both through the difficult moment, andthis videoexplains how.Admit wrongdoing when youre rightSpeaking of truth, sometimes your loved one with dementia will get basic things wrong. They may insist, for example, that they cant possibly be a grandparent because in their mind, theyre only 25 years old! This can be a painful moment, because this represent a loss in your relationship with them and you want to hold on. But fighting these beliefs is futile. This video will show you how togently move past the conversation.Repeating themselvesHearing the same story, especially if they think youre hearing it for the first time, can get frustrating. The wrong response is trying to make them understand theyve already told it. In this segment, well show youhow to get through the moment.The important thing to remember is when a person has dementia or Alzheimers, the brain is going through massive changes. That can be difficult to take. Take a look at this video,Whats Happening to Their Brain?,so you can put yourself in their shoes. Understanding whats at work can go a long way in good communication when your loved one has dementia.Learn more about how we provide specialized care in our series Insights from Arthurs featuring educational videos from Arthurs Director of Development and Senior Care Consultant Deb Nygaard.

The Aid and Attendance Pension was initiated by Congress in 1951 to ensure that senior Veterans and spouses could conserve retirement dollars by receiving a pension benefit for health related expenses.Those that served the country deserve the benefits theyve earned to remain independent in their homes. The Aid and Attendance VA pension provides money to pay for assistance with everyday activities of daily living (ADLs). The pension is paid monthly to the Veteran or Widow to use at their discretion for the rest of their life. In five years this pension may provide up to $127,200, tax free, to help Veterans and their Widows pay medical expenses.The basic requirements for the standard pension are:1. Veteran at least 65 years of age (Widows can be any age)2. Served active military for 90 days continuous3. Served at least one day during a period of war4. No dishonorable dischargeIndividuals who exceed VA regulation asset limits may need the services of a VA Accredited Estate Attorney to receive the pension, while most veterans and widows will qualify without any attorney assistance. You do not need to be impoverished as this pension is not a welfare program.The application is filed by Veteran Service Officers (VSOs) who are versed in the application process and whom also interact with the VA as your advocate. Financial Companies that specialize in assisting Veterans and Spouses with Home Care expenses can cover the in-home care costs prior to the pension starting, and will work with the Veteran to keep them enrolled for the duration of their lives. This private financial assistance program allows for care to begin within days of the application being fully submitted and before the VA determines eligibility, which can take up to 12 months. These financial services carry no risks, costs or obligations to Veterans or Widows.This financial program has been reviewed by both the VA and the Utah Department of Veterans Affairs. It has been operating nationally for years and is now available in Utah! You served our country, claim your pension!Editors Note: This article was submitted by Dr. Mark O. Bowman. Dr. Bowman is the owner of Home Care Assistance of Utah which provides high quality in-home care for seniors. He can be reached at 801-733-6100 or by email at mbowman@homecareassistance.com

To learn more aboutArbor View Senior Living - WellAge Senior Living, CLICK HERE.In addition to facing the challenge of caring for and supporting vulnerable senior populations over the two-year span of the pandemic, another major consideration for senior living operators has been keeping workers safe since Covid-19 spread nationwide. While focusing on worker safety is always important in senior living, it has become acutely critical today.Occupational Safety and Health Administration launched a program in March a national emphasis program to focus on workplace inspections, outreach, and compliance assistance for companies where workers had a high risk of contracting Covid-19. Beyond the expected hotspots for Covid-19, such as manufacturing facilities and meatpacking plants, OSHA would also put a spotlight on assisted living facilities, continuing care retirement communities, home health agencies, skilled nursing facilities and others in health care. OSHA also reminded employers, as part of the Whistleblower Protection Program, that they should not retaliate against workers who lodged complaints about Covid-19 workplace safety. This announcement was a preview of what was to come.On June 21, OSHA announced a new Emergency Temporary Standard to strengthen efforts to protect workers in health care settings. Too many of our frontline healthcare workers continue to be at high risk of contracting the coronavirus, said U.S. Secretary of Labor Marty Walsh in a press release announcing the ETS.The emergency rule requires many health care employers to implement a written Covid-19 infection prevention program, report Covid-19 cases to OSHA, and pay workers who are unable to work due to Covid-19 symptoms. In the prevention plan, operators must cover areas of concern for certain medical procedures, physical distancing, physical barriers, personal protective equipment, cleaning, disinfection, ventilation, health screening, training, recordkeeping and reporting. The ETS also stated providers should encourage employees to get the Covid-19 vaccine; that encouragement later became a mandate.While OSHA provided templates and guidance for compliance, the rapid deployment for the new standard caught many in senior living off guard. Organizations were expected to comply two weeks after the June 21 launch for some measures, 30 days for others. An estimated 10 million senior living workers fell under the new ETS, and despite pushback from senior living organizations such as LeadingAge and the American Health Care Association for operators to have more implementation time, the ETS was implemented without delay.Size and Experience MatteredLarger assisted living, memory care, home care and other senior living providers especially those affiliated with operators of long-term care facilities were able to cope with the ETS implementation because they have a framework for worker safety education and oversight in place. Over the last decade, nursing homes have seen increased scrutiny from OSHA for workplace safety, said Gloria Martinez, Director of Employee Safety for both WellAge Senior Living and Vivage Senior Living. Adjusting to these new measures was not as much a burden for our locations since we have systems in place.Under the ETS brought on by Covid-19 concerns, OSHA inspectors are conducting on-site visits or remote inspections as needed. Typical triggers for an inspection are a staff complaint or outbreak at a facility. In addition, OSHA is scrutinizing the quality of the on-site safety coordinator in senior living communities. This extends to reviewing their training, experience and ability to dedicate the time necessary to the job. Martinez, who had more than 25 years as a safety and health professional (the last five in health care) before joining Vivage and WellAge, today oversees workplace safety at more than 40 facilities. In this role, she interprets OSHA standards for facility safety coordinators, provides training for supervisors at the communities, and develops everyday safety programs that benefit frontline workers.Workplace safety is not a piece of paper, a policy or a procedure, she said. Its about developing a culture of health and safety by creating proactive safety programs.While many organizations offer employees computer-based safety training, Martinez says in-person training is essential. She also said when the Covid-19 ETS guidance was released, it was much easier for her to roll out to facilities as systems and procedures were in place.Safety SavesOSHAs ETS for Covid-19 workplace safety comes with a bite from the Department of Labor. OSHA citations come with maximum penalties of $13,653 per violation, said Jon M. VonderHaar, a safety services consultant. Willful or repeated violations can amount to penalties 10 times that.Martinez and VonderHaar emphasize that while the Covid-19 ETS is critical to comply with, having an overall culture focused on workplace safety is good for workers and good for business. They also stress creating a culture of safety must start with organizational leadership to be effective.Businesses lacking safety practices have more injuries and these injuries have both direct and indirect costs. Direct costs include workers compensation payments, medical expenses, and costs for legal services. Examples of indirect costs include training replacement employees, accident investigation and implementation of corrective measures, lost productivity, repairs of damaged equipment and property, and costs associated with lower employee morale and absenteeism. VonderHaar said there are numerous reports that indicate for every dollar spent on workplace safety, there is a return of $3 to $5.While the Covid-19 ETS left some organizations scrambling this year, the larger issue is creating a culture of safety as a way of business, with formal training the norm and oversight in place internally so an organization can adjust as needed. Martinez calls this Prevention through Design, based on a Harvard Medical Practice Study that found having effective systems and controls in place can enhance worker safety. Having these systems and culture in place reduces an organizations risk exposure and helps maximize employee potential. In a business where our focus is helping seniors age well and live well, having motivated staff who feel safe is a difference maker.Written By: Margie Guerrieri is the Regional Marketing and Sales Director for WellAge Senior Living, a Colorado-based senior living management company. Visitwellageseniorsolutions.com.

Many of us wish to remain in our homes as we age, however we find with each year it is more difficult to coordinate all the medically necessary services to live safely in the community. The Program of All-Inclusive Care for the Elderly (PACE) may be the answer.PACE is a National program for adults 55+ who have health needs that affect their daily lives. PACE is administered by MassHealth and Medicare to provide a wide range of medical, social, recreational, and wellness services to eligible participants. The goal of PACE is to allow participants to live safely in their homes and/or community setting.When you enroll in the PACE program, you receive all primary care and social day in one placea PACE center. If you decide to join PACE, you must go to doctors and other providers who are in the PACE provider network. PACE will assign you an experienced team of health care and social service professionals to help create your personal care plan and help you follow it. The Team is Interdisciplinary and is comprised of a professional team of Geriatric Doctors, Nurse Practitioners, Nurses, Social Workers, Occupational, Physical and Speech Therapists, Mental Health Providers, Nutritionists and Recreational Therapists.Services include: Family Caregiver Support, Personal Care and Homemaking, Day Health Center for Meals and Activities, In-Home Services, Transportation and Meals, Physical, Occupational and Recreational therapies, Primary Health Care, Specialty Care including Podiatry, Dental, Optometry and Audiology, Prescription Drugs, Medical Supplies and Equipment, Emergency Care, Hospital Care and Nursing Home Care.To enroll in PACE you must be 55+ live in the service area of a PACE organization; be certified by the state as eligible; live in the community safely; agree to receive health services exclusively through the PACE organization; and meet the Social Security Act Title XVI disability standards, if 55 through 64 years of age.You do not need to be on MassHealth to enroll in PACE. However, if you meet the income and asset guidelines you may be eligible for MassHealth and MassHealth may pay your PACE premium.PACE is available 24 hours a day/365 days a year.There are eight PACE programs in Massachusetts. Certain programs have supportive housing and assisted living options. For more information, please call 617-222-7466; email: www.mass.gov/hhs/PACE.Submitted by Roberta Robinson, Director of Marketing & Outreach for the Elder Service Plan and Geriatric Division of the Cambridge Health Alliance

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.

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.

Moving can be overwhelming and extremely stressful. There are so many details to remember. Start by sorting items into the following categories: l Items to keep l Items to sell l Items to donate to charities l Items to give to family and friends l And items to throw out! Resist the urge to rent a storage unit, which only delays the down-sizing process and will cost money. Furniture and used items do not give you a big return so you may be better off taking the tax credit for donation.For children assisting parents, make sure their medications are organized and readily accessible. To keep jewelry and valuables safe during the move consider a safety deposit box. Also, be compassionate since the move is not always a welcomed event. Go slow and keep communications open since emotions may run high. Give them tasks to keep them involved and make sure that they take breaks and eat something.The moving process can be overwhelming and with physical limitations or medical conditions it can be a real challenge, but help is available. A senior move professional can offer you and your loved ones the organizational expertise that will make the process as easy as possible and assist you in making a positive step in a new direction.Editors Note: This article was submitted by Brenda Bergin, owner of All the Right Moves, LLC, a Senior Move Management Company, 239-248-7284 or www.SeniorHomeMoves.com.

In Dental School, we shared a popular phrase with each patient. Only floss the teeth you want to keep. Improper care leading to periodontal disease and the loss of teeth is essentially giving up on your oral health.So, why does 50% of the population leave flossing out of their daily routine? Some of the excuses we hear are: I cant get the floss between my teeth, It hurts, or I have arthritis. Are these excuses just evidence of giving up?A few years ago while speaking to a group of healthy 90 year olds I asked if they were too old for dental care. Unanimously they said no! I then asked if there was a time they should give up because of age. They unanimously said no again! So, why do we still hear 70, 80, and 90 year olds as well as families and caregivers making age a reason for giving up on restoring their teeth?There must have been a time when giving up was not an option. Many seniors today still have almost all of their teeth. Some have dental restorations in varying degrees of health and failure. So, why would anyone choose to give up on something so important?Sometimes it is the family or caregiver who state that they just do not want mom or dad put through a lot of pain. It might be physician who fails to help families place oral conditions in a proper perspective. Giving up can actually come from dentists who say, if it doesnt hurt, dont fix it. Giving up can result from a lack of knowledge and poor advice.The lack of pain can no longer be the reason we give up. Pain with dental disease continues to decline as we age and research shows a direct relationship between oral and systemic diseases and their impact on total health and wellness. As we age, any infections in the mouth will create a lowered resistance to disease in the body.It is our job as dentists to make care accessible, patients comfortable, and improve the communication between the patients and the community in which they live. We recommend that when you are looking for a community in which to live, that you make sure that a comprehensive dental program is offered.So, when should a senior give up their teeth? These dentists say never: Bruce Hasenauer DDS &Bob Deloian DDSEditors Note: This article was submitted by Dr. Robert Deloian and Dr. Bruce Hasenauer. Both Doctors are practicing dentists with Access Mobile Dental and may be reached at 303-471-0346 or by email atinfo@seniordentalservices.com

A HECM (Home Equity Conversion Mortgage) reverse mortgage is a way for seniors 62+ to turn a portion of the equity in your home into cash. The proceeds from a reverse mortgage can be used to eliminate an existing mortgage payment or to pay for unexpected expenses, such as nursing home costs and long-term care. It could also provide you with additional cash ow for all the expenses you have. No monthly mortgage payments are required (except property taxes, homeowners insurance, and maintenance). As longas all loan terms are met, the loan does not require repayment until the last surviving borrower permanently moves out of the home or passes away. Make sure your consult with an experienced Reverse Mortgage Planner regarding your specific situation to see if this often-misunderstood product might make sense for you.Editors Note: This article was submitted by Renatta Anderson. She is a Reverse Mortgage Planner with Fairway Independent Mortgage Corporation and may be reached at 720-849-7389 or by email at randerson@fairwaymc.com

For more information on American House Fort Myers, Click Here.It is quite common to encounter confusion around the use of the words dementia and Alzheimers. The most important differentiator is, dementia is an overall term like heart disease that covers a wide variety of conditions, including Alzheimers. Though not the only type, Alzheimers is the most common type of dementia. Dementia is not considered a disease, while Alzheimers is.Causes of DementiaDementia is caused by the brain's physical deterioration. These abnormal changes trigger a decline in thinking skills, also known as cognitive abilities, and can be severe enough to compromise independent function. They can diminish quality of life, affect behavior, feelings and relationships.Types of Dementia Alzheimers disease: Alzheimers accounts for 60 to 80 percent of dementia cases. Early symptoms typically include difficulty remembering recent conversations, names or events. Later symptoms include apathy and depression, compromised communication, poor judgment, disorientation, confusion, and difficulty speaking, swallowing and walking. Vascular dementia: Vascular dementia, accounting for about 10 percent of dementia cases, results from blood vessel blockage or damage leading to infarcts (strokes) or bleeding in the brain. The type of brain injury determines how thinking and physical functioning are affected. Initial symptoms include compromised judgment or ability to make decisions, plan or organize, as opposed to memory loss. Dementia with Lewy bodies (DLB): Accounting for 5 to 50 percent of cases, Lewy body symptoms include sleep disturbances, well-formed visual hallucinations, and slowness, gait imbalance or other Parkinsonian movement features. Memory and thinking problems are also possible. Mixed dementia: In mixed dementia, more than one cause of dementia occurs simultaneously in the brain. Recent studies suggest that mixed dementia is more common than previously thought. Most commonly, this type is a mixture of Alzheimers and vascular dementia. Parkinsons disease: Parkinsons disease dementia is a decline in thinking and reasoning that develops in people living with Parkinsons at least one year after diagnosis. It often results in a progressive dementia similar to DLB or Alzheimers. Along with movement issues related to Parkinsons, symptoms include changes in memory, trouble interpreting visual information, muffled speech, delusions and depression. Frontotemporal dementia (FTD): Frontotemporal dementia (or frontotemporal degenerations) refers to a group of disorders caused by progressive nerve cell lossin the brain's frontal or temporal lobes. There are several different diseases that cause FTD and result in disorders that include changes in personality and behavior and difficulty with language. Creutzfeldt-Jakob disease (CJD): This disease occurs when prion protein in the body destroys brain cells, which results in a rapid decline in thinking and reasoning, as well as involuntary muscle movements, confusion, difficulty walking and mood changes. This type of dementia worsens unusually fast.Learn what you can do to join the fight againstAlzheimers disease.For information on Alzheimers and Dementia-related illnesses, contact these organizations:Alzheimers Association, (800) 272-3900Alzheimers Disease Education and Referral Center (ADEAR), (800) 438-4380Alzheimers Foundation of America, (866) 232-8484

About DepressionAlthough depression affects 1 in 10 Americans, there are still a number of misconceptions. Here are some common myths about depression and the real facts.Myth: Depression doesn't affect me.Fact: 10% of the total population and 15% of older adults have been diagnosed with depression. This means that someone in your life (maybe you) will face depression at some point.Myth: Depression is not a real medical problem.Fact: Depression is a real and serious condition. It is no different than diabetes or heart disease in its ability to impact someone's life.Myth: Depression is something that strong people can snap out of.Fact: No one chooses to be depressed. People with depression cannot just snap out of their depression any more than someone with diabetes or heart disease can.Myth: Depression only happens when something bad happens in your life.Fact: Depression is more than just having occasional sad thoughts. Prolonged periods of hopelessness, sadness, and lack of interest in things someone usually enjoys are symptoms of depression.Myth: Depression will just go away on its own.Fact: While for some people, depression may go away without treatment; this is not usually the case. The good news is that most people get better with treatment.Myth: Antidepressants will change your personality.Fact: The thought of taking medicine can be scary. Most people who take antidepressants are actually happy to feel like themselves again. It is best to speak with your doctor about the effects of antidepressants.Myth: Talking about depression only makes it worse.Fact: While it is easy to understand why someone might be worried about discussing their depression, being alone with your thoughts is even more harmful.Fact: Depression is a serious illness, but most people get better with help. To learn more about your treatment options call Park Royal Behavioral Services at 239-985-2760.

If you are 62 or better, you can use a reverse mortgage loan to purchase a new home or turn your current homes equity into cash. A reverse mortgage loan is a way to turn the equity in your home into cash without having to make monthly mortgage payments. Instead of monthly payments, the loan is repaid in one lump sum when the last borrower leaves the home. As part of the loan, the borrower is required to continue paying property taxes and insurance and maintain the home.Top Potential Advantages of a Reverse Mortgage LoanFor most people, your home is the largest investment you have in retirement. Its important that you take the time to understand the facts about a Reverse Mortgage Loan. Learn more why a Reverse Mortgage loan might be right for you.Eliminate monthly mortgage payment except for taxes, insurance and home must be maintained.)Enhance qualify of life with additional cash flowLoan process can pay for in-home healthcare and nursing home costsPurchase a 2nd homeTop Retirement Strategies YOU MAY HAVE NOT THOUGHT ABOUT*.Typically, the average retiree makes their financial decisions without even thinking about home equity or a reverse mortgage loan. Here are several common retirement strategies which could change how those decisions are usually made. Medicare gap from 62-65 Roth Conversions and NUA Options Life Insurance with Long-Term Care (LTC) or Living benefit RidersThis article does not constitute financial advice. You should consult a reverse mortgage planner or financial advisor regarding your specific situation.Editors Note: This article was submitted by Bill Niehus, a Reverse Mortgage Planner. He can be reached at 719-650-2620.

Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available to make you more comfortable right now. Its called palliative (pal-lee-uh-tiv) care. You receive palliative care at the same time that youre receiving treatments for your illness. Its primary purpose is to relieve the pain and other symptoms you are experiencing and improve your quality of life.Palliative care is comprehensive treatment of the discomfort, symptoms and stress of serious illness. It does not replace your primary treatment; palliative care works together with the primary treatment youre receiving. The goal is to prevent and ease suffering and improve your quality of life.Palliative care is different from hospice care.Palliative care is available to you at any time during your illness. Remember that you can receive palliative care at the same time you receive treatments that are meant to cure your illness. Its availability does not depend upon whether or not your condition can be cured. The goal is to make you as comfortable as possible and improve your quality of life. You dont have to be in hospice or at the end of life to receive palliative care. People in hospice always receive palliative care, but hospice focuses on a persons ?nal months of life.Palliative care gives you a chance to live your life more comfortably.Palliative care provides relief from distressing symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, problems with sleep and many other symptoms. It can also help you deal with the side effects of the medical treatments youre receiving. Perhaps, most important, palliative care can help improve your quality of life.Palliative care can improve your quality of life in a variety of ways.Together with your primary health care provider, your palliative care team combines vigorous pain and symptom control into every part of your treatment. Team members spend as much time with you and your family as it takes to help you fully understand your condition, care options and other needs. They also make sure you experience a smooth transition between the hospital and other services, such as home care or nursing facilities. This results in well-planned, complete treatment for all of your symptoms throughout your illness treatment that takes care of you in your present condition and anticipates your future needs.For more information: Please see the NHPCO websiteEditors Note: This article was submitted by Kimberly Ware with excerpts taken from the NHPCO website. Kimberly is an Administrator with Dignity Home Health & Hospice and may be reached at 801-934-6279 or by email at kware@dignityhlth.com

Our eyes change as we age, but knowing what to expect and when to seek professional care are important steps in safeguarding our vision. The American Optometric Association recommends a yearly comprehensive eye exam for everyone over the age of 60.Individuals who have difficulty leaving home often do not receive the eye care they require. The good news is that there are options available. Optometrists are doctors trained to detect and treat eye disorders and vision problems, and some of them examine patients on site at nursing facilities, assisted and independent living communities, and private residences. By using portable equipment they can provide most of the testing that is offered in the typical optometry office.Seniors need to be aware of the increasing risk of vision loss that occurs as they age. Optometrists can test for the full range of eye problems, including:Cataracts This is a clouding of the lens of the eye, causing vision to be blurry or foggy. Once cataracts begin obscuring normal vision, they need to be removed by an eye surgeon. Cataracts are replaced by synthetic lenses, and vision typically improves significantly with this procedure.Glaucoma This is a disease of the optic nerve that causes a gradual loss of side vision. Symptoms typically do not occur until the later stages of this condition, so it is important for seniors to be tested regularly.Macular degeneration This is a condition characterized by damage to the retina, the light sensitive tissue that lines the insides of our eyes. Central vision is lost slowly. Advanced macular degeneration leads to blindness.Diabetic retinopathy This is an eye disorder caused by diabetes. It is characterized by bleeding and swelling inside the eye. In severe cases, new blood vessels grow and then break in the eye, and this can lead to retinal detachment and glaucoma. Blindness can also result.If it has been a year or more since your last eye exam, its time to contact your optometrist. Ask if an on-site eye exam would be an option for you.Adapted from an article on the American Optometric Associations website at http://www.aoa.org/x9454.xmlEditors note: This article was submitted by Keith J. Castleton, OD. Dr. Castleton is an optometrist with On-Site Eye Care and may be reached at 801-768-9316 or by email at info@drcastleton.com.

The Dallas Area Gerontological Society's (DAGS) Annual Fall Forum was held virtually for 2020, with a fitting theme "The Year Everything Changed"!Opening Remarks from DAGS President, Kathleen Warshawsky, RN, BSN.The Dallas Area Gerontological Society was founded with the expressed intent to educate the community at large about Gerontology, advocate for elderly persons, and promote improved services for elderly persons, and in the year 2020 we have continued to do just that. When the COVID pandemic arrived to the Dallas area, the DAGS Board began meeting via zoom to devise a plan to continue with our mission.Educational programs were arranged as zoom webinars instead of in-person events; DAGS board members advocated to protect older adults, contacting the Texas Health and Human Services asking for transparency of COVID data in long-term care communities; and members of DAGS assisted long term care communities in locating much needed PPE such as mask, gowns, face shields, and antibacterial wipes.Although 2020 may be The Year Everything Changed, The Dallas Area Gerontological Society continues to educate, advocate and promote improved services for the older adult population in 2020 with the same passion as it had when it was founded in 1989.I am proud to be a member and the president of the Dallas Area Gerontological Society in 2020!The video presentations from this year's forum are available for viewing. Click on the links below to watch the programs.

Everything is so costly, how can we afford the care we need? I often hear this from families just starting the care service maze.For those families that find that mom and dad, or their spouse needs a little more help, they begin a trip of discovery for affordable care. With many options available, finding the right fit can be overwhelming. Often the decision is influenced by factors such as whether there is a spouse or local family members to help with care, is the home a safe location, and the size of the care budget available. Lets examine how these factors affect the outcome.Family CareA first consideration is who is available to provide the free care we all take for granted. Because chronic care may be associated with advanced age, often the spouse may have issues of their own that may limit the quality of care provided. For a husband who needs a walker and has a history of falls, the spouse may not be strong enough to render help when needed. If the care is from a daughter or son who is just across town or in nearby Denver, the need to be available can be a daily task that may impact their family and career.Home or CommunityJust as in real estate, care should consider the best location. If the home is a safe place it will likely be the first choice for care, but lets examine that qualifier; is it safe? For someone who needs help with meal prep and showering assist, home is where everyone wants to be. For our previous example, the home with stairs can be a formidable obstacle. Add a little dementia and being home alone may not be a suitable environment. Then a community care provider may be a better choice.Managing CostsNow we begin to explore costs and how to pay for the care required. If there is a long term care policy, the policy may have low payout or short duration. For memory issues, the need for care can last 5 years or more. A life insurance policy may be convertible into a care policy. A home may be used for a reverse mortgage to provide funds. If dad was a veteran, the Aid & Attendance Pension may provide funds for care. Finally, Medicaid is the safety net that provides a helping hand when resources are low. To help sort these financial choices its best to consult a Care Cost Advisor to create a roadmap to pay for care. Its a free service that could be invaluable.Editors Note: Article submitted by Chuck Shaw, Care Cost Advisor, VA Accredited Agent & Financial Advisor. He may be reached at 719-638-1319 or capitalwealth@ymail.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.

To learn more aboutSalt Lake Behavioral Health,CLICK HERE.A mood is an emotion that temporarily colors all aspects of your life. Moods are as different as individuals and they can be a happy, sad or angry. Mood instability is when there is no control over moods resulting in difficulty managing behaviors. For example, a small thing at work or home causes intense feelings of anger resulting in aggressiveness. It can also be a comment that causes a tearful outburst.Mood instability can cause many problems in relationships, work and school by the mood lasting longer than desired, uncontrollable mood outbursts or impulsive behaviors. Not being able to manage or control mood can result in feelings of hopelessness, shame or guilt. The good news is that with treatment, recovery is possible.

Adult Protective Services (APS) receives reports of abuse, neglect, and exploitation of at-risk adults, conducts an investigation into the allegations, and implements services to reduce and prevent further mistreatment. Colorado operates as a stated supervised, county administered system. County APS programs provide for the safety and protection of at-risk adults who are or are suspected to be, victims of mistreatment.At-risk adults are defined as persons age 18 or older who are susceptible to mistreatment or self-neglect because the adult is unable to perform or obtain services necessary for his or her health, safety, or welfare or because they lack sufficient understanding or to make or communicate responsible decisions concerning their person or affairs.Certain professionals are required by law (mandatory reporters) to report physical abuse, sexual abuse, caretaker neglect and exploitation of at risk elders and at-risk adults with intellectual and developmental disabilities. An at-risk elder is any person 70 years of age or older. An at-risk adult with IDD is a person who is eighteen years of age or older who has an onset of an intellectual and developmental disability before the person is 22 years old.Mandatory reporters must make a report to local law enforcement within 24 hours of witnessing or becoming aware of the mistreatment. Failure to make a report or if you make a false report it is a class 3 misdemeanor. If charged and convicted you could receive a fine of up to $750, or six months in jail or both.An at-risk adult has the right to refuse services and APS assistance when they appear capable of understanding the consequences of doing so, he or she cannot be forced to accept any services.Byline: Editors Note: This article was submitted by Pueblo County APS, a division of Pueblo County Dept. of Human Services and may be reached at 719-583-6853

A new Medicare billing code (G0505) now allows clinicians treating Medicare beneficiaries to be reimbursed for providing care planning to those experiencing cognitive impairment (memory loss), including Alzheimers disease.This is a very important change in the billing system as it will allow physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified nurse midwives to offer assessment and care planning services beyond the scope of the Annual Wellness visit and receive reimbursement from the Physician Fee Schedule. What does this mean for the patient? Better and more comprehensive discussion and strategies to deal with memory loss and Alzheimers related issues.Care planning allows newly-diagnosed individuals and their caregiver to learn more about medical and non-medical treatments, clinical trials and support services available in their community. All of this results in a better quality of life for those that maximize the information and support. Individuals receiving care planning support specific to dementia concerns typically have fewer hospitalizations, fewer emergency room visits and better medication management. Care planning is the key to care coordination and management for those experiencing Alzheimers and other chronic conditions. With this code, clinicians will have the time and resources to provide a comprehensive set of care planning services which may improve quality of life and reduce caregiver stress. Alzheimer's caregivers frequently report experiencing high levels of stress due to the overwhelming needs that are associated with taking care of loved ones. Too much stress is harmful to both the caregiver and those to whom they are providing care. Additionally, care planning promotes putting legal and financial plans in place which can provide comfort to the entire family thereby reducing the stress associated with future decisions.Good health care requires a partnership between the patient, family and physician. Ask about the new care planning code options available through CMS Code G0505. Your physician may not yet be familiar with this new code. Share the information and plan ahead to get the most out of your medical appointments. When visiting your doctor, bring medications, provide good records, ask questions and offer honest answers. At the end of your appointment, ask the doctor to recap the most important points. Write them down. Note any follow-up steps needed (such as scheduling the next appointment or having tests done).most of all leave with a plan.For more information go to the Caregiver Center at www.alz.org or call the 24/7 Helpline at 1.800.272.3900.Editorial Note: Debra Adams, Director Community Relations, Alzheimers Association Greater Dallas Chapter. Read more from the February 2017 Fact Sheet and at www.alz.org

Many families struggle with the thought of placing their loved on hospice.They often feel like they are writing a death sentence and prematurely causing fatality. Emotions are running strong, especially the feeling of guilt.If families could step away from the emotions and understand the logic and numbers behind hospice, they would feel comforted and it would calm their fears. Studies show Hospice adds quality of life while postponing aggressive treatments. In one study, researchers followed 4,496 Medicare patients with either terminal cancer or congestive heart failure. They found no difference in survival time between hospice and non-hospice patients with breast cancer, prostate cancer and colon cancer. Moreover, hospice care seemed to extend survival time for select patients: those with pancreatic cancer gained an average of three weeks, those with lung cancer gained six weeks and those with congestive heart failure gained three months.How does hospice accomplish increasing survival time of a patient? Hospice is designed to put the person back in the center of his/her health and allow them to take back control of their life. How does hospice place the patient in charge of their care? This is accomplished by the work of a dedicated team of hospice professionals, who understand. This includes the physical, social, emotional, and spiritual needs of a person with a life limiting illness. The patient and their family members are included in the creation of the care plan. Visit times are coordinated with busy family schedules. Symptoms and pain are managed instead of the patient experiencing extreme side effects. Hospice is able to add non-traditional modalities of health care such as Chaplin services; music, massage and aroma therapy. The addition of all these services empowers a family to be able to care for their loved one in the privacy of their home.As a hospice agency, we often hear familys express gratitude for patient centered care. Here are several examples of our patients family members comments:Hospice has given my family the power to take control of my dads cancer.Hospice has provided the support to bring my family together to share in an amazing experience of love in giving to my dad what he wanted most.Hospice has provided this opportunity with the amazing team members that give the service our family has needed to spend the last moments making memories instead of being held hostage with hospital routines that you have no control over.Hospice is a wonderful Medicare benefit which provides compassionate end of life care. It allows for families to have physical and emotional support during this difficult time.Editors Note: This article was submitted by Kris Carter. Kris Carter is the Executive Director of Aspire Home Health and Hospice and may be reached at 801-292-0296 or by email at kcarter@aspireutah.com.

The Centers for Disease Control and Prevention estimate that each year in the US, nearly one-third of people aged 65 and older experience a fall. One out of 10 falls in this age group result in an injury requiring hospitalization.Be proactive in your quest for maintaining independence. Here are some tips to reduce your chances of falling.Dont multitask while walking. This interferes with your ability to notice that you are about to fall. Be aware of your surroundings, including surface changes and obstacles.Exercise. Tai chi, water workouts and walking all build strength while improving flexibility. Take a balance class, strength training, Tai Chi, yoga, Zumba, or play pickleball. Cross train and add a new activity or exercise class into your day. Keep moving, working for coordination and balance. Use it or lose it!Get your eyes tested. Identify and treat vision problems so you can clearly see where you are going. Be good to your eyes, and get regular check-ups.Consider your medications. Some prescriptions may cause excessive drowsiness or dizziness; talk to your doctor about possible alternative medications. The combination of several drugs or over the counter medications can sometimes cause unexpected problems.Make your home safer. Remove all floor clutter, secure throw rugs, and place non-slip mats in showers and tubs. Paint the top edge of steps a contrasting color, or use solid-color carpeting to better see edges of individual stairs.Choose shoes wisely. High heels can throw you off balance. Floppy slippers can trip you up, and brand-new shoes might have slippery soles. Choose the right shoe for your activity.Know where your pet is at all times. Small dogs can get underfoot, and big ones can knock you off balance.Seek out social events or senior activities at local wellness centers. Several places may have life-long learning for a small cost or may even be free. The social aspect is not only fun but also encourages those around you.Editors Note: This article was submitted by Cindy Luebke. Cindy is the Director of Wellness for the J Leonard Levy Family Wellness Center located on the Shalom Park Campus. For more information, she can be reached at 303-400-2293 or Cindy.Luebke@shalomcares.net

For more information on Amramp, CLICK HEREFor over a year now, many Americans have spent a great deal of time at home due to lockdowns that were implemented at the start of the COVID-19 pandemic as well as continuing efforts to stay safe by isolating from other individuals as much as possible.During this time, many people throughout the country have made changes in their lives to ensure the safety of loved ones such as bringing an elderly parent to live in ones home versus living in a nursing home. Or, in cases where an elderly person is still living in their home, many of them and their families have decided that aging in place is the best choice to ensure a loved ones continued health and safety.Whether your home is a place where multi-generational living has brought elderly or family members with mobility challenges together, or if a loved one has decided to age in place, your local Amramp representative can evaluate any residence to ensure it is as accessible and functional as possible.AGING IN PLACEAging in place occurs when modifications are made to an individuals living space that allow them to remain safe and self-sufficient at home. This can be a very practical solution for people who want to remain independent as they age and have limited or manageable health issues but are able to accomplish the activities of daily living with little assistance.As COVID-19 continues to impact our lives, a primary concern related to aging in place centers on people who have caregivers coming into the home as well as limited oversight of the individuals adherence to social distancing protocols.One of the first steps to ensure the success of aging in place is to find a trusted professional accessibility expert, preferably a Certified Aging-in-Place Specialist (CAPS), who can evaluate your home to determine what changes are needed to make the living space accessible. The CAPS designation offers reassurance that they will advise you about the choices that will help you stay in your home safely and securely, while making your life more accessible.This includes modifications such as wheelchair ramps, stair lifts, grab bars and safety railings, a walk-in shower, and establishing a bathroom and/or bedroom on a homes first floor. Other steps that can be taken include increasing ease of use related to appliances and other task-oriented items like lever-style door and faucet handles, and in some cases voice-activated smart technologies to help maintain safety and independence at home.Amramp can evaluate your home to recommend a range of accessibility solutions and our experts follow the guidelines of the Americans with Disabilities Act (ADA) as well as local zoning laws. Amramps Certified Aging in Place Specialists (CAPS) are trained by the National Association of Home Builders on ADA regulations and we have extensive training and experience adapting homes for aging in place and multi-generational living.MULTI-GENERATIONAL LIVINGMulti-generational living occurs when a loved one moves in to live with a member of the family, which includes when an aging parent or parents begin living in an adult childs home. This can be a mutually beneficial solution for individuals who are aging and have health issues that require care and monitoring by family members rather than using outside assistance. It also enables family members to more closely monitor an elderly persons behavior and activities.Similar to the aging in place model, Amramp can help families who have recently begun multi- generational living by creating accessibility solutions in bathrooms, kitchens, entryways, and other modifications or adaptive equipment added to the home, depending on each individuals mobility challenges.FIND A TRUSTED PROFESSIONALAt Amramp, we have worked with many customers who conducted the same due diligence before hiring us that they did when searching for a doctor, a financial advisor, and other important professionals. Additionally, we recommend that people should consider hiring an accessibility solutions expert to be a decision that establishes a long-term relationship and is not just a single project expense.Amramps accessibility experts are CAPS certified and can evaluate any home to determine what changes are needed to make the living space accessible. The CAPS designation offers reassurance that we will advise you about the choices that will help you stay in your home safely and securely, while making your life more accessible.ABOUT CAPS CERTIFICATIONThis designation is offered byThe Remodelers Council of the National Association of Home Builders (NAHB) in collaboration with the NAHB Research Center, NAHB Seniors Housing Council and AARP. The designation was developed to address the needs of consumers who want to make their house a home for a lifetime.CAPS is the most highly recognized and trusted certification in the U.S., especially for home modifications and is supported by AARP. The AARP recommends that members look for vendors with CAPS certification when making modifications to their homes.

Have you thought of going back to school? Probably not; maybe you dont see any reason or benefit to getting more education. After all, youre not looking for job advancement, a new career, or getting a college degree. School is for young people anyway. You figure if you made it this far in life youre pretty smart to have attained your age. Well, senior citizen, school is not just for those seeking education for the above reasons. School for us is called Lifelong Learning, and provides mental and physical benefits as we age. Much research has been done to document benefits of cognitive stimulation in seniors. Specific information can be read at http://www.memory-key.com . You will find research results that show how mental and physical stimulation, and social interaction with other seniors, lessens your risk of dementia and improves cognitive abilities such as thinking, reasoning, remembering, imagining, or learning words. In other words, its healthy. A web search for this topic will provide hundreds of links that will provide hours of reading and learning. If you dont have a computer, visit your local library and use theirs. Someone will likely show you how to use it if youre not familiar with computers. Bring your reading glasses, a notebook, and be prepared to open the door to a world of information.Southeast Mississippi provides many opportunities for lifelong learning. Call a local college or university, and look at the Education listings in this Seniors Blue Book. Questions? Call us, well help (228-396-4602).

Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.#listing_mgr{7 basic_search}#

When it comes to deciding whether a will or trust is best for you, it is important to understand your options and which one is most appropriate for your situation.WillA testamentary will (simply referred to as a will) is a legal document used to transfer an estate to beneficiaries after the death of the testator (the person making the will). Within the will, the testator usually names a personal representative (also called an executor) for the estate. A will is revocable (it can be cancelled by the testator) or it can amended by the testator. For a will to be valid in Idaho, it must meet specific requirements under Idaho law.Living TrustsA person, during his or her lifetime, may create a living trust whereby the settlor (the person making the trust), trustee (the person who has legal authority to manage the trust assets) and beneficiary (the person who makes use of the trust assets) are all the same person. After the settlor dies, depending on the trust instructions, the trust assets may be distributed outright or held within the trust and distributed over time or upon the happening of a designated event. Living Trusts may be appropriate for persons who own real property in more than one state or have a blended family where spouses have children from prior relationships.Testamentary TrustsA testamentary trust is a trust within a will. A testamentary trust is created upon the death of a person as specified in his or her will. The testamentary trust holds assets within the trust instead of outright distribution to a beneficiary. A common scenario is when parents create a testamentary trust to hold assets for the support of minor children or for college education for children until they reach a specified age. A testamentary trust can also hold assets for the special needs of a disabled child who receives government benefits.A New or Updated Estate PlanWhether a will or trust is appropriate for you depends on your circumstances. If you already have a will or trust, it should be reviewed periodically to make sure it reflects your current wishes and needs or upon any significant change in your life such as divorce or death of a spouse or beneficiary.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 discount dental plan is a program that allows anyone to go to a board-certified dentist in their own neighborhood and pay a reduced rate (usually half) for any work they need done. Discount dental services are fortunately available to everyone. You don't have to be part of a company or a group.There are literally thousands of dentists in the tri-state area that are willing to offer significant discounts on all services, including braces.These discounts can go as high as 60%. Coverage in these programs begin immediately without any kind of pre-existing condition clause and they have no annual maximum.Editor's Note: This exact program is also available in Health Discounts. To find out more about either plan call Mark Heller toll free at 888-866-8451.Author: Mark Heller 

Are activities you once enjoyed becoming less frequent? Have routine tasks become more challenging, such as night time driving?Are once vibrant colors and visual contrast now dull and muted? If you can relate to any of these questions, cataracts may be affecting your personal safety and quality of life. Recent studies have shown people who undergo cataract surgery have a lower risk of health conditions, as well as a longer life, compared to people living with cataracts.Cataracts are formed by the clouding of the lens within the eye. Many factors contribute to the gradual development of cataracts with age but some of the most well known influences are exposure to ultraviolet light from the sun, smoking, obesity, high blood pressure, diabetes, prolonged use of corticosteroids and family history. In people over the age of 40, cataracts are the most common form of vision loss.A 20 year study with over 74,000 women with cataracts aged 65 and older, was conducted by Dr. Anne L. Coleman, MD, PhD and colleagues. Results were published by JAMA Ophthalmology and reported by the New York Times, in December of 2017. This study found having cataract surgery resulted in a 60 percent reduction in risks of death from accidents and cancer, also neurological, cardiovascular, pulmonary and infectious diseases. The lifestyle improvements in surgical participants from those living with cataracts were dramatic. Exercise levels increased and locating and taking medications became easier. Due to improved visual clarity, the risks of falling and driving accidents were also reduced.Cataract surgery is one of most common surgical procedures in the United States. The Prevent Blindness America organization reports more than 3 million Americans have cataract surgery each year. Over 95 percent of cataract surgery instances are complication free, making cataract surgery one of the safest surgical procedures. Many artificial lens options are available which are intended to benefit certain lifestyles. Technology advancements such as the LENSAR laser system, reduces the stress to the eye during cataract extraction, improves outcomes and shortens recovery time. In many cases, procedures correcting astigmatism and treating glaucoma can be performed simultaneously.Farrell C. Tyson, MD, FACS has a background in biomedical engineering and is an award winning ophthalmic surgeon that allows him to work closely with FDA research and development of new technology, in the field of Ophthalmology. This experience gives Dr. Tyson first hand knowledge of what techniques, medications and specialized treatments are needed.The goal to provide our patients with the best visual outcomes possible, has led to two surgical centers which utilize the LENSAR laser system. Our Tyson Eye of Cape Coral Eye Center and Naples Premier Surgery Center are convenient locations for surgical treatments of cataracts, glaucoma and other visual impairments.Editors Note: Article submitted by Farrell C. Tyson, MD, FACS, 239-542-2020.

For more information on Care Patrol, Click Here.While the holidays are an exciting time, they can also add stress for many family caregivers. With the COVID-19 pandemic, the coming months may be especially challenging, as they will include several challenges for caregivers of older adults.As we know, many family caregivers are also sandwiched between caring for their children and their parents, which only amplifies the stress surrounding holidays.Heres what you can do to help family caregivers this holiday season.Educate About SafetyOlder adultsare at high risk for developing complications from COVID-19. While most caregivers know this, the holidays are a very tempting time to neglect precautions. Remind family caregivers how important it is to keep their older loved ones safe. Older adults should stay within their households for the holidays, limiting exposure to crowds. Any time they must leave home, they should practice social distancing, and everyone should wear a mask. The caregiver must also take precautions to prevent exposing their seniors to illness.Provide Ideas for Staying Active InsideBoth older adults and caregivers need to stay active to stay mentally and physically healthy, but as the weather cools off, it can be hard to live an active lifestyle. Here are some options you can share with caregivers:Walking outdoors, when possible, or inside the home when the weather is badTaking part in seated stretches, possibly with light hand weights for some resistanceCleaningCookingSorting old photos, keepsakes or memorabiliaCompleting household projects (painting, reorganizing, rearranging, DIY projects)Dancing to musicDoing at-home workoutsCelebrate VirtuallyCaregivers want to find safe ways to celebrate the holidays. Give them some ideas for implementing new virtual traditions and connecting with family members online. Some options include:Virtual dinner partiesVirtual movie screeningsOnline gamesSending letters and cardsWindow visits with relativesProvide Caregivers Time for Self-CareMany times, what family caregivers really need is a break. By the time weve reached the holiday season, family caregivers will have had a very difficult year of caring for an older adult during COVID-19. Always remember, you must first care for yourself.CarePatrol can help you provide a break to family caregivers. Our experienced team can assist throughout the holiday season while family caregivers get a chance to practice self-care. Well help you find the safest senior housing option. Whether you need help finding a safer living option for an older adult or you need support after, CarePatrol is always here to help.

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}#

Home Health Care (HHC) comes in a variety of different services and agencies such as; Nursing services, Physical and Occupational Therapies, Homemaking services and sometimes Social Work.These services are often needed when discharging from a hospital or rehab or in the home when there is a decline in condition after a doctor visit.These types of short term services help to ensure you are progressing in a positive direction.Other services and agencies may be in place along with HHC in a supportive manner. You may need a full time Certified Nursing Assistant or a Registered Nurse to help you while retaining services through another agency. This is allowed when you are paying private or through a long-term care insurance or trust, however, two Medicare agencies getting paid from Medicare cannot have service overlap.Medicare agencies often cover medication fills, injections, wound management and therapies. After a period they may not be able to cover some of these items. With HHC you have the option of privately paying for an agency to pick up where the Medicare agency may have to left off.A common misconception is that Medicare will cover the cost of a Caregiver in your home who would do housekeeping, go shopping, cook meals or sit with you for extended periods of time. Medicare does not cover the cost to these performed tasks. When private pay is involved, two agencies can often be found in one home at the same time.Over the years I have been asked, If hospice is already in place and I need help all the time what happens? The hospice agency cannot be with you twenty-four hours a day or for long periods of time. If you wish for your loved one to remain in the home, it is recommended that you call another agency to help you fill the hours needed and support the hospice agency already in place.It is an easy decision to keep you and your family well cared for while honoring their wishes. The time and labor caring for them following that decision is the challenge.With so many agencies in our area providing different levels of care and supportive services it is becoming easier to keep our loved ones in place longer while honoring their wishes. This is when several agencies can come together and provide the level of care needed to keep everyone safe and happy.Editors Note : This article was submitted by Theresa Poole Director of Community Relations at Brightstar Care She can be reached at 970-667-7778 or email at Theresa.poole@brightstarcare.com with any questions regarding Home health care.

When you or a loved one needs to find senior housing or senior housing with care, the possibilities can be overwhelming, and most folks and their families don't even know where to begin. While you can conduct all of your own research and make all of your own phone calls, it can be an exhausting and time-consuming chore, especially if this is being done by someone from out of the area. That is where a professional senior living advisors like The Right Senior Living Solution can become an invaluable asset to seniors and their families when searching for the right senior living option that fits your needs, budget and desired location.  A seasoned senior living advisors will sit down with their clients or do a video chat to determine what is the best way to assist them. Not all the seniors and their family members have someone in the local area to assist mom or dad in their search for a community. They will have to rearange their daily lives to travel and search for a community in an area they are most likely unfamiliar with, which can be costly and time consuming. This is where a NO COST TO YOU senior living referral agency becomes so beneficial to everyone involved in making this monumental change in lifestyle a smooth and easy transition.How Do Senior Placement Agencies work?   An advisor will meet with you and or your family member(s) to discuss your needs (Type of senior living facilities and medical needs) and desires based on affordability and style of living. Community/Facility recommendations will be made to the family based on the information provided. The ultimate goal is to find a new home that provides a safe and warm environment that meets all of your needs and desires.The most important information an advisor will gather is:Medical Conditions and RequirementsFinancial AffordabilityLocationReligion and Cultural RequirementWork on Additional Funding When Available (Long Term Care Policies, Life Insurance, Bridge Loans & VA Aid and Attendance Benefit etc.)When the advisor has finished with your consultation, he/she will have an informed sense of what type of living situation is suitable for you or your loved one based on all 5 pieces of information listed above. Once everyone has agreed on what type of community/facility is ideal for their current need, the advisor will schedule an in-person or video tours with the type of community or facility that meet your needs. Usually, several communities are chosen starting with the top 3 or 4 communities that are best suited in order to compare and decide which one is ideal for you. The advisor will schedule all your appointments and tours of all the selected communities for their clients, and then will negotiate with the communities on behalf of their clients, securing the best available discounts and incentives. A good referral agency will have long standing relationships within the senior living community and have a little more influence when it comes to getting the best incentives available that fit their financial situation.After you have felt that you have made enough visit to either make a comfortable and confident decision on a new home, or your desire to continue looking. You will reconvene with your advisor and discuss what your choice of community is or will you need to continue the search for the right living situation.  Once a decision has been made, the advisor will work with you and the community/facility to determine a financial date and physical move in date. Some referral agencies like The Right Senior Living Solution will go the extra mile and schedule a moving and downsizing company, help you apply for benefits, provide transportation to tours and visits for seniors who do not or are incapable of driving.You will need gather the required documents ID, Medical Cards etc. and will meet at the chosen community and sign the required documents and paperwork. This can in most cases be done with DocuSign for clients working from a distance. In some cases, this process can take a little time but be patient and understand that the Advisor is working hard to locate the best and most economical living situation available. having to go through this once is hard enough so we want to be as diligent possible in the search and to make sure you have made the most comfortable and educated decision as possible.After youve made your decision on your new home, the senior living advisor can provide you with partner referrals to assist you with downsizing, moving and filing for VA Aid and Attendance Benefits if applicable.  A referral agency like "The Right Senior Living Solution" recognizes that this decision is not an easy one to make and should not be taken lightly and rushed.  After youve moved into your new home, an advisor will almost certainly contact you during the transition to ensure that there are no issues and assist accordingly. The referral agency will want to ensure that you have made the correct and appropriate selection and that you are at ease with your choice.There are numerous advantages of having an experienced advisor working for you!!!They include but not limited to:Providing Local Support:Meeting and interviewing families to gain a thorough understanding of their social preferences, demographics, healthcare needs and financial situation. In order to narrow down and deliver the finest living experience and treatment options as possible with the funds available.Provide Resources:Community amenities, pricing information, occupancy rates, payment resources, relocating and downsizing, veteran's benefits, and elder law attorneysAdvocating for Family and Loved OnesAn Advisor will save you time, money and in some cases a big headache by setting up tours to the appropriate communities and facilities and accompanying the families on their tours.  An advisor will advocate for them on the tours and help them understand the answers to their inquiries and get them the best incentives available.Follow-Up Care:Once the ideal living situation has been identified and you have made your move, we will check-in on a regular basis to confirm that everything is going according to their expectations and that we will always be available if their journey requires it.The Right Senior Living Solution is a Florida based and operated Referral and Placement Agency. Our services are FREE to our clients except for our Travel Concierge Service, which is used when a travel companionship is required. For out of state clients and for seniors looking to travel on the Travel Concierge Service, the fee is based on a case-by-case evaluation. The big national on-line referral companies have no clue of what the communities that they are sending you are like or what quality of care is offered. There are so many factors that go into choosing the right senior living community like culture, diversity and religious requirements.  National online advisors have never visited any of the communities they are sending you to and the feel of the community is an important factor to consider when making a recommendation. Sending you on a wild goose chase with a fist full of communities and facilities to visit and let you figure it all out on your own. You are never alone with "The Right Senior Living Solution" if you have any questions or just need to talk, please feel free to callGeorge at (941) 705-0293 orAdele at (570) 848-2507www.therightseniorlivingsolution.com A Resource you can finally count on!

Is it Alzheimers or is it Dementia?PEOPLE OFTEN ASK THE QUESTION; IS IT ALZHEIMERS or is it Dementia? The fact is; Dementia is the name that refers to all types of memory loss diseases, including Alzheimers disease. In other words, Alzheimers disease is a type of Dementia, the same as Vascular Dementia, Picks disease, Alcohol dementia, Lewy Body Disease, and the many other diseases that cause memory loss. Long ago, before these types of dementias had a name, it wasnt uncommon to hear families talk about their senile old grandma who just got crazy when she got old. Grandma probably suffered from one of these diseases and went undiagnosed and untreated.Fortunately, people started understanding the need for specialized care. Both Assisted Living and Memory Care communities started coming around. Families are usually distressed and at wits end by the time they realize there is help out there. Many people have a hard time moving a parent or loved one into a community. They feel an overwhelming amount of guilt. But families are usually surprised and relieved when they see their loved ones doing well in an environment that is tailored to their needs. Its usually not long before grandma is engaging in activities, both group and individual. Shes eating nutritious meals, having personal care done by caregivers that specialize in dementia. These diseases dont reverse, so grandma will continue with this journey, but she will be in good hands and take each day as it comes. Often the families or caregivers say they wish they had done this sooner, but they had no idea that there were places available where grandma could still have a quality life.Here are some common tips when the time comes to look into getting help.First understand that the people caring for the person with dementia need help, guidance and reassurance as well.When visiting communities, look for happy employees that are engaged with the residents.Ensure the community is secure with outdoor spaces that allow residents to wander safely.Does it have the look and feelof a home?Are their odors?A Steinberg study shows that smaller homes, or clusters are the most desirable environment. Avoiding too much stimulationor confusion.And finally; does it feel good; is it right for you and your family?Being a caregiver for your loved one 24/7 can become exhausting and overwhelming. Just know you dont have to go through it alone. There are many free resources available to help you along the way. If you need help finding resources, give us a call and we will be happy to assist you.Editors Note: This article written by JoAnne Mohrland, Executive Director, Regency Columbia Village, 208-344-2954.

Assistance with activities of daily living.#listing_mgr{8 basic_search}##listing_mgr{1 basic_search}#

We see the word prepare used throughout the stories in Sacred Scripture. Whether John the Baptist voices it or even Jesus Himself, it is offered and given as a gift of love to another person.It is presented by one loved one to another loved one, as a visible sign of true concern and care for anothers well being and has the ability to offer the recipient inner peace, comfort and consolation.It is through this ministry of preparedness that a Catholic Cemetery is not only about manicured grounds or architecturally awesome buildings nor is it about ornate entrances or fences. Many local private or public cemeteries may have the same. It is about the cycle of being through Baptism one of Gods people.The Catechism of the Catholic Church asks the question: Why did God make us? It answers it both simply and so well: He made us to know, love and serve Him in this life and to be happy with Him forever in eternity.A Catholic Cemetery embraces the mortal remains of Gods People whom we love. There are the rich among the poor, those who were old and those who were young, the famous and the unknown, husbands, wives, mothers, fathers, brothers and sisters, friends GODS PEOPLE. Thus burial in a Catholic Cemetery gives them ALL, and will give YOU a recognized IDENTITY.The identity of a CATHOLIC cemetery gives you a voice of difference without verbal words for all eternity that tells everyone who visits and passes byYES MY BELOVED BROTHERS AND SISTERS I was and I am THE LORDS!Editors Note: This article was submitted by Deacon Glenn Tylutki,BS,MA,CCE - Outreach Coordinator Catholic Cemeteries, Archdiocese of Chicago. Deacon Tylutki can be reached at 708-236-5441 or gtylutki@cathcemchgo.org

Whoa, Thats Way Too Hot!When my parents were newlyweds they were involved in an awful cabin fire. They were in the mountains of southeast Idaho with some good friends. They came back from a horse ride and started into the cabin. My mother stooped at the door way to light a match. As the match ignited it sparked the fumes of a leaking kerosene lamp. The resulting explosion blew her off the steps. My father was already inside and faced the full brunt of the explosion. By a series of miraculous events they survived and finally ended up at the burn unit at the U. But as you can imagine their recovery was horrific.I saw my parents live with the scars of that day while growing up. I heard them recount the events in frightening detail. But many good things came from this experience. Countless times my father would tell me that during his lowest moments he was surrounded by other people, burnt more badly than he was. Often they were kids. There is always someone worse off than you, became our unofficial family slogan.Now I feel I have an opportunity to prevent people from suffering in an avoidable fire. I have worked around medical oxygen for over a decade and have seen people put themselves in danger while using it. A few moments of education can correct most of these situations. To accelerate the distribution of this information I created an oxygen training program for professionals. It is a 30-40 minute presentation which covers how to properly use oxygen tanks, regulators, concentrators, and other oxygen equipment. It also reviews the most common hazards overlooked when using oxygen. It is done in a written test format that easily accommodates personnel training documentation.This program can be geared for any or all medical professionals, including RNs, CNA's and staff among others. It can also be customized for your particular team dynamics. This program is a community service and is done at no charge. Please feel free to contact me to schedule this important training- spaces do fill up quickly. Lets be safe while providing for those who are worse off than us.Editors Note: This article was submitted by Travis Hall, owner of MedStar Home Medical. He can be contacted via phone or email, 801-768-4464 or travis@MedstarHomeMedical.com.

You may have lived in your home for 50+ years.You may have raised your children in your home. You have worked your entire life to accumulate the items in your home. You wonder, how can I give up this home that is full of love and memories? Here are three questions youll want to ask yourself: Is home maintenance becoming a problem? Is it time to live closer to my children or grandchildren? Is the home becoming a financial burden?If you answered yes to any of these questions, it may be time to move on. Whether moving to another community or to a senior-supportive environment, you need Senior Real Estate Specialist (SRES) trusted in your corner. An SRES is qualified to assist seniors in housing sales and purchases. Their mission is to help seniors and their families navigate the maze of financial, legal and emotional issues that accompany the sale of a forever home.An SRES understands that this is a very stressful time for the family so they are patient and helpful during the process. Their decision to become an SRES is rooted in their desire to help others. It means that your Realtor has respect for seniors; has the ability to listen deeply and knows how to communicate the old fashioned way with a handshake, a smile and a visit.An SRES will help you properly price your home for maximum benefit. They will help you prepare to sell by recommending their team of trusted professionals in doing necessary repairs, to assist you with an estate sale or to help stage the home. Finally, your SRES will counsel you, and keep you involved and updated, making the transaction less stressful and more successful.Editors Note: This article was written by Caryn Becker, Realtor & SRES with Century 21 Curbow Realty. She can be reached at 719-233-2489 or by email at caryn@carynbecker.com

At LIFE Home Health, our vision is to create one million moments of joy in the lives of our clients, employees, and community. We take an integrative approach, spending the time to understand each clients passion and purpose to guide their plan of care.Our team members are Engagement Specialists who live by our core values of living fully, inspiring others, having fun with purpose and engaging the community.We dont just have our vision and our values posted on the wall we live it every day, says Karen Kalinowski, Director of HR.Karen understands that success of a match between a client and one of our Engagement Specialists starts with hiring people who live our values.I look for their smile that twinkle in their eye and when they start to talk about their experience, you can almost tell immediately if they have passion for it.Employees first attend Inspiration Day where we help the new team member realize theyre not just treating a client and their diagnosis theyre going to be engaging that client completely and fully, notes Karen.Many of our clients are living with Parkinsons, Alzheimers or another form of Dementia. Its important to remember they had a life before this disease, and they still have that life. We really want our Engagement Specialists to engage in the things that matter most. From someone who loved to swim in the ocean and finding a way to get them back to the beach for a day. To someone who loved to read and talking about books or reading aloud to them. Or someone who played an instrument and arranging for an in-home concert.When asked what she believes sets LIFE apart from other providers, Karen doesnt hesitate.We wont accept a case that we dont think we can handle and do exceedingly well. I think thats a big distinction, she says. With every single client, we continually ask ourselves - where could we improve and where could we grow? Even when things are going really, really well, were still talking about it and learning from it.Editors Note: To learn more about LIFE and the services we offer, give us a call at 239.444.5965 or email info@lifehomehealth.com.

So what is this new twist all about?Starting January 2010, a change in the law makes it easier to save on Medicare Drug Plan Costs. More Medicare beneficiaries could qualify for Extra Help with their Medicare prescription drug plan costs because some things no longer count as income and resources.Anyone who has Medicare can get Medicare Part D prescription drug coverage. Some people with limited income and resources are eligible for Extra Help to pay for the costs---monthly premiums, annual deductibles, and prescription drug co-payments---related to a Medicare prescription drug plan.To qualify for Extra Help:You must reside in one of the 50 states or the District of Columbia.Your resources must be limited to $12,510 for an individual or $25,010 for a married couple living together. Resources include such things as bank accounts, stocks, and bonds. We do not count your house and car as resources; andYour annual income must be limited to $16,245 for an individual or $21,855 for a married couple living together. Even if your annual income is higher, you still may be able to get some help. Some examples where your income may be higher are if you or your spouse:Support other family members who live with you;Have earnings from work; orLive in Alaska or Hawaii.Beginning January 1, 2010 when determining your eligibility for Extra Help:We will no longer count as a resource any life insurance policy: andWe will no longer count as income the help you receive regularly from someone else to pay your household expensesfood, mortgage, rent, heating fuel or gas, electricity, water, and property taxes.What Else Do I Need to Know?If you already receive Extra Help, you will not need to reapply in 2010. Social Security will check to see if you are entitled to any additional Extra Help because we no longer count your life insurance or help with household expenses.Beginning January 1, 2010, when you file your application for Extra Help, you also can start your application process for the Medicare Savings Programsstate programs that provide help with other Medicare costs. Social Security will send information to your state unless you tell us not to on the Extra Help application. Your state will contact you to help you apply for a Medicare Savings Program. These Medicare Savings Programs help people with limited income and resources pay for their Medicare expenses. The Medicare Savings Programs help pay for your Medicare Part B (medical insurance) premiums. For some people, the Medicare Savings Programs also may pay for Medicare Part A (hospital insurance) premiums, if any, and Part A and Part B deductibles and co-payments.How Do I Apply for Extra Help?Its easy to apply for Extra Help. You can apply at our website athttps://secure.ssa.gov/apps6z/i1020/main.html. You can also apply by calling Social Security at 1-800-772-1213 or by visiting your local Social Security office.How long has been since youve done The Twist or seen Chubby Checker? When you visit our website at www.socialsecurity.gov, you can watch his twist video and hear him explain how the new twist in the law works.This article was submitted by Mickie DouglasSocial Security Public Affairs Specialist in Salt Lake City, UT

It is no secret that we are living longer. Unfortunately, we are not necessarily living healthier.An ever-growing percentage of the population is managing one or more medical conditions, which are managed by one or more medicines.While medicines can help maintain health and prevent further illness, taking combinations of drugs means that you could be at risk for drug interactions. Polypharmacy is defined as the concurrent use of many different medicines by the same person, and presents a growing risk among seniors in the US. This can result in a gradual accumulation of side effects. Problems may be increased by taking: Dosages that are too high Medicines that are incorrectly prescribed or filled Medicines that interact with or duplicate the actions of other medicines Herbal supplements that interact with prescription medicinesPolypharmacy can result in adverse drug events, complicating therapy, increasing cost, and presenting a challenge for healthcare agencies. Unfortunately, the symptoms caused by polypharmacy can be confused with the normal aging process.The good news is there are things you can do to help reduce your risk of polypharmacy. Make a list of every medicine you are taking, including supplements, vitamins, and over-the-counter drugs. Carry your medicine list with you everywhere. Bring it and your pill bottles along when you see the doctor. Ask your doctor or pharmacist to check your list for possible interactions. If you have more than one doctor, make sure each one knows what the other is prescribing. Ask your primary doctor if you need to take all the medicines on the list, or if you can reduce the dosages. Always read labels. They may help you avoid a possible drug interaction. Always get your prescriptions filled at the same pharmacy. Learn the names of your medicines and why you take them. Avoid combination products like cold remedies. Ask for help buying only the specific medicine that treats the symptoms you are experiencing. Never take a new drug without discussing side effects and interactions with your doctor, pharmacist, or both.Editors Note:This article was written by Peterson E with PowerBack Rehabilitation. For more information please call 888-982-2000.

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.

Choicesthey are sometimes difficult to make but were sure glad when we are offered more than one.When age robs us of physical strength, balance, quick memory recall, agility and energy and we must turn in our car keys, our choices can feel frustratingly limited.For individuals receiving Medicaid benefits who have been in a nursing home for at least 90 days, more choices may exist than you are aware of. The New Choices Waiver is a Medicaid program that can provide options beyond staying in a nursing home long term. Individuals may be able move back into the community of their choice with assistance in place to ensure that they can live independently.Most older adults want to live in their own homes if at all possible. For a person who wants to move out of skilled nursing with the help of the New Choices Waiver, housing options may include living in a private home or apartment, with a loved one, in an assisted living or independent living facility.The New Choices Waiver offers services to facilitate independent living in the community. Services can include:Adult Day Care Assistive Technology DevicesAttendant Care Caregiver TrainingCase Management Chore ServicesRespite Care Homemaker ServicesHome Delivered Meals Habilitation ServicesPersonal Budget Assistance Specialized Medical EquipmentNon-Medical Transportation Medication Assistance ServicesSupportive Maintenance Financial Management ServicesConsumer Preparation Service Emergency Response SystemsCommunity Transition Services Adult Residential ServicesEnvironmental Accessibility AdaptationsCase management companies are provided by Medicaid to help make the transition out of a skilled nursing facility a reality. Case managers will work as your advocate to ensure that you find the right housing option and services to ensure that you can live in a safe and fully supported home. To apply for this program, call the New Choices Waiver office at 1-800-662-9651, option 6, or ask your facility social worker or patient advocate about the New Choices Waiver.If you have lived in an Assisted Living facility for over 12 months and your money is coming to an end, you might also be eligible for this program.Editors Note: This article was submitted by Wendy de la Cruz, SSW. Wendy is a social worker with Advocates for Independence and may be reached at 801-679-6461 or by email

One of the most difficult decisions adult children can face is discerning when to step in and support their aging parents with their basic daily living tasks.The decision to help an aging parent is complex, both emotionally and practically. Admitting the need for help and accepting assistance is not easy for older adults. Although every situation is different, here are six signs to consider when discerning if your aging parents need more assistance to maintain their independence at home.Changes in Personal Hygiene The first sign that it might be time for more help is an obvious change in appearance. Take note of unpleasant body odor, strong smells of urine on clothing or in the house, and infrequent bathing. Scan mom or dad looking for disheveled grooming habits, such as unkempt hair, untrimmed nails, unshaven face, or insufficient oral care.Medication Errors Next, take a look at mom or dads medication, both prescription and over the counter. Perhaps they use a pillbox and they have noticeably missed doses. Look for incorrect dosages as well by counting pills or reviewing their pillbox set up. Ask to go with them to their next doctor appointment to review their medication and verify their prescriptions.Neglecting Household Responsibilities Another sign that it might be time for more help can be very apparent when you visit mom or dad in their home. Look for dirty laundry piling up, dust buildup, unswept floors, unclean bathroom, extreme clutter, stains on carpet or furniture, and/or stacks of unopened mail. Look around for dirty dishes laying around or placed back in cabinets. Peek in the refrigerator and pantry to check for spoiled or expired food.Checkbook Activity A quick glance at your parents checkbook can be another indicator it might be time for more help. Look for mathematical errors, transposed numbers, checks that were written but not recorded, or checks that were written but never left the checkbook. Also look for unpaid bills or checks placed in envelopes but never sent.Withdrawal from Social Engagements Learn your parents typical weekly social engagements and take note of how often they cancel. Do they get out on a regular basis, or have they been staying home more than usual? Keep in mind that some circumstances are usual for canceling, such as bad weather or feeling ill. However, if mom continues to miss her weekly hair salon appointment, or dad regularly declines meeting up for breakfast with his buddies, these might be signs that its time for more help.Decline in Physical Mobility or Mental Faculties Finally, an apparent sign that it is time for more help is a noticeable change in mom or dads physical mobility or mental faculty. Watch your parents as they walkdo they shuffle and hold on to furniture as they walk across the room? Have you noticed a change in their hearing or vision? Do they have difficulty standing up? Also look for lapses in memory or judgement. If frequent, it is definitely time to intervene for their safety and well-being.Fortunately, you do not have to navigate this care journey alone. Visiting Angels understands the challenges that come with age and wants to come alongside to help you discern what services would best benefit your aging parents. Our team works with each of our clients to provide services that are individualized to meet their personal needs.Editors Note: This article was submitted by Greg Elliott, the owner of Visiting Angels of Boulder County. Greg can be reached at our Longmont office at 303-828-2664, or gelliott@visitingangels.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

Planning to hike, bike, golf, ski, or workout in cold weather? Prepare to enjoy your activity and stay safe with 5 tips for cold weather injury prevention.Perform a dynamic warm-upDynamic warm-ups gradually increase your heart rate and ease of movement for your joints and muscles. Set aside 5-10 minutes pre-workout for your warm-up. Begin by moving each body region through its range of motion; start small, then increase the size and speed of the motion. Heres a sample dynamic warm-up. Perform each movement 10 times:Neck:Rotate the head side to sideShoulders:Arm circles, starting small then getting biggerArms and upper back:Torso rotations, keeping your arms out to the sideLow back:Sidebends, reaching overheadHips:March in place, bringing your knees up as high as you can while maintaining balanceKnees: Mini squatsAnkles:CirclesLayer your clothesIt is tempting to wear warm clothes for cold weather. As you warm up, your core temperature elevates too. If you begin sweating, your clothes will get chilly. Dress in layers so you can shed layers as you warm up, then add them back as you cool down.Stay hydratedJust 2% dehydration impairs performance, as muscles will not stretch or contract as easily. In cold weather, we often forget to hydrate. Drink at least one sip of water for every 15 minutes of activity. If you are participating in intense sport for greater than an hour, consider using beverages that include both fluids and electrolytes.CooldownThe most overlooked opportunity for injury prevention is the cooldown. Cooldown brings your breathing, heart rate, muscles, and nervous system back into balance. Skipping cool down can lead to blood pooling in the legs, which can lead to a risk of passing out and falling. An easy way to get started with designing your own cool down is to repeat your dynamic warm-up with two key differences:Instead of working from small to large motion, work from large total body motion to more isolated, smaller joint motions.Work from faster motions to slower motions, focusing on bringing your heart rate down.Start smallWhen trying an activity like skiing, cold weather hiking, jogging, biking, or golf, your body needs time to adapt to the new environment. Start with 15-20 minutes 3x/week to allow your muscles and bones