Many times after a serious injury or illness, the need for additional 24-hour medical assistance is needed to help a person heal, properly rehabilitate and ensure that he or she is in stable condition before returning home.What most people dont know is that there are different options when choosing a continued care provider after your primary acute hospital stay. Each organization can vary by the length of stay, therapy intensity and type of medical personnel.Your medical provider can help you choose, but it is also important for you to be informed of your options in order to determine what care is best for you.Long-Term Acute Care Hospital (LTAC)If a person is in need of intensive medical care for a longer period of time (an average of 25 days or more), they should consider a long-term acute care hospital. This facility is best for patients who have just been released from an intensive care unit, who need to be monitored closely and more frequently by nurses and doctors.Long-term acute care hospitals focus on stabilizing a patients medical condition rather than providing comprehensive rehabilitation.In-Patient Rehabilitation HospitalIn-patient rehabilitation hospitals focus on short intensive medical rehabilitation with the goal of getting the patient home as soon as possible. Patients who choose an in-patient rehabilitation hospital have daily doctor visits, receive specialized rehab nursing care and undergo more significant rehabilitation.These facilities specialize in intensive rehabilitation teams to include physical therapists, occupational therapists, speech language pathologists, psychologists and more. Each patient receives at least three hours of rehab therapy per day, five days per week.The average length of stay at an in-patient rehabilitation hospital is 12-16 days.Skilled Nursing FacilityA skilled nursing facility offers long-term care for patients who are medically stable, but still need professional medical care and supervision. Although nurses are available 24 hours a day, doctors are only required to visit patients once each month.Skilled nursing facilities require Medicare patients to stay three midnights at their primary hospital before they are eligible for admission.Whatever your medical needs are, there is a 24-hour medical facility that is right for you. Always consult your family and medical provider to help you make the best possible choice for you.Editors Note: This article was submitted by Spalding Rehabilitation Hospital. Please direct all questions to 303-363-5146.

To learn more aboutAdult & Community Enrichment (ACE), Click Here.THEOTHERSPORT OF KINGSIf youre bored with golf, or tennis elbow has you sidelined from the courts, shove those clubs and rackets into the back of the closet and try Lawn Bowling. Its different, fun, sociable, and good outdoor exercise.Plus, its good for you! Lawn Bowling is a low-impact form of exercise that improves coordination and balance, as well as self-esteem and confidence. The Sarasota Lawn Bowling Club (see Resources) offers free lessons for beginners, too!How to PlayLawn Bowling is played on either a flat or slightly convex green, divided into eight lanes called rinks. Play can be in singles or teams, with 2, 3, or 4 people on a team. The first person to play rolls a small white ball, about the size of a billiard ball (called the jack) onto the green at least 21 meters toward the end. The jack is centered on the rink, then successive players roll bowls balls about 11-13 cm in diameter trying to come as close as possible to the jack. Tape measures are essential for scoring!History of Lawn BowlingLawn Bowling is not exactly the sport of kings, but it comes close! It was banned byafew successive kings of England in the 14thand 15thcenturies because it competed with archery, which was essential to the national defense, but it eventually became a favored pastime of noblemen, who graciously allowed commoners to bowl on Christmas Day. Royal estates were all fitted out with bowling greens. Anne Boleyn enjoyed bowling, as did the first Elizabeth and, reportedly, even Queen Victoria!Bowling may have been banned at times in England, but it was never outlawed in Scotland which, of course, never considered itself part of Britain in the first place! In fact, Scotland is still considered to be the home of the modern game of Lawn Bowling. There may be more bowling greens in Scotland today than there are golf courses and there are even indoor greens, so that enthusiasts can play during the cold winter months.Lawn Bowling is an international pastime as well; it is played in more than 40 countries.Forms of Lawn Bowling date to ancient times. Archeologists of ancient Greece and Rome have recorded paintings on earthenware depicting people tossing stone balls and measuring the distance. The sport probably spread to Europewith the help ofRoman soldiers or sailors. Abiography of Thomas Becket refers to young men playing at bowls with stone balls. The oldest and longest surviving bowling green is at Southampton, which was established in 1299.Bowling in AmericaThere is evidence that Lawn Bowling was played by early colonists in America in the 1600s. George Washington was apparently an avid bowler and kept a green in good shape at Mount Vernon before the Revolutionary War. However, they were not the first: Archeologists have found stone balls (now resting in a Vancouver, BC museum) indicating that Native Americans played a gamesimilar toLawn Bowling centuries before.According to sedlawnbowls.org,the game was revived in the U.S. in 1879 with the opening of a Lawn Bowling club in New Jersey. Soon others followed.In Florida, the St. Petersburg LawnBowling Club is the oldest formally organized club in Florida and tenth in the nation. Its clubhouseis on the U.S. Register of Historic Places.The invention of the lawnmower in 1830hadpaved the way forthe smoothgreens, established rules of play, andmodern customs that helped define the way the game is played today. Some customs have relaxed a bit: For instance, traditional attire is all white, and some tournament players still adhere to that standard, but for regular play, you just wear whats comfortable, though remember to use sun protection! Also, the balls (called bowls) used to be made fromlignum vitae, a dense wood, which led to the term woods for bowls, but now they are routinely made from ahard compositetype of plastic.Interesting Side Note!Bias is a technical term that was applied to balls made with a greater weight on one side than the other. It was first used in 1560, and bias would make the ball curve toward one side when thrown. This practice is now illegal, but according to etymonline.com, this was the first use of the term bias to mean one-sided in the figurative or legal sense that we use it today, as leaning to one side mentally.ResourcesSarasota Lawn Bowling Club: How to Lawn Bowlhttp://www.sarasotalawnbowlingclub.com/?page_id=400Bowls USA, Southeast Division: History of Lawn Bowlshttp://sedlawnbowls.org/history-of-lawn-bowls/Etymonline: Biashttps://www.etymonline.com/search?q=biasWritten by Patricia Rockwood, Instructor and Staff Writer, Adult & Community Enrichment (ACE), Suncoast Technical College, Sarasota County District Schools, ace-sarasota.com, (941) 361-6590. For class info, please call us or visit our website.

How to Select a Subacute Rehabilitation FacilityA Subacute Rehabilitation Facility (SAR) provides short term nursing and rehabilitation care to assist you or your loved one, to recuperating from a hospitalization and returning to their previous lifestyle. The SAR provides a high level of supervision and patient interaction, which will assist in attaining or maintaining the highest level of physical, social and emotional well-being. After a hospitalization, your doctor may recommend or you may request a transfer to a Subacute Rehabilitation Facility.Planning Rehabilitation for RecoveryChoosing a Subacute Rehabilitation Facility can be planned ahead of time when you or a loved one are facing an elective operation such as a Joint Replacement, Heart Surgery, or Abdominal Surgery or while your loved one is unexpectedly hospitalized and a discharge is anticipated.. Subacute Rehab after an unexpected hospitalization assists someone in a weakened state to be provided with a plan of care to assist an individual to recuperate prior to returning to their previous lifestyle. Planning a visit to Subacute Facilities is important to allow you to evaluate all discharge options and to make a fully informed decision.Checklist of Concerns prior to Choosing a Subacute Rehabilitation:Tour and observe the facility to for cleanliness and a pleasant environmentIs the facility Accreditated by The Joint CommissionCan my primary care physician remain in charge of my care?Is physical, occupational and speech therapy provided by in house staff seven days a week?Is a physician specializing in Rehabilitation Medicine involved in the care and treatment planning? Do residents and families participate in developing the plan of care?Is there a dining area available that is attractive and inviting with dietary choices to meet my needs?Are consulting physicians on staff such as podiatrists, dentists, surgeons, psychiatrist and orthopedists?Does the facility provide outpatient rehabilitation therapy so I can continue with the same therapist?Are the rooms spacious, attractive and comfortable?Is there private space for visiting?Is the staff attentive, courteous and positive to residents and visitors?Is there an Activities Program?Making Your DecisionOnce you are comfortable with the Subacute Rehabilitation Facilities which you have simply asked your physician and or social worker at the hospital about your decision to transfer to that facility. The choice is yours and it is important you are part of the decision whether it is for yourself or a loved one.Editors Note: This article was provided by Paul Jendrek, M.D., Fellow of the American Academy of Physical Medicine and Rehabilitation. Dr. Jendrek is currently an attending at the Regent Care Center, Polify Road, Hackensack, New Jersey.He has been in practice 20 years. Dr. Jendrick trained at Rusk Institute for Rehabilitation NYU Medical Center and now sub-specializing in Subacute Rehabilitation since 2003. He can be reached at 201-646-1166.

Dont wait until an emergency arises to discuss your future care plans. As you continue to age, your level of care increases. And, just because youre aging doesnt mean you should compromise your independence. Personal care communities are revolutionizing the quality of care to shed pesky stereotypes.Before brushing off the idea of moving to a senior living community, consider what you don't know about them:Personal care communities and nursing homes are NOT the same. You may be pre-judging because of a myth, stereotype or personal experience; however, times have changed! These words are different and so is their meaning and level of care. Personal care communities offer assistance when needed but also want you to thrive independently.Its NOT too expensive. When you think about your living expenses like food, utilities, lawn care, transportation, and other upkeep, senior living communities are a cost-effective solution. Additionally, there are other financing options available, such as long-term care insurance or Aid and Attendance, a pension available to wartime Veterans and their surviving spouse.Senior living communities are NOT the same. Just like people, no two personal care communities are alike. Schedule a tour so you can meet current residents and staff. Interacting with your potential new neighbors gives you the opportunity to get a real feel for the community. During a tour, you can discuss levels of personal care offered, the monthly cost, buy-in fee, additional charges, and if 24-hour nursing personnel are available.You WONT feel bored. Personal care communities plan a wide range of daily, exciting events such as social gatherings, spiritual services, day trips, and more. Request a copy of the social calendar to see if activities support your current hobbies while providing new interests you can pursue.Keeping your independence is the ultimate goal. Dont let myths about senior living communities compromise your future care plans. If youre unsure about senior care options, ask your doctor and family members for suggestions or referrals.Editors Note: Kelly Blessing, marketing director at Senior Commons at Powder Mill Independent Living, Personal Care and Memory Care, submitted this article.

A recent New York Times article discussed how after a five decade rise in the number of women in the workforce, that rise has stalled over the past 15 years. The general consensus is that caring for children, historically a womans job, has taken its toll. But the other significant factor is that elder care responsibilities have also increased as the population in the United States has aged. This combination has made it challenging for many women to actively remain in the labor market. Today, 15 percent of the American population has reached retirement age. Many older Americans are unable to live independently, and the job of caring for them falls predominantly on wives and daughters. A quarter of the women age 45-64 years old and one in seven of those 35-44 are caring for an older relative. As a result, 10 percent of family caregivers have to cut back on their work hours and 6 percent leave the work force entirely. Surveys indicate that family caregivers spend about 20 hours a week providing care, with many reporting having to miss work or eventually losing their jobs. This trend is likely to continue - by 2030, more than 20 percent of Americans will be of retirement age and on average, will need three years of long term care. The burden on millennial adult children will be even greater as they care for their children and parents. They also have fewer siblings with whom to share the responsibilities and with higher divorce rates among aging baby boomers, many will have no spouse to care for them. The U.S. Department of Labor projects that roughly 1.2 million home health aides and personal care aides will be added to the labor market to help address this need. In the meantime, prime working-age women will continue to leave the workforce to care for aging parents. HomeCare by RVNA offers certified aides on an hourly or live-in basis who can help to care for loved ones when family members cannot. For more information, call 203 894-5000.Editors note: This article was submitted by RVNA, a non-profit Medicare certified home healthcare agency with over 103 years of experience. RVNA provides home health aides through HomeCare by RVNA.Founded in 1914, RVNA is an accredited non-profit Medicare-certified home healthcare agency that also supports public health and safety, and promotes the highest quality of life. RVNA provides compassionate care to all individuals, whether young or old, through a continuum of care that encompasses health care at home and in the community. RVNA also provides home health aides and companionship through a non-medical subsidiary called HomeCare by RVNA and outpatient physical, occupational and speech therapy in its Rehab by RVNA facility at 27 Governor Street, Ridgefield.

To learn more about FirstLight Home Care of Omaha,CLICK HERE.For many older adults, their senior years offer time to travel and explore the world. Likewise, they finally have the flexibility to visit children and grandchildren in different locations. However, if they have issues with mobility, a chronic illness or disability, it can spoil their travel plans. Thats where travel companions can help.Whether your spouse just had surgery or needs oxygen, your parent is elderly and in a wheelchair, or your loved one has physical limitations, you can still travel together. In fact, at FirstLightHome Care, we can provide travel companion services throughout your whole journey. Well be there with you and your loved one every step of the way, making the experience as enjoyable, comfortable and stress-free as possible.FirstLight Home Cares travel companions will be with your loved one every step of the way, providing support for them and peace of mind for you.From family reunions and vacations to weddings and other important milestone events, our travel companions can ensure your senior doesnt miss a thing. We can help you navigate the airport and get to your destination, safely and comfortably. Well also help during the entire trip and on the return, ensuring your loved one is able to get back to home base without any troubles.This service not only makes traveling easier and more convenient, but also provides peace of mind too. You dont have to worry or stress about how to manage through a busy airport terminal or security, on an airplane or in a hotel. You can simply take it easy and enjoy your time together.Ways Our Travel Companions Can Help SeniorsWe can meet many needs and provide the level oftravel companion servicesthat are right for you and your loved one. Whether your family member needs daily assistance with bathing and dressing or just some help getting around while traveling, well be there. Well ensure your loved one doesnt miss an event and gets the care and attention they need to have fun, maintain their dignity and embrace the joys of traveling.We can also help with:Checking in at the airport and the ticketing processCarrying luggage or transporting your loved one in a wheelchairHelping your loved one navigate security or customsProviding assistance with ground transportationUnloading bags at the final destinationHelping with the hotel check-in processBathing, dressing and personal hygiene during the tripAssistance with meals, medication reminders and moreOur travel companions arent just for seniors, either. We can help those with special needs or disabilities, as well as veterans who need a helping hand. We can also provide support if a loved one just recovered from surgery or an illness and needs assistance during a trip. The journey will be easier and more enjoyable with help from the travel companions at FirstLight Home Care.You also wont have a reason to put off that family vacation or trip across the country. Instead, you can get the support and assistance you and your loved one need, providing reassurance at every point of the journey. Our goal is to provide qualitytravel companion servicesthat connect people with their loved ones, exciting opportunities and the world around them.

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

Financial assistance companies specialize in assisting seniors facing financial problems or in need of financial assistance.#listing_mgr{7 basic_search}#

Are you in need of care? Are you living in your home and need a caregiver or loved one to provide care? Have you moved into an assisted living or Skilled Nursing facility and are wondering how long your money will last?In 1952 a pension was put in place to help pay for this care. A Veteran may receive up to $1,644 a month. A Veteran and spouse may receive $1,949 a Veterans spouse $1,241 and a surviving spouse of a Veteran, up to $1,056 per month. This tax-free pension is paid directly into the Veteran or spouses bank account similar to their social security check.Many Veterans, their spouses or their surviving spouses require the assistance of someone to come in to assist with their activities of daily living such as cooking, medication management, transportation, bathing assistance, dressing etc. Many of these seniors prefer to stay at home but cannot afford to have someone help them with these activities. With this tax-free pension, they would be able to afford the assistance they need in their home or move into assisted living that provides them with the care they deserve.If the Veteran served our country 90 days active duty one day during a period of war (WWI, WWII, Korean, Vietnam, and Gulf) and was honorably discharged, you may be eligible for this pension. If you require assistance at home, if you currently live in an assisted living community, or if nursing care is inevitable, you may be able to increase your standard of living by offsetting the cost of your care and making it more affordable so you can receive the care you deserve.Call SENIOR CARE ASSOCIATES to see if you qualify!Editors Note:This article was submitted by Carole Autrey, Director of Senior Care Associates, 801-424-1444

Migraine headaches are frequently unpredictable and cause differing symptoms including nausea, light sensitivity, sound sensitivity, blurred vision, lightheadedness, pain that is throbbing or pulsing, pain on one or both sides of your head. There are many treatments including, medicinal, massage, Botox and other alternative treatments. See a Nerve specialist or your healthcare provider to see how to best address your headaches.#listing_mgr{7 basic_search}#

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

The challenges faced by individuals with Parkinsons disease (PD), even within their own homes, can be many and varied. PD is a disease that develops and worsens slowly over time. Symptoms range widely from motor symptoms (like tremors, coordination, balance, walking deficits, lack of facial expression, decreased vocal volume and inflection) to non-motor symptoms (like depression, anxiety, constipation, lethargy). Symptoms can vary greatly from person to person, depending on how long they have had the disease, what sorts of treatments they employ, as well as other disease processes and other factors which may impact them. Treatments which can be used to successfully manage the symptoms and may assist with slowing the disease progression include medication management, evidence-based, PD-specific exercise programs and possibly surgery.Skilled home care agencies working with these individuals are in the unique position of seeing exactly what challenges patients with PD and their care partners face in their homes. Symptoms can fluctuate, sometimes in an unpredictable manner. Skilled home health staff can help to improve safety and function within the home, as well as help with the transition back to the community.Within the home, individuals with Parkinsons disease may struggle with slow, small movements which can affect their ability to dress, bathe, move in bed and prepare food efficiently and safely. Deficits in walking caused by PD may make it difficult to negotiate changes in flooring, small spaces and doorways, and may also increase an individuals risk for falls.Individuals with PD and their care partners may require community resources and/or may need to find additional caregiver help in the home and information regarding finances and planning for the future. Lack of facial expression, deficits in speech and decreased breath support may impact communication and individuals may have cognitive deficits. Correct and timely medication regimens are also integral to safe and efficient management of symptoms.Home health clinicians with specialized training coordinate closely with all team members to target the deficits associated with Parkinsons disease. RNs, PTs, OTs, STs, MSWs and CNAs enable their patients with PD to meet their goals and maximize their potential.Editors Note: This article was submitted by Susie Lefebvre, PT, of Boulder Community Home Care. For more information she can be reached at 303-415-4515

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.

To learn more about Neighborhood House, CLICK HERE.Lifestyle changes related toCOVID-19 transmission have hada broader impact on older adultsthan is reflected in current hospitalization and mortality numbers.The abrupt shift to social distancing, required to minimize exposureto a disease that puts them at highrisk, has discounted the destructiveimpact of social isolation and/or thedisruption of daily routines on healthand wellness.Older adults are frequently challenged by chronic conditions, andtheir health can be more influencedby what they do in their daily livesthan by medical interventions. Sheltering in place - includingthe removal of formal and informal supports previously availableevery day - may lead to health risksunrelated to the pandemic. Changes in regular diet or physical exercisecan negatively impact heart conditions or lead to increased weakness,frailty, and falls. Social isolation canincrease depression and anxiety. The lack of cognitive stimulation frommultiple activities can acceleratecognitive decline.Being at home with dependentadults for months at a time may behard on family caregivers too. Someare homeschooling children. Othershave had to relinquish employmentor school to provide care to lovedones. Many more have had to foregomuch needed respite - offered byday programs, senior centers, andmore costly long-term care facilitiesto offset the cumulative stress ofcaregiver burden.Neighborhood House Adult DayServices offers affordable day careand support to aging and disabledadults on a sliding scale fee and infull compliance with state and federal health guidelines. It remains opento families in need of respite andoffers quality day programming foraging and disabled adults sheltering in place at home. The program utilizes recreational and horticultural therapy to address the social,emotional, physical, and cognitivefunctions of participants. Experienced staff lead activities, andperson-centered therapy plans aredeveloped and regularly evaluated.Additionally, the center offers medication management and nutritiousmeals three times a day.To learn more about NeighborhoodHouse, or to schedule a tour, visitwww.nhutah.org '1 Steinman, M.A., 2020, Meeting the Needsof Older Adults Isolated at Home During the COVID-19 Pandemic, JAMA InternalMedicine, Vol.180 (6), 819-820Editors Note: This article was submitted by Sarah Scott, MS, MBA. Sarah isthe Adult Program Director with Neighborhood House and may be reached at: 801-363-4589, Ext. 121 or by emailat Sarah@nhutah.org

Refers to a comprehensive program of care to patients and families facing a life threatening illness. Hospice emphasizes palliative rather than curative treatment. The dying are comforted. Professional medical care is given, and sophisticated symptom relief provided. Very few Home Health Agencies are also licensed for Hospice care.#listing_mgr{8 basic_search}##listing_mgr{7 basic_search}#

This is the most common statement made by families who chose hospice for their loved one. More than 1.2 million people were served by the Nations 4000 hospice programs last year, yet for every person that received hospice care, it is estimated that another individual would have benefited from the services of hospice but didnt get this compassionate care at the end of their lives.For 25 years, hospice care has been a fully covered benefit under Medicare. Hospice care is also covered by Medicaid and most private insurance plans for years, yet many myths still exist.1. Choosing hospice means that Im giving up. When cure is no longer possible, hospice provides the type of care most people say they want at the end of life--comfort and quality of life. The most common statement made by families who chose hospice for their loved one is, we wish we had known about hospice sooner.2. Hospice care wont allow me or my family to be involved in making decisions about treatment. Hospice puts patients and families at the center of care. Trained professionals provide guidance and encourage open, honest communication about individual wishes and choices.3. My grandmother died in a great deal of pain, but thats just to be expected as part of the dying process. Hospice doctors, nurses, and others are specially trained to control each persons pain, while still keeping the patient awake and alert whenever possible.4. I want to care for my husband at home; I dont want him to go to a hospice. Hospice is not a place but a philosophy of care. The majority of hospice care takes place in the home, where the person can be surrounded by family and familiar settings.5. My mother was admitted to the hospital. The Doctor wants hospice care at the hospital and now I cant bring her to my home to care for her. Hospice and palliative care is available in nursing homes, assisted living facilities, and even hospitals--wherever the patient lives and considers home. The majority of hospice care is provided in the home, where the person can be surrounded by family and familiar settings.6. Hospice care just keeps dying people heavily medicated; all they focus on is the physical process of dying. Hospice pain management is highly specialized and tailored to each individual, to ensure the highest quality of life possible to live each day until the end. In addition, hospice utilizes complementary therapies such as music and art, and provides emotional and spiritual support to the dying person and the loved ones, including bereavement support for the family after the death.7. My wifes doctor suggested hospice; that must mean that my partner has only a few days left to live. Hospice care is available to anyone who has a life-threatening or terminal illness, that has a prognosis of six months or less if the illness runs its normal course. Patients can remain in hospice longer than six months if necessary.8. My son is dying of AIDS, and I want the most compassionate care possible for him. But someone told me hospice care is only for older people with cancer. Hospice programs have developed guidelines to care for anyone, at any age, facing a life-threatening or terminal illness.9. 9. My grandfather doesnt have private insurance, so he wont be able to afford goodend-of-life care when he needs it. Hospice is fully covered by Medicare, by Medicaid, and by most HMOs and insurance companies.10. 10. Hospice care is provided by the Government that is why it is paid for by Medicare and Medicaid. More than 4,100 private, public and non-profit hospice programs serve all regions of the US. This is a very important family decision; take the time to talk to several hospice agencies in your area so that you select the most appropriate provider.This article was submitted by Mountain Valley Health Care. They can be reached at970-346-9700 or visit www.mountainvalleyhealth.com.Author: MountainValley

Throughout the years that I have been in healthcare I have learned many things by observing the families that I am serving. One of the most important lessons that I have learned is to have conversations that count before a crisis. I have tried to live that out. I vividly remember at the age of 30 before I had my first child completing my advanced directives. Having children made certain things real for me. I didnt want my husband or my children to ever have to make difficult choices for me if I was facing a life threatening condition. I didnt want them to feel guilty or scared that they may have made the wrong decisions on my behalf. Every adult should have an advanced directive (also known as a living will and durable power of attorney for health care). An advanced directive is simply your written instructions about your future medical care. I have found over the years many people do not have an advanced directive because they are fearful about having honest conversations about both their desires and fears regarding end of life issues. It is also especially hard for adult children to sit down with their aging parents to encourage them to put their wishes in writing. Remember, you cannot assume that you know what someone else needs or wants. So before you start any conversation keep in mind that the purpose of the conversation is not to impose your ideas on others but to learn what your family members think about their own end of life choices. There are many things that occur in daily life that can give you an opportunity to start conversations within your family. Conversation triggers can include the death of a friend or colleague, movies, sermons, annual medical checkups, and, of course, funerals. You can obtain a living will and durable power of attorney for health care from your local hospital, an attorney, or from the Idaho Secretary of State. Once your advanced directive is complete and you have discussed it with your family, be sure to share this information with your physician. This will increase the likelihood that your advanced directive is honored. Ultimately, this process is about more than completing the advanced directive. That matters, because it will guide final actions. However, what matters most is the actual conversation with the people you love so you can honor their wishes, come to terms with inevitable loss, and honor the cycle of life. Article by Honey Goodman, Community Relations Director for Treasure Valley Hospice. For more information or for speaking opportunities please call 467-7423

To learn more about AccentCare Hospice,CLICK HEREBlood pressure checks are a common reason for visits to your healthcare provider. Yet, for less than the cost of a single appointment, you may be able to purchase your own blood pressure monitor. This way you can check the reading yourself at home.Blood pressure is the force of blood against the walls of your arteries. Blood pressure readings tend to vary, depending on many factors, including stress levels and time of day. Your blood pressure reading in a healthcare provider's office can be as much as 20 or 30 points higher. The nervousness of being there can be enough to increase blood pressure.Home blood pressure kitsYou may buy blood pressure monitorsat pharmacies, medical supply stores, and discount chain stores. An electronic digital monitor that is battery operated is often easier to use than the more traditional blood pressure cuff. Electronic monitors usually cost more.Its important to check the accuracy of either type of monitor every so often.One way to make sure your monitor is accurate is to take it with you to your next healthcare provider appointment. Take your blood pressure with your monitor and compare it with the reading from your provider's monitor.Ask your healthcare provider or pharmacist to recommend a monitor for you. Keep in mind that if you have a large upper arm, you'll need a special, large cuff to get a correct reading.Read the instructionsEach type of blood pressure monitor works differently. Be sure to read the instructions that come with yours. Ask your healthcare provider, nurse, or pharmacist to teach you how to use it. Many people can check their own blood pressure at home without difficulty. Some need help from a family member or friend.Your home blood pressure reading is more likely to be accurate if you do the following:Don't take readings within a half-hour after smoking, exercising, or drinking beverages with caffeine.Take 2 or 3 readings at least 1 minute apart, and average the results.Take readings at different times during the day, or on several days at different times.Before you take your blood pressure, sit for 5 minutes with your back supported and your feet flat on the ground. Rest your arm on a table at the level of your heart.Use the bathroom before taking your reading. A full bladder can change the results.Blood pressure measurements are given as two numbers. Systolic blood pressure is the upper number. This is the pressure when the heart contracts. Diastolic blood pressure is the lower number. This is the pressure when the heart relaxes between beats. Both numbers in a blood pressure reading are important. As we grow older, systolic blood pressure is particularly important.Blood pressure is categorized as normal, elevated, or stage 1 or stage 2 high blood pressure:Normalblood pressure is systolic of less than 120 and diastolic of less than 80 (120/80)Elevatedblood pressure is systolic of 120 to 129anddiastolic less than 80Stage 1high blood pressure is systolic is 130 to 139ordiastolic between 80 to 89Stage 2high blood pressure is when systolic is 140 or higherorthe diastolic is 90 or higherGet medical care right away if your blood pressure is much higher or lower than expected. Whenever you visit your healthcare provider, take your blood pressure record with you.As a monitor ages, it may become less accurate. If the equipment or monitor you have is older than 5 years, you may need a new monitor. Take your monitor with you to your healthcare appointments and check the accuracy of the monitor against the reading the providers are getting.

All assisted living and independent living communities are different soI have three easy steps to help you make the best decision possible.#1 - Make a list of the things that matter to you most.#2 - Choose at least three locations.#3 - Schedule tours for each location. Whether youre searching for yourself or for a loved one, a comprehensive tour is the only way to truly evaluate a community. On-site visits help you visualize and experience the nuances of each community. Dont skip on-site visits, tours, and impromptu drop-ins. TIP #1 - Bring a family member or close friend as you tour- an extra pair of eyes and ears will notice things you miss and bring a broader prospective. Notice the amenities and observe the quality of care.TIP #2 - Get the basic price that covers space plus utilities, cable, wi-fi, etc. Then, ask the price of adding medication management, help with daily living task, or other concerns that may present themselves as time passes. TIP #3 Ask to be introduced to key personnel including the administrator, activity director, and RN. Were they warm and cheerful, did you feel welcome?TIP #4 Visit a second time during mealtime and sample the food.Its important to compare, compare, compare. An informed, well-researched decision is the best possible decision with the happiest consequences.Linda Hines, Grace Independent & Assisted Living- Grace Senior Communities

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.

Lets start by reviewing the differences between agencies.Class A Agency (Medical and Non- Medical) - These agencies can provide Medical and Non-Medical services, as required. They can employ Registered Nurses (RN), Licensed Practical Nurses (LPN), Certified Nursing Assistants (CNA), and Caregivers. They usually accept different insurances, Private Pay, and Veterans Benefits. They can provide services that extend beyond what Medicare and Medicaid typically offer. These Agencies can start services in a non-medical capacity and move up to providing skilled medical services as the clients needs increase.Class B Agency (Non-Medical) - These agencies can only provide non-medical services. They employ Caregivers which cannot act as medical personnel even if the Caregiver has a medical background or licensure. They can only provide non- medical services such as household chores, companionship, transportation and medication reminders.Medicare/Medicaid Agencies - These agencies can provide short term help after you have been hospitalized or return home from a rehab facility. They do not provide any extended hours of care and only provide skilled services such as RNs, Physical Therapists (PT), Occupational Therapists (OT) and Speech Therapists (ST), depending on your individual situation. They do not provide any services that a family member or a Caregiver could perform. Most visits are one hour or less.Here are some simple questions to ask yourself and your family.Do I need short or long-term care?Will I have to change agencies or consider a facility as my needs increase?What are my goals for having home-care in place?Will I be able to stay at home till the end of my life?Does my family support my decision to stay at home and will they be able to help if needed?Can your home-care provide services in a facility or work with Hospice?This article should help you navigate between the different types of agencies in your community to help you choose the right home-care solution for your specific needs. Being informed helps to make the right choice and avoid having to change agencies and disrupt care for you or your loved ones.Editors note:This article was submitted by Theresa Poole LPN, Director of Community Relations with BrightStar Care.Theresa may be reached by email at Theresa.poole@brightstarcare.com or 970-667-7778

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.

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

Celebrating Life is what The Arlington of Naples is all about! It is the Arlington Attitude that is catching on - to provide vibrant, grace-filled living that encourages people to live life to the full every day!The Arlington Attitude sees life as a gift to be savored and shared and nurtures a community where this attitude is contagious. Lets pray for an epidemic!The Arlington Attitude encourages us to look for the AH-HA Moments in our lives, to celebrate life even in the midst of all of the UH-OHs around us. Too many people get stuck on what is wrong with life these days. The Arlington Attitude empowers people to see what is right in the world, in order to be able to deal with those worries, wars, and woes that do surround us.Take time each day to think of the AH-HA Moments that are around you look for them, share them, celebrate them. And, when some UH-OH Moments sneak into your life, be ready to deal with them by remembering the people, the possibilities, and the promise that you have been given to share. Now that's an Attitude, the Arlington Attitude!Come check out this Arlington Attitude in the Lely Resort area of Naples. Talk to Vicki Tracy and her staff. Watch as this new community develops and grows. The Arlington Attitude is ready to be added to your list of AH-HA Moments!Editors Note: This article was submitted by Dr. Rich Bimler, Ambassador of Health, Hope, and Aging (AH-HA!), Lutheran Life Communities.

OFF BALANCE? ITS MORE SERIOUS THAN YOU THINK!By 360 ORTHOPEDICS Sarasota/Lakewood Ranch/VeniceStudies have shown that 40% of us will have a balance issue at some point in our lives. Some of these issues will be the catalyst for us to see our physician. A balance disorder is a condition making one feel unsteady or dizzy. Any number of things may cause a balance disorder including:Ear infectionHead injuryMedicationLow blood pressureEye/Vision problemsArthritisInner ear conditionBrain disorderWeak muscles or bonesAgingProper balance is important to daily living. A good sense of balance helps us bend over without falling, rise from a chair without tumbling, turn without tipping over, and walk without stumbling. Balance is critical to maintain our independence and enjoy our daily life. Good balance functions as a result of many systems in our body working in harmony. The eyes, ears (vestibular system), and sense of surroundings, when working properly together, help us to stay upright. These tell the brain how to work with our musculoskeletal system and maintain balance.The CDC (Center for Disease Control) says one-third of adults over 65 fall each year and among those even older, falls are the leading cause of injury related deaths. As we age, our sense of balance can deteriorate, however, there are some simple things we can do to slow the process.Keep moving. One of our physicians favorite phrase is motion is lotion. Exercise is, indeed, our best defense against many conditions.Build balance. Try standing on one leg for 30 seconds, increasing your time each day. Stay close to a counter or table for support.Biking helps bone density and strengthens your muscles to help avoid falls.Proper stretching of your calves will build strength and stability in legs and feet.If youre able, plank exercises help to build your core.With any exercise program or even increasing your daily activity, its advisable to consult your physician first and discuss any limitations you might have. At 360 ORTHOPEDICS, we take care of treating and strengthening your bones, joints, tendons, and muscles which all help improve your balance.

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.

A care manager is a professional, such as a social worker, counselor, nurse, or gerontologist who specializes in assisting older people and their families to attain the highest quality of life given their circumstances. Care managers are experts in working with individuals to identify their goals and locate the specific support services that enhance well-being. When faced with the array of choices and challenging decisions, care managers provide support to find the best solutions.Their services can cover short-term and/or long-term management of care, and families may choose to have them involved as little or as much as needed.Short-term care management would be helpful when being discharged after a recent hospital stay from a broken hip, a stroke or a new diagnosis of dementia. The care manager would assist with finding a suitable rehabilitation center such as an acute care rehab hospital that offers intensive therapy 3 hours per day in a hospital setting that includes medical oversight; or arrange for care in a skilled nursing facility that offers 2 hours of therapy a day with nursing oversight.For those patients going home after their hospital stay, the care manager would assist in locating and arranging for the necessary home health care and medical equipment needed at home such as walkers, raised toilet seats, hospital beds, wheelchairs, etc, many of which are covered by Medicare or long-term care policies.Long-term care management involves providing professional services to a client who requires on going assistance. An example of long-term care management would be helping adult children with coordinating the care of aging parents who want to stay in their home to age in place or assisting aging parents who have adult children with special needs as a healthcare agent to manage the healthcare for their special needs adult child.Long-term care management also includes managing ongoing medical bills, conducting a yearly review of health insurance coverage, and going with you to medical appointments. Some long-term care insurance policies will cover up to $1,500 of care management services.Care managers assist you to navigate and evaluate the health care services available to you. Short-tem or long-term, they can be a wonderful health care advocate to you and your family.Editors Note: This article was submitted by Christina Curtis, LBSW, Care Manager at Piece by Piece Care Management, LLC. Christina may be reached at 469-631-5110 or www.piecebypiececaremanagement.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.

Senior Move Management/Downsizing Companies assist seniors and families in all aspects of the move transition. The Dos and Donts when hiring one.The DontsDo not pay for a consultation, take a verbal estimate or accept a ball park estimate or flat rate. A reputable company will meet with you to assess the job and put together a detailed estimate of costs with no surprises.Do not go straight to the bottom line. This can be deceiving. Make sure you understand the services, whats included, and number of hours to complete the job.Do not initial numerous pages on the estimate. Your signature and deposit is all that is required.Do not allow a consultant to begin the job on the initial consultation. This is the interviewing process.The DOS to AskAre you members of the Better Business Bureau? How many years in business? Referrals of recent jobs?Your impression of the consultant is a reflection of the company. A poor presentation with little interest in hearing your story is a good sign you will not be happy with their service.Editors Note: Margo Salnek is the founder and principal of Move Seniors Lovingly. 239-593-4489. www.moveseniorslovingly.com

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

Tp learn more aboutAdvanced Health Care of St George andAdvanced Health Care of Salem, Click on the names.Excellence in Post Acute CareAdvanced Health Care provides a unique solution to those looking for an alternative to a nursing home. The professionals at our state-of-the-art facilities specialize in short term nursing and rehabilitation after your hospital stay and before returning home. We offer private suites, twenty-four hour nursing care, inpatient and outpatient rehabilitation services, and a fine dining experience in a luxurious atmosphere.Fine DiningAdvanced Health Care facilities offer a fine dining experience in an elegant setting. All meals are served restaurant-style with choices from our gourmet menu. Specialized diets such as cardiac and diabetic are ordered by the physician and supervised by a registered dietician. Our cooks pay special attention to the nutrition, taste, and presentation of each meal. Those who wish to remain in their suites during meals receive room service.NursingThe teams at Advanced Health Care work closely with the patient, family, and physician to ensure that the needs of each person are met. Under the direction of your physician, licensed nursing professionals provide twenty-four hour skilled care and a variety of additional services. These services may include wound care, IV therapy, medication administration, and assistance with dressing, bathing, walking, and dining.Private SuitesAll Advanced Health Care facilities only offer deluxe private suites that are warm and comfortable. Our spacious suites include a personal phone, cable television, individual thermostat for climate control, private bathroom with a shower, and a kitchenette which includes a microwave, sink, and a small fridge. Each patient suite is beautifully furnished and equipped with high speed internet access.RehabilitationThe goal of our specialized rehab program is to help patients attain their maximum potential and restore the functional abilities and confidence necessary for independent living. Our inpatient and outpatient rehab teams offer Physical, Occupational, and Speech therapies which are often critical components of a patient's plan of care. The therapists at all Advanced Health Care locations evaluate the needs of each patient and develop an outcome-oriented program.

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.

Through the course of your life, you work hard to build your assets. You spend a substantial amount of time, energy, blood, sweat, and tears to build up a foundation you can be proud of. While life certainly doesnt just revolve around money, one of your biggest accomplishments is seeing all the hard work that has been put in come to fruition. On the other hand, one of the toughest challenges in life can be asking for help, especially help with things that you have worked so hard to create and have put so much of yourself into. Eventually, however, there comes a point when you need a hand and simply are not able to efficiently manage the financial affairs you once so confidently could. These challenges can be even further complicated when you dont know who to turn to for help. Whether you simply dont have the people accessible to you that you would trust to fill those roles, you would rather an independent approach to avoid family conflict and maintain fairness, or you would just prefer someone who has the knowledge and experience to navigate and handle those roles expertly and professionally, this situation happens more commonly than one may think. A professional fiduciary has experience and knowledge to navigate the laws and regulations relating to management of assets and provides you with a resource you can trust to make clear, logical decisions when it comes to your financial well-being. If you find yourself in a situation where management of your financial needs is simply too big of a burden to bear, the bills are stacking up and you just dont know where to turn, it might be time to utilize a professional fiduciary to help alleviate your financial stress.Editors Note: This article was submitted by Joshua Lowenguth. Joshua is a professional fiduciary with Longs Peak Fiduciary Services LLC and may be reached at 303-651-9330 or by email at jlowenguth@longspeakfid.com

To learn more aboutInterim HealthCare,CLICK HERE.By Anna CiullaAs many as roughly one in five older adults (17 percent of seniors) may suffer from drug and/or alcohol abuse, according toresearch published by the Substance Abuse and Mental Health Services Administration (SAMHSA). For professional caregivers, that means you could be caring for an older client who fits this profile, either now or in the future.Caregivers are often on the front lines of these issues, after all, by virtue of their duties. It is not uncommon for a caregiver to be in charge of monitoring and administering multiple prescription and over-the-counter medicationsso they may be the first to stumble upon the telltale signs of an addiction, such as multiple prescriptions for the same medication from different doctors, or bottles that have been emptied well before their monthly refill is due. Its also not uncommon for a caregiver to assist regularly with bathing and personal hygiene tasks, so caregivers may also be the first to notice bruises, bumps or cuts from drug- or alcohol-related falls or injuries. A caregiver is more likely to be the first on the scene when a fall or injury occurs, for that matter.The question thus becomes, do you know how to talk about a suspected drug or alcohol problem with a patient and their family? Here are some tips for having these conversations, including how to spot substance abuse in seniors, things to ask an older person when you suspect they have a problem, and what to say to a patient and family when encouraging them to get help.How to Spot Drug or Alcohol AbuseDrug and alcohol abuse can be hard to spot in a senior youre caring for, because a number of the symptoms can easily be mistaken for normal signs of aging. A senior may become depressed, for instance. They may display a lack of coordination and motor impairment, or mental confusion and poor memory. Fatigue, irritability, insomnia and chronic pain can also mimic symptoms of the natural aging processOne or more of the above symptoms can be a warning sign of substance abuse, but still other warning signs cited by the National Institutes of Health can help you isolate the problem:Rapid increases in the amount of medication neededFrequent requests for refills of certain medicinesA person not acting normally (showing a general lack of interest or being overly energetic)Doctor shopping (moving from provider to provider in an effort to get several prescriptions for the same medication)Use of more than one pharmacyFalse or forged prescriptionsMood changesWhat to Ask a Client When You Suspect Substance AbuseIf you suspect substance abuse based on the above warning signs, find a time when your client is not under the influence of drugs or alcohol to ask them gently one or more of the following questions. (Its also possible you will be able to answer some of these questions yourself, by closely observing your clients behavior.)Have you felt you ought to cut down on your drinking or drug use?Have people annoyed you by criticizing your drinking or drug use?Have you felt bad or guilty about your drinking or drug use?Have you ever had a drink or used drugs first thing in the morning to steady your nerves, get rid of a hangover, or to get the day started?These questions are taken verbatim from a short drug and alcohol screening and assessment tool known as CAGE, which has been effective at detecting substance abuse in older populations. A yes to just one of these four questions can indicate at-risk drinking or prescription drug misuse.Your tone and approach in asking these questions are also important. Often an ideal time to make these inquiries is when your client is experiencing the negative consequences of their addictive behavior, such as a hangover following a night of heavy drinking. In this context, they will be less likely to engage in denials or to react in defensiveness.You dont need to ask all four questions in one exchange, either. You may find that a better, less confrontational approach is to ask these questions over the course of several days or a week, depending on the urgency of the situation. In some cases, such as the imminent prospect of an overdose, it may be better to bookmark one conversation in which you field all of these questions with a view to expressing your concerns as lovingly and directly as you can.What to SayWhen you speak to an older adult client about a suspected substance abuse problem, keep in mind the following suggestions:Share your love and concern, especially what you admire in terms of your clients values, attributes and the things in their life that would be the most natural motivations to get help for a drug or alcohol problem (such as spending quality time with grandkids, learning a new hobby, leaving a positive legacy, etc.).Speak matter-of-factly about the warning signs and changes in behavior youve been noticing and why they are a source of concern.Ask your client whether they have noticed some of these same signs and changes in their behavior and inquire about what feelings and life stressors, in their opinion, may be triggering the substance abuse.Take a learning and listening posture, rather than talking down to the client.Ask them whether they feel drugs and alcohol are working for them as a long-term solution to their problemsand do listen attentively to what they have to say, without talking over them, interrupting them or offering quick fix-it solutions.Wherever possible, empathize with what your client is going through, and normalize what they are feeling: Its normal and understandable to seek an outlet for coping with these feelings of loneliness and grief after your wifes death.Invite your client to share how you can best support their recovery.Let your client know that treatment has helped many people recover from substance abuse and can do the same for them.Ask whether they would be open to a free phone consultation with an addiction treatment provider. (Sometimes a plea to enter treatment can be intimidating, but a no-strings-attached phone consultation less so.) If they are not open to this next step, a family intervention may be necessary. If they are willing to speak with a prospective treatment provider, then make the call for them.

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.

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

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

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.

According to AARP, people aged 60 and older owe upwards of $290 billion in student loan debt. Thankfully, many federal student loan borrowers have experienced payment reprieves for the past few years due to multiple payment pauses enacted during the pandemic by the CARES Act and other loan relief efforts.These pauses on making payments for federal student loans are ending in August 2023, however. Interest will resume accruing on paused loans effective September 1, 2023, and student loan payments will be due in October 2023. To help borrowers get back on track with their payments, the Department of Education is implementing several programs.Resuming PaymentsOne of the new initiatives is a yearlong return-to-repayment program designed to get borrowers back into active repayment status. Between October 2023 and September 2024, borrowers who miss payments will not be considered delinquent. Their loans will not be reported to credit bureaus as delinquent due to missed payments.In addition, they wont be considered to be in default. Although interest will still accrue, it will not be capitalized. The idea behind this program is to give borrowers time to contact their student loan servicers, explore their options, and hopefully enroll in an affordable repayment option.Fresh Start InitiativeAdditionally, the Department of Education is implementing a Fresh Start initiative. This program provides borrowers who were in default of their student loans before March 2020 with a way to get their loans out of default going forward. It allows them to request that their loans be removed from default and put back into repayment status via a simple request to their loan servicer.This is significantly different from what borrowers previously had to do to get out of default, which often included a trial repayment effort before a loan was taken out of default.The benefits of the Fresh Start program include allowing borrowers to:start paying their loans again regardless of prior missed payments,improve their credit scores,avoid administrative wage garnishment (AWG), andaccess income-driven repayment (IDR) options quickly. (IDR options often result in $0 monthly payments for low-income or fixed-income borrowers.)Avoiding Administrative Wage Garnishment (AWG)The ability to avoid AWG is significant. AWG can affect people at all stages of life, including seniors. AWG allows a federal agency to order a non-federal employer to withhold up to 15 percent of an employees wages to pay a debt owed to the agency, such as defaulted federal student loans. AWG can also mean receiving a lower tax refund or having a portion of ones monthly Social Security benefits withheld.However, if borrowers take advantage of the Fresh Start program prior to August 31, 2024, they can avoid a loan default that leads to AWG.The SAVE PlanIn addition, the Department of Education is implementing a new IDR option in mid-2024 called the Saving on a Valuable Education (SAVE) Plan. The SAVE Plan amends and replaces the REPAYE Plan.Typically, the amount a student loan borrower with an IDR plan must pay depends on their income and the size of their family. Effective July 1, 2024, the SAVE Plan will protect more of a borrowers income from monthly payments. Compared with other IDR plans, the SAVE Plan will therefore lead to reduced monthly payments. For details, check out this fact sheet from the Department of Education.Borrowers With Disabilities May More Easily Qualify for a TPD DischargeEffective July 1, borrowers with disabilities will have an easier time qualifying for a total and permanent disability (TPD) discharge. New rules allow the Department of Education to offer TPD discharges (often automatically) to borrowers receiving SSDI or SSI who:have an onset of disability date five or more years ago and have been receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) based on this disability for at least five years;SSDI or SSI recipients who suffer from a condition on the Social Security Administrations List of Compassionate Allowances;SSA beneficiaries receiving retirement benefits who met the requirements for a disability discharge before they retired;SSDI or SSI recipients receiving these benefits based on disability with a three-year disability review period; orSSDI or SSI recipients receiving these benefits based on disability with a five- to seven-year disability review period.Disabled individuals who do not meet these criteria and wish to apply for a TPD discharge based on a doctors certification may now seek out certification from professionals beyond those holding an M.D. Nurse practitioners, physician assistants, and osteopathic doctors may now sign the certification verifying a borrowers disability.Borrowers who receive a TPD discharge in this manner will no longer be subject to a three-year income monitoring rule. However, if they apply for new federal loans within three years, they may lose their TPD discharge.Forgiven Student Loan Debt Wont Result in Taxable Income (For Now)At the moment, student loan debt cancellation is not counted as taxable income to borrowers. This protection from additional taxes will remain in effect until December 31, 2025.So, if you are considering applying for a TPD discharge or completing an IDR plan you previously started that would lead to loan forgiveness, now may be the time to act. However, note that this rule only applies to federal tax liability. Borrowers may still have liability under their states income tax rules.Contact Sharek Law Office at 412-347-1731 or click here to schedule a complimentary 15-Minute Call to see how we can assist you.This article is a service of Sharek Law Office, LLC. We dont just draft documents; we ensure you make informed and empowered decisions about life and death, for yourself and the people you love. That's why we offer a Life and Legacy Planning Session, during which you will get more financially organized than youve ever been before, and make all the best choices for the people you love. You can begin by calling our office today to schedule a Life and Legacy Planning Session and mention this article to find out how to get this $750 session at no charge. Please note this is educational content only and is not intended to act as legal advice.

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

ARE YOU A CANDIDATE FOR THE OSTEROARTHRITIS (OA) CENTER KNEE REHAB PROGRAM?1. Are your knees very stiff in the morning?2. Do your knees hurt when going up or down the stairs?3. Do you frequently take pain medication or aspirin for knee pain?4. Do the activities you enjoy cause pain around your knees?5. Have you been told that you need knee replacement surgery?If you answered YES to any of these questions, there is a successful Non-surgical treatment program to relieve your knee pain.HOW CAN VISCOSUPPLEMENTATION INJECTIONS PREVENT SURGERY?FDA has officially approved viscosupplementaion (Hyaluronan) for use in the treatment of Arthritis of the knee. Viscosupplementation bonds with naturally occurring joint fluid to create a lubricating and cushioning layer. It also reduces pain, inflammation and swelling of the joint, enabling you to do the everyday activities you enjoy!Published studies have proven and clinical experience has confirmed increased accuracy and decreased pain using our method of injections performed under an advanced live motion x-ray unit (Fluroroscopy) with dye. For best results, the viscosupplementation injections are combined with a specifically designed physical therapy program provided by a licensed Physical Therapist.YOU DONT HAVE TO LIVE WITH KNEE PAIN!In a little as five weeks, your knee pain may be reduced or possibly eliminate without a lifetime dependency on oral medications.It is important that you take an active role in the treatment of your Osteoarthritis OA and in prevention of additional joint damage. There are steps you can take to lower your risk for developing osteoarthritis.The most important thing you can do if you suspect you have any form of arthritis is to get proper diagnosis and begin early, aggressive treatment.WILL MY INSURANCE COVER THIS TREATMENT?Yes, Medicare and most major insurance will pay for some if not all of the treatment.KEY TO KNEE TREATMENT SUCCESSAll natural FDA approved hyaluronic acid acts as a lubricant and shock absorber in the knee.Injections visually guided by a live motion x-ray unit (Fluoroscope) to ensure minimal pain and maximal injection accuracy.Personalized Physical Therapy Program maximally enhances the lubricating and shock absorbing effect of the hyaluronic acid injectionsOnsite Licensed Physical Therapist works with each patient individually.Medical Procedure Covered by Medicare and Most InsuranceThis article was submitted by Dr. Robert Park at Centerville Medical. He can be reached at 801-298-7330. More information can be found at www.OACenters.com.

A report by the National Conference of State Legislatures and the AARP Public Policy Institute revealed that nearly 90 percent of surveyed seniors over age 65 want to stay in their current residence for as long as possible, and 80 percent believe that their current residence is where they will always live, but many of those homes are not equipped to let them age in place.The idea of staying at home is appealing because it does not involve any major life changes. You can keep your circle of friends and community, shop at the same familiar stores, visit your favorite restaurants, keep your daily routine. But, as situations change, there comes a time when staying at home can become a source of stress rather than a comfort.The key is to evaluate your home and determine what needs to be changed before any major health issues arise. You dont want to be making remodeling decisions when you are in the middle of dealing with a health crisis. Start planning now before any issues arise and you can space out the work and expense over a period of time.Lets look at some easy, affordable ways to stay safe and independent in your home.Make an entrance safer with a modular ramp, railings and smooth threshold transitions between rooms and outdoor decks or patios.Add safety rails and grab bars in the bathroom.Add a stair lift or platform lift for safe access to the upper and/or lower level.Widen the doorways and hallways to accommodate walkers, scooters or wheelchairsAdd lever handles to doors, cabinets and faucets for easier opening.When you are ready to start a project, look for a company with accessibility experience, who is familiar with the Americans with Disabilities Act guidelines and local zoning laws. A Certified Aging in Place Specialist (CAPS) has been trained by the National Association of Home Builders on remodeling existing homes to age-in-place Take advantage of a FREE evaluation to review your needs.Starting to add these changes now will help you stay comfortable in your home sweet home for years to come. Amramp has been making life accessible for seniors and people with mobility challenges for over 20 years. Amramp is a national organization with local, factory-trained professionals and with local inventory._______________________________________Editors Note: This article was contributed by Kristin Swanick of Amramp.

Scientific studies have unlocked many of the mysteries of the human brain, but not the aging process. The brain succumbs to the human aging process losing its agility. The good news is that by staying mentally active you can improve brain function and even grow new brain cells, even after 50.The new science of Neurobics has emerged that focuses on exercising the brain. Established by leading neurobiology labs around the world, Neurobic activities are simple, fun and can be done anywhere and anytime. Everyday life can be your Neurobic gym.As part of our human nature, we like what is predictable and routine. We develop routines for almost everything from driving the same routes to following a morning personal hygiene ritual. The reliance on these routines requires less thought which results in less activity for your brain. Neurobics calls us to get out of our routines by engaging in activities that:Use one or more of your five senses (e.g., sight, taste, sound, touch, and smell)Involve your full attention and concentrationBreak your routine significantlySome examples of Neurobic Exercises are:Use you non-dominant hand. Try working with the hand that you normally do not use for tasks such as stapling, writing, turning on machines, holding a book, even brushing your teeth.Spend time in a new environment. Go to a new park, store or venue. Travel seems to slow age-related mental decline.Find a new route to work. It doesn't have to be a longer route - just different. Visit an Outdoor Market. Use your senses at your local farmers market during harvest season. Taste a new apple variety. Talk to the local grower.Get out of your routine and Neurobicize your brain! For information about how Stay at Home helps families, please call A.J. Canfield (239) 939-1200 or visit us on the web at www.StayHomeLee.com. We know that we can never be as good as family, but we are the # 1 best alternative.Editors Note: The Arden Group, Inc. 2007-2011. All Rights Reserved

To learn more about Neil ODonnell Funeral Home,CLICK HERE.In 1883 Edward G. ODonnell purchased Utah Undertaking Companyand in 1889 the name was changedto ODonnell Mortuary Chapel whichwas located at 32 South 4th East inSalt Lake City. Edwards sons, Neiland Jack, joined in the family business. In 1931 Neil and Jack splittheir partnership. Neil ODonnell,along with his wife Stella DevineODonnell, purchased a home located at 372 East 100 South whichbecame Neil ODonnell Mortuary. Stella Devine ODonnell became thefirst woman to be licensed as a Funeral Director in the State of Utah. Their son, Neil Devine ODonnellJr. followed in the footsteps of hisparents carrying the family businessforward. In 1957 a modernizationof the building was completed. NeilDevine ODonnell Jr. was joined inbusiness by his sons, Michael andCasey, the Mortuary became knownas Neil ODonnell & Sons Mortuary.In April 2020 Neil ODonnelland Sons Mortuary was purchasedby Shawn Wiscombe and MatthewMedford and has been renamed asNeil ODonnell Funeral Home. Avery important facet of the transition of ownership is that Shawn andMatthew recognize the tremendousheritage of the ODonnell family andare committed to providing honor totheir legacy. Over the past year theFuneral Home has undergone significant renovations both internal and external to enhance the beautifularchitecture, to ensure a serene andcalming space for families we arehonored to serve and to create versatility within the building to meet theindividual needs of families whetherthe desire is a very traditional chapel service or a celebration of life with the ability to host catered food,appetizers and bar service. TheStella Devine Room is an elegantroom for viewings and The ODonnellRoom contains photos of the history of the ODonnell family.We believe that everyone isunique, and each service shouldreflect the life that has been lived.Our greatest honor is the enduringfriendships we create with those weare entrusted to serve.Neil ODonnell Funeral Home maybe reached at 801-363-6641 or byemail at inf@neilodonnellfh.com

Two of the toughest decisions a home owner can make is, 1) Is this the right house for my family and me to buy?, and then years later, 2) How am I ever going to get this house ready for sale?! To move from a larger home to a smaller home can seem like an unbearable and hugely daunting task. It doesnt have to be that way. Family homes filled with generations of keepsakes and memorabilia can leave the sellers pushing the, Where do I start?! panic button. Once a homeowner has made the decision that taking care of their home has become a burden and the downsizing option is looking more and more appealing the actual move itself should not stand in the way of that journey to an easier and less complicated life style. Also, if the home seller has no family members in the area to help them begin the task of making their home sale ready this can add to idea that moving is an undoable project. The tricks to getting the home ready is organizing, storing, donating, tag sales, consignments, gifting, hauling, handymen work, staging and arriving at a satisfying ending at the closing table. If one takes this step by step or my personal favorite, room by room, it becomes very manageable. The client should not look at the project as one big chore but a series of smaller tasks. It is amazing how much better a homeowner feel when they begin to see progress! It is key to have the right people with good references that offer the above services assisting at the right time of the getting things ready process. The most important result after all is done is received at the closing table where the sellers will reap the rewards of a great outcome of a more saleable home.This article was submitted by Jennifer OConnell, The Magyar Team, William Raveis Real Estate, 45 Field Point Road, Greenwich, Ct. 06830, Email: jennifer.oconnell@raveis.com, Cell:203-249-1948

Vacuum-assisted closure of a wound is a type of therapy to help wounds heal. It's also known as wound VAC. During the treatment, a device decreases air pressure on the wound. This can help the wound heal more quickly. The gases in the air around us put pressure on the surface of our bodies.#listing_mgr{1 basic_search}#

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 aboutArea Agency on Aging - Region 10, CLICK HERE.We all have a choice everyday as to how we will spend our time and energy. I decided a long time ago that I was not put here to just take up space; I want to spend my time making a difference in my community. Do you?I work with older adults who often call on me when they need some type of help or resources. I often end those conversations with a request for them to consider giving back when they can, not money but the gift of their time, experience, and talents. We all need a sense of purpose and a reason to get up every day. What better reason than to help someone else? They usually laugh and say Eva; I am 87 years old what can I do for someone else? My reply: can you help us make phone calls to check on people? Can you call volunteer drivers and remind them of their schedules? Can you fold newsletters or send cards to the homebound? Can you sit at the desk and check people in at the senior center?What can you do to make life a little better for someone in your RSVP programs NEED volunteers who want to make a difference in the lives of others. We also need drivers in surrounding communities for home delivered meals. We need people who are handy to help with minor home repairs and installing grab bars and building wheelchair ramps.Maybe you like working outside and would be willing to help with yardwork or other chores. Are you a special event kind of person that likes to plan and help with one-time events-we have that too. Would you like to help at the food bank once in awhile or give a caregiver a much-needed break? Dont be nervous; we will provide training and support and nice benefits. The best benefit is that your quality of life is guaranteed to improve!!!Editors Note: This article was submitted by Eva Veitch of Region 10 Community Living Services. For more information she can be reached at 970-765-3127 or by email at: eveitch@region10.netTo learn more click:https://www.seniorsbluebook.com/senior-resources/area-agency-on-aging-region-10-montrose-co-2

Accepted Thought Process: Im not a social person, and I keep myself active. Reality: Social interaction is vital to overall health and promotes engaged living.So many people think that the only reason to move into a senior living community is for medical reasons or when they can no longer take care of themselves. They often confuse staying active with being socially engaged. Loneliness and isolation can play a significant role in the decline of ones health, including increased cognitive decline and loss of mobility, while staying active and socially engaged benefits overall health and well-being. And what about the joy of living?All of us at every age need peer-to-peer interaction, with peers who have been through similar life experiences, experienced similar successes and losses, decisions, and accomplishments. We need to interact with others who have lived through similar times and eras, while having opportunities to share day-to- day conversations. This becomes even more important as we age.Many people think that is they move to a community, they are going to sit around playing bingo all day or they must do everything on a schedule. These same people, when asked what a typical day consists of, admit that theyre just sitting in their homes by themselves, doing nothing. As much as we like our homes, our homes do not keep us company. Often, people do more in a community because have transportation, someone planning activities, and people to do them with. For many people, just having someone to share meals with allows for more opportunities to engage with others.Senior living is not meant to change who you are and what you enjoy. Its meant to add to and benefit your day-to-day life.Questions to ask yourself: Who or what is your current social support? What are you currently doing to stay engaged with friends, family, or peers? When was the last time you enjoyed a day?By Catherine L. OwensV.P. of Sales and Marketing, Veranda Senior LivingAuthor of Be Your Own Hero: Senior Living Decisions SimplifiedCatherine L. Owens, author of Be Your Own Hero: Senior Living Decisions Simplified, specializes in helping seniors and their families make difficult, life-changing decisions that encapsulate the hopes of living fully, rather than just making a chance in location. To learn more about how she can assist you or a loved one, call (208) 401-8360.

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 (same as an executor) for the estate. For a will to be valid in Idaho, it must meet specific requirements under Idaho law.Revocable Living TrustsA person, during his or her lifetime, may create a revocable living trust whereby the grantor (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 grantor 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. Revocable 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.Does Having a Revocable Living Trust Eliminate Probate?To avoid the probate process, all assets must be transferred into the name of the revocable living trust. A common misconception is that a list of assets attached to the trust document accomplishes a transfer to the trust. However, the correct way to transfer assets requires an actual change to the title of assets including a home, certificate of deposits, bank accounts and brokerage accounts. Upon death, any assets titled in the name of an individual, not the trust, will be subject to the probate process.For this reason, when a person creates a revocable living trust, it is best to also create a will, called a pour-over-will, as a safety net to assure that upon death any assets titled in the name of an individual are transferred to the trust and distributed accordingly. In Idaho, generally speaking, the probate process can be quite simple and relatively inexpensive.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. Other important estate planning documents include a general durable power of attorney, living will and durable power of attorney for health care.This article was written by Donna A. Schuyler, Attorney, who practices in the areas of estate planning, probate, trust administration, elder law, and guardianship. Donna Schuyler Law, PLLC; www.elderlawboise.com; Phone 208-344-1947

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

There is something that happens when a dog enters a room.Strangers suddenly want to share stories, laughter and smiles fill an emptiness, and a camaraderie instantly develops amongst people who are drawn together by the dogs presence. As weve visited hospitals, Ive seen how our therapy dogs can literally stop a bustling group of doctors and nurses in a busy corridor, as they stoop to meet and pet one of our dogs. In senior communities, weve seen residents who may often spend time in their rooms, come out to socialize. Some who are known to never be vocal, suddenly utter some words. Others who eagerly wait on their floor for the visits because the calendar shows the dog is coming that day.There is power in the presence of a therapy dog, beyond such anecdotal stories, which are supported by empirical research and statistics.A groundbreaking study presented in November 2009 found that adults recovering from total joint-replacement surgery and receiving visits from therapy dogs needed 50% less pain medications than those not receiving therapy dog visits (Plunkett 2009). Past research has shown that interactions with a dog can decrease heart rate and blood pressure (Steed & Smith 2002). Cases have been cited where the use of dogs with seniors can increase mental stimulation and social interaction (Buettner & Martindale 2008), elevate positive mood levels (Lutwack-Bloom, Wijewickrama, & Smith 2005), and reduce loneliness (Banks & Banks 2005). These beneficial effects have also been documented with those affected with Alzheimers Disease (Buttram, D. 2004).So what exactly is a therapy dog? A therapy dog is trained to give affection and to comfort people around them. They must be friendly, patient, gentle, and love human contact with both strangers as well as with those familiar to them. Whether it is a motorized wheelchair whizzing by or a confused resident yelling down the hall in an Alzheimers community, a therapy dog should be able to walk into all sorts of unpredictable settings, remain calm and display good behavior. Though some of these skills come from training, a large part of what makes a therapy dog is the dogs temperament and personality. These dogs may visit hospitals, senior communities, facilities or private homes. The goal is to connect the person with such a dog, thereby resulting in a plethora of positive side effects.There is no doubt that the human-dog connection is powerful. Dogs are loyal companions that shower us with unconditional love. There is no judgment and no expectation except to want to be your lovable friend. As the increased use of therapy dogs makes inroads into the medical community, it is my hope that therapy animals will be seen as an integral component of a persons recovery process, care plan and overall well being. Weve seen firsthand how therapy dogs enable seniors to gain a sense of acceptance, self confidence, and comfort. Weve seen how these benefits can often surpass even those that come from the use of prescribed medications a priceless value that will hopefully become a standard care for seniors.Editors Note: References for this article are on file. The article was submitted by Susan Oh, Owner of OHomeCare, providing non-medical home care and therapy dog services throughout Denver Metro. She can be reached at 303-350-3085 or by email atsusan@ohomecare.com Author: Susan Oh

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.

Senior living communities offer many benefits, including maintenance-free living, chef-prepared meals, and plenty of amenities. But some of the most crucial benefits of senior living communities are the many opportunities for seniors to interact with others, make connections, and stay social.  Assisted living and independent living communities are the perfect places for seniors to meet and interact. From sharing meals and playing cards to attending fitness classes and going on outings, the chances to socialize with others are limitless.    Socialization is essential to seniors overall health and well-being. The emotional, physical, and cognitive benefits of socializing all contribute to seniors wellness as a whole. In fact, many people believe that socialization is the secret ingredient to a healthier, happier life. In a study by the Mather Institute, 69% of older adults reported that moving to a senior living community improved their social wellness, and therefore, their overall health.  In honor of July being Social Wellness Month, lets dive right into the many ways socialization improves seniors overall wellness. Mental and Emotional Health Benefits of Staying SocialMany people struggle with depression, anxiety, and isolation as they age. Whether they experience loss, live alone, are far away from loved ones, or have limited mobility to visit others, there are plenty of reasons why so many older adults are facing these mental health issues. Socialization is one significant way seniors can improve their mental health. Interacting with others is a natural way to stave off loneliness and isolation, which in turn reduces anxiety and depression. Socializing also improves peoples moods and provides a sense of worth and belonging within a community. Overall, positive interactions with others increase self-esteem and feelings of purpose, which also greatly contribute to improved mental health.  Physical Health Benefits of Staying SocialSocialization naturally requires seniors to be more active as they participate in activities with others. Having a strong social life helps seniors stay engaged and reduces their stress levels. As we know, decreasing stress is one of the best things you can do for your physical health. Because of this reduced stress and other factors, staying social improves seniors cardiovascular health and immune system. It also lowers the risk of developing many chronic diseases including diabetes, heart disease, and stroke. Studies have even shown that older adults who socialize more frequently actually live longer than those who do not. All the more reason to start getting social!Cognitive Benefits of Staying SocialNot only does socialization have numerous mental and physical health benefits, but it also has many positive impacts on the brain. In fact, studies have shown that social engagement actually slows peoples cognitive decline. Participating in conversations and group activities stimulates seniors minds and keeps their brains sharp. This in turn leads to improved cognitive function and memory skills. A study from the American Journal of Public Health showed that older women who had a social network had a reduced risk of dementia, and experienced delayed or no cognitive impairments. Another study found that seniors with no social connections were over 2 times more likely to experience cognitive decline than those who had 5 or 6 social connections. And, seniors who felt lonely had more than double the risk of developing Alzheimers disease. The cognitive benefits of socialization are clear, and they are powerful. Social Activities for Seniors in Southwest FloridaThere are plenty of activities, groups, clubs, and organizations available for Florida seniors who wish to stay social and active. And with over 4.5 million people over the age of 65 in the state of Florida, there are plenty of seniors to meet. Factor in the nice weather year-round, and there are countless opportunities for seniors to meet others and get involved in a wide variety of activities.Below are some socialization opportunities for seniors in Southwest Florida.Senior Friendship Centers(Charlotte County, DeSoto County, Lee County, Sarasota, Venice)Photo credit: Senior Friendship CentersThis organizations mission is to build vibrant communities through advancing wellness, connection, and enrichment for seniors. They offer many opportunities for seniors to socialize at their Activity Centers. At these locations, seniors can gather, have coffee with friends, take classes, exercise, play cards, attend special events, listen to live music, and more.YMCA of Southwest Florida(Bonita Springs, Bradenton, Englewood, Fort Myers, Lakewood Ranch, Port Charlotte, Punta Gorda, and Venice, Florida)Photo credit: YMCA of Southwest FloridaThe YMCAs Active Older Adults program holds many social gatherings for seniors, including bingo nights, barbecues, holiday parties, dances, Senior Olympics, group exercise classes, tennis and pickleball leagues, and more. Lehigh Acres Senior Citizens Center(Fort Myers, Florida)Photo credit: GoogleThis non-profit organization provides opportunities for seniors to meet others, stay active, volunteer, learn, and maintain a healthy lifestyle. Some of the programs they offer include billiards, Tai Chi, jewelry making, karaoke, yoga, Zumba, Mahjong, cribbage, various day trips and many more.Town Square(Sarasota, Florida)Photo credit: Town SquareTown Square is a 1950s-themed adult day care center in Sarasota, Florida. They offer a wide variety of immersive, nostalgic activities and spaces for seniors to enjoy with peers, including classic films, vintage garages, diners, salons, and art studios. They also offer Reminiscence Therapy, which is designed to help those with dementia or Alzheimers reconnect with their past memories. Adult day care centers such as this one are a good option for seniors who do not live in residential senior living communities but do require some personal care. The Sunshine Senior Center(St. Petersburg, Florida)Photo credit: Sunshine CenterThis senior center in Tampa Bay is a great option for older adults to gather for support, socialization, fitness and other services. Some of the socialization opportunities available at the Sunshine Senior Center include fitness classes, congregate dining, day and overnight trips, card games, dancing, crafts, seminars and more.Helping Your Senior Loved Ones Stay SocialMaintaining an active social life is a surefire way to improve your senior loved ones quality of life. With improved self-esteem and sense of purpose as well as enhanced cardiovascular health and cognitive function, the benefits of socialization are endless.One major way to ensure your loved one gets the social engagement they need is by moving to a senior living community. With full daily schedules of events, activities, classes, and outings, there is always something exciting and social happening at a senior living community. Residents can interact with others, find people with similar interests, and build connections with ease.But how do you find the right community?Thats where Florida Senior Consulting comes in. We are a family-run, Florida-based company that helps seniors and their families find the best senior living. We make your loved one part of our family and make sure they get the care they deserve, even after they move in.Our expert senior advisors have decades of experience in the field and are familiar with every community in the area. We can help match your loved one to the perfect community based on their interests, preferences, and needs.We believe senior living should be on our terms, and the choice should always be yours.To start enjoying your golden years, call us at (800) 969-7176 or visit us at FloridaSeniorConsulting.com

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

Did you know that there are ten regional ADA Centers in the U.S. to help seniors understand their rights and responsibilities under the ADA? These Centers are funded by the U.S. Dept. of Education to provide:Answers to all your questions on this comprehensive civil rights lawCustomized trainings for people, businesses, and organizationsResources in a variety of formats including print, e-mail, web sites, DVDsReferrals when appropriate.Some of the resources available cover topics like:What is a disability under the ADA?What entities are covered by the ADA? What is the reasonable accommodation process for employees with a disability? What Standards for Accessible Design apply to existing buildings and new buildings? What tax credits and deductions are available for removal of barriers?What is proper disability etiquette?What is a service animal? To contact the ADA Center nearest to you, call 800-949-4232 or visit www.adata.org

Depression in the elderly is common, but that does not mean its a normal part of aging.Seniors are expected to slow down, so the signs of depression may get missed, delaying effective treatment and forcing many to struggle unnecessarily for years.Understanding DepressionThere are many changes later in life that could lead to depression, including loss of independence, death of friends of relatives, financial concerns, medical issues or moving away from home and family.Depression prevents people from enjoying life, but it affects more than mood. It also impacts a persons energy, appetite, sleep and physical health. Depression is a serious condition, and those suffering from it cant just snap out of it. Its a medical problem, and it requires medical treatment.Recognizing SymptomsDepression and sadness may seem to go hand and hand, but many depressed seniors claim not to feel sad at all. Instead, they complain of low motivation, a lack of energy or physical problems. The following are common symptoms of depression in the elderly: Unexplained or aggravated aches and pains Feelings of hopelessness or helplessness Anxiety and worries Memory problems Lack of motivation and energy Slowed movement and speech Irritability Loss of interest in socializing and hobbies Neglecting personal care (meals, meds, hygiene)Caring for Those with DepressionDepression is a highly treatable medical condition. If your loved one shows any of the symptoms listed above, take him or her to see a primary care physician for a complete physical checkup. The physician may refer the patient to a psychiatrist to evaluate if treatment is needed to reduce symptoms, improve functioning and enhance well-being.Specialized care for adults and seniors with behavioral health issues provided in either a hospital or outpatient setting can assist with treatment and help with long-term healing. Behavioral health services can improve the quality of life for someone you know or love.This article was submitted by Brooke Pedroza, Community Liaison Director at Oceans Behavioral Hospital Plano. She may be reached at 972-596-5445 or email bpedroza@oceanshealthcare.com.

In the good, old days, children played outside without fear. Americans left their doors unlocked at night. The thought of a robbery or something worse was incomprehensible. Unfortunately, we live in a different world now.There are people who prey on others for their own financial gain. Sometimes, those criminals break into homes to steal goods and money. Other times, the crooks are harder to spot because they present themselves as people who are trying to help.While there are many ways that schemers attempt to dupe people out of their money, the two most common scams performed over the phone are the lottery winner and bail money scams.The lottery winner scam involves an unknown caller contacting the victim and explaining that he or she has been randomly selected to win money. The victim is requested to wire a small amount of money to register his or her account to receive the lottery winnings, which will never be paid to the victim because it is a scam.Another scam involves bail money. An unknown individual will contact the victim stating that theyre the victims grandchild or an attorney for the grandchild who has been arrested out of the country. They will instruct the victim to wire bail money to an account to have the grandchild set free.These criminals make their living by creating a reality that doesnt truly exist, whether it is the stress of a grandchild who accidentally ended up in an international jail or the elation of winning money. They have honed their craft, and they know just how to manipulate people they have never even met to invest in their lies.They are persuasive and convincing, and can even be argumentative if victims decline their requests for money. If you find yourself in a situation like this, do not hesitate to simply hang up. Be wary when strangers call, and never share personal information over the phone.By taking these precautions, we can safeguard our savings and our families. Editors Note: This article was contributed by Pennsylvania State Rep. Bryan Cutler (R-Peach Bottom), who may be reached at bcutler@pahousegop.com. You may also view his website at www.RepCutler.com.

Dementia is a serious diagnosis. It is a chronic, progressive illness that affects every aspect of a person's life. It is important to get a second opinion. A thorough evaluation is essential to eliminate other possible causes of confusion, word-finding difficulties, personality changes, getting lost, inability to complete every day responsibilities, or other signs of dementia.The neurologist is the medical expert in brain diseases. They will identify any reversible causes of the changes; or if they confirm the diagnosis, they can identify the type of dementia. The common forms of dementia (Alzheimer's Disease, Vascular Dementia, Frontal Temporal Dementia and Lewy Body Disease) each have a unique set of symptoms and different trajectories. Only with an evaluation by a specialist including history-taking, a physical exam, lab tests, brain scans and neuropsychological tests can an accurate diagnosis be made. The truth of a diagnosis is your friend, and this truth will guide you in making the best decisions for your future. Expect this process to take a few weeks.The person with dementia should be told their diagnosis so they can participate in legal and financial planning. An elder care lawyer helps them plan for their own future and make decisions for their future self while they still have capacity. There will come a time that the person with dementia will no longer be able to make health care decisions for themselves. 75% of people with dementia will need the type of care and supervision that is mostly found in nursing homes. Planning for long term care is essential.A dementia diagnosis is life changing for the family as well as the person with the disease. As the disease progresses, families typically provide care 3-6 hours a day or more. A geriatric care manager is an expert in helping people with dementia and their families discuss difficult topics and face complex issues. They help make short and long term plans, coordinate medical services, evaluate in-home needs and alternative living arrangements. They can provide emotional support and reduce caregiver stress.With this team in place, the person with dementia and their family will know what to expect and understand their options. And, with ongoing, expert support, they do not have to face the future alone.Editors Note: This article was submitted by Malka Young, LICSW, C-ASWCM, Director of Allies in Aging, 800-655-9553 or help4elders@jfsmw.org. Allies in Aging is a program of JFS of Metrowest in Framingham.

Although the American family has always shown great resilience through the ups and downs of our dynamic economy, the slow recovery were experiencing now is compelling many to not only reconsider their priorities, but reevaluate the financial strategies they may have put in place only a few years ago. Families and Finances A recent study conducted by Forbes Consulting Group in 2013 titled, State of the American Family: Families, Financial Attitudes & Planning, found that families1 financial priorities are focused around 4 specific areas: Income, Savings, and Retirement.The challenge for many of us is determining which of the four areas should be our primary focus. Ultimately, only you can decide where to put the majority of your financial efforts. Factors such as age, marital status, number of dependents and short- and long-term goals all will play a part in your decision making. Thats the easy part. The hard part is trying to balance all four at the same time which you will have to do - along with the rest of your day-to-day life.Income Your income(s) is the source of funding for most everything you enjoy in life. In fact, when viewed over the span of your entire working life, your income may be your most valuable asset. For those whose priority is to use their income to build and accumulate assets for the future, your first step should be to protect your income (inquire with your employer regarding your Group Long Term Disability options), and, once secure, look for ways to increase or supplement it. What side hustle could you do in your free time to generate additional income?Savings If savings is your top priority (for the purchase of a home, a childs education, or other reason), view the sacrifices you make now as the foundation of building and accumulating wealth. First, create a budget that will identify how much, and for how long, you will need to save to reach your goal. Start your savings plan by creating an emergency fund (equal to six months of income), then investigate various savings vehicles available. Consider making arrangements to automatically withdraw money from your paycheck or checking account. Set it and forget it is an ideal way to save.Retirement Regardless of your age or situation, retirement planning should be a priority for everyone. Once you have an idea about how much income youll need in retirement (70% of current income is a good rule of thumb), the simplest way to save for retirementis through your employers 401(k) or similar plan. If your employer does not offer a qualified retirement plan (or you are self-employed), create your own by using an IRA (traditional or Roth) or Self Employed Pension plan. Also consider whole life insurance. While primarily purchased for its death benefit, the build-up of the cash value in a whole life insurance policy is guaranteed, and can help give you a reliable source of supplemental retirement income.Editors Note: This article was provided by Bradley Waller, a financial representative with MassMutual Financial Group; courtesy of Massachusetts Mutual Life Insurance Company (MassMutual). Local sales agencies are not subsidiaries of MassMutual or its affiliated companies.1. Access to cash values through borrowing or partial surrenders will reduce the policys cash value and death benefit, increase the chance the policy will lapse, and may result in a tax liability if the policy terminates before the death of the insured.

For more information on the author, Comfort Keepers, CLICK HERE!This holiday season promises to look different than any before it for many families. But it can be refreshing and fun to shake up the routine by incorporating new ideas, especially when some of the go-to activities may not be possible this holiday season.While it is important to keep safety in mind during the holidays, there are a number of ways to bring connection, purpose and hope to seniors even when we cant see them in-person.These fun ideas for families focus on activities to do with seniors, including grandparents, older parents, and elderly neighbors. Some are free or affordable, others may require some planning ahead, but all ideas can be done together or apart to bring joy and make new memories. Some of these can be done in person, for those in the same household, or activities can be facilitated by a caregiver to ensure both fun and safety. Others are intended to bring joy to those that cant spend time together in person. While this year may not allow some of our usual seasonal traditions, there are still ways to find joy in the holiday season together.Bake cookies or a favorite holiday treatMake an ornament or cute holiday decoration as a giftHelp a senior shop for holiday gifts onlineWrap gifts on behalf of a senior and deliver them to loved onesHave a drive-through holiday parade outside of a seniors homeGather everyone in your household and go caroling for seniorsPut together a gift basket of hot chocolate, baked goods or favorite holiday snacksString lights outside of a seniors homeMake a wreath for a seniors doorPrint photos of holiday memories and share themSend cards, letters or notes of encouragementRun a holiday errand for someone that is isolating at homeSnap a few photos of your friends, family, and pets to send by text or emailPlan a surprise meal for a senior, either by cooking for the senior in your household or arranging meal delivery if you cant be in-personDraw a picture and send it in the mailLend a senior a favorite book or movie and explain why you love itTake a senior in your own household for a sunset car rideCelebrate the 12 days of Christmas by sending a senior gifts and treats.Color a page from a coloring book and give it as a giftSurprise a senior by playing or singing their favorite song over the phone or on a video callPaint a picture and give it to a seniorMake and send a handmade cardPost sticky notes with uplifting messages around the houseMake origamis and present them as giftsTell a senior what you admire about themCreate a book of holiday memories for someone specialThank someone that you appreciateListen to a senior reminisce about the good old daysSurprise a senior by dancing to a favorite song on video or dance with a senior in your household!Write a poem and give it as a giftBring coffee from their favorite coffee shopFrame a seniors favorite quote give it to themDecorate for the holidays, either outside of their home or inside if youre in the same householdRead a favorite holiday book together over the phoneSend a senior a poinsettia or other seasonal plant for their gardenGift an indoor garden to someone that cant be outside due to weatherOrder supplies from an online crafts store for your loved ones favorite hobby or something fun and newHave your senior narrate parts of their life for you. Write down the memories and create a booklet with photos for you all to cherish.Have a fashion show showcasing silly holiday looks over video or with a senior in your household and dress up in themes from your loved ones favorite eraWatch a favorite classic movie with a senior in your householdAsk your senior loved one to gather items to donate, and take them to a charity drive for themHave family phone or video callsRecord a voice journal and share itCreate a family holiday recipe bookPlay Bingo onlineCreate a collage and gift it to a senior loved onePlay charades in-person with those in your household or over video chatFind a senior pen pal and send letters and notes on a regular basisShare a favorite podcast or audio bookMake a family tree and gift it to a senior

Pretty soon, your pharmacist might be stuffing paper and pencils into those amber-colored bottles.Were kidding, of course!But art therapyISbig news. It turns out thatpeople who make art have less stress,are able tofocus more deeply, have more emotional resilience, and feel more hopeful abouttheir future thanpeople who do not make art.Some recent studies back up those statements.One of thestudiesinvolved asmallgroup of recently retired seniors inGermanyin 2014. Half of them participated inhands-onart workshop twice a week for ten weeks. The other halftook an artappreciation courseas a control. Both groupswere tested for emotional resilience using fMRI technologyboth before and after the program.The researchers founda significant improvement in psychological resilienceandfunctional connectivity(the way that parts of your brain talk to each other)in the art-making group, but not in the control group.One of the conclusions of the study was thatmaking art might delay or even negate age-related decline of certain brain functions,according to Katherine Brooks, who reported on the story forThe Huffington Post.Many artists do some of their best work in thelast third of their lives.For instance,Picassokept on breaking new ground with his artworkuntil his death at 91.AndHenriMatisse, whenhe became bedridden in his later years and thus unableto paint,asked for colored paper and scissors andbegan tocreate the paper collages that turned out to be some of his most creativeand lyricalartworks. He died at 84.Claude Monet, the famous Impressionist,lived to 86, andpaintedeven through failing eyesight due to cataracts.Many researchers have argued thatart is a basic human need.The drawings in dark cavesin southern France,made with red clay and chalk tens of thousands of years agoby firelight,show how strong the urge tocreate is.AnthropologistEllen Dissanayake wrote, in her bookHomoAestheticus,that even nomadic people, who carry few possessions, take the time to make decorations and adornmentsfor their surroundings.Creativity is important for many aspects of health and humanrelationships.GirijaKaimal, a professor at Drexel University and an art therapy researcher, says, "Anything that engages your creative mindthe ability to make connections between unrelated things and imagine new ways to communicateis good for you."Sheworks with victims oftraumatic brain injury,among others.MOREBENEFITS OF ART-MAKINGArt helpsusimagine a hopeful future.The more you draw, paint, doodle, sculpt, or collage, the more you see something emerging that wasnt there before, and the more likely you areto see it through to completion.Weunconsciouslyextrapolate from what were doing with our hands to whats happening in life.In the most basic terms, imagination is tied topossibility,and that meanssurvival.Art activates thebrainsreward center.Researchreportedin 2017in the journal Arts in Psychotherapyshowed that therewas increased blood flow to the pleasure center ofthebrain whenparticipants weredoodling, coloring, orfreedrawing.It didnt matter whether the participants had prior art training. Conclusion:Art makesus happyand our brain shows it!Artreduces stress.Obvious, right?! But research backs up this claim as well. Researchers measured the levels of cortisol in the blood of39 healthy adults after 45 minutes of making art with anart therapist and found that it dropped significantly. Cortisol isone of thehormonesthat help the body respond to stress.There were no differences in cortisol levels between those who self-identified as experienced artists and beginners.Artnudges you toward better focus, or flow.Anything that improves concentration is good for youwe knew thatand art falls into that category. Butart cango one better, because art-makingpushesyouoverthe edgeinto that wonderful state ofmindcalled flow, where you are in the groove,all systems go, clear andcalm,followinga river of creative juicesthat seems togo on forever.If you are in the habit of making art now, you have probably experienced thisintensely pleasurablestate ofsuper-creativityand laser focus.WHAT TYPE OF ART SHOULD YOU PURSUE?The answer is whatever you like! If you have never picked up a pencil, brush, or crayon before, take a beginning art classof some kind and experiment with allyoursenses open to whatmightappeal to you. Or perhaps music, performance, dance, or writing will be the art form that is the one for you.Researchers in one study found that coloringinside a shape, such as a pre-drawnmandala,was more helpfulthan coloring randomly on a blank piece of paper.Other researchers have found that modeling clay wasverybeneficialfor reducing anxiety and stress because it involved more of the senses.But any type of creation is helpfulin some way.The point is,try something. Ifits not your cup of tea, try something else!FURTHER READINGGharib,Malaka, Feeling Artsy? Heres How Making Art Helps Your Brain, npr.org, Jan.11, 2020Brooks, Katherine,Study Says Making Art Is Good for Your Brain, and We Say You Should Listen,huffpost.com,updated Dec. 6, 2017Martin, Brittany Harker,Cutting-Edge Research Shows That Making Art Benefits the Brain,inverse.com, June 14, 2020Submitted & Written By: Patricia Rockwood, Instructor and Staff Writer, Adult & Community Enrichment(ACE), Suncoast Technical College, Sarasota County District Schools, www.ace-sarasota.com (941) 361-6590. For class info, please check out or website or give us a call.

For more information on the author, Wendy Rickenbach Barclay with CarePatrol, CLICK HERE!So many times families are faced with the daunting decision that mom/dad needs some sort of support to continue living at home or worse their health and/or cognition has declined to a point where staying home alone is no longer safe.I hear families say ALL the time that mom/dad wants to stay in their home. That has always been our goal at CarePatrol. Keeping seniors safe, engaged, nourished, and as independent as possible. Having said that, most people do not fully realize the economics of staying at home vs. community-based care options.Did you know that if you are paying for 6-8 hours a day on in-home private duty care that is the same amount you would pay at a community-based care option for 24/7 care and NO one in your home all day staring at you and/or four walls?While I believe that in-home care is always the first option and it may be a permanent option if you can afford $15,000-$18,000 a month for private duty care in your home. However, that is not the reality for most of us. The average cost of a community-based care option is about $4,500-$6,000 a month in a PRIVATE APT...YES, mom/dad would have their own apt. There are more economical options and more expensive options as well. Just trying to give an average.Most families begin their quest by asking friends, neighbors, etc. andwhile those are ALL good ideas it would be hard for any of those resources to have complete knowledge of the 183+ community-based care options in the area or the 123+ private duty care options in the area. Does that friend have in-depth knowledgeof all these options? Do they know the cost of care, pros/cons, and community performance records from thousands of families on these options?Honestly, I dont know anyone other than CarePatrol that can fully answer all these questions for you. Unfortunately, most friends do not know the funding strategies that you can implement to help pay for care. What happens is they send you to the place they know down the street that is brand new with 24/7 nursing and will cost $5,800. You then say my monthly income is $1,500.So you fall in love with that community and leave discouraged because you feel as though you are destined to never have the care you need to stay as independent as possible and reside in the fact that if things progress you will have to go to a nursing home.The point of all this is to partner with a FREE LOCAL expert. Call CarePatrol to educate you on all the care options and ways to pay for care. If knowledge is power then let us give you the knowledge you need to stay safe and independent. Call today at 941-237-0846 or visit Sarasota.carepatrol.com.

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

It was June 23, 2005, on my 39th birthday and we were in the office of A.A.C Adoption & Family Network in Berthoud, Colorado with my two boys ages 6 and 7 and my husband. We were looking into adopting a girl when I got a call from my sister: Mom has had a massive stroke and she is in the intensive care unit. She had an occipital stroke, meaning her short-term memory and vision were badly affected. This is how my journey of home care started. I was devastated, afraid and helpless. What was I going to do? I knew that she would not be able to live on her own anymore. Mom stayed in the hospital and after a month and half she would have to be released either to a nursing home or a place that provided 24/7 care. My brother and I signed up to take that journey together: we brought mom home.The first 6 months were devastating. We could not find quality caregivers or the right agency. We did not have anyone to learn about their experiences. There were no classes, manual or training on taking care of your elderly parents. There were not enough resources available back then. But we did not give up! Taking care of our mom taught us how to be patient, how to be strong, and how to believe in ourselves. Our mom lived a fabulous life in the comfort of our home and with the help of wonderful caregivers that we ended up finding on our own for the next nine and half years. Our mom passed away on January 16, 2014, living the best quality of life and loving care that she could have her stroke.Ever Since mom passed away I have been thinking about helping others by sharing my experience and passion. That is why I joined Amber Personal Care. It has been my mission to bring the same quality of care to Amber Personal Care. I am here to share with you my experience, love and passion for taking care of your loved ones. Visit our website at:www.amberpersonalcare.comEditors Note; This article was submitted by Sophia Sarvestani Akrami, with Amber Personal Care. She may be reached at 303-718-1825 or by email at: info@amberpersonalcare.com

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

Families and friends assume an incredible amount of responsibility when caring for an aging loved one. If you have taken on the role of primary caregiver, then you have probably experienced more than your share of fatigue, frustration, loneliness and stress. Few of us expect to add caregiving to an already challenging list of family responsibilities. Yet is doesnt have to be this way. Many family caregivers are finding help outside of the family circle with paid caregivers. Professional caregivers will allow you to focus on your own self care and spend valuable time with your loved-one engaging in meaningful conversation and activities.Start by assessing your personal needs, or your needs as a caregiver and the needs of the person you are caring for and evaluate the level of care needed. Then take a look at in-home care and support services.Benefits of Home Care:It is delivered in your home. There are such positive feelings that all of us associate with being home. A care plan is customized to the needs of each individual and these services are provided within the privacy of ones own home.Caregivers are special people. By and large, people who selected caregiving as a profession look at it as their calling. Caregivers are compassionate and dedicated to providing the highest quality care and supports.Life management: At ResCare HomeCare we focus on wellness by educating client and caregiver to help monitor chronic disease symptoms and successfully implement treatment and wellness plans to avoid hospital stays and live independently at home.Takes care of everyday household tasks that become challenging with age. A caregiver can run errands, grocery shop, pick-up prescriptions and stock the home with needed toiletries. Homemaking services like light housekeeping, pet care and home safety checks help maintain a healthy environment.Activities of daily living. Personal care includes assistance with bathing, eating, dressing toileting and medication reminders.Meal planning and preparation. A caregiver not only helps your loved-one maintain a well balanced diet but they can also help monitor the expiration dates of food items in the home.Emotional Care. Having a companion in the home can enhance safety, provide peace of mind and keep your loved-one socially active. Transportation services. Can help your loved-one stay engaged with their favorite activities like exercise class, social group meetings, hair appointments and visiting with friends. A caregiver can help drive your loved-one to a physicians appointment.Many home care agencies will help you determine the level of care needed and best payment options, if you are unsure. There are a number of ways to cover the cost of non-medical home care and skilled home health. Some options include: private pay, long-term care insurance, private insurance, Veterans assistance, Medicaid, Medicare and/or workers compensation.Editors Note: This article was submitted by Elizabeth Squires. Elizabeth Squires is a Branch Manager with ResCare HomeCare and may be reached at 801-288-4100 or by email at esquires@rescare.com

To learn more aboutHome Care Assistance of Utah, CLICK HERE.Make clothes and personal items easy to access.If your loved one needs support getting dressed, they can still choose what to wear. Open wardrobes allow all clothes to be visible. This allows your loved one to see their options and make choices. If you dont have an open wardrobe, present a few choices for your loved one to choose from. Do the same for other personal items. Make sure your loved one can see or easily access things such as jewelry, money, and other items they like to have on hand.Ensure that clothes are easy to put on.If your loved one can pull up their pants but has difficulty with buttons or zippers, consider pants with elastic waistbands. Some things are easier to put on than others. If your loved one is more independent with certain clothing styles, it is worth investing in them. Getting dressed with less support may give your loved one a confidence boost as they start their day.Invest in voice-activated technology.There are several voice-activated home devices on the market, made by companies like Amazon and Google. These devices are a great resource for people with disabilities. Theyre great for those with low vision, difficulty with fine motor tasks, or mobility challenges. Voice-activated devices can do a lot of things, including:Play musicOperate the televisionLock and unlock doorsControl the thermostatControl lightsTell the time, date, and weatherMake phone callsSmart devices empower some people to live independently for longer. They allow people who cant use smartphones or computers to access information. Plus, new uses for these technologies come out all the time.Use adaptive equipment throughout the house.Age-friendly home improvementscan enable older adults to be independent for longer. In the bathroom, you can install grab bars in the shower and near the toilet. You can add a shower chair and an elevated toilet seat. In the kitchen, you can store items on the counter or at eye level so your loved one doesnt have to bend or reach. You can also buy weighted utensils to make meal times easier. As you make changes to your loved ones home, think through their daily routine. What challenges are they facing throughout the day? What tasks do they receive support with? Is there any equipment that would make things easier? Are there changes that you could make that would empower them to need less direct support? If you dont know where to start, you may want to consult an occupational therapist. They can offer ideas of changes you can make to the home.Community Independence for Aging Loved OnesFind a weekly activity for your loved one.Older retired adults dont get out of the house as often as people who are still in the workforce. This can become lonely and boring. Many elders report feeling isolated, which can lead to depression. Hobbies in the community are a great way to prevent isolation. Most communities have senior centers or senior-oriented events. There are events appropriate for all interests, such as:BingoExercise classesOutings to museumsSightseeing tripsThese events are often accessible to people who use wheelchairs and walkers. Ask your loved one if they want to sign up for a few activities. If possible, encourage them to attend a weekly event. This will give them something to look forward to each week, and they may even make some new friends.Encourage physical activity and exercise.Exercise is good for the body and mind. Regular physical activity can help prevent Alzheimers and dementia plus improve strength and mobility. Daily walks, exercise classes, and day trips are all great options. They all encourage movement and will get your loved one out of the house.Legal Independence for Older AdultsConsider alternatives to guardianship.When older adults experience cognitive decline, their caregivers often have to make decisions for them. Many caregivers pursue guardianship. Judges appoint guardians for those they deem incompetent to make decisions. Guardians have the power to make decisions on the persons behalf. Guardianship can be expensive and severely limits your loved ones rights. If you pursue guardianship, you will need to hire a lawyer and prove your case in court. Alternatives to guardianship exist, such as Power of Attorney (POA) and Medical Proxy. These options do not cost money and you can complete them under the witness of a notary. POA and Medical Proxy are agreements made between you and your loved one. Theyre completed while your loved one can still make decisions. Then, in the event that they need you to make decisions on their behalf, you will not have to pursue guardianship. These alternatives empower your loved one to decide who will speak on their behalf if they arent able to do so.Draft an Advance Directive.End-of-life decisions are emotionally charged and personal. Theyre difficult to discuss, especially when your loved one is relatively healthy. However, discussing end-of-life care is one of the most meaningful ways you can empower your loved one to be independent. An advance directive is documentation of your loved ones wishes about the end of life medical care they will receive. You can keep a copy for yourself and share one with your loved ones doctors. If you ever have to make difficult decisions, you will know that youre acting according to your loved ones wishes.Tips to Keep in Mind to Promote Independence for SeniorsEveryone has a right to make mistakes.As family caregivers, we want to protect our loved ones from everything that might harm them. From an unhealthy meal to a decision to keep living alone, our loved ones often make decisions that worry us. If we want to empower those we care for, we need to allow them the space to make decisions that we disagree with. Nobody can be safe all the time. Caregivers must balance safety with autonomy. For example, maybe your mother is adamant about living at home. She might also be willing to allow a paid caregiver to come each evening for a few hours to prepare dinner and clean. While this may not be your preferred solution, it empowers your mom to live the way she wants to live. It can bring you peace of mind knowing that someone is checking on her each day. A caregiver cankeep your parent safe at homeby making sure she gets any assistance she might need.Encourage choices whenever possible.Sometimes we take decisions for granted. The choices we make every day such as the clothes we wear, the food we eat, and the movies we watch seem small. While theyre small individually, together they add meaning and joy to our lives. Choices, whether theyre small or large, are empowering. Older adults dont always feel in control of their lives. Their bodies are changing and they may be losing abilities that they used to have. Those changes can be scary and disempowering. As caregivers, we can offer choices and listen to our loved ones opinions. We can remind them that they have power in their own lives.Provide the care your loved one wants.As caregivers, we provide the best support when we know what our loved one wants. If you take the time to listen to your loved one, they will tell you how to best support them. Many older adults have strong opinions about the support they will accept. Some people refuse to let others help them use the restroom. As a caregiver, you can use creativity to ensure that you meet both their needs and desires. Maybe you can install a grab bar near the toilet and an elevated toilet seat.Keep an open dialogue with your loved one.Some older adults dont like to say anything when they need help. If youre encouraging independence, check in often. Make sure your loved one doesnt need more support than theyre currently receiving. Take time to notice how theyre doing. Offer different levels of support so they can choose what theyre comfortable with. For example, maybe your mom is comfortable sweeping her kitchen, but mopping makes her nervous because the floors are slippery. If you keep an open dialogue, she will feel comfortable sharing these details with you. This will enable you to help while supporting independence. Youll see several benefits if you show your loved one that you value their independence. Your loved one will be less likely to experience depression. They will be more likely to find meaning and joy in their daily life and will trust you to support them. As a caregiver, youll put less pressure on yourself to do everything. Enjoy a more open and empowering relationship with the person you support.

Insurance Just Stinks!!I know what you are thinking. Who in their right mind would say such a thing? Well, its true.Consider that at no time in your life did you wake in the morning and say to yourself, WOW, I cant wait to buy some insurance. Never happened, but you need insurance.Needing something is a lot different than wanting something. You might need ride to work every day and a bicycle would probably get the job done. You dont want a bicycle. You want a shiny new car with air conditioning, power windows, headlights, radio, etc. Thats how insurance works.You dont need insurance on your house. It is just fine the way it is. Unfortunately a hurricane decides to come by one day and now you want insurance to fix the mess that the hurricane left behind. Up until that hurricane, you complained every month about that insurance payment. Waste of money. All of a sudden the insurance company is your best buddy showing up and writing you a check.Health insurance is the worst. You go along in your twenties, thirties, forties, fifties and hardly ever have an issue. Then one day you turn 65 and its like every part of you wants to either stop working or just plain fall off.You paid all that money for all those years or maybe not. Maybe that shiny new car was more important or that dual camera, wide screen, 5G cell phone, or whatever. Now it comes down to your life and you want to live not just survive.This is that magic day when you learn that all those nice people on TV doing that commercial for the hospital want to get paid. A lot. They should get paid a lot because it takes lots of time and study to be able to save a life.Even so, you dont want to pay for it but now that its life or death you magically start looking for ways to make it happen. If not, you either dont get the care you want or you end up with crazy payments for years to come.Dont let the Socialists fool you. No, you do not get top notch, unlimited, world class care in those countries. You get what the government wants you to get the way they want you to get it.You see, insurance is all about risk management. You trade a small amount of money now for a large amount of money in the future should something bad happen to you. Something bad will happen eventually. Its just a matter of time.Recently a client called to update me on his recent issues. When he turned 65 he told me that he had never been to a hospital in his life. After just 4 years his medical bills have totaled over $ 1 MILLION. The good news is that he is well. The better news is that his health plan paid his bills. Its kind of like Las Vegas. If you stand at the table long enough the house always wins.Yes, Insurance stinks, up until the day that you need it.Editors Note: This article was submitted by Donald C. Kirkendall, CBC.Donald C. Kirkendall is the owner of KIRKENDALL Insurance and may be reached at407-35-5904 or by email at: insuranceman@kirkendallinsurance.com.Phone: 407-359-5904Email: insuranceman@kirkendallinsurance.comAddress: 6958 Aloma Ave Winter Park FL 32792

WOW (Widows or Widowers) was founded by Dolores Bonfield Cortis in May, 1975. Dolores was widowed at the young age of 38. She joined Parents Without Partners in the area where she resided. The group was made up of recently divorced people. Being a grieving widow with young children who also were dealing with their sorrow, is not the same as a divorced parent.Through Parents without Partners, she met other newly widowed men and women. They formed the first WOW group in the Western Suburbs. It is a place to go for understanding, companionship, and to participate in social activates with like individuals. The idea was and is that Step we need to take to get back to living a normal life without the one we loved. To give us the understanding that although we are now widowed, we can resume life with all others and feel accepted as a new person.After 43 years, we now have a membership of over 185 members. Our membership has gone up and down over the years for a variety of reasons death or members that have moved to retirement areas around the country. But we have remained consistent in our zeal to prosper, and we have 43 years to prove that!We publish a monthly News Letter that lists our social activities and support meetings. WOW continues to offer support, friendship, education and social activities to the widowed people in the western suburbs of Chicago. A monthly Social Gathering is held at the Knights of Columbus Hall, 537 South York Road, In Elmhurst, IL. At 7:00 pm on the third Thursday of each month. Feel free to join us at our monthly meeting. We welcome guests of all ages!For additional information, check out our website at (www.wow.cfsites.org) or contact Dave Spero, WOW President at (630-620-4060).

Osteoarthritis (OA) means arthritis of the bone and is a disease that affects the entire joint involving the cartilage, joint lining, ligaments, and underlying bone. It is the most common form of arthritis. The deterioration, or wear of these tissues, eventually leads to pain and joint stiffness. One of the joints most commonly affected is the hip. When the cartilage begins to degenerate in the hip joint due to arthritis, the surface becomes rough leading to exposed bone which contains nerve endings. With movement, the roughened surfaces rub and cause pain.HipArthritis SymptomsHip arthritis can present with very minor symptoms and can progress to debilitating symptoms. Symptoms include pain in the groin with activity. The pain is usually worse in the morning and the hip feels stiff. With early OA the stiffness normally subsides as the day progresses, but may recur at the end of the day. With advancing arthritis the hip loses motion and this stiffness does not improve throughout the day. Patients may have difficulty walking, have a limp and may require use of an assistive device such as a walker.DiagnosisIf a patient suspects they may have arthritis, or if they are having any of the above symptoms, they should seek consultation with an orthopedic surgeon. At OSS Health, we have orthopaedic surgeons who are fellowship trained in treating hip and knee OA. A diagnostic evaluation will include obtaining a medical history, physical examination and x-rays.Non-surgical Treatment OptionsTreatment almost always begins with non-surgical options. Typically an anti-inflammatory medication may be prescribed. If oral medications fail, we typically offer injections of corticosteroids into the joint. For the hip joint these are typically performed as an outpatient procedure in our pain department. The injection blocks inflammation and helps reduce symptoms. Injections can my repeated every 3-4 months, so long as they continue to provide relief of symptoms.Physical therapy or exercise programs will also be prescribed to improve flexibility, build strength, and maintain muscle tone. Swimming, in particular, is an excellent exercise for people with arthritis. When the arthritis becomes severe causing loss of motion and balance at the hip, devices such as canes or walkers are prescribed to make it easier and safer to walk. Lastly, but most importantly, lifestyle modifications can also help to reduce the symptoms of arthritis of the hip and help prolong the time until hip replacement is necessary. These include:maintaining a healthy weight (and losing weight, if necessary)changing activities to minimize stress on the hipexercising to build up strength and flexibilitySurgical OptionsIf the non-surgical treatment options fail, surgery will help to reduce pain, enhance quality of life, and improve the ability to perform everyday activities with few or no restrictions. To treat end stage arthritis of the hip, total hip replacement has been utilized providing excellent long term outcomes. Today, there are many surgical approaches being utilized by orthopedic surgeons to perform a total hip replacement. An increased interest has developed in the Anterior Approach. This is a minimally invasive approach and is considered tissue sparing.The Anterior ApproachThe Anterior Approach for total hip replacement provides the potential for less pain, faster recovery and improved mobility because the muscle tissues are spared during the surgical procedure. With this surgical approach the surgical plane is between muscles allowing access to the hip without detaching them. Keeping the muscles intact may also help decrease incidence of dislocations.With the Anterior Approach, one small incision is done on the front (anterior) of the hip. Since the incision is in front, the patient avoids the pain of sitting or lying on the incision site. There are fewer restrictions after surgery and during recovery as compared to the traditional approaches. There is reduced scarring as only a small incision is utilized on the front of the hip. This surgical procedure is often times performed utilizing a high-tech operating table that facilitates exposure and allows for real time x-ray evaluation of the hip for the most optimized positioning of implants and evaluation of leg length.If you are suffering with hip pain and are looking for treatment options, you can schedule an appointment via the website (www.osshealth.com) or by calling 717-848-4800. Editors Note: This article was contributed by Dr. George Margetas, an orthopaedic surgeon with OSS Health.

As a Certified Elder Law Attorney*, I am often asked by my clients how they can protect their savings from a nursing home.They think if they end up in the nursing home, their hard-earned assets and even their home could be lost. Theyve heard that perhaps they should give the home or money to their kids and want to know what I think about the strategy.I usually explain that transfers of assets to the kids are risky for a few reasons. First, youre giving up control of your stuff. Who wants to do that? Second, you may be making a capital gains tax mistake. Finally, youre subjecting your savings to your kids issues like future divorces or lawsuits.I then often explain a device called a Medicaid Asset Protection Trust is often a great solution. From a nursing home planning standpoint, it allows clients to protect assets without some of the risks associated with giving them to their kids. With this type of planning, the creator of the trust (called the Grantor) re-titles some of their assets to the trust. In doing so, the Grantor protects the savings from long term care costs.Consider the situation of Fred and Wilma. They are retirees who own their primary residence and have some investments. They feel comfortable that their retirement savings will provide well for them. There will likely even be some leftovers to leave as a legacy to their kids. However, they know that nursing homes can cost more than $100,000 per year. They know if one of them gets sick, the other spouse may not be able to enjoy a comfortable retirement.After our discussion, Fred and Wilma decide the Trust is right for their needs. They create the Trust and then re-title their home and some of their savings into the Trust.If youd like to learn more about how Medicaid Asset Protection Trusts work, check out the info at sechlerlawfirm.com or give us a call at 724-841-1393.Editors Note: This article was written by Certified Elder Law Attorney* Tim Sechler, Esq., Sechler Law Firm, LLC. See our ad on the Back Cover or contact us at 724-841-1393 or www.SechlerLawFirm.com.*Certified as an Elder Law Attorney by the National Elder Law Foundation as accredited by the Pennsylvania Supreme Court.

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!

The catch phrase says it all. Adult children who are caring for their parents while also raising their own family are known as "the sandwich generation." These caregivers find themselves pulled in many directions -- caring for a parent, raising their children, keeping their marriage healthy and often holding down a job as well.Moreover, they are thrust into the awkward and often unwanted position of parenting their own parents. In my 33 years of working with the older generation, this reversal in the parenting role gives rise to stress for both child & parent. Often with this stress comes arguments, frustration, negative feelings and relational divisions within families. Instead of focusing their attention on their own family, their focus has to shift to the parent, requiring more time, energy and patience than they had ever imagined.It doesn't surprise me when one of my client's children call me to confess their resentment and guilt. Statements such as "I just can't make one more decision for dad..." or "I didn't realize how much time this was going to take and I just don't have it" or "why won't my mother do what I tell her to" do not surprise me at all anymore. In fact, I quite understand, having been through this personally, several years ago.Please know this: Your feelings are normal. Don't keep the negative feelings in. Vent to a good friend, spouse or a therapist. It is a huge responsibility to take on the parenting of your parent. Remember how they parented you and use the same techniques. For example: if you don't allow X, the consequence will be Y&Z.My advice is to always take care of yourself. One way to do this is to enlist or employ help! There are so many resources in our area that can help relieve a lot if not all the responsibility. By getting help, the role of parent and child returns to its original state.Sharon Ritchey-Boschini,Owner & DirectorVisiting Angels of North Hills Pittsburgh8035 McKnight Road, Suite 304Pittsburgh, PA 15237412-366-4860www.visitingangels.com/northhills

Decades ago, if you had back pain, the possibility existed that you would have to have surgery. That in itself is frightening. Today, seniors, technology is on the verge of reducing the need for surgery and increasing the quality of life.You have probably associated with many different types of treatment for back pain. Sometimes you would take a pill or maybe have a massage or even go to the chiropractor. There is a good possibility that you received some type of relief. But, why didn't it fix the problem? Today, there are active rehabilitation systems that address the issues to fix pain created by degenerative arthritis, degenerative disc disease or osteoarthritis. These are so specialized they can help most everyone who may have some form of back pain. The next step is understanding how active rehabilitation systems work.As we age, our body begins to wear out and we are unable to perform simple daily activities that we could do in our twenty's and thirty's. Activities like mowing the yard, cleaning the house, walking the dog or taking out the trash. There are many things that can alter your ability to function normally one of them is proprioceptive balance. This is where your brain is like a satellite which controls your arm and legs movements through cell phone towers located everywhere in your extremities. For instance, stubbing your toe will make you walk different for a period of time. When that toe heals you will have lost a little bit of proprioceptive balance and your gait or how you walk will change and this in turn can make that degenerative process speed up. Now, imagine all the things you have done in your life that could have changed that balance and this is why you have a problem with walking or getting up and down or doing daily activities. This is also why you could have pain, or feel unbalanced, or weak.So how do you know if you are a candidate for active rehabilitation? If you have taken pain medications, tried physical therapy, have been to the chiropractor or considered surgery. Then an active rehabilitation system might be right for you! Don't let chronic pain hold you back any longer. New technology brings new options!Editors Note: This article was submitted by Optimum Health Center. Karl Plott is a Doctor of Chiropractic with Optimum Health Center and may be reached at 719-635-2500 or by email at karlplott@gmail.com. For more information visit Optimum Health Center on the web at: www.ruhurtingcolorado.com.

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

We are often asked about payment options for private-duty senior care, which is not covered by health insurance.This is a typical question, since were all concerned about protecting our finances. Nevertheless, when the need for help arises, Amada Senior Care can recommend several options.Many people have long-term care insurance, which can absorb the expense of senior care, either in their home or at a care community. Since these policies were usually purchased years earlier, many seniors and their families struggle to understand the intricacies of what types of services or facilities are covered, the criteria for claim eligibility, or how to initiate the claim process.At Amada, weve available to help guide long-term insurance activation and provide FREE consultations, even if a senior doesnt become our client. Additionally, we can help seniors identify other financing options such as: Veterans Aid and Attendance Benefits, life insurance conversions for cash, and home equity tools.Amada provides this service at no obligation or cost to help seniors receive excellent service with screened, licensed, insured, and professional caregivers.Editors Note: Call us today for a free consultation at: 239.676.1635.

At the NCH Wound Healing and Hyperbaric Centers healing wounds is all we do. We have extensive experience using advanced wound healing therapies. Our healthcare team is trained by nationally recognized wound care experts and all of our doctors and nurses all dedicated to healing chronic wounds. The causes of wounds are complex, and our group represents expertise in all of the major areas necessary to handle your varied circumstances and challenges. Whatever it takes for healing to occur, were equipped and staffed to make it happen.The NCH Wound Healing and Hyperbaric Centers specialize in the treatment of chronic wounds and non-responsive conditions, offering hospital-based outpatient wound care and hyperbaric oxygen therapy as well as disease management and diabetes care. The NCH Wound Healing and Hyperbaric Centers offer highly specialized treatments including hyperbaric oxygen therapy, negative pressure wound therapy, bio-engineered skin substitutes, biological and biosynthetic dressings and growth factor therapies. The staff at the NCH Wound Healing and Hyperbaric Centers is committed to healing patients with chronic wounds by utilizing an evidence based approach to treatment with a variety of advance therapies. In addition to tissue oxygenation, the center also employs the use of vascular studies, tissue culturing and pathology, revascularization, skin grafting and clinical or surgical debridement.Conditions treated include diabetic wounds of the lower extremities, pressure ulcers, soft tissue radiation injuries, necrotizing infections and compromised skin grafts and flaps.The NCH Wound Healing Centers treats patients with chronic and advanced conditions which have not responded to previous therapies. After performing a thorough exam of a new patients wound, including taking photographs to track wound healing progress, the centers clinical staff becomes a partner with the patients doctor. Through regular reports and phone calls, the center works with the patients doctors and other experts in the program to develop a total approach to treatment and care. Evidence-based and best practice driven treatments mean patients do not undergo any treatment or progress to a new level of treatment until the need is clearly indicated. Patients may self-refer; in most instances treatments are covered by Medicare, Medicaid and most insurance plans without requiring a referral.Editors Note: This article was submitted by NCH Healthcare System Wound Healing Centers. With several locations to serve you, call 239-495-4995 for more information.

At LTC Advisors we focus on the education and empowerment of our clients. Whether they are sinking in the alphabet soup of Medicare or contemplating how to pay for long term care for themselves or loved ones. There are no many misunderstandings about what is paid for by whom, and indeed a deep river of denial about the eventuality about the need for long term care. We seek to fill in the black holes for our visitors and clients.Most importantly, there is no such things as one size fits all we start with education so that our clients really understand their options and can tailor their coverage to their needs. They maintain control of who they see, and when and how much they want to spend. Being independent allows us to work entirely for our client and not the insurance carrier. Once people understand the moving parts or Medicare for instance, they feel so much more confident and will often choose a plan that may be different that which their best friend recommended, or their golf buddy pushed.We offer regular educational workshops and we are always here at One Senior Place to answer questions being there for everyone allows us to be the trusted advisors that are needed. The average person does not know what they dont know and often this leads to the being sold on a product rather than choosing for themselves. In addition to our smaller workshops we also offer a Medicare Symposium twice a year in October and November as part of the team at One Senior Place. This is a major opportunity for anyone to come and learn about more than just the bare bones of Medicare. We cover subjects such as how to save money on prescription drugs this is a constant source of financial pain for many people.We also offer service as part of our community outreach by helping people apply for Medicaid and Low-Income Subsidy (Extra Heath). A surprising statistic is that only 25% of entitled Medicare Beneficiaries actually have Extra Help often because they dont know about this availability. We just want to make sure that everyone is helped in whatever way we can enable. In addition to Medicare, Medicaid and Long-Term Care we offer help with ancillary products such as dental, vision, and indemnity policies, not to mention life and annuities. These last are always discussed in concert with the clients financial advisor we do not want to recommend anything in isolation. Our team also has a fiduciary financial advisor on site who gives a free service creating a STRIPE report to allow clients to see their financial landscape in entirety.In conclusion, we strive to make you our number one priority and help you understand what works well for you. We are always here to help as the years go by.This article was submitted by Teresa Risner, President of LTCAdvisors. She can be reached at 407-949-6722 or at info@ LTC Advisors.net, or visit www.ltcadvisors.net. Her offices are at One Senior Place in Altamonte Springs.

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

Working in health care is becoming a bit more complex as the world is becoming more complicated. Clients are sicker. Expectations are higher. Employment is low. Mindfulness and Compassion Cultivation Trainings appeared to be natural next steps in helping health care staff to continue their mission of providing great care to those they serve.Initial reasons to participate:Can always learn more about this subject.In our political climate, so many opportunities for conflict.Learn how to feel compassion without getting caught up in others issues.How to understand people different than yourself.Sees how friction in staff affects residents and learn how to support staff.Learn more tools in my work and life to help improve my wellbeing.Better understand compassion vs empathy.How to ensure and honor staffs purpose.Training for residents, families, and staff is vitally important to make sure everyone is on the same page.From the Stanford Medicine Center for Compassion and Altruism Research and Education, they define compassion as the following 4 step process:Awareness of suffering in others.Feeling of being emotionally moved by suffering.Motivationto see the relief of that suffering.Action and willingness to help relieve that suffering when possible.A take away from a participant:I signed up for it because I have never really had a conversation about compassion so I was curious how it would tie into my work. My biggest take was the piece about purpose and it got me thinking about what is my purpose at work and how my purpose has changed over time. This training allowed me to think about purpose in a different way and I think it can be really helpful when trying to make connections with co-workers by learning what their purpose is and how it ties into their work.The meditations we learned do make a difference. Try them:Loving Kindness wishes for others:May you be happy.May you be free from suffering.May you know peace.And here are the compassion 'wishes':May you be free from suffering.May you be free from fear and anger.May you know peace.Editors Note: This article was submitted by Yvonne Myers with Columbine Health Systems and maybe reached at 970-482-0198 or yvonne.myers@columbinehealth.com

Alzheimers disease is the sixth-leading cause of death in the United States and affects 5.7 million Americans. This devastating and debilitating disease is the ultimate thief of 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 look at the Support Groups section of this guide, visit www.alz.org/pa or call our 24/7 Helpline at 800-272-3900.The Greater Pennsylvania Chapter also host 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 dementia's. 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 dementia's.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 Walk to End Alzheimers EventsChambersburg, PA Saturday, September 29thLancaster, PA Saturday, September 29thHarrisburg, PA Saturday, October 6thYork, PA Saturday, October 20th

Adult Day Center services may be the perfect fit for you and your loved one if you are identifying that additional care is needed as independence inevitably declines. They offer necessary supervision during the day with the participant returning home, where they feel most comfortable, at the end of the day. Adult Day Centers provide meaningful activities, an opportunity for socialization amongst peers, medication management, meals, necessary support and supervision. These services empower older adults to be independent as possible while in a positive and supportive environment.Adult Day Center services are too often overlooked when families and care providers are looking for care for their loved ones and consumers that need supervision throughout their day. Adult Day Centers are often the perfect fit for those that still want to live at home but are not as independent as they once were. They provide respite for care providers that may have work, school or any other obligations throughout the week day. For example, Greenfield Senior Living Adult Day Center offers this respite Monday through Friday from 7:30am to 5:30pm.Not only does an Adult Day Center offer medication management while participants are under their care but they also provide an opportunity for socialization amongst peers, meals, meaningful activities, and so much more. The meaningful activities offered to the individuals that we have the privilege of supporting include but are not limited to pet therapy, bingo, arts and crafts, exercises, cooking club, walking club, interactive games, memory activities, reminiscing, and many other engaging activities. These services provide an opportunity to create meaningful roles in the participants lives while empowering them to still be as independent as possible. We would be happy to give you a tour of our Center at Greenfield Senior Living.Editors Note: This article was submitted by Lynsi Rosenzweig. Lynsi is the Director of Adult Day Center, with Greenfield Senior Living in Harrisburg, Pennsylvania.

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

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.

My squadron received orders to ship out to destination PLUM. We left Salt Lake City on October 21, 1941. We arrived in Manila noon November 20 on Thanksgiving Day. We were served sauerkraut and wieners for Thanksgiving dinner. We left Manila November 29th for the island of Mindanao to set up an airbase.On December 8th, 1941, instead of the 7th due to being on the other side of the International Date Line, we learned that Pearl Harbor had been attacked.On May 6th word came that all the Philippine Islands had been surrendered to the Japanese. We were taken as prisoners of war to a Philippino army camp in the middle of Mindanao. We were moved from this camp October 17th and shipped to the Davao Penal colony. Others were shipped down from Manilla to help run the colony, these were the men who had survived the Bataan death march and were in very poor health.May 1944 we received the first letters from home since leaving home and it was one and a half years old. June 6, 1944 we were shipped to Japan. The trip took 3 months of deplorable conditions, which normally took 10 days. Arrived at Moji, Japan, September 1, 1944 where we were to work in the copper and acid factory. For two weeks we drilled out on the cold beach with only a hat, shoes and underwear on.On June 18th, 1945 we had the first bombing of our factory by the allied forces. August 15, 1945 stopped work at the factory and on the 24th we were notified that the war was over. It came just in time for me as I had a hard time getting any sleep for many nights due to the fleas, bed bugs and lice that were about to get the best of me.On September 4, 1945 we marched out of camp waving flags some of the men had made, while U.S. and British planes buzzed overhead. I arrived back in Salt Lake City, October 21, four years to the day after leaving.Editors Note: This article was submitted by Carole Autrey, Director of Senior Care Associates. She may be reached at 801-424-1444 .

As our loved ones age, they often require increasing levels of care and support. In many cases, primary caregivers, typically family members, step up to provide the necessary assistance. Primary caregivers play a vital role in the well-being of their elderly loved ones, but they can also face significant challenges. Assisted Living Locators of North Pittsburgh recognizes the importance of primary caregivers and offers valuable assistance throughout the caregiving journey. Let's explore the significance of primary caregivers and how Assisted Living Locators of North Pittsburgh can help.Emotional and Physical SupportPrimary caregivers offer emotional and physical support to their elderly loved ones. They provide companionship, ensure daily needs are met, and offer a sense of security and familiarity. This support contributes to the overall well-being and quality of life of the seniors under their care.Advocacy and Decision-MakingPrimary caregivers often act as advocates for their elderly loved ones. They make important decisions regarding healthcare, finances, and overall care arrangements. Assisted Living Locators of North Pittsburgh recognizes the weight of these responsibilities and provides guidance and support to primary caregivers during the decision-making process.Balancing Multiple ResponsibilitiesMany primary caregivers juggle caregiving responsibilities with other commitments, such as work and family. This balancing act can lead to physical and emotional exhaustion, as well as limited time for self-care. Assisted Living Locators of North Pittsburgh understands the challenges faced by primary caregivers and offers assistance in finding suitable senior care solutions that alleviate the burden and provide respite when needed.Access to Resources and InformationPrimary caregivers may find it overwhelming to navigate the complex landscape of senior care options, resources, and regulations. Assisted Living Locators of North Pittsburgh serves as a valuable resource, providing primary caregivers with access to a network of trusted care providers and up-to-date information. They help caregivers make informed decisions and connect them with the services and support they need.Tailored Solutions and GuidanceAssisted Living Locators of North Pittsburgh recognizes that each senior's needs and circumstances are unique. They work closely with primary caregivers to understand the specific requirements of their loved ones and provide tailored solutions. Whether it's assisted living communities, memory care facilities, or other specialized care options, the guidance and expertise offered by Assisted Living Locators of North Pittsburgh ensure that primary caregivers can make well-informed decisions that prioritize the health and happiness of their elderly loved ones.Smooth Transition ProcessWhen the time comes to consider a transition to an assisted living facility, primary caregivers may feel overwhelmed by the logistics and emotions involved. Assisted Living Locators of North Pittsburgh provides invaluable assistance in this process. They help identify suitable facilities, accompany families on tours, and offer ongoing support during the transition. This ensures that the move is as smooth as possible, minimizing stress for both the primary caregiver and the elderly loved one.In conclusion, primary caregivers play a crucial role in the well-being and care of their elderly loved ones. Assisted Living Locators of North Pittsburgh understands the importance of primary caregivers and offers support, resources, and guidance to alleviate the challenges they face. By collaborating with primary caregivers, Assisted Living Locators of North Pittsburgh ensures that seniors receive the best possible care while easing the burden on those who provide it.

For more information on the author VITAS Healthcare, CLICK HERE.Despite significant breakthroughs in recent years, heart failure (HF) remains a leading cause of death in the US, with no decrease in the rate of mortality. Further, hospice care, which has been demonstrated to greatly benefit patients with advance HF and their families, continues to be utilized too little and often too late in this population.Two recently published clinical reviews call this situation a major public health problem.Disease morbidity and mortality remain high, with a five-year survival rate of 25% after hospitalization for HFrEF [HF with reduced ejection fraction], write the authors of aJAMAarticle.While the mortality rate for HF decreased by 24% to 33% in earlier decades, they note, it has remained unchanged since the 1990s.The estimated 6.5 million US adults affected by HF account for approximately one million hospitalizations yearly, they write, with increases in both the incidence and prevalence of HF. This increasereflects an aging population, improved survival from myocardial infarction and other cardiovascular diseases, and the increasing prevalence of predisposing risk factors such as diabetes and obesity, they say.The article reviewed pertinent literature on HFrEF (in English) through 2020. Included are discussions of HF diagnosis, medical therapies, device treatment, management of comorbidities, cardiac rehabilitation, prognosis, and patient education.Once a diagnosis of HFrEF is made, counseling and education for patients and their caregivers is of critical importance, write the authors. Estimation of prognosis helps patients and clinicians engage in shared decision making and should be re-assessed at every office visit, and especially following major events, such as HF hospitalization.Hospice and HF: UnderusedHospice care can ameliorate distress at the end of life for patients with HF, yet it is underused in this population, write the authors of an article published inCardiac Failure Review.2HF is an especially burdensome disease both physically and psychosocially. Compared with those with other chronic illnesses, patients with HF have significantly more impairment in quality of life.Benefits of hospice for patients with HF include:Decreased symptom burdenLower rates of hospitalization and 30-day readmissionLower risk of ICU admission and invasive procedures at the end of lifeImproved caregiver outcomes and patient/family satisfactionBarriers to timely hospice referrals include:Prognostication challenges in HFMedicares current 6-month-survival eligibility requirementLack of advance care planning (ACP), which is associated with greater hospice useThe authors urge cardiologists to become comfortable with and proficient in palliative care skills. They also encourage early integration of supportive goals-of-care discussionsto help patients with HF develop a realistic assessment of their expected survival throughout the course of the disease that could assist decision-making related to advance care planning.1Murphy, S., Ibrahim, N., & Jauzzi Jr., J. (2020). Heart failure with reduced ejection fraction: A review. JAMA, 324(5): 488-504; DOI: 10.1001/jama.2020.10262.2Cross, S., & Warraich, H. (2019). Hospice use among patients with heart failure. Cardiac Failure Review, 5(2):93-98; DOI: 10.15420/cfr.2019.2.2.

If you are contemplating a move to an adult living community for the lifestyle, support and peace of mind it offers, you may find the selection process a bit daunting. There is a great deal to think about it is, after all, your future you are planning. The truth is the process can be a rewarding one resulting in a better understanding of what you require and what you want, bringing about a gratifying lifestyle change.Before you begin, take into account your current needs and possible changes in them over time, as well as your financial situation. Once you have done that, you can start looking at your options. Information on communities can be easily attained by visiting their websites, or calling and requesting brochures. When you have narrowed down your possibilities, schedule visits at times that are convenient for you spacing visits out enough to avoid information overload.Below is a handy initial evaluation checklist that will help you quickly slim down your options. It includes topics that you may not normally think to consider, and allows you to more easily compare one community to another. After each visit, ask yourself:? Is the location close to shops, doctor's offices, a pharmacy, and other destinations important to me?? Is the location convenient for family and friends? If the facility is not in my town, are there hotels nearby for when family visits?? What living arrangements are available apartments, private rooms, shared rooms?? What are the fees and what is included?? Are the buildings and the grounds well-kept and attractive?? Are the common spaces pleasant and appealing?? How many rooms are there where residents can spend time with each other and with visiting family members?? Are the dining rooms clean and attractive? Can the community cater to specific dietary needs or special requests?? Do I like the food? Can visiting family members join me for meals?? Is there a private room available for family celebrations or private family dinners?? Is there a posted, varied schedule of activities and events, and do they interest me?? Did I feel comfortable during my visit? Could I see myself living there?In addition, visit the communities you are partial to more than once. To be sure you are getting the complete picture; stop in, without an appointment, at various times of day. Lastly, take your time so that you are sure to make the best lifestyle choice for you.Editors Note: This article was submitted by Elizabeth Dupree. Elizabeth Dupree is a Senior Director of Community Relations with Benchmark Senior Living Continuing Care Retirement Communities and may be reached at 203-323-2323 or by email at edupree@benchmarkquality.com.

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

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.

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!

Speech is difficult to understand in noisy places, but if you have hearing loss, this problem is complex. Hearing aids can help with this. Ever wonder how?Good-quality, properly-fit hearing aids have the ability to distinguish noise from speech. They process sounds in complicated ways that help you understand speech. Yes, you DO hear more background noise than before wearing hearing aids, but the background noise does not get amplified as much as the speech does.In addition, many hearing aids can change the direction of their focus when things start to get noisy. If you turn toward the person you want to hear, noise to the sides and back of you are lowered, while the persons voice is increased to allow you to hear over the noise.Understanding well in noise may not happen the first time you go to a restaurant wearing your new hearing aids. You will hear more of ALL sorts of sounds; this includes noise. It takes a little while for your brain to relearn how to filter out enough of these noises that you can understand someone speaking to you. Dont give up! You can help by wearing your hearing aids all day and not only when you think you need them. Your brain will start filtering out those subtle environmental sounds that arent worthy of your attention. When it does, you will happily discover that you can hear someone talking right over the background noise.The solution to the problem of hearing what you want to hear and filtering out the rest is next to impossible unless you are fitted with hearing aids customized to do the job for YOU and no one else. If your hearing aid fitter doesnt get it right the first time, its no ones fault (unless youve inadvertently chosen someone who isnt especially good at this programming!). Ongoing adjustments are to be expected.Stick with it! One day, youll find yourself in a restaurant thinking, I cant believe I just heard what s/he said to me, even in this noise!Editorial Note: Written by Laurie Bornstein, MS, CCC/A with Executive Hearing. She may be reached at 972-447-8330, ExecutiveHearing@gmail.com or www.ExecutiveHearing.com.See ad page 45

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

At the Silver and Gold Group, we understand that every move is not created equal. Some are definitely harder than others.Often you need services beyond that of a single real estate agent.Thats why our well-educated group is a perfect solution for those who need more than just a sign in the yard.Our team of caring professionals can assist with property maintenance, estate sale planning and repairs. We understand that each situation is different, and thats why our real estate associates and administrative staff are well educated on the silver and gold audienceWe partner with estate planners, attorneys and CPAs to ensure you have all of the information you need to make an educated move, either for you or for your loved ones. Most of all we listen. Its your life. And its our commitment to make it the best it can possibly be.

A diagnosis of Parkinsons is a life-changing moment. However, with advances in treatment and the right support there is much an individual with Parkinsons disease can do to live every day to the fullest.The American Parkinson Disease Association (APDA) is the countrys largest grassroots organization serving those touched by Parkinsons disease. What makes APDA unique is that we are in cities, towns, and communities across the U.S. Throughout our nationwide network of Chapters and Information & Referral Centers, Centers for Advanced Research, Specialized programs in Young Onset, Veterans and Rehabilitation Resources, and countless support groups, we are able to quickly reach people and connect them to resources that will provide the best outcomes as they navigate Parkinsons disease.Parkinsons disease is a progressive neurological movement disorder. Over one million people live with Parkinsons and there are 60,000 new cases each year in the U.S. alone. It can begin with a tremor, difficulty writing, stooped posture, stiff muscles, or slightly slurred speech; symptoms are different for every person.APDAs mission is to provide information, education, and support to all impacted by the disease and to fund scientific research into the causes, prevention, treatments and ultimately the cure. We take pride in the fact that we are in your community and many others across the country serving people with Parkinsons disease to provide support from the day of diagnosis throughout the Parkinson journey. We have also been a funding partner in most major Parkinsons disease discoveries and we will continue to fund research initiatives that can stop the devastation of living with this disabling disease.APDA is here to help with: Health and wellness initiatives delivering programs to help people maintain independence and optimism starting at diagnosis Education and support programs connecting people with Parkinsons in local communities Expedited and innovative research to develop promising clinical approaches and better outcomes and funding the next generation of scientists dedicated to finding new treatments and a cure.To learn more call the American Parkinson Disease Association at 800-223-2732 or visit our website at www.apdaparkinson.org.For information about Massachusetts programs, call 800-651-8466 or visit the APDA MA website at www.apdama.orgThis article was submitted by Stephanie Paul, Vice President, spaul@apdaparkinson.org

Hospice care has a bit of an identity problem. More than a million Americans each year take advantage of hospice services, but there are plenty more who could benefit from specialized end-of-life care if they only truly understood what hospice isand isnt.Myth #1: Hospice is a place. Hospice happens wherever the patient calls homebe it a house, nursing home or assisted living community. The hospice team trains, explains, educates, makes regularly scheduled visits and is on-call 24/7.Myth #2 Hospice is for cancer patients. Hospice is for people with any advanced illness, including heart disease, stroke, lung disease, liver disease, kidney disease, ALS, Alzheimers disease, multiple sclerosis, AIDS or any other life-limiting illness.Myth #3: Hospice patients die faster.Actually, a study conducted by the National Hospice and Palliative Care Organization suggests that hospice care may actually prolong life for many patients. Exactly why is unclear, but researchers think that the constant attention and care that hospice provides may increase patients will to live.Myth #4: Hospice care is expensive. Hospice care is usually less expensive than conventional care during the last six months of life. Hospice is an all-inclusive benefit covered by Medicare and most private insurance companies.Myth #5: Hospice patients cant continue with medications and treatments.Hospice care is not intended to cure disease, but that doesnt mean treatment is off-limits. Hospice focuses on symptom management, controlling pain and addressing spiritual and emotional comfort.For a patient to qualify for hospice, a physician must certify that the patient has a prognosis of six months or less, but patients can be recertified at the end of six months. In fact, hospice care becomes more meaningful when the patient has months to benefit from services, rather than days or hours.A pioneer and leader in the national hospice movement since 1978, VITAS is the leading provider of end-of-life care. VITAS serves more than 700 Chicagoland patients and their families daily from nine Chicagoland offices, from Peoria to downtown Chicago to the Wisconsin border. For information about VITAS Healthcare, please visit VITAS.com or call 800-93-VITAS.Article written by: Cathy Carlson, General Manager, VITAS Healthcare - Chicagoland South

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

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

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

Science Explains How Much Sleep You Need According To Your Age Without a doubt, getting enough sleep to function is one of the most important aspects of health for humans.  Unfortunately, many of us suffer from a chronic lack of sleep 35% of the population state that they get less than the recommended minimum of 7 hours of sleep per night. Consequently, we now have a sleep epidemic on our hands. The Center for Disease Control actually called our lack of sleep a public health epidemic, and for good reason. About 40 percent of adults suffer from insomnia, according to the National Sleep Foundation. This shouldnt come as a surprise, however, when you think about how many people in the world have stress on their minds and hearts almost constantly. When night falls, getting to sleep and allowing the mind to relax comes as quite a challenge for many people out there. However, despite our increasingly fast-paced society and more demands being put on us than ever before, we can still adopt better sleeping habits and learn to reprogram our minds for sleep. Think about it as a child, you probably got to sleep without even thinking twice about it; however, as an adult, we have so much going on that we often dont prioritize sleep like we should. With that being said, adults need a different amount of sleep than children, but just how much should we be getting per night? We will give more insight into how much sleep you really need below. HOW MUCH SLEEP DO YOU NEED ACCORDING TO YOUR AGE? Obviously, growing children and teens will require more sleep than grown adults; however, with the overuse of technology we see today, many people of all ages suffer from a lack of sleep. The chart below will show you just how much sleep you need according to your age. As you can see from the data presented by the National Sleep Foundation, both young adults and adults need 7-9 hours of sleep per night. School age children need 9-11 hours, and teens require 8-10. Many of us put off sleep in any way we can, staying up late doing work, watching Netflix, texting, or other activities that take away from our ability to fall asleep with ease. Below, we will discuss more about developing better sleeping habits so that you can get the quality sleep your body needs and deserves. SLEEP HABITS TO AVOID In order to get proper sleep, you need to know what activities to avoid before bed so that you can fall asleep quickly and easily. We will list some of the most common and destructive habits to avoid, as well as give you some better habits to adopt for a good nights rest. 1. GETTING ON YOUR PHONE OR COMPUTER BEFORE BED Countless studies have shown that the bright lights emitted from phones and computers can delay sleep for hours past your bedtime. The bright blue lights from tablets, phones and computers basically tell our brains that we need to stay awake, not go to sleep. Think about it: out in nature, the sun would tell our bodies to wake up and get our day started. So, with all these artificial lights today, we stay awake longer and longer because our brains dont know the difference between natural and unnatural light. Better habit: Turn off electronics a few hours before bed, and keep them off during the night so they dont awaken you with notifications. 2. DRINKING CAFFEINE OR ALCOHOL TOO LATE IN THE DAY Caffeine sends a jolt of energy through our bodies that helps us to stay awake and feel refreshed. Drinking a few cups in the morning to help us get our day started wont really do much harm; however, downing a cup or two close to bedtime will keep you awake well into the night. Alcohol might make you sleepy initially, and many people rely on it to fall asleep. However, the alcohol actually spikes your insulin levels after consumption, which can wake you in the middle of the night. Better habit: If you do drink caffeine or alcohol, make sure to avoid drinking it five or six hours before bed, as it will stay in the bloodstream for hours after consumption, forcing sleep to evade you once again. 3. THINKING/WORRYING WHILE TRYING TO FALL ASLEEP We have a problem in this world with overthinking and worrying; so many of us do it without even realizing it! Thinking too much before bed will make you feel stressed, which isnt conducive to falling asleep. Worrying will only produce more cortisol in your body, and sleep wont come for quite some time. Better habit: If you find your mind wandering, try meditating or doing some light yoga before bed. If this still doesnt help, fall asleep listening to relaxing music or nature sounds. 4. NOT HAVING A REGULAR SLEEP SCHEDULE Finally, our bodies were meant to perform tasks during set hours of the day. Out in nature, we would wake with the sun and fall asleep just after it set each night. Therefore, not going to bed at the same time each night, as well as waking up at different hours each day, can really cause your body to become confused and exhausted. Better habit: Go to sleep at the same time each night, and wake up at the same time each morning. If you have trouble with this, simply set a bedtime and try to go to bed within 5-10 minutes of this time each night. Content Originator: Power Of Positivity

What is a Senior Move Professional?Hiring a Senior Move Manager Professional is the answer for a growing number of older adults, families, and caregivers. Recognizing the complexities of later life transitions, seniors are benefiting from the cost effective strategies, expertise, and compassion of Move Management Professionals. The emotional and physical impact of moving on older adults should not be underestimated. The move manager stands in the gap for the senior client, without taking away the control, partnering to bring about a coordinated and seamless move experience.Benefits of hiring a move manager:*Provide Pro-Active SupportMany seniors have lived in their home for decades, surrounded by memories and belongings that tell their life story. The concept of moving can be understandably overwhelming! The older adult is now navigating through unchartered waters, perhaps alone, children often across the country. The magnitude of the task ahead often leads to delay, which can lead to a crisis-driven move later on. By shouldering the physical and emotional burden of the move, the process stays on course.*Provide Needed ServicesMove Managers start with a free consultation in the home to listen, determine what services will be beneficial, and design a personalized plan for the task ahead.Move managers use floor-planning tools that help clients visualize their furnishings in the new home and avoid the costly mistake of moving too much. Considerable downsizing is often needed as most clients are moving from larger to smaller residences. Sorting, organizing, and disbursement of belongings are what move managers do best. They have the expertise to properly recommend a course of action using consignment, estate sales, gifting, and tax-deductible donations.Other services provided include packing, moving, unpacking, and settling-in services for the new residence. Move managers are skilled at recreating the personality of the original home. Everything is unpacked and put away, beds made, kitchen recreated, and electronics set up.*Provide Cost savingsSenior Move Managers partner with Senior Living Communities, realtors, attorneys, financial planners, and other professionals. Hiring a move manager brings access to a host of proven resources that have been prescreened for the best quality at best pricing.Often the largest lifetime asset, the home, will need to be sold to fund the next residence. To bring in top dollar, homes most likely need de-cluttering, removal of furniture, staging, repairs, updating.Senior Move Managers partner with their clients and reduce the vulnerability that comes with change.Editors Note: This article was submitted by Darcy Barnhill, President/Owner of Senior Life Space, LLC Certified Senior Move Manager, Member of NASMM and NAPO. She may be reached at 720-272-1789 or by email at seniorlifespace@comcast.net

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.

Families often struggle to honor their parents wishes; to help mom and dad stay at home as long as possible. But oftentimes, moving into a more structured environment creates a step up in quality of life for seniors. While people may feel reluctant to leave their homes for a nursing or assisted living facility (ALF) in Denver, seniors in these settings are often happier, healthier, more functional, socially active, and live longer than those who continue to stay in their homes.These facilities are professional at caring for seniors and provide a valuable spectrum of services, including:Structure in daily routine and care.Experience in caring for the elderly, especially those who may be frail or unwell.Employees who feel a special calling to work with older people; they are dedicated to their work and the residents.Natural opportunities for social interaction, activities, and recreation.Healthy, nutritious food.An extra set of eyes watching to be sure medications are administered appropriately and are having the intended effect.Rehabilitation and therapy services readily available to those who need them.There has recently been a movement around culture change and resident-centered care aimed at making nursing homes and ALFs a more desirable place to live. This philosophy puts the needs and desires of the resident first and foremost and gives them more control over their lives, so they can live more like they do at home with more freedom and appropriate independence, making more of their own lifestyle choices. For example, residents may choose to:Say up late or sleep in late without being disturbedTake the nutritional supplements they desireChoose their own clothingClose the door for privacyIf you are confronting the important decision about whether to move to a nursing home or assisted living in Denver, don't be afraid to ask plenty of questions. Inquire about culture and attitudes. And remember that most facilities offer a good, supportive alternative to living alone at home.Mike Wasserman, MD, is a co-founder of Senior Care of Colorado, PC, a primary care medical group serving the needs of older adults throughout the Denver Metro region. For information or to schedule an appointment, call 303-306-4321.

Are you like me and worry about what your retirement looks like?Have you ever thought about what your life would be like if you no longer had to make mortgage payments(except property taxes, homeowners insurance and maintenance) or if you had a cash reserve available that would allow you to lengthen/increase your retirement cash flowor cover unexpected expenses?The NEW reverse mortgage is a loan available for seniors 62+ who wish to supplement their retirement using a portion of the equity in their home. A few benefits of a reverse mortgage include: no required mortgage payments other than taxes, insurance and maintenance (you can make optional mortgage payments for tax purposes or to control your equity position to fit for your specific situation*), and you may be able to delay taking Social Security.Top financial planners are urging their clients to look at a reverse mortgage sooner rather than later during retirement. It is no longer the loan of last resort.Its always best to discuss your individualoptions with a reverse mortgage planner.This article was submitted by Renatta Anderson, Reverse Mortgage Planner , NMLS #1267012. Renatta works for Fairway Independent Mortgage Corporation, NMLS Entity # 2289 and may be reached at 720-849-7389.*This advertisement is not tax or financial advice. You should consult a tax and/or financial expert for your specific situation. Copyright2017 Fairway Independent Mortgage Corporation (Fairway) NMLS#2289. 4801 S. Biltmore Lane, Madison, WI 53718, 1-877-699-0353. All rights reserved. Fairway is not affiliated with any government agencies. These materials are not from HUD or FHA and were not approved by HUD or a government agency. Reverse mortgage borrowers are required to obtain an eligibility certificate by receiving counseling sessions with a HUD-approved agency. The youngest borrower must be at least 62 years old. Monthly reverse mortgage advances may affect eligibility for some other programs. This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates and programs are subject to change without

LTC Diversion or Medicaid Waiver is amount Medicaid pays to a facility which is dependent upon a resident's income.= #listing_mgr{1 basic_search}#

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

Youve had a long day at work and youre tired. But, you need to go home and care for your loved one who has Dementia. Take a deep breath and know there are many ways to have a conversation or keep them engaged:Use familiar words and phrases when speaking or asking questionsUse humor if appropriate but remember to only laugh with them and not at themUse objects or props especially items that are familiar to your loved oneLook interested and mirror their expressionsDont argue just listen and go along with themYou may have to repeat yourself dont get angry or aggravated because its not their fault they cant remember they just asked you the same question a few times. BE PATIENT!Pick some activities to do on a daily basis things you know they used to do or have always loved doingCook or bake together.Do arts and crafts create something together (youll always treasure it).Read books that they used to love.Play music or sing together music is a great form of therapy and very calming.Watch old family movies.Work in the garden or flower beds if they are able.Do puzzles.Take a walk as long as its safe.If they still have some cognitive skills, help them do some of the things they love like writing, photography, crocheting or any other familiar hobby.Dont worry if they resist or dont want to do an activity. Take a break to help them relax. You may see your loved one getting frustrated. In order to avoid it escalating, step away or have someone else step in to help calm the situation.Always concentrate on the activity and not the outcome. Be positive theyll remember the time with you and not the activity.Your loved one deserves to enjoy each day like they did for years. You deserve to enjoy time with your loved one and interact with them as much as possible. Dont forget to take care of yourself too and dont get overwhelmed with stress while youre being a caregiver. There are many resources out there including support groups to help you through difficult times.__________________________________Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels of Lancaster, Hanover and York.

The family of Cassie King, 80, of Oak Lawn, visit her through a sliding glass door at ManorCare Health Services' Oak Lawn East nursing facility. It's the first time King's family has seen her since she was hospitalized in early April after testing positive for COVID-19. (Courtesy of ManorCare Health Services)(ManorCare Health Services)When Cassie King saw her family Tuesday for the first time in over a month, food was foremost on her mind.The 80-year-old great-grandmother, who is convalescing at a skilled nursing facility in Oak Lawn after battling COVID-19, spoke with her relatives through a sliding glass door Tuesday after graduating from the facilitys airborne isolation unit to her own room.Its likely to be another week or two before King is strong enough to return home, but that hasnt stopped the Oak Lawn resident from dreaming of the feast shes fixing to whip up when she does.She said, I cant wait to get back home so I can start cooking, said Vivian Moore, Kings daughter. And Im like, we cant wait to get you back home to start cooking.AdvertisementKing, a Mississippi transplant, has already devised a decadent Southern-inspired menu for her triumphant culinary homecoming that has family members salivating.Her first meal back will feature macaroni and cheese, chicken and dressing, both collard and mustard greens, and caramel cake for dessert.My moms house has always been the house where everybody comes on a Sunday to eat, said Moore, who, until this week, had not seen either of her parents since they were admitted to Advocate Christ Medical Center in early April after both tested positive for COVID-19.It was scary, said Moore, who feared the worst for her parents. That was my concern was, oh my goodness, are my parents going to die? Are both of them going to die?Even though hospital staff continued to offer encouraging reports about their progress, Moore said she lived in fear of the call that one or both of her parents condition had taken a turn for the worse.It was especially stressful when she couldnt immediately get through to the hospitals overworked nurses and her mind would race as she waited hours for an update on her parents health, Moore said.Is this the call where theyre going to say they got worse or they didnt make it or they had to be placed on a ventilator? she said. I was always looking for those calls.Moore said she feels fortunate she never received such a call and that both of her parents eventually recovered.Her 87-year-old father, Jeremiah King, had it worse than his wife, whose symptoms never progressed beyond general nausea and a mild cough, but was actually discharged before her and already has returned home.Cassie Kings hospital stay and rehabilitation were extended by an unrelated, but debilitating spinal problem diagnosed after she was hospitalized for COVID-19 that required emergency surgery, her daughter said.As a result, shes likely to remain at ManorCare Health Services Oak Lawn East location, which specializes in short-term rehabilitation, for a while longer as she builds back up the strength to walk again.Cassie King, 80, of Oak Lawn, waves to her family through a sliding glass door at ManorCare Health Services' Oak Lawn East nursing facility on May 12, 2020. It's the first time King's family has seen her since she was hospitalized in early April after testing positive for COVID-19.(Courtesy of ManorCare Health Services)Jeremiah King, who suffered shortness of breath and had to be administered oxygen, but was never placed on a ventilator, was discharged from the hospital April 28 and spent two weeks recuperating at ManorCares Palos Heights East location before returning home Monday.Moore said she was overjoyed to have her father back home after spending a month apart and felt reassured upon arriving at his place Monday to find him doing what he likes to do most sitting on the couch and watching the news on CNN.When I saw him doing that, Im like, oh my goodness, hes home, hes feeling OK, she said.Moore said that upon returning home her father requested a solid home-cooked meal, so shes planning something for this weekend.Unlike her mother, who has asked that she drop off fried chicken, ribs and Portillos polish sausages at the nursing home, Moore said her father just loves vegetables.If I cook him a bunch of vegetables, hes happy, she said, running off a list of greens that meet her fathers approval.The family will hold off on having a larger celebration to mark both Jeremiahs and Cassies recoveries until after her mother is released from the nursing facility, Moore said.In the meantime, she said she was trying to figure out how best to care for both of her parents once theyre back home.She said she wanted to share their story of resilience and recovery to offer hope to the thousands of families waging their own battles with COVID-19.Honestly, when I first heard that both of (my parents) were COVID-positive, it was really scary because I didnt see anything positive coming up out of this virus, said Moore, who recalls how disheartened she felt seeing the daily tallies of deaths on the news. It was just so depressing.But, she said, With great health care, with caring nurses and with nurturing doctors, older people really can survive this COVID.In fact, ManorCare is touting Cassie King as the skilled nursing facilitys 1,000 COVID-19 recovery graduate across its nationwide system.King, who was transferred from Advocate Christ to an isolation unit at the companys Oak Lawn East facility one week ago, is one of approximately 84 COVID-19 patients who have recovered from the virus at one of ManorCares five south suburban skilled nursing facilities, according to company data.Recovery, as defined by the company, occurs when a patient goes 72 hours without experiencing COVID-19 symptoms following a period of at least 14 days since the onset of those symptoms.At ManorCare, when a patient reaches that milestone, they are moved from an airborne isolation unit, where employees wear N95 masks, goggles and gowns, to a private room within the general nursing home population.Written by Zak Koeske zkoeske@tribpub.com

One of the top fears that seniors 60 and older face is the fear of cognitive decline, being unable to care for oneself and being a burden on their families.According to the US National Vital Statistics the average 60 year old has a 4.8% chance of developing Alzheimers in their life. That means there is a 95.2% risk of not developing it!In addition there is other good news about dementia rates. A new study that came out at the end of 2016 finds the dementia rates in the US of those 65+, have dropped from 11.6% in 2000 to 8.8% in 2012, a decline of 24%. This is thought to be attributed to better education and better heart health. Even with this positive news we know that dementia remains a serious issue with the number expected to triple by 2050 due to the elder population increasing and living longer.What can a Floridian do to reduce their fear of cognitive decline and continue to reduce the numbers of those who develop dementia? Participate in important educational, physical, health and social programs of the Friendship Centers and many more senior organizations throughout Florida.Practicing motor skills by using your hands and fingers to complete tasks helps the brain to keep growing. Games and hobbies like knitting and crafting strengthen channels in the brain. Challenge brains by learning new things. This can cause new brain cells to clear away inflammation.Exercise up to 150 minutes/week boosts blood flow and circulation to the heart and brain. These activities also strengthen balance; a fall can cause brain trauma.A diet low in sugar and rich in grains, fruits and vegetables can control high blood pressure and diabetes helping to reduce strokes and vascular dementia.Engaging and connecting with others create hormones boosting the brain and helping improve language skills.Minimizing stress and maximizing quality deep sleep strengthens brain neurons which fight the plaques that are associated with Alzheimers.It is never too late. Even when diagnosed, keep living. The brain will always know love and joy.Editors Note: For assistance or information call the Senior Friendship Centers (239) 275-1881.

What is your reason to postpone an investment in better hearing? While cost may certainly be a concern, it has also been shown that even when hearing aids are free, many still balk at wearing them. Whats worse is when physicians tell their patients that they are too young to wear hearing aids, or not bad enough yet, or that hearing aids only make things louder.Physicians who are not Ear, Nose and Throat specialists get very little education about hearing in medical school. Even ENTs who are quite knowledgeable about ears are seldom educated about hearing aids, but because they are medical doctors, patients listen to them and accept as fact statements that might only be opinions. Hearing aid technology changes so frequently that audiologists can barely keep up, but thats precisely what makes audiology a specialty that requires several years of schooling and constant updating! When your physician (or anyone!) tells you to skip getting hearing aids for now, ask if s/he knows of a medical or surgical intervention that will make you hear better or make your tinnitus subside. If the answer is no, then get out of there and head to an audiologist for another opinion. If you have trouble hearing - even sometimes - please dont postpone taking care of it. Todays hearing solutions range from simple amplifiers that are useful for those who truly might not benefit much from real hearing aids, yet report some difficulties, to high-tech devices that will even interact with some electronic devices in the home. Many people dont realize how much they miss and how much added stress and fatigue results from straining to hear. Life is not only safer and experiences richer when one can hear, people report having energy that they thought was only available to the young. Now that there has been shown to be a relationship between untreated hearing loss and early onset of dementia, it is more important than ever to retain your hearing as long as possible. If that means wearing hearing aids, wear them proudly in the realization that you are taking care of yourself so that you can interact fully for as long as you walk this earth. Friends and loved ones are counting on you!Editors Note: This article was written by Laurie Bornstein, MS, CCC/A with Executive Hearing. She may be reached at 972-447-8330, ExecutiveHearing@gmail.com or www.ExecutiveHearing.com. Article on page 56

Older adults fear the possibility of developing Alzheimer's disease even more than death and with good reason: five million Americans have Alzheimer's 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 Utahans with Alzheimer's disease will increase 127 percent making it the state with the fastest growing incidence of Alzheimer's.These startling statistics lead one to ask: Can Alzheimer's disease be prevented or delayed? Here is the good news yes. 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 Alzheimer's years before symptoms are noticed giving people a jump start on a treatment plan.What is Alzheimer's Disease?Alzheimer's 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 Parkinson's disease.What Causes Alzheimer's 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 Alzheimer's.What are the symptoms?Alzheimer's 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 Alzheimer's 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.

The importance of hiring a reputable home care agencyThere are several options when it comes to hiring in-home care, but selecting the right company can sometimes be a challenge.At Comfort Keepers, we pride ourselves on hiring the most qualified employees to deliver exceptional care. Our caregivers, who we call Comfort Keepers, are hand selected after a rigorous interview process. Each individual must go through several rounds of interviews, personality test, national background checks, drug screening and complete our skills training with our RN at our training center. Being an employee, not an independent contractor, means that both employees and clients are protected. We are bonded and insured, and employees are covered by workers compensation. As an in-home care agency, we provide training and monitor and supervise the care, whereas when working with an independent contractor, the client must direct care themselves and the liability may be shifted to the client. The peace of mind, trust and security of having a Licensed Home Health Agency like Comfort Keepers caring for you or your loved one is invaluable.Exceptional Care and Desirable OutcomesOur mission at Comfort Keepers is to provide our clients with the highest level of quality of life that is achievable. We provide our services within the framework of our distinctive approach to in-home care, Interactive Caregiving, which heightens our clients enjoyment of life physically, mentally, and emotionally. Our ability to deliver high quality home care results in desirable outcomes.The son of a long time client recently shared: Our family is so thankful for the level of personal attention that Comfort Keepers has brought to our Mother; from the prompt attention the office always gives to service requests, to the extraordinary dedication her primary caregiver has to our Mothers quality of life. Comfort Keepers has given our Family the peace of mind knowing that my mother can continue to experience independent living and avoid moving to an assisted living situation. Michael D.For the past decade, we have proudly served hundreds of seniors and their families in southwest Florida and enjoy the privilege of helping our veterans as a preferred provider for the VA. Comfort Keepers provides in-home care assistance, such as cooking nutritious meals, light housekeeping, transportation, running errands, medication reminders, and assistance with bathing and activities of daily living.Editors Note: For more information about Comfort Keepers or to schedule an in-home consultation, please call (941) 235-9111.

Aid & Attendance was established in 1952 to provide financial assistance to wartime Veterans and or their surviving spouses who lack the funds necessary to pay for the care they require with routine activities of daily living. Those who served our country during the following wars (whether overseas or stateside) are eligible for a special payment to assist them with providing care for themselves, a spouse or surviving spouse: WWII, the Korean Conflict, the Vietnam War, or the first Gulf War.This pension is designed to help the Veteran pay for the assistance of someone to help them with the activities of daily living such as medication management, dressing, mobility, meal preparation, bathing etc. Care can be provided at home, in an assisted living community, or in a nursing home. The care can be provided by loved ones or professional staff. A Veteran may receive up to $1,644 a month. A Veteran and spouse may receive $1,949 and a surviving spouse of a Veteran, up to $1,056 per month. This pension is paid directly to the Veteran or spouses bank account similar to their social security check and it is completely TAX FREE.Many Veterans or their surviving spouses require the assistance of someone to come in to help them with things such as cooking, cleaning, driving to appointments etc. while at the same time helping them with some personal care. Many of these seniors prefer to stay at home but cannot afford to have someone help them with these activities. With this tax-free pension, they would be able to afford the assistance they need in home or move into assisted living that provides them with the care they deserve.If you served our country during a period of war, check out your eligibility for this pension. If you require assistance at home, if you currently live in an assisted living community, or if nursing care is inevitable, you may be able to increase your standard of living or move into the type of community where you can receive the care you deserve.Editors Note: This article was submitted by Carole Autrey, Director of Senior Care Associates, 801-424-1444

Chronic diseases.... heart disease, stroke, cancer, diabetes, arthritis, obesity, chronic pain, fibromyalgia, and anxiety are the most common health problems in the U.S. Dont fall victim to them!According to the Center for Disease Control: Chronic diseases are the Leading Causes of Death and Disability in the U.S.- 7 out of 10 deaths among Americans each year are from chronic diseases. Heart disease, cancer and stroke account for more than 50% of all deaths each year.- In 2005, 133 million Americans almost 1 out of every 2 adults had at least one chronic illness.- Obesity has become a major health concern; 1 in every 3 adults is obese.- About 25% of chronic condition sufferers have one or more daily activity limitations.- Arthritis is the most common cause of disability, with nearly19 million Americans reporting activity limitations.Alternative Medicine is very effective in treating Chronic DiseaseBy taking a holistic approach to healthcare, Alternative Medicine helps to minimize the effects of chronicdisease. And yes, in many cases we help you reverse the disease itself. We consider what you are eating, your sleeping habits, exercise, and even what you are in the habit of thinking.At Lotus Blossom Clinic, we have a variety of approaches to restoring health and quality of life: Acupuncture has proven to be very helpful in reducing the effects of chronic disease. It is especially helpful with chronic pain and headaches. Many people use acupuncture to help them eliminate or reduce the number of painkillers they are taking. I routinely see patients who are resigned to live a life filled with pain. They are often surprised when they have significant relief in a few visits. Dr. David Massage has also proven itself to help manage and diminish pain and anxiety. It increases blood flow and mobility. Many aches and pains simply melt away. Hypnosis and Coaching, Emo-tional Freedom Technique and other modalities can help people change their habits, deal with old emotions, and change their thinking. Don't kid yourself! Bad habits and negative emotions are primary causes of chronic disease. Natural Facials and Anti-Aging Modalities are great! Simply taking some time for yourself can often make a big difference in improving your life. At Lotus Blossom Clinic we offer natural facials so that our clients can have the opportunity to feel pampered and nurtured while taking care of their skin. Maintaining your health is your first and most important job in life. It is up to you.Make choices that support your best quality of life!Editors Note: Mention this article and get $20 off your first Acupuncture Session Call 239-277-1399 to schedule your appointment. Free Consultations too!

Heres a New Years resolution that puts you in control and takes a huge responsibility off your loved ones shoulders: Talk to your family about your end-of-life wishes Document your decisions in an advance directive, also known as a living will. Get them to think about, talk about and document their own wishes for the end of their lives.Illness and death are not easy to discuss, but taking the initiative today means others wont have to struggle to make those hard decisions for you later on. And while theres no wrong time to address advance directives, milestone events like the holidays or the new year are opportune times to hold what-if conversations with the people you are closest to.Questions to Ask Yourself and OthersHere are some conversation starters: If you had a terminal condition and there was no reasonable probability of recovery, what kind of treatments or life-saving measures would you want? What would you refuse? If you werent able to speak for yourself, would your loved ones know what you want? Who would you want to speak for you?Writing Down Your WishesThere is lots of online information to help figure out what you would want and put those wishes in writing. Search for advance directive forms to find free or low-cost forms that you simply fill out and sign. You dont need a lawyer, a notary, or any government agency to make your advance directives legitimate. Three great places to start: AARP.org Carinfinfo.org agingwithdignity.orgFor more information about advance directives and end-of-life care, visit VITAS.com.

All moves share some common elements including why move, when to move, where to move and how to move. The answers depend on individual circumstances and ones age. Well consider moves from the viewpoint of a senior. Why and when often can be addressed together.The motivation for a senior to move can be initiated by needs related to physical health, social activity, memory support. Some people anticipate their needs and tour senior communities and get on waiting lists. Others wait to make a decision until they are forced to, which is usually the result of a health crisis and they are told by a doctor that they can no longer live in their home. Where to move includes decisions that must be made about the type of living situation one desires. Options include everything from a condo, to independent senior living communities, assisted living, and memory care. Those who plan in advance will have more options regarding location, amenities, etc. Those who move in crisis mode generally have fewer options as they must settle for what is available at the moment. How to move also has options: you can pack and move yourself, hire a moving company to move your things, or hire a move management company to plan your move, pack and move your things, and unpack everything for you. Whether or not you have planned your move or are moving in crisis mode, hiring a move management expert will greatly reduce the stress of the situation and get you settled quickly in your new home; usually within 1 3 days, depending on the size and scope of your move. Some companies also will help you downsize and conduct a clean out of your old home to get it ready for sale. What may have seemed overwhelming and impossible can be managed by the experts, leaving you and your family to focus on your new home and future.Editors Note: This article was submitted by Holly Hansen, Owner - Brilliant Moves

COVID - este acrnimo despierta una variedad de sentimientos; miedo, frustracin, incertidumbre, preocupacin entre otros. Cualquiera que sea el sentimiento que despierte en usted, no podemos negar que esta situacin ha hecho que muchas personas piensen en su mortalidad. Esto ha resultado en un creciente nmero de estadounidenses que estn en la bsqueda de soluciones para poner sus asuntos en orden. Si usted se encuentra entre ellos aqu le detallamos varias cosas que debe considerar a la hora de redactar su testamento.Debo contratar un abogado o puedo hacerlo yo mismo? S que probablemente estar pensando; l es un abogado, por supuesto que va a decir que use un abogado. Asi es! Sin embargo, permtame hacerle las siguientes preguntas. Conoce lo que hay que hacer para que un ltimo testamento sea vlido? Sabe que un testamento no evita la sucesin? Conoce la diferencia entre por estirpe, per cpita y el hbrido entre ambos? Como abogado especialista en derecho de personas de edad avanzada, conozco las respuestas a estas y muchas otras preguntas que pueden afectar a sus seres queridos una vez usted fallezca. El hecho es que vivimos en una era de especializacin. Cuando usted tiene problemas de arritmia, no va a un podiatra y ciertamente no busca los sntomas en internet. Usted va a un cardilogo para un diagnstico certero. Por qu tratara el legado que le est dejando a su familia de manera diferente? Usted debe asesorarse con un abogado especialista en esta materia. Tenemos la experiencia para asegurar que sus objetivos se logren y su familia y su legado estn protegidos.Testamento o Fideicomiso? Lo ms seguro es que usted haya escuchado hablar sobre fideicomisos. Si es as, sabe que son efectivos pero muchas veces, son sobre exagerados por los abogados. Sin embargo, como discutimos en el prrafo anterior - los testamentos comnmente pasan por una sucesin. Usted no quiere que su familia pase por eso, por lo tanto un fideicomiso es su nica opcin, verdad? La realidad es que no! Hemos desarrollado una forma libre de fideicomiso para que su patrimonio no pase por una sucesin. Es igual de efectiva que un fideicomiso y es 50% ms econmica. Es lo mejor de los dos mundos!Sea lo que usted elija, asegrese de trabajar con un abogado especialista en derechos de personas de edad avanzada que pueda ayudarle a navegar por las complejidades de la Ley de Testamentos del Estado de la Florida. Si desea asesorarse con nosotros en Family First Firm, puede llamarnos al 1-833-FL - SENIOR (1-833-357-3646), o visite nuestra pgina de internet www.FamilyFirstFirm.com para ms informacin.Este artculofue redactado por Geoff Hoatson, Esq.

In uncertain times, sound financial decisions matter more than ever. When it comes to securing guaranteed retirement income, its important to base your decisions on a clear understanding of available products. Since many people turn to both deferred fixed annuities and certificates of deposit (CDs) for stable returns, its helpful to know the differences between the two.First and foremost, a deferred fixed annuity is a conservative retirement vehicle, while a CD is designed to be a savings vehicle. Deferred fixed annuities can help you accumulate and protect assets until you are ready to receive them as guaranteed income during retirement and many offer the option of guaranteeing retirement income for your lifetime. CDs, by contrast, offer a conservative way to save and preserve assets when your investment horizon (the amount of time you expect assets to be invested) is relatively short. CDs do not offer a guaranteed lifetime income option.While both vehicles are considered conservative, they reduce risk in different ways. CDs are generally backed by banks and currently are insured for up to $250,000 for each depositor by the Federal Deposit Insurance Corporation (FDIC) or the National Credit Union Administration (NCUA).Fixed annuities are guaranteed with no maximum by the issuing insurance company. They are not FDIC insured. Be sure to ask your financial professional about an insurance companys financial strength ratings if you plan to purchase an annuity, because payment of lifetime income is contingent upon the claims-paying ability of the issuing company or companies.There are other important differences as well, involving income tax treatment, early withdrawal options, and other important factors. The best way to make a good decision when planning for retirement is to work with a trained, trusted financial professional to choose products that best meet your retirement income objectives and investment needs. 'Editors Note: This article was provided by Bradley Waller, a financial representative with MassMutual Financial Group Dallas/Fort Worth; courtesy of Massacusetts Mutual Life Insurance Company. He can be reached at 972-348-6382/817-201-3819. The article has been modified.

The median U.S. funeral costs $8,508, not including cemetery costs a 28.6 percent increase over the previous decade. This is just one of the reasons people are considering direct cremation which can be purchased for less than $800.The good news is even for those opting for traditional burial, there are ways to reduce the total cost.Alternatives to full-service, traditional funeral home.Today, there are full-service funeral homes specializing in affordable services. Typically, they avoid expensive real estate and opt for modest office locations saving families $1,000s by reducing their overhead. The saving is passed on to the families. There also are cremation service providers taking the same approach. All funeral homes hold the same licenses and are subject to the same inspections regardless of how much they charge.Embalming is not required.Unless you are planning a public viewing, embalming is rarely required, and is not required by the State of Texas. A popular option is having a closed casket, (or the deceased person is not in attendance at all) with a framed photo, enabling people to see the person as they were in life.Shop around for a casket or urnYou are not required to buy caskets or urns from the funeral home, although most provide a wide range for your convenience. Today, they can be purchased through outlets including Costco and Amazon. And, by Federal Law, the funeral home cant charge you more for providing your own.Place your own obituary If a funeral home is going to charge you to coordinate placing the obituary, do it yourself. Most large newspapers provide the capability for you to submit, review and pay for obituaries online so you never speak to a salesperson.Unlike generations past, there are many funeral options offering the same quality of service at lower costs. The trade-off is you must ask questions; do your research; and be open to the available options. Planning enables you to take your time to make these very emotional and important decisions.Editors Note: This article was written by Frank Seddio, General Manager and Funeral Director with Local Cremation & Funerals. He can be reached at frank@localcremation.com or 214-343-4040. (See add on page 43 & 137)

To learn more aboutNamaste Alzheimer Center - CHI Living,CLICK HERE.Because people often spend a lot of time in the kitchen preparing meals, eating and socializing with friends thats a great room to start making modifications for aging-in-place comfort and safety.Safe kitchens for seniors include:Task lighting in key locations, such as the sink and stoveArrangement of most-used items at or just above the waistA hot-proof surface near the oven, with potholders or mitts nearbyPressure-balanced, temperature-regulated lever faucetsExpanded countertop spaceA clean hood rangeColor contrast of cabinets and counter surface edges for those with vision challengesA sturdy step stool with a hand rail, plus one appropriate for your weightD-type cupboard door handles that making opening and closing doors easierPull-out shelving for easy access to under-counter storageSwitches and outlets located at the front of the counterWith additional safety modifications made in other areas of your home, including your bathroom and bedroom, you may extend the time youre able to enjoy your home!If you want to begin learning about other senior living options available to you, including Independent Living, contact one of our trusted advisors who can offer the information you need to ensure you remain safe, comfortable and close to loved ones as you age.

As our country continues to be challenged by the impact of COVID 19, it is apparent that the senior population has more at risk than their health. Many senior homeowners have suffered financial losses and now have real concerns about their ability remain in their homes. Seniors in search of stability and security can count on Independent Financial for assistance.The HECM loan is a Government guaranteed program that offers many remedies to seniors for the preservation, use and growth of the equity they have built up over the years. When a Reverse Mortgage is put in place, the senior has multiple options to utilize their available equity. In many instances, it could even involve using a HECM to purchase a home which better fits their needs.Seniors seeking peace of mind during these challenging times are encouraged to reach out to a trusted Reverse Mortgage specialist, and see if an FHA insured HECM offers a better quality of life. The same asset that keeps us safe and secure, holds locked-up equity that can provide peace of mind for a lifetime.Editors Note: This article was submitted by Peggy Sage, HECM Specialist, NMLS #322344. Peggy isaSenior Loan Originator with Independent Financial and may be reached at970-691-4648 or by email at psage@ibtx.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}#

Caring for a person with dementia often takes its toll on the caregiver's health. The stress of the situation often causes medical and/or psychological issues for the person. Although stress cannot completely be eliminated, there are steps to take to avoid being in distress.One of the first steps is to have a medical professional who understands dementia, the progression, the impacts, and the medical treatments. This doctor may or may not be the person's primary care physician. It could be a gerontologist, neurologist, geriatric psychiatrist, or a physician who has a strong understanding of dementia.Having someone who understands the financial pieces of elder care is also key to avoiding a crisis down the road. An elder law attorney is able to help put the necessary pieces in place to assure that decisions can be made and that financial assets are being used in a way that is permitted or even protected. Medicaid and Medicare laws are complex and often changing. In addition, many elder law attorneys are aware of programs available to financially assist seniors.Many caregivers find joining a support group is beneficial. Groups are often facilitated by a professional. This person usually has a strong understanding of the disease and the resources available. In addition, you will have the opportunity to share your experience with others who have the same experience as you. Also, it provides a safe environment to share thoughts with others who will not judge and can understand. In addition, you will get advice and support from someone who may have already faced the stage you are in now. Additionally, it will allow you to help others who are dealing with something that you have already faced. It is important to understand however that not all support groups are the same. Based on the participants, some are more geared for adult children while others for spouses. Finding the right one will add to the benefit.Many people have family members as an important piece of the support team. To avoid conflict and perhaps crisis, it is key to have open communication and assure that everyone is on the same page. Putting some of the pieces into place can help the caregiver prevent some crisis and provide a better overall quality of life for everyone._____________________________Editors Note: This article was contributed by Mary Underwoods, Vice President of Memory Care Services for Artis Senior Living of the West Shore.

With each passing year, new data continues to prove that Alzheimer's disease is a growing epidemic. Significant increases in costs and incidence, including care costs for individuals living with Alzheimers or other dementia's surpassing a quarter of a trillion dollars have been reported in the Alzheimers Association 2018 Alzheimers Disease Facts and Figures report. However, this years report goes beyond the statistics with a special report on the financial and personal benefits of early diagnosis, addressing prevalence, mortality and morbidity, caregiving and what the disease could mean to our health care system if left unchecked.As the number of older Americans grows rapidly, so does the number of people living with Alzheimers and the impact to the nations economy. An estimated 5.7 million Americans are currently living with Alzheimers with an expected increase to 7.1 million people by 2025. In the Greater Dallas area alone, there are approximately 64,000 people with Alzheimers and it continues to increase each year. This number does not include all those who are affected by the disease such as family and caregivers, states Mark Denzin, Executive Director of the Dallas and Northeast Texas Alzheimers Association. In fact, by the time you are finished reading this article 1- 2 people will have developed the disease based on the fact that every 65 seconds another diagnosis is made. Alzheimers disease is not only affecting those diagnosed, but caregivers as well. Due to the long duration of this disease, the strain on Alzheimers caregivers can last several years and produce serious declines in caregiver physical, emotional and financial well-being. In 2017, 16 million Americans provided an estimated 18.4 billion hours of unpaid care in the form of physical, emotional and financial support at a valued cost of $232.1 billion. The difficulties in providing this level resulted in an estimated $11.4 billion of additional health care costs for Alzheimers and other dementia caregivers in 2017. By 2050, the total cost of care is projected to exceed $1.1 trillion. Unfortunately, mortality from Alzheimers disease also continues to rise. While deaths from other major causes continue to decrease, new data shows that deaths from Alzheimers disease have more than doubled, increasing 123 percent between 2000 and 2015. In comparison, the number of deaths from heart disease the number one killer in America decreased 11 percent. Alzheimers is the most under-recognized threat to public health in the 21st century according to Dr. David Satcher, former U.S. Surgeon General and former Centers for Disease Control and Prevention (CDC) Director. Investing in a nationwide Alzheimers public health response will help create population-level change, achieve a higher quality of life for those living with the disease and their caregivers, and reduce associated costsRead the full text of the Facts and Figures report, including the accompanying Special Report at alz.org/facts Article on page 30

What are best practices for terminally ill patients who frequent your emergency department? What do patients, families, hospitals and payers want? What is your role? What is the role of hospice?The Hospital Readmissions Reduction Program was developed for a reason. Consider this: a third of Medicare patients readmit within 90 days; 1 in 5 Medicare patients readmits within 30 days. During the last month of life, about half of patients are in the ED, and almost 10% are there on their last day.At VITAS Healthcare, we can admit hospice-eligible patients directly from the ED, even when they are symptomatic.Partner with VITAS to Achieve Key GoalsWhen your hospital partners with VITAS, patients with end-of-life needs get the right care. Your hospital achieves key goals:Reduced ED overcrowding, readmissions and observation periodsImproved ED throughput and bed cyclingSeamless transitions to post-acute careImproved patient/family-satisfaction metricsHospitals are penalized for suboptimal ED core measure outcomes, reduced patient/family satisfaction scores, and readmissions of seriously ill patients who may not want to be hospitalized. When surveyed, patients report their preferences to include:Optimal pain/symptom controlStrengthening their relationships with familyDecreasing their care-burden on familyProlonging the dying processAutonomy and maintaining a sense of controlDying at home surrounded by loved onesYet readmissions are often due to unmet discharge planning needs, post discharge care coordination, or insufficient outpatient or community-based follow-up, particularly when coupled with severe progressive illness.Readmitted patients tend to be elderly with multiple comorbidities that contribute to their decline. Often they have not adhered to follow-up plans, and may not be able to state their diagnosis or explain their medications. Many of these patients are hospice eligible, and identification can fit into a busy clinicians assessment and facilitate optimal disposition decisions.Signs That a Patient Might Be Hospice-EligibleFrequent visits to the ED, hospital or ICUOngoing symptoms despite optimal treatmentDeclining functional statusDevelopment of deliriumDeclining renal functionUse of inotropesPatients goals are for quality of lifeAnswering No to the question: Would you be surprised if this patient died in the next 612 months?When referred to hospice as soon as they are eligible, patients receive medical and psychosocial care to control their symptoms and improve quality of life. Care is brought to them where they live by an interdisciplinary team. Continuous care is provided at home when medically necessary, keeping the patient out of the hospital.Submitted and Written By: VITAS

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. Will A 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 (same as executor) for the estate. A will is revocable (it can be cancelled by the testator) or it can amended at any time by the testator. For a will to be valid in Idaho, it must meet specific requirements under Idaho law. Living Trusts A 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 specific 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 Trusts A testamentary trust is created upon the death of a person as specified in his or her will and holds assets within the trust instead of outright distribution such as when minor beneficiaries reach a specified age or graduate from college, or when a beneficiary is a person with special needs or disability who receives government benefits. A New or Updated Estate Plan Whether a will or trust is appropriate for you depends on your circumstances. If you already have a will or trust, it should be reviewed occasionally to make sure it reflects your current wishes and needs, or if you have relocated from another state, 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

Look for the horse of a different color when filing for the VA Benefit Aid & Attendance, and ONLY through a veteran-dedicated home care agency.If you are as old as I am, you will remember the horse of a different color from The Wizard of Oz. It stood out from all the rest and was truly different than any other horse.If you are looking for assistance with a complex VA benefit such as Aid and Attendance, dont just hope you find the right agency to help. Instead, review the below information then let your search begin.THE PROBLEM? At last count, there were over two-hundred organizations that purport to help veterans obtain the Aide and Attendance benefit for those that qualify. However, many of these organizations are considered as poachers seeking to get all or a portion of the veterans funds. Others are looking to sell the veteran services they may or may not need. Still, others are seeking to get paid for assisting a veteran in applying for benefits. So, how do you pick the right one to help you out of this herd of horses?First, eliminate anyone who wants to charge a fee for assisting you to file for benefits. It is illegal to charge for helping a veteran in the application process for the Aid and Attendance benefit.Second, eliminate anyone who wants to charge you to re-arrange your assets to qualify. This usually means a lawyer setting up a trust and moving assets to that trust. You dont have to use anyone to help you if you dont want to. Any veteran or surviving spouse can file the claim for benefits on their own. However, the problem is the application process is complicated and time-consuming. The process entails a lot of paperwork and veterans tend to give up after realizing so much red tape is involved. Then, and to make it more complex, if you did qualify, youd need to find a home care agency or an individual caregiver to provide services. This takes time, drug tests, background checks, etc. Even the Internal Revenue Service (IRS) considers individual Caregivers as employees, even if they are a family member. This means withholding taxes and filing federal and state tax forms, compliance with state home care laws and providing workmens compensation insurance. The process is much too complicated for most of the veterans we know.THE SOLUTION? Look for a veteran-dedicated home care agency (i.e., the horse of a different color) who specializes in providing in-home care for veterans through the benefit. They will be an agency who can assist clients in filing for the Aid and Attendance benefit to pay for all or a part of the care that is required. Also, they will be someone who always offers no cost for the service. They will be an agency that offers private pay solutions as well as complete access to the Aid and Attendance funds in an ethical, legal approach. Today, its your obligation to look for a horse of a different color. If you have read this entire article, you are now closer to that reality then never before!Editors Note: This article was submitted by Steve Lee, Founder & CEO at Veterans Aide at Home, a veteran-dedicated home care agency and may be reached at 720-326-0319 or by email at Steve@VeteransAideAH.com.

While spring is the season of new beginnings, it is also the season of more sunshine and as the weather heats up, spring also brings increased energy usage especially as many of us continue to spend more time at home.To help you save energy this spring, Florida Power & Light Company (FPL) is offering some simple tips.Check windows for air leaks: Check your windows for drafts. Re-caulking and using weather strips can help to keep the warm air outside.Leave incandescent bulbs behind: LED bulbs are 85% more efficient than incandescent bulbs and last 10 times longer.Try to block out the sun: Use thermal-backed drapes for your windows and sliding doors and keep them closed during the sunniest parts of the day to help keep your home cool.Always turn off your fan: Ceiling fans cool people not rooms. Turn ceiling fans off when you leave a room. Leaving them on in an empty room can drive up energy costs.Never leave your A/C filter dirty: Be sure to change the filter and make a habit of doing so within the timeframe recommended for your model.Inspect the ceiling for duct leaks: If the ceiling is dirty around your A/C vents, that is a good indication of leaks in your ducts. Contact an A/C contractor to perform a duct test if thats the case.Consolidate electronics with power strips: Easily turn off a group of electronics at once when theyre not in use by consolidating several plugs onto a power strip. Thiscould saveyouup to $100 a year.Get energy savvy: Install a smart thermostat and control the temperature of your home from anywhere. When used appropriately, these can help a single-family home save about 3% of total energy costs.Looking for more ways to save this spring? Check out FPLs various energy saving programs, like our ceiling insulation and A/C rebates, no cost On Call program and free Energy Analyzer tool at fpl.com/save/programs. Submitted By: FPLWritten By: Andre Sowerby-ThomasAndre Sowerby-Thomas is FPLs Home, Business and Energy Solutions expert and residential contributor to Watts Happening, a blog by FPL focused on helping residential and business customers become energy savings pros. For more than 15 years, Andre he has helped customers improve their energy efficiency and lower their home/business energy costs.

Want to stay in your own home? Do you cherish your memories? Are your family and friends close by? Do you like being on your own schedule?#1 Make an Entryway AccessibleInstall a modular ramp for entry to front, back, or side door. This will eliminate stairs for individuals who have mobility challenges or use a wheelchair a scooter. A modular ramp can be assembled in one day, is removable and reusable, fireproof, slip resistant, and has handrails.#2 Install Rails and Grab Bars Inside or OutsideSometimes a little extra stability is needed. A handrail on the opposite side of the stairs can provide much comfort when climbing or descending stairs. Grab bars come in different sizes and can be installed anywhere in the home.#3 Install a Stair LiftWhen stairs become challenging, a stair lift offers a great solution. Stair lifts are easily mounted with minimal changes to the stairs. Stair lifts come in varying indoor and outdoor models with an array of features such as remote control, swivel seats, battery back up, and more.Many individuals painstakingly crawl up and down steps. Do not wait! This is an easy modification that will pay for itself. Stair lifts will take you from one floor to the next with ease and make your daily life enjoyable.#4 Portable and Threshold RampsOne or two steps or an uneven surface can become troublesome. These small areas of raised surfaces are often the biggest causes of a trip and fall accident. There are many styles of aluminum and rubber ramps that can provide a smooth transition for you to maneuver.#5 Make a Bathroom AccessibleMany falls and slips happen in the bathroom. Modifications will allow you to avoid hazards that could cause accidents.Install a walk-in shower to eliminate tripping hazards.Install a lower sink to easily reach the handles and basin.Install a toilet of appropriate height to ease sitting and standingStrategically place grab bars in shower or next to toilet for added stability.Easy and affordable modification will enable you to stay safe and independent in your home! Enjoy your surroundings and make the most of every day!_______________________________________Editors Note: This article was contributed by Nick Marcellino of Amramp.

Why Act Now? Beautiful senior living facilities serve Collier and Lee Counties. New ones open every day. Seniors and their families can feel overwhelmed by so many choices!Hawley-Holt acts as a matchmaker by interviewing seniors and their families to identify and understand their near term health needs, longer term preferences and life style priorities.These are compared against a complex database of information provided by the local senior communities and compiled by Hawley-Holt.Hawley-Holt identifies three or four communities that most closely offer what clients need and desire. Meetings are arranged. Hawley-Holt may accompany seniors and/or their families on the first visit and assist with unanswered questions afterward.Acting now may avoid missing out on that perfect apartment or being placed on a waiting list. Waiting until poor health necessitates a move may limit choices and result in a hasty move later.To move or not to move is not the only question: Can we afford it? Are pets allowed? How far is it from church? Can my son visit any time? There are many questions that go along with moving into a senior community. Free, no-cost services. Let us help!Editors Note: Call 239-290-0726 or visit us online at hawleyholtseniorlivingadvisors.com.

Bringing a one-of-a-kind adventure attraction to Naples this month, Cruise Naples is adding a unique Jet Boat vessel to their line of fleets. Known as ODIN, this jet boat will offer thrill rides that travel up to 50 miles per hour and propels into 360-degree adrenaline turns. More than just speed rides, you can book an eco cruise on ODIN and travel in this smooth and quiet ride along the inner Coastal waterway and Northern 10,000 Islands. Whether you want to ride solo or with a group of up to 23 passengers, ODIN will offer various rides and departure times for a day on the water.Known in the community for their cruises, fishing charters, jet ski & boat rentals, Cruise Naples and their sister company Adventure Naples, has various services that connects visitors to all their outdoor needs! With Cruise Naples, you can enjoy a spectacular sunset, watch dolphins at play and see luxurious waterfront mansions with a sightseeing cruise. Also choose a Wine & Dine Cruise or explore with their weekly Kids Cruise. At Adventure Naples, they book deep sea, calm bay and sunset family fishing trips, party boat charters, wetlands and wildlife watching, boat rentals, Jet Ski rentals and now, jet boat rides.Editors Note: This article was submitted by CRUISE NAPLES, which was founded in 2009 by Captains Lance and Harry Julian, a father and son team. Cruise Naples summarizes five generations of maritime connections. They are located at the corner of 12th Street S. and 6th Avenue S. at Tin City.

It is important to take care of your affairs and to get your house in order, not just for you, but for the ones you love. Much like the health care advance directive (also known as a living will) that addresses a medical crisis, the Personal Wishes Organizer addresses ones death; both provide the needed direction for emotional family members.The Personal Wishes Organizer simplifies the decision-making process during difficult times. Here are five benefits of planning ahead: PEACE OF MIND: Written instructions relieve you of the worry that your family will be burdened with making difficult decisions and selections at a stressful time. INFLATION-PROOF GUARANTEE: Should you decide to fund your prearrangements; all the services and merchandise are guaranteed 100 percent at todays funeral costs. SAFETY OF YOUR FUNDS: Funds are invested in a special kind of life insurance, which is designed solely to cover your funeral expense. Funding has great benefits, including payment plans (no, you dont have to pay the entire funeral cost upfront), and transferable should you move to another area. PROTECTION FROM THE NURSING HOME: Unlike other investments (including cash value or traditional life insurance) that you own, the dollars you place into a pre-need funeral policy will not count as assets when you enter a nursing home. This policy can be made irrevocable and is exempt. Your money cannot be touched by the state, and remains in your policy to cover your funeral expense. ITS A GREAT INVESTMENT: With low interest rates offered on other investments, putting your money toward this policy makes good sense. No matter what inflation grows to over the years, your policy is guaranteed to keep up with rising costs, your family will never pay additional funds toward services and merchandise.GET ORGANIZED! Having your records organized makes it more manageable. The Personal Wishes Organizer comes with forms to assist you in recording, here are a few examples: Vital Statistics Military Records Insurance Information Emergency Contacts Special Instructions Interment & Funeral Services RequestsFREE, NO OBLIGATION CONSULTATION: You are under no obligation to prepay your funeral expense. In fact, many families find a great benefit in recording their decisions and selections ahead of time with a Personal Wishes Organizer.A Family Service Counselor will meet with you and guide you through the process of planning by developing a Personal Wishes Organizer ahead of time which is part of a funeral homes service to the community, and of course, is FREE.Editors Note: This article was submitted by Vickie Hansen, Marketing Director with Myers Mortuaries and may be reached at 801-399-5613 or by email at vickie@myers-mortuary.com

The National Placement Referral Alliance - NPRA, is a national membership organization formed to protect family choice for older adults. They provide education, promote best industry practices to pursue ethical and professional responsibility in the communities their members serve. The NPRA provides a platform locally from which their members can express their views on industry practices, legislation, rules, and regulations.At the NPRA, our driving force is to improve the processes for the nations senior population; ensuring they are protected and receive proper care. Our agents, care, and service providers have aligned to protect the best interest of older adults and their families. We are focused on regulations, better business practice and much-needed consistency in the senior placement industry. -Scott Fischer, 2019 NPRA Chapter Development Director, and TreasurerThere is a growing need to bring professionalism and Best Practices to this industry. Placement services offer an invaluable service to families when they have high standards.The local chapter Greater Denver Placement & Referral Alliance GDPRA is working diligently with the NPRA to develop additional Best Practices for the GDPRA and hold placement services accountable in Denver and throughout Colorado.Our local leadership is on point to help the industry create best practices, governance and professional development for placement agents and our partners. The GDPRA can inform our aging community about all the resources available to improve their experience and transition. -Cindy Koch, President of the Greater Denver Placement and Referral AllianceBy joining the NPRA, a member will have national and local access to resources, industry updates, events/conferences, educational programming with CEUs, and news. Membership also includes discounts on the national credentials for placement & referral agents. Go to www.npralliance.org/membership for more information about joining our movement.Website GDPRA: www.NPRAlliance.org/GDPRA GDPRA Main Contact: Marnie Biln, npradenver@gmail.com NPRA Main Contact: Scott Fischer, sfischer@NPRAlliance.org

To learn more aboutEnvida, CLICK HERE.One of the first programs in the US that connects individuals suffering with mental illness crises andaddictions to mental health professionals and facilities through a unique transportation program(Colorado Springs, Colo. September 10, 2020) Transportation obstacles have long been identified asbarriers for individuals to receive mental health support which, according to the Center for DiseaseControl and Prevention study, has seen a marked increase since the beginning of the COVID-19pandemic.Envida, provides home care and transportation to those in need in El Paso and Teller counties,realized that individuals necessary mental health care needs werent being met, so they implementeda program that specifically addresses transportation to get individuals to and from their mental healthappointments. These appointments help address substance abuse, anxiety, isolation and depression all conditions known to be aggravated by COVID-19 and often leading to crisis.What makes Envidas program unique is:One of the first programs in the US that connects individuals suffering with mental illnesscrises and addictions to mental health professionals and facilities through a uniquetransportation program.Envida utilizes state of the art software that allows individuals to manage their mental healthappointments with confidence and confidentiality, while building their independence.Envida's drivers are specially trained in mental health response to foster safe and trustingrelationships with riders.Funded primarily through grants from the Federal Transit Administration, Colorado Community HealthAlliance and the National Center for Mobility Management, Envidas mental health transportationprogram has recently finished its test phase and is currently implementing its pilot programthroughout El Paso and Teller counties in Colorado. The goal is for Envidas program to be a replicablemodel for cities to implement throughout the U.S.Envida first rolled out the test program last year, and we had an amazing response, said Gail Nehls,Envidas Chief Executive Officer. Starting in November we had 87 rides scheduled by February wehad over 400 rides scheduled. Then the pandemic hit, and telehealth appointments becamenecessary. However, telehealth does not address individuals in crisis, so weve pivoted to providingrides for individuals experiencing mental health crises and have seen our ridership increase over 4fold, Nehls continued. At the end of the day, we want to be sure to give our clients greater accessto mental health. We want to save lives.

The business of providing full time care for people with dementia, strokes, brain injuries, and the like, is all about how well the providers involve and empower their staff. The provider needs to invest in proper training for the caregiver team and allow enough time with residents to allow the resident to trust the caregivers and feel safe in their environment. Seeing familiar faces and seeing them regularly is critical for the resident with cognition challenges.If this trust is not established and the fear takes hold of the resident, the resident can act out and develop difficult behaviors, or they can feel that they are abandoned by their family and a burden to people and will shut down and pass away. Remember these people spell Love T-I-M-E. The caregivers need the time to work with the resident and show that this person is valued and not a burden. Adjustments for the circumstances that occur each day when they are caring for this resident are common. The staff gets to know the resident extremely well and canMake sure that when you search for a facility to care for your loved one, that you select one where the staff is handling an appropriate number of people on their shift, 4-6 during the day and 7-8 during the overnight(awake staff ), and that the staff has been and will be in place for a long period of time. Seeing unfamiliar faces constantly is extremely challenging and difficult for this type of resident.In addition, residents are getting more and more challenging medically and physically as they come to these facilities and age in place. If they don't get the care they need, they have a very difficult journey.Consider a smaller setting with good staffing for your loved one with memory loss, it often leads to a better journey for your loved one because there is no substitute for TIME spent by familiar caregivers with your loved one.Editor's Note: This article was submitted by Russ Udelhofen, Administrator of Jaxpointe Assisted Living Memory Care Homes. He may be reached at 303-420-5590 or email at info@jaxpointe.com

To learn more aboutChancellor Gardens at Clearfield - MBK,CLICK HERE.Moving to a senior living community can bring many benefits but one thats often overlooked is the sense of belonging and connection missing when a senior living at home begins to become isolated. Isolation can be a natural outcome of professional retirement, losing a spouse, family moving away, medical issues or a change in activities.There are a number of signs that a loved one is beginning to feel the effects of isolation and that their emotional health of beginning to deteriorate. Its important to be aware of these signs because a decline in emotional well-being generally leads to a decline in physical health as well.Telltale Emotional Distress SignsHere are behaviors that can indicate your loved one is in need of more connections, more activities, more structure and more support:HopelessnessRestlessnessSeeming "on-edge"Difficulty coping with everyday stressIncreased irritabilityExcessive worryingImpulsivenessMood swingsThe Antidote for IsolationIf you notice one or more of these signs, its time to consider a more promising living environment for your loved one it may be the best decision you could make for the entire family. Moving to a senior living community can often breathe new energy and purpose into an individuals life.At MBK Senior Living communities, we can attest to our new residents experiencing increased optimism, a more positive perception of aging and a new appreciation for this stage in life. With so many opportunities for socialization, companionship and fun, life can look and feel very different. Worries dissipate because our residents can be assured that virtually all of their needs can be easily met. Plus having a daily routine, regular (and delicious!) meals and more structure is also important.Starting The Dialogue NowThe potential need to move can be a difficult subject so family members often postpone this conversation, despite signs that there may be a decline in a loved ones physical or emotional state. At MBK Senior Living, we can offer families guidance on how to begin this discussion sooner rather than later.Most important is to not wait until youre faced with an emergency situation to start this conversation with a loved one, said Christy Van Der Westhuizen, Vice President of Sales & Marketing for MBK Senior Living. No matter how self-sufficient a parent or spouse may be, planning and knowledge of available resources will give everyone greater peace of mind and the ability to make better informed decisions.Use Our Caregiver Assessment ToolTo help jump-start this important discussion, schedule a private tour together at one of MBK Senior Livings 33 communities. In addition to becoming more educated about options, touring an MBK community can provide insight to preferences and shatter common misperceptions.Theres often a misconception that moving to a senior living community strips away a seniors independence when in actuality the opposite is true, said Van Der Westhuizen. Freed from the burdens of home maintenance, our residents discover increased independence, newfound conveniences and services right outside their doors, and more time for connections with friends and neighbors.Bringing Hope BackWhen someone is in emotional distress, hopelessness sets in, followed by isolation and inaction. Its difficult to seek companionship and activities when its too much effort which is why a dynamic senior living community can organically restore hope for your loved one. Being surrounded by others in the same age group, and by compassionate caregivers, in a beautiful home-like setting can mean a new lease on life. We invite you to come see for yourself at MBK Senior Living. We look forward to welcoming you!

People often ask the question: is it Alzheimer's or is it dementia? The fact is that 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.Finding An Alternate SolutionFortunately, 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.Editors Note: This article written by JoAnne Mohrland, Executive Director, Regency Columbia Village, 208-344-2954.

What if you could stay in your home, enjoying independence and comforts of home longer? Do you have a family Realtor who will advise you to not sell unless necessary? Do you have a realtor who has resources for medical needs, for VA assistance benefits, to give you financial options and resources to speak to when you have questions regarding whether to sell or not?Seniors Real Estate Specialists (SRES) do more than just sell homes. We are a resource for families under stress during times of medical need for, or loss of, a loved one. We are here to be a calming agent during very emotional times.SRSEs know that selling the home is not always the first or even best option. Because of this, we have access to in-home care resources to let you or your loved ones stay in their home longer. We understand VA benefits for care, how to keep eligibility when you do need to sell, and the grief that comes with an actual move out. If you have a reverse mortgage, an SRES is your best choice when you decide to sell, because of the special rules surrounding these mortgages! We have your trusts reviewed by Title company attorneys to make sure you have corrected wording to sell and close. Did you know that some trusts are not written right, and the seller cannot close? What if you were counting on that sale for medical bills, but no-one had taken the time to review the trust? Did you know that not all Power of Attorneys allow real estate sales even when they say they do? An SRES can review those as well.SRESs usually have teams to help you clean, pack, do light painting, some moving and run yard sales when you are ready to move. What could be better than having a team to help?As your family SRES, we help you stay in your home longer, providing you with tools to make comfortable decisions. Always call on an SRES when you have real estate questions!This article was submitted by Gina Gonzales SRES, she can be reached at 801-544-6829.

A mild hearing loss may be changing your brain. New research from the University of Colorado shows that adults with hearing loss have decreased activation of the hearing portion of the brain compared with normal-hearing, age-matched adults. Adults with mild age-related hearing loss show brain changes in hearing portions of brain, which are being taken over by visual functions. This is not seen in age-matched adults with normal hearing.This means that the auditory cortex (which is used for hearing and understanding sounds) is being hijacked by visual functions instead of hearing functions in people with hearing loss. In addition, changes to the frontal lobe (which is used for higher cognitive functions such as decision-making and thinking) are also being taken over by visual functions. This makes it harder to think and pay attention. It also may explain an increased risk of falling and higher incidence of cognitive decline, social withdrawal, and fatigue among people with even mild hearing loss.The good news is that early research suggests that people who are fit well with hearing aids show a reversal of these brain changes.According to the National Institutes on Deafness and other Communication Disorders, most people who have hearing loss dont get the help they need. Early intervention matters, so ask your doctor to refer you to see an audiologist to have your hearing tested.

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

There is a plethora of articles about how to prevent and treat brain health conditions such as dementia and Alzheimers, as well as how to ensure a healthy brain. Research efforts are immense, as brain health is a major concern across this country. M.D. Anderson, a world-renowned cancer research hospital, is leading a consortium to organize these research efforts. At a recent public panel discussion on brain health, the leader of that consortium answered a question on everyones mind: What does the research say is most effective for preventing dementia? His answer, and the answer in all of these articles, revolves around three things in particular: exercise, the importance of social interaction, and cognitive rehab.What is cognitive rehab? Think of it in terms of taking your brain out for a walk. To keep your brain healthy, it needs to be using the skills you want to hold on to. Whether that means verbal/visual memory, concentration, processing speed or deductive reasoning, the old adage of use it or lose it applies. So, the question arises, In senior living communities, who is providing this service on an individual basis, if at all?Inspire Senior Care is a psychology group that is introducing this service to senior living communities across Illinois. Whether its independent living, assisted living or memory care communities, Inspire hopes to bring this service to as many seniors as can benefit from it across the state. This has been a highly successful program in Texas, but being an Illinois owned company, Inspire is now reaching out to you. They do this service without having seniors sign any contracts, and if they have Medicare Part B coverage or various other PPO insurance plans, they can offer this service at no out of pocket expense.If your community would like to learn more, have them contact David Lawton at 815-603-6162 or email him at david@inspireseniorcare.com to schedule an appointment.Editors Note: This article was submitted by Ron Nevelow, LCSW. Ron is the director of business development for Inspire Senior Care and may be reached at 214-563-2126 or by email at ron@inspireseniorcare.com.

To learn more about Utah Senior Care Advisors, CLICK HERE.Independent Senior Living- These apartment setting communities for people 55+ are generally for those who do not require assistance with activities of daily living. Most of these residents maintain their drivers license and care for pets. All Independent livings communities offer different amenities and programs. Many include an activities program or socials and meals in a dining room. Some may have laundry services, transportation, housekeeping and other amenities such as a pool or gym. Larger companies may have Independent living, assisted living and skilled nursing communities on one campus, so your loved one can graduate to a high care community as their needs progress.When my grandmother could no longer keep her home in order, Independent living was the perfect fit for her. She was able to maintain her dignity, her dog and her car. There were plenty of social programs and we were comforted knowing she wasnt making herself the same peanut butter toast for every meal of the day. The community was essentially an apartment complex with socials and a dining room. We paid for a housekeeper to clean her apartment once a week and resident were supposed to use their own vehicles for transportation. The common areas were maintained, however a resident had to submit a request for apartment repairs.Assisted Living- Apartment setting communities that assist with activities of daily living including hygiene, prepared meal, and laundry and medication assistance. There is generally a full time activities program, a hair salon and other amenities for the residents to enjoy. These communities have an RN available, but not on staff around the clock.Memory Care-These communities provide all of the same services that an assisted living provides, but specialize in caring for resident with dementia. The communities are generally smaller and have a higher staff to resident ratio. A good activities program is based on sensory stimulation.Skilled Nursing- Hospital setting communities that employ doctors and have around the clock registered nurses on staff. This type of community assists those that need attention that only an around the clock nursing staff can provide.Respite Care- This service if for caregivers that need temporary care for their loved one. A person may stay at an assisted living for up to fourteen days, before actually having to move into the community permanently. This service is great for spouses acting as primary caregivers and need a vacation etcRegulations may vary state to state. Some assisted living communities specializing in memory care often offer some type of adult day care programs as well.Home Health and Hospice agencies- These agencies offer additional caregiver support, at home or at an assisted living community. These services may be covered by Medicaid. Home health allows people to prolong their move to an assisted living and helps residents that need additional care at an assisted living prolong their move to a skilled nursing community. Hospice agencies focus on care for residents that are actively dying or near the end of life. Their focus is on palliative care such as pain management and comfort. They are also a great resource, helping families prepare for the loss of their loved one.CCRC- Continuing Care Retirement Communities. These are communities that offer assisted living, memory care and skilled nursing at one location or campus.

As our loved ones enter their golden years, they often face the challenging task of downsizing or transitioning to a new living environment. This period can be emotionally and physically demanding for seniors and their families. However, there's a solution that can turn this complex process into a smooth and graceful journey: Senior Move Management.Understanding Senior Move ManagementSenior Move Management is a specialized service designed to assist seniors and their families in all aspects of relocating or downsizing. These dedicated professionals offer a wide range of services, including sorting and decluttering possessions, coordinating the move, and even setting up the new living space. What sets Senior Move Managers apart is their deep understanding of the unique challenges seniors face during this transition. They provide emotional support and expertise to make the experience as stress-free as possible.The Benefits of Senior Move ManagementThe benefits of Senior Move Management are manifold. Firstly, it eases the burden on seniors and their families by handling all the logistics involved in the move. This includes packing, organizing, coordinating with moving companies, and setting up the new residence. Secondly, Senior Move Managers offer emotional support during a time of significant change. They understand the sentimental value attached to possessions and help seniors make informed decisions about what to keep, donate, or pass on to loved ones. Ultimately, Senior Move Management empowers seniors to transition to their new living environment with confidence and grace, preserving their dignity and peace of mind. It's a valuable resource that transforms the challenges of relocation into a beautiful and positive experience for our beloved seniors.

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

Do you know a senior that needs some support? Perhaps they would do better with assisted housing such as a Personal Care Home or Assisted Living? Perhaps they would, but perhaps the monthly cost of a Personal Care Home exceeds $3,400 per month and is out of their reach? In York County, more than 17% of York County residents age 65 or older have a monthly income of less than $1500. We certainly have a math problem. Options are very limited for those without resources and hard earned savings erode quickly.Pennsylvania has a program built to help very low-income individuals needing care. Using a combination of the residents income and a portion of federal and state dollars, there is a limited stipend available for Personal Care Homes or Assisted Living Residences. Unfortunately, the stipend amounts to only $36.31 per day for the Personal Care Home or Assisted Living Residence and this rate has not increased since 2006. Is it any wonder that very few providers are willing to provide care for that rate? Individuals that qualify for this assistance find it nearly impossible to find a room.The number of these low-income rooms has decreased significantly across the state but has reached a critical level in York County. Ten years ago, York County had availability for 179 low income residents, today that number is 59.The ALPHA project (Alliance for Low Income Personal Care Home Advancement) is a community response to support those homes that remain dedicated to serving our communitys low-income residents. Six volunteer action committees support particular areas of need that range from volunteer and resource recruitment to medical and behavioral health training. All skill sets are needed. Donations to support building maintenance and personal needs of the residents are also needed. This is where ALPHA fits in. Were a group of Senior Care and Healthcare professionals that are trying to bridge the gap in what is available and what is needed. Were betting on strong community involvement to make a difference. Could you help us? Whatever your time and talents are, we could use your help! Contact us at the email below or our Facebook Page www.Facebook.com/YorkCountyALPHAProject.___________________________Editors Note: This article was submitted by Dianna Benaknin, MSW. Dianna is the ALPHA Project Director for the York Area Housing Group and can be contacted at dbenaknin@gmail.com.

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

For more information on CapTel, CLICK HERE.Discover the perks of using CapTel phones with hearing aids.In short, yes, absolutely CapTel captioned phones are hearing aid compatible! But what does this mean? Hearing aid compatibilityis a helpful feature in phones for hearing loss because of all the benefits they provide hearing aid wearers. Hearing aid compatible telephones can help you:Direct phone sound into your hearing aidAmplify sound more than traditional phonesDistinguish voices over the phoneReduce background noiseRead captions of the conversation as you listenKeep reading to learn more about CapTel hearing aid compatible telephones and the benefits they offer.Direct phone sound into your hearing aidCapTel hearing aid telephones include telecoil technology, which funnels sound from any T-coil compatible systems right into your hearing device. This feature allows users to utilize their hearing aids for phone calls. Hearing aid phones will sync with the T-coil setting on your assistive listening device to help you receive your callers voice directly through your hearing aid.Amplify sound more than traditional phonesAll CapTel captioned phones amplify your callers voice significantly louder than a traditional phone, thanks to amplification of up to 40dB gain. Hearing aid compatible telephones like this give you the ability to adjust the level of amplification to meet your individual hearing needs. This enhanced amplification can help you feel confident that you are going to catch every word.Distinguish voices over the phoneBeyond amplifying the sound, CapTel hearing aid compatible telephones allow you to customize the tone and frequency of calls to help distinguish voices. If high-pitched voices are easier for you to hear, you may want to use the high setting. You can also select low if lower-pitched or deeper voices are easier for you to hear. And finally, opt for medium if mid-ranged frequencies are best for you. CapTel 2400iis one of our hearing aid compatible telephones that allows you to customize various sound frequencies to your specific audiogram.Reduce background noiseHearing aids use a technology known as acoustic coupling, which allows the microphone on your listening device to pick up noises from the phone. The downside is that the microphone on a traditional phone can also pick up distracting background noises and other auditory feedback. CapTel hearing aid compatible telephones are different. Theyre designed to only pick up the sounds from your call without the other distracting noises, making it easier to focus on your conversation.Read captions of the conversation as you listenIn addition to the above benefits of hearing aid phones, CapTel captioned telephones also have an easy-to-read screen that displays captions of everything your caller says. As youre conversing with friends or family, you can see written captions of everything they say. If you missed something, you could simply look at the captions. Additionally, all CapTel models allow users to adjust the font size and color of captions so you can customize the display to your visual preferences.Find out more about hearing aid compatible telephones and what you need to know before purchasing in our helpful guide. If you are interested in purchasing a CapTel captioned telephone with hearing aid compatibility, reach out to our customer service teamby clicking the link above.

A common obstacle that comes with getting older is difficulty with mobility, or the ability to move around freely and easily. Mobility challenges can arise as we age for a variety of reasons, including loss of muscle mass, weakened joints, dizziness, nerve issues, foot pain, certain medications, and confusion. Less mobility can lead to an increased risk of falls and injuries. However, plenty of mobility aids exist to help seniors reduce their risk of falling when moving around the house or outside. With a lowered risk of falls comes more independence and a higher quality of life for seniors. And isnt that the ultimate goal as we age?  There are numerous types of mobility aids and solutions available for seniors. Keep reading for explanations of the most common types of mobility aids and how to decide which to use.Importance of Mobility AidsAccording to the CDC, more than 1 out of 4 people ages 65 and older has a fall each year. Furthermore, emergency departments treat 3 million seniors for injuries from falls yearly. Falling is the leading cause of accidents, serious injuries, and accidental deaths in seniors. Falls should always be taken seriously, as they can be a major threat to older adults health and independence. Understandably, falling is a common fear for many seniors, even if they have never fallen before. However, falls do not have to be inevitable with age. There are many ways to prevent or reduce a seniors chance of falling, including through the use of mobility aids.Choosing the Right Senior Mobility AidThere are many different types of assistive aids and devices that offer varying levels of mobility support for seniors. In the past, such a wide variety of devices was not always available to the general public, and options were often limited. However, in the past few decades, a great deal of devices have become widely available for everyday use by seniors. Mobility aids provide stability and prevent falling when seniors are standing, walking, and reaching in their everyday life. It is important to choose the right device based on the seniors level of mobility and the intended use. Below are some of the most commonly-used mobility aids for seniors, along with some of their advantages and disadvantages.CanesCanes are some of the most widely used and available mobility aids in the U.S. There are a number of different types of canes available to the public. Canes are a relatively simple walking aid and therefore are generally a cost-effective option.Single point canes are a type of walking assistance aid intended for people with light to moderate walking difficulties. They give the user an additional point of contact with the floor, providing more stability. These canes help with balance and relieve pressure on joints, making it easier for the user to move around.Another kind of cane is called a quad cane, which has four tips and therefore provides a broader base of support. They are also great for people who have light to moderate walking difficulties, but who require slightly more help with balance than a single-point cane can provide. As an added benefit, quad canes can stand on their own, which gives the user more freedom to use their hands. However, it is important to note that these canes can be slightly heavier to use.All canes come in a number of different styles. No matter which one you pick, make sure it has a wide rubber tip to prevent slipping. Also, make sure to get a cane that is the proper height. In general, when holding the cane, your elbow should have a comfortable bend of about 15-20 degrees. Ask your doctor or physical therapist to help you pick the right cane for you. WalkersPhoto Credit: Performance HealthAs the name states, walkers are another type of walking assistance aid. They are the next step up from canes in terms of support level. Walkers can have wheels, rubber tips, or tennis balls to help with traction and movement on the floor. Walkers are best for people who need stability but have trouble lifting a cane or staying balanced while standing up. They are also good for people who sometimes experience periods of dizziness or confusion. Keep in mind that users need to have decent upper-body mobility to maneuver a walker. Studies have shown that being an early adopter of a walker can significantly lower the chance of a fall. So while some seniors may be reluctant to use walkers, these tools can majorly improve their independence in the long run. RollatorsPhoto Credit: Simply MedicalRollators are another type of mobility aid specifically for walking assistance. Rollators are wheeled walkers that also have seats and hand brakes. These devices are best for people who need to sit down and rest frequently, or for those who have difficulty walking longer distances.Rollators are often easier to maneuver than walkers and usually provide the user with more speed. But, they may not be best for people with severe balance issues, as traditional walkers provide more traction. Manual WheelchairsPhoto Credit: AmazonWheelchairs are mobility devices that have two large wheels and a seat with a backrest. They are common mobility aids for people who are unable to walk on their own, but still have some upper body strength to turn the wheels. They come in a variety of shapes, styles, and sizes to suit different users preferences and needs.Since manual wheelchairs do require some upper body strength to operate, assistance pushing the wheelchair might be needed from a family member, friend, or caregiver. However, manual wheelchairs are a relatively affordable option, especially when compared to power wheelchairs. They are also usually more lightweight and easier to maintain. Power WheelchairsPhoto Credit: Mobility WorksPower wheelchairs are battery-powered wheelchairs with six wheels for added stability. They are a great mobility option for people who do not have the upper body strength to maneuver a manual wheelchair, or do not have a regular caregiver to help them. Because of this, they offer more independence and autonomy than a regular wheelchair. Power wheelchairs can be used indoors or outdoors. Varieties with tighter turn radiuses exist and are designed specifically for use in the home. Others are designed to be more heavy-duty and suited for different terrains.Note that while they offer a higher level of support, power wheelchairs are a more costly option than standard wheelchairs or other mobility devices.  Power ScootersPhoto Credit: Top MobilityPower scooters, also called electric mobility scooters, are electronically-powered chairs that users can drive around. They are similar to wheelchairs but are built like a motor scooter. Power scooters are ideal for people who have limited strength and trouble walking long distances, but still have some upper body mobility and upright posture. Scooters can cover a larger range of terrain than power wheelchairs, but they do have a wider turning radius. Because of their larger size and trouble in tight areas, power scooters might not be best for seniors who need mobility assistance at home. Instead, they are more ideal for usage outdoors, in public places, or in senior living communities with wide hallways and large rooms. How Much Do Mobility Aids Cost?For people paying out of pocket, mobility aids are available at almost all price points. For example, standard canes will usually cost between $15 to $35. High-quality walkers and rollators are slightly more expensive and can fall within the $40 to $200 range depending on features and materials. Powered mobility aids such as power scooters and power wheelchairs are the most costly to pay for out of pocket. The price can begin at $1,000 and can increase to $4,000 for higher-quality models.How to Pay for Mobility AidsDepending on the specific provider, mobility concern, and policy, many mobility aid purchases can be covered partially or fully by insurance. It is required that a physician signs off on the mobility aid to certify the need for the device.There are some other ways to acquire mobility aids for people who cannot afford them. For example, Medicare and Social Security have different programs available for seniors in need of mobility devices. Veterans Assistance benefits can also help cover the cost of assistive mobility equipment. Certain charities and foundations such as the Numotion Foundation and the American Outreach Foundation can often help people get wheelchairs and mobility aids for no cost, as well.  For a longer list of grants available for people with disabilities in need of mobility aids, click here.  And dont forget to research local groups and foundations in your area that may be able to provide mobility aids at no cost.Ways to Maintain MobilityIt is very beneficial to maintain your mobility as you age. The best way to remain mobile in your later years is to stay active and practice certain mobility skills regularly. Some ideas for maintaining mobility include walking, stretching, participating in low-impact cardio workouts, doing balance and coordination exercises, practicing good posture, and following a proper diet. Next StepsMobility aids can be life-changing for seniors who have trouble moving around on their own. They help prevent dangerous falls, provide reassurance about safety, and allow seniors to stay independent for longer. There are plenty of mobility aid varieties available for people with different needs, preferences, and budgets. Talk to a healthcare professional about the type of mobility aid that is best suited for you or your senior relative. Need further reassurance about your or your loved ones safety? It might be time to consider a senior living community. Whether you are looking for a maintenance-free, social lifestyle in an independent living community, some assistance with daily tasks in an assisted living community, or care at home, we can help make it happen.With decades of experience, our team of senior care experts will help you find the perfect community to stay safe and live your best life. From touring communities, dealing with the moving process, and even checking in regularly after the move, well handle the transition every step of the way. Let us do the hard part so you can focus on enjoying your golden years. Call us at (800) 969-7176 or visit FloridaSeniorConsulting.com to learn more about how we can help. Our services are at no cost to you.

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

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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}#

A Continuing Care Retirement Community (CCRC) is a retirement community that offers accommodations for independent living, assisted living or personal care as well as rehabilitation services. CCRCs provide residents with a seamless continuum of care where a person can spend the rest of his or her life, moving between levels of care as needed.CCRCs offer quite a few advantages that could be just what youre looking for in a retirement community! No matter where you are in your search process, you should be sure to consider a CCRC for the various unique benefits they provide to their residents.Independent LivingInindependent living apartments, residents gain all the benefits of living independently, with none of the stress or worry that might come with living alone as you age. Additionally, you gain an active community of friends who share your hobbies and interests. And, at most Independent Living residences pets are welcomed pets so you can bring your furry or feathered loved one to live with you!Personal CareWithpersonal care or assisted living, residents receive top quality, full-service care to maintain the highest quality of life. Residents most often move from an apartment to a single room where nurses and caregivers can monitor their care around the clock. In some instances, residents may only spend a short time in personal care after an accident or illness until they regain health. Once they are cleared, they may move back into their independent living apartment. The ability for residents of a CRCC to transition back and forth, and back again, as often as needed all within the same facility is a huge benefit.Seamless TransitionsAmong the main components of a CRCC that we discussed above, another benefit is the ability to seamlessly transitions between any of these types of care as often as needed. The best part is that residents still remain a part of a single community and maintain the same lifestyle and quality of care that theyve grown accustomed to. For senior adults, multiple transitions to new living facilities in a short amount of time can be stressful and confusing. CRCCs offer the benefit of minimizing your loved one from feeling uprooted by make transitions as seamless as possible.Cost SavingsIn addition to the ease of transitions is the cost savings. As you might imagine, living the rest of your life as a resident of a single retirement community reduces costs often incurred when transitions take place between facilities.Lifelong RelationshipsOne of the biggest benefits of living in a CRCC is that residents are able to foster deep and meaningful relationship that last them the rest of their life. This allows residents consistency and stability in their friendships, which become increasingly important as we age.The Middletown Home is a unique CCRC with many benefits including a state-of-the-artfitness and rehabilitation gym. True to the continuing care piece of CRCCs, the fitness and rehabilitation gym is one more valuable resource residents gain from living in a CRCC.__________________________________Editors Note: This article was contributed by Lou Vogel, CEO at The Middletown Home.

Eighty-three year-old Iola Wagner felt a mixture of both excitement and nerves as she entered the auditorium of the Elizabeth Stewart Treehouse Museum in Ogden, Utah.This was a moment shed spent weeks preparing for, and a day shed long been awaiting.When it finally came time for her to take the stage, Iola sat down, took a deep breath and began reading aloud.This wasnt the first time Iola had taken this stage. In fact, shed been here plenty of times before. After a 31-year career teaching in Utahs Weber County School District, Iola spent another 15 years reading stories to children, conducting tours, and even playing the part of many favorite childhood literary characters such as Mother Goose, Old Mother Hubbard and Miss Marple at the Treehouse Museum as a volunteer. It wasnt until Iolas deteriorating vision became a challenge that she eventually gave up reading aloud at the Treehouse Museum.Knowing just how much reading at the Treehouse Museum meant to Iola, her senior living community, Mountain Ridge Assisted Living, stepped in. Through the communitys innovative Vibrant Life activity program, Mountain Ridge granted Iolas wish, arranging for her to read to children at the Treehouse Museum once more. Known as Livin the Dream, this incredible component of the Vibrant Life program is designed to help residents at Integral Senior Living-managed communities like Mountain Ridge turn their dreams into reality whether its an old passion or a newfound curiosity.So when Iola recently returned to the Treehouse Museum stage, it wasnt long after she began reading that she noticed her nerves had subsided and shed reached the end of Mr. Brown Can Moo! Can You? To her amusement, the audience wanted an encore and Iola provided, reading Green Eggs and Ham to the auditorium of children, friends, family, fellow residents and others in the Ogden community who had gathered to hear her read.When asked about her Livin the Dream, Iola described the experience as an absolute delight! It was like going home, she said.Editors Note: This article was submitted by Erika Anderson. Erika is the director of Sales and Marketing at Mountain Ridge Assisted Living, and may be reached at 801-791-7654 or by email at MountainDSM@ISLLLC.com.

Senior Citizens having trouble paying real estate taxes can apply for the Senior Citizen Tax Deferral Program. This program allows quali?ed Illinois residents to defer up to $5000 of the property taxes on their personal residence, giving seniors the ?nancial freedom to remain in their own home. Deferred taxes are repaid with low interest when the property is sold or following the taxpayers death.Qualifications: Be 65 or older by June 1st, 2018 Annual household income of $55,000 or less Own and reside on the property for at least 3 years No delinquent real estate taxes owed on the residence Property must be insured against fire hazard loss for at least the amount of deferred taxes Have written approval from spouse if property is held jointly or from the trustee if in a qualifying trust Seniors with reverse mortgages should contact their lender before applying. Those with standard mortgages do not need lender approval to qualify.Applications for the Senior Citizen Tax Deferral program must be fi led between January 1st and March 1st, 2019. A second program, Cook Countys Senior Property Assessment Freeze, is open to those whose 2017 household income was $65,000 or less. This program freezes the (EAV)equalized assessed value of their property for the year preceding the year in which they first apply and qualify for this exemption, but not the property tax itself. Seniors who qualify for the first time in 2019 will have their EAV frozen at the 2018 valuation, but can backfile for 3 years to 2016. Please note that the household income limit for 2015 and 2016 is $55,000 or less.Application requirements: Be 65 or older in 2018 Total household income for 2017 must be $65,000 or less Own the property or have a contract or lease showing you are responsible for the property taxes Property must be applicants principal residence from January 1, 2017 through January 1, 2018Interested seniors are encouraged to apply as soon as possible so the exemption appears on the 2nd installment of your 2018 property tax bill. Suburban Cook County Seniors living in any town in Palos, Lemont, Orland or Worth Township can call PLOWS Council on Aging, 708.361.0219, and our advocates will assist with these applications. PLOWS, a 501 (c)3 non-profit senior service agency, will not charge for these services.Editors note: This article was submitted by Christine Suddreth. Christine is a Community Relations Coordinator with PLOWS Council on Aging and can be reached at 708.361.0219 or by email at info@plows.org.

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

Searching for assisted living or residential care by yourself can be an eye opening experience for anyone, especially when your loved one has special needs. Here are some mistakes to avoid when searching.They take facility operators at their word.Its a regrettable situation, but operators and marketers of assisted living centers are sometimes under considerable pressure to keep their facilities full. This can lead to misrepresenting the facts. For instance, some may say their facilities are skilled at caring for dementia residents, when the truth is that they have very little experience.They make a choice because it seemed good for someone else or looking at only one facility.Facilities differ greatly in their skills and amenities. A place that is good for one person isnt necessarily a good fit for another. Your friends mother can be doing well at her facility, but she may have needs much different than your loved one.They choose by appearance alone.Its shockingly common for expensive facilities that look wonderful to be cited for violating regulations. So, the history of their care and not their beauty should be your goal.They listen to the advice of experts in other fields. Your doctor or social worker is no doubt an expert in what they do, but they dont have much time to research assisted care and nursing facilities. Often what they know is from word-of-mouth. If you get a recommendation from them, as how often theyve visited the facility and whether they have actually researched the facilitys state survey record.They make their decision based on pressure from the marketing personnel.Some marketing representatives have been trained in pushing you to choose their facility. You dont deserve any pressure at all during this difficult process.They make their decision based on guilt. Having to make this decision is difficult. Too many time families chose assisted living facilities that they would like, this is not necessarily a good decision for their loved one. For example, you may like that they facility has a pool table or a swimming pool, but your loved one may not care to play pool or go swimming. Choose a place that will be best choice for your loved one, not just one that you like.They think that all the facilities are created equal. All facilities are not created equal. Not all facilities can care for your mother or father. They may all hold the same license type, but they are all different and this is a big decision for you and your loved one. Editors Note: This article was submitted by Randy Chipman, CSA, MBA. Randy is a Certified Senior Advisor with Care Patrol of Utah and may be reached at 801-717-9328 or by email at:RandyC@CarePatrol.com

Guided by the Jewish tradition of helping people. JFCS has delivered comprehensive counseling and social services on a non-denominational basis to the entire Sarasota Manatee community since 1986.In the past year, JFCS served 20,000 clients, providing services to children and youth, families, seniors, and veterans.JFCS has made a significant commitment to offer essential programs and resources to empower the seniors in our community to age in place with dignity and independence. We provide a caring connection to seniors and their families through the following programs and services:Counseling Services support older adults in coping with the many challenges of aging loss, bereavement, family challenges, marital conflict, and adjustment to the many losses that occur as we age. Depression is not a normal part of aging and is both under reported and under treated. Our licensed mental health professionals are available to work with seniors in their homes or at either JFCS office to address any of these concerns. Medicare, Medicaid, and private insurance are accepted.Senior Outreach Services: JFCS offers socialization and friendship as part of a weekly program that connects isolated seniors at a weekly program of group support, lunch, and activities. A handicapped accessible van provides door to door transportation to the Fruitville office for weekly programs. Medicare assignment is accepted.Caregiver Support. It is estimated that over 31,000 people age 60+ are caregivers, caring for a spouse, relative, or a friend.We know that caregivers experience fatigue, isolation, and often don't know how to ask for the help they need. JFCS offers free caregiver support groups and individual support sessions to help caregivers and their families understand and accept the challenges they are facing and connect them to the community resources they need along their caregiving journey. Onsite respite activities are available during the weekly support groups.New programs include wraparound services and in home respite for caregivers, Children of Aging Parents evening support groups, MindSet classes plus an evidence based support program targeted to the caregiver whose spouse/parent has been diagnosed with MCI or Alzheimer's disease.A dedicated Caregiver Helpline is staffed by a caregiver resource specialist during agency hours at (941)364-7560; a comprehensive caregiver website is accessible at www.caregivernetworksrq.orgGeriatric Care Management. JFCS can be a caring connection for family members caring from a distance. Geriatric care managers are available to assess needs, arrange for support services, and provide oversight to give families peace of mind across the miles to ensure that loved ones can continue to age in place safely and with dignity.Volunteering. Share your time and talents as a JFCS volunteer! Opportunities are available to work with all ages and meet your schedule. JFCS volunteers set the example for the true spirit of caring.Main CampusThe Harry & Jeanette Weinberg Campus2688 Fruitville Rd., Sarasota, FL 34237-5223South County Satellite OfficeSouth County Human Services Center7810 South Tamiami Trail Suite A-7Venice, FL 34293For more information, call 941-366-2224 or visit our website at: www.jfcs-cares.org.

At some point in life, Everyone is faced with the question: What do you do with all of the things you've accumulated over the years? You may be a couple, or a widowed survivor, preparing to move from the home in which you raised your children. Or, perhaps you are the adult child of parents who are making such a move or emptying your family's home due to the loss of your loved one(s).So when faced with this question, Goodwill has your answer. WHITE GLOVE SERVICE was developed for people that need to move and either cant, or don't want, to take all of their belongings with them.Goodwill Manasota added this service for our community as they understand you've spent a lifetime collecting possessions, and that the time has come for the difficult decision of letting things go. This service handles the time consuming tasks of packing and taking away what you no longer want or need.We try to make it as painless and easy as possible for our donors, said Donna Evans, Director of White Glove Service. We eliminate the physically labor-intensive job of packing and provide emotional support to the donors.The donor takes what they want to keep for use or memory sake and White Glove Service does the rest.Goodwills White Glove Service is a specialty FREE service for those who are looking to downsize, relocate, or simply wanting to donate the sellable contents of their home. The specially trained staff goes into the home, packs all of the donated items with care and transports everything to Goodwill for resale in their stores. The team is also bonded and insured. When all is completed, the donor receives an itemized tax donation receipt for their tax purposes. People using White Glove Service range from someone selling their second home that is fully furnished to a buyer who buys a furnished home but has their own furnishings, said Evans. We also have Senior clients who are selling their primary residence and downsizing to a retirement home and/or a family disposing of things when selling their deceased relatives home.The money received from the sales of your donations helps Goodwill create jobs and economic success for people with disabilities and other barriers. The donor receives the satisfaction of knowing they're changing lives through the power of work with their valuable donated belongings.If you or a loved one would like to know more about our White Glove Service, please call Donna Evans, Director of White Glove Service, at 941.355.2721, x131 or by email at Donna.Evans@gimi.org. You can also visit Goodwills website at www.ExperienceGoodwill.org to learn more about Goodwill Manasota.

When its time to leave the hospital following illness, injury or surgery, youll need specialized care to regain your strength and mobility. If these services arent readily accessible and convenient to your home, youll have to search for qualified care, and contend with travel to and from the rehab center for days or weeks, possibly in inclement weather. Family members wishing to be involved in your care may also find these logistics challenging. People who live in a retirement community offering on-site rehabilitation services have a much easier time transitioning from hospital to home.Short-term nursing and rehab services, right where you live:When you choose to live in a continuing care retirement community, youll enjoy an independent retirement lifestyle filled with cultural, educational and recreational opportunities. Some offer on-site rehabilitation services. So if the need for short-term rehab care should arise, or if you plan to have surgery at a specific time, you can dovetail these services to maximize your comfort and convenience, and improve the likelihood of a successful outcome.Rehab services at a good retirement community should be led by a Medical Director who is also a medical doctor. At a minimum, the program should include physical, occupational and speech therapies. The rehab team should monitor your progress and adjust your care plan as needed. The best service providers will meet with you ahead of time, review your clinical information, lead the admissions process, and guide you every step of the way. They should consult with your family and personal physicians as well. The staff might include:Medical DirectorDirector of NursingRegistered NursesLicensed Practical NursesDieticianSocial WorkerTherapeutic Recreation DirectorLicensed Speech, Occupational and Rehabilitation TherapistsAdditional considerations:Look for staffing ratios that exceed state and national standards. Inquire about the centers capacity to handle clinically complex therapies, such as post-surgery recovery, cardiac/pulmonary rehab, or joint replacement rehabilitation. The Centers for Medicare & Medicaid Services have a 5-star rating system. Ask about this and any other ratings your prospective rehabilitation center has earned. You should also ask whether therapy is available seven days a week, and if the center accepts direct admission or requires an entrance fee.Finding the right community that offers these high-caliber rehabilitation services on site can make living in retirement not only more enjoyable, but more convenient as well.This article was submitted by an affiliate of The Health Center at Meadow Ridge, 100 Redding Road Redding, CT.For information, call 1.866.780.0312 or visit MeadowRidge.com.

Did you know that a microwave and toaster oven can be just as universal as an actual oven? Plus, its easier to clean! No more dealing with pots and pans to scrub. Dont believe us? Try out these 8 simple recipes you can make with ease and taste the results!Microwave:Mac & CheeseForget the Kraft Mac n Cheese or those frozen dinners (although they are pretty tasty). Instead, we suggest this simple and easy Mac n Cheese recipe that tastes ten times better and is better for you!All you need is:Flour2% MilkCheddar Cheese (already shredded)Macaroni PastaA bowlOnce getting these ingredients, follow these steps.Preparation:Scoop a cup of macaroni pasta noodles and add a cup of water, some salt to the bowl.Next, set the microwave for 6 minutes and start cooking!Cooking:Make sure that every 2 minutes you stir the pasta.Once the cooking time is at 4 minutes, add another cup of water to the bowl.After the pasta has cooked a full 6 minutes, take it out, and add enough milk to cover the entire pasta.Sprinkle a handful of cheese.Add a small scoop of flour, mix, and place back into the microwave to cook for another 30 seconds.Serve:Once finished cooking, you can either serve it in the bowl or on a plate. Either way, itll be a delightful treat.Now stick that fork in and enjoy this liquid gold recipe.Spinach OmeletDid you know omelets could be made in the microwave?! Well, with this simple, straightforward recipe you can have a delicious omelet, every morning.Heres what you need:2 Eggs2% MilkBaby Spinach LeavesReady to cook?Preparation:Break the eggs in a bowl with 2 tbsp of your 2% milk and lightly scramble them.Season with salt and pepper while mixing if you prefer.Then, pour the mix into an edged plate. These plates curves are high at the ends to make it a base like a bowl.Make sure the scrambled egg is spread evenly across the base.Cooking:Place the plate in the microwave and set the cooking time for 2 minutes.After the 2 minutes, remove, take a handful of spinach and sprinkle it on top and add it back in the microwave for another 1 minutes.Serve:Slide the omelet onto another plate and top with anything youd like. Omelets pair well with salsa, cheese, and other vegetables as well.The options are endless with this easy and simple.JambalayaSeriously, even jambalaya can even be made in the microwave? Actually, yes! Not only is it simple, but it holds the same traditional Louisiana taste.Lets make that grocery list:A can of 400gs of tomato with garlicEasy-cook riceA red pepper, chopped and seeded (you can use a can of red peppers. One red pepper makes about 1 cup)8 oz of chorizo and sausageA couple handfuls of frozen sweetcorn or a drained can of sweetcornA Cajun seasoning shakerParsleyOne tub of sour creamPrepare for deliciousness!Preparation:Empty the can of tomatoes into a large microwaveable bowl.Then, fill the can back up with easy-cook rice and add to the bowl.Use that same can again to fill it up with water and add.Gather your sausage, chorizo, sweetcorn, and pile it on into the bowl and mix it all up. Season the bowl with Cajun, salt, and pepper.Cooking:Cover the microwaveable bowl with cling wrap and poke a few holes in the top to let it vent.Set the timer for 10 minutes at 750W.After the 10 minutes are up, remove the bowl and cling wrap and give the ingredients a good mixing stir.Place the bowl back into the microwave uncovered and cook it for an additional 12-15 minutes.After the timer is done, let the bowl sit for 5 more minutes with a plate covering the top.Serve:Stir, and serve with some parsley and a dollop of sour cream for a delicious meal!Order up! One spicy authentic jambalaya ready to devour.Sriracha SalmonSalmon is known to be very healthy for the brain as it contains omega-3 fatty acids which help reduce dementia, arthritis, and depression. Thats why weve added this simple recipe that you can make in under 4 minutes!Heres how you get started:A 5 oz salmon fillet.A lemon slice.Siracha sauce.Parchment PaperAfter getting everything together, its as simple as 1, 2, 3 well maybe not but, its pretty easy.Preparation:Get a plate and cut out enough parchment paper to wrap the entire salmon.Take the sriracha sauce and coat the salmon before putting it on the parchment paper.Squeeze the lemon and add a couple splashes of water before rolling the paper up into a pouch.Cooking:Put in the microwave for about 3 minutes on high.Serve:Be careful when opening the pouch as the steam might be hot.This recipe also calls for a quick pickle.Its simple really.Take some white vinegar, a tiny spoon of salt, sugar, and pepper.Add some sliced cucumber and let it sit for about 3 minutes.Add it to the dish and youll have one flakey delicious meal!Mm mmm MM! Dont dare skip out on this pair of sweet and spicy.Toaster Oven:Fish and ChipsWith a classic like this, and how simple it is to make, this easy fish and chips recipe will be sure to host a hearty healthy meal for four.Before cooking, lets look at the ingredients:A 1lb of red potatoes.Olive oil (at least 4 oz)1 tbsp of salt1 tbsp of pepperSprigs of thyme3-4 6 oz chunks of codA halved lemonGarlicAnd 2 tbsp of capersNow that we have all of the ingredients, lets cook!PotatoesPreparation:Pre-heat your toaster oven to about 450 degrees.Place the potatoes in a baking tray thatll fit in the toaster oven along with tbsp of salt, 2 tbsp of olive oil and at least 4 springs of thyme.Toss and or mix lightly until potatoes are covered.Cooking:Put the potatoes in the toaster oven to cook for about 25-35 minutes.After the time is up, use aluminum foil and wrap the potatoes up to keep them warm.CodPreparation:Next, let the tray cool before cleaning it and place the cod chunks onto it.Following that, place the lemon slices, the cappers, the garlic, pepper, salt, and thyme before coating the cod with another 2 tbsps of olive oil.Lightly mixCooking:Place tray with the cod back into the toaster oven for approximately 8 to 12 minutes.Fish and ChipsServe:Once the fish is done, add individual servings to plates and place the tray into the toaster oven for an additional 5 minutes to allow the juice to warm up.Top the plates with the juice and enjoy!Pesto SalmonYou can never go wrong with too much salmon, unless you dont like salmon. But! If you do, this simple pesto salmon recipe makes the perfect flakey filet to enjoy.Lets jot down the ingredients:A 1 lb of salmon which will be cut into 4 pieces.White winePesto (either made from scratch or thawed)1 halved lemonChecked off the list? Good, lets get to cooking.Preparation:Preheat your toaster oven to broil.Take a cooking pan and line it with aluminum foil and spray the entire foil before setting the salmon skin side down along the foil.Take your halved lemon and squeeze across all 4 salmon pieces before lightly pouring 2 tbsps of white wine.As the toaster oven preheats, let the salmon marinate (approximately 15 minutes).Cooking:Top the filets with pesto (2 tbsps will be enough) and slide the tray in to cook for at least 8-10 minutes or until salmon is flakey with a light pinkish color.Serve:If you want, garnish the tops of the filets with your other half of the lemon and even some pine nuts.Brats with Peppers and OnionsA fan favorite, brats with some cooked peppers and onions are a delicious hearty meal. With this easy recipe, you can simply pick up a few ingredients and be on your way to a home-cooked meal.Snag these at the grocery to help get you started:A package of brats.A package of pre-cut bell peppers and onions (use red and yellow peppers).A tsp of dried basil.If you enjoy garlic, pick up 3 garlic cloves (optional).Salt and pepper.And at least 2 tbsp of oil, preferably olive oil.Now to put your chef hat on.Preparation:Set your toaster oven to 400 degrees.Press garlic and place within the concoction.Evenly space the peppers, onions, garlic, and sausage on a sheet pan and toss in olive oil before putting in the toaster oven.Cooking:Let the tray cook for approximately 20 minutes or until the vegetables look soft and the sausage starts to brown a bit. (You can also test the internal temperature with a meat thermometer which should be 160 degrees).Serve:Pile those puppies on a plate and drizzle the leftover juice over top for a delicious meal made easy.Pizza Muffin StylePizza is always a great meal. But on an English muffin? Its actually quite delicious and looks like a pizza bagel but healthier!These ingredients will help get you one step closer to that muffin pizza:An English MuffinMozzarella Cheese (shredded or sliced)Marinara SauceAnd whatever toppings youd want (i.e. sausage, peppers, onions, mushrooms, black olives, pepperoni, bacon)Ready to bake?Preparation:Set your toaster oven to preheat to 425.Take your English muffin and pry it open with a fork by pushing it through the muffins center on all sides. Trust us, itll be worth your while to do it with a fork instead of a knife.Once splitting your muffin, its time to sauce it up. Take your marinara sauce and spread it across the top with a spoon.Layer the sauce with cheese, shredded cheese would be easiest, and then decorate the top with your favored toppings.Cooking:Bake for about 8 to 10 minutes and then cool for an additional minute or two.Serve:After the cool off period, lift that muffin to your mouth and enjoy a crunchy bite of your first pizza muffin!Written & Submitted By: Inspired Living- click below for more information on their multiple locations*Lakewood RanchHidden LakesSarasota

For more information on the author Assisting Hands Home Health Sarasota, CLICK HERE.You do all that you can do to help your loved one have the best life that they are able to have based upon their circumstances. Helping with their needs for daily living is paramount but also consider the importance of what can be done to improve their lifes quality and joy. Sometimes it can be simple and easy things that can be incorporated that make a dramatic difference to their outlook and intrinsic happiness.Here are 5 things that can be done that can help create a positive change and improve the overall quality of your loved ones life.One great change is to remove clutter which will greatly reduce fall risks. Clutter is one of the top causes for falls which is why its so important to clear the clutter and thus make accessibility easier. Since one persons clutter is another persons treasure, consider donating the items to Goodwill.Add a smoothie to your diet which is a simple way to eat your daily servings of fruits and veggies. Smoothies are filled with fiber, vitamins, and minerals and there are a ton of combinations for every taste so explore the possibilities. An added bonus to making smoothies is cost because ingredients can be inexpensive and quick to make. You can plan ahead by preparing the fruits and vegetables to be frozen in a freezer bag. Ripened bananas are especially nice to free for smoothies because they add a natural sweetness and creaminess when used from the freezer to the blender. Be sure to add things like kale, spinach and/or turmeric for an added boost.Consider mindful activities. There is a lot of research supporting the importance of mindfulness. By just adding meditation, or chair yoga can improve quality of life. Also writing down your feelings, goals, and prayers in a journal can be extremely beneficial and therapeutic.Learn something new. Studies show that learning something new can help prevent dementia and ward off boredom. Technology has made it possible for seniors to learn just about anything. There are great new apps and YouTube videos that make learning easy and fun. Today, there are endless opportunities including learning a new language to writing music and everything in-between.Explore home subscription boxes for seniors from places like HelloSubscriptions.com. They offer a wide variety of fun, monthly subscriptions such as Grandmas Joy Box which offers a creative way to make memories. An internet search will provide many senior related options.If you need assistance with the care of your loved one, be sure to click the link above to connect with Assisting Hands Home Care. We have trained, professional caregivers who are available to provide the help you may need.

Cancer is the second leading cause of death in the United States. For every 100,000 people, 438 new cancer cases were reported, and 159 people died of cancer. Prevention is the best way to fight it, as many types of cancers can be prevented, while others are more easily treated when diagnosed early.Cancer screenings are an important part of early diagnosis, prevention and treatment. COLON CANCER Everyone age 50 and older needs to get regularly screened for colorectal (colon) cancer. When found early, colorectal cancer can be treated. Screening helps find abnormal growths that can be removed before they turn into cancer. Almost all colorectal cancers start as polyps, or abnormal growths in the colon or rectum. Screening can help find these polyps, so they can be removed before turning into cancer. BREAST CANCER Breast cancer is the second most common cancer among women, after skin cancer. The risk of developing breast cancer increases as women get older. Current recommendations are for women ages 50 to 74 to get a mammogram (an x-ray picture of the breasts) every two years. CERVICAL CANCER Pap tests are recommended every three years for women ages 21-65. There are other screening options for cervical cancer, too. LUNG CANCER I urge you, if you smoke, to quit now. Lung cancer, one of the many risks from smoking, is the leading cancer killer in women. If you are over 55 and a current smoker, or someone who has quit within the past 15 years, ask your doctor about lung cancer screening. SKIN CANCER Nearly 5 million people are treated for skin cancer every year in the U.S. Skin cancer can be serious, expensive, and sometimes even deadly. Fortunately, most skin cancers can be prevented. Protect your skin when you go outside. Use sunscreen, wear protective clothes, or hang out in the shade when you can. PROSTATE CANCER Men who are 55 to 69 years old should make individual decisions about being screened for prostate cancer with a prostate specific antigen (PSA) test. Men who are 70 years old and older should not be screened for prostate cancer routinely. Learn more about cancer screening and prevention at: www. cdc.gov/cancer.' Editors Note: This article was contributed by Apryl Garrett, Publisher, Seniors Blue Book of Greater Pittsburgh.

Tucker Vision Center has been serving Lee County for over 26 years. Whether you just cant see as clearly as you used to or you need more detailed medical care to treat your eye infection, glaucoma, cataracts, dry eyes, or macular degeneration, Dr. Terry Tucker can make sure you receive the best care possible.One thing you will find at Tucker Vision Center that you will not find in any other location in SWFL are Oxy-view frames. These are frames designed for patients on oxygen. They help you eliminate the nasal cannula and better control the hoses from your oxygen tank, allowing you to lead a more active life style. If you are tired of your bifocal glasses and want bifocal contact lenses then Dr. Tucker can help you. Dry eyes are very common in patients over 60 years of age. A wet eye can be caused by a dry eye problem, so let Dr. Tucker help solve your problems with your tears.Many of your eye problems can be helped just by getting a routine vision examination. If you have not gotten a vision examination in the last year please come to our office and let us examine your eyes. Call 239-656-1778 or go to our web page at www.tuckervisioncenter.com.Author:Dr. Terry Tucker

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

So youve decided that Acrylic is the right material for your shower. Thats a great start. Now its time to take it to the next step, and bring the idea of a brand new shower to life. Regardless of your budget, bathroom size, or layout, there are options out there for you to upgrade or enhance the look and functionality of your bathroom. Here you will find different shower shapes, shower doors, and shower accessories, all of which require just a small amount of remodeling work in order to achieve a great new look.Standard Curtain Rod Shower Basic and inexpensive Curtain and rod designs as frequently as you like No room required for a door to swing out Curved Rod Shower Opens up anywhere between 6 and 11 inches of space in the shower, depending on your shower and rod. Adds a curvy, more elegant look to your showerPivot Door Shower Available in clear or obscure, framed or frameless glass Clear glass will open up the bathroom, make it feel more spacious Allows for a large doorway since theres only one panel (sliding door would needs two)Sliding Door Doors dont swing out, so water wont drip onto your bathroom floor No need to allow room for door clearance Comes in clear or obscured glass. Clear glass will open up the room.Curved Door Shower For corner showers Sliding doors that move out from the middle Doors shut magnetically for a firm, secure closeNeo Angle Shower Door For corner showers 5-sided shower: 1 Acrylic Wall (2 sided), 2 Glass Panels, 1 Glass Door Door opens out from right or left, whichever side you chooseDome Ceiling Shower Makes shower seem more spacious. Will make bathroom feel more spacious if you have a clear glass shower door Opens up the light in the room Adds a new and different designThese options for an acrylic shower should open up your line of thinking and give you a broader idea of all that is available, both for design as well as functionality considerations. Depending on the makeup of your bathroom, each of these options can be added to your bathroom with minimal work required!

New Evidence Warrants New CDC Precaution: Face CoveringsF.E.A.R. can be an acronym for False Evidence Appearing Real. We experience fear when our thoughts scare us, say the experts. Surely, theres plenty to be fearful of during these unprecedented, frightening times surrounding the novel coronavirus.But truth is often the first casualty of fear caused by misinformation and myths, says epidemiologist Dr. Mary Beth Saunders, medical director of infection prevention and epidemiology with Lee Health.The facts of today may not be the truths of tomorrow, Dr. Saunders says. Information surrounding this pandemic changes every day. It is important to pay attention to credible health experts like Lee Health, Centers for Disease Control and Prevention (CDC) or World Health Organization (WHO) for the most accurate information. The Real Facts Behind Some Coronavirus MYTHS MYTH: Because I'm asymptomatic, that means I don't have COVID. Therefore, I can't transmit it.Dr. Saunders says studies indicate a significant number of individuals with coronavirus are asymptomatic (they lack symptoms). The danger, Dr. Saunders warns, is that even those who are pre-symptomatic (they eventually develop symptoms) can transmit the virus to others before showing any symptoms of the disease. "This means that people who are in close proximity to each other can spread the virus by speaking, coughing, or sneezing even if those people don't show any symptoms," Dr. Saunders says. "This is new evidence. The CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies)especially in areas of significant community-based transmission.MYTH: Because I'm young and am in good health, the virus wont affect me. How easily a virus spreads from person-to-person can vary, Dr. Saunders says. But so far, the information from the ongoing pandemic suggests the virus spreads more efficiently than the flu, regardless of ones age. Dr. Saunders adds its important to remember that although the disease can infect people of all ages, those who are higher risk need to take extra precautions. Higher risk groups include older adults and people of any age who have serious underlying medical conditions. Serious underlying medical conditions can include (per the CDC):Chronic lung disease or moderate to severe asthmaSerious heart conditionsConditions that can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications.Severe obesity(body mass index [BMI] of 40 or higher)DiabetesChronic kidney disease and who are undergoing dialysisLiver diseaseMYTH: If I become infected with coronavirus, I could end up on a breathing machine.Most people who catch COVID-19 recover at home and their own body takes care of the virus without medical care. If you have cough, fever, and difficulty breathing, seek the advice of your local medical provider or care at a medical facility if your symptoms are worsening, Dr. Saunders says.MYTH: I can only catch coronavirus if someone coughs or sneezes near or on me. The truth is the virus can land on surfaces when someone coughs or sneezes, Dr. Saunders notes. And if you touch that surface with your hands and then touch your eyes, mouth or nose, you can still contract the virus and become sick.MYTH: Hand dryers are effective in killing the coronavirus disease.One of the most effective ways to protect yourself against the virus is to frequently clean your hands with an alcohol-based hand rub or wash them with soap and water. Then, after your hands are cleaned, dry them thoroughly using paper towels.MYTH: The sun or temperatures warmer than 77 degrees prevent the coronavirus disease.You can catch COVID-19 no matter how sunny or hot the weather is, says Dr. Saunders.Stay Healthy with These Tips:Wash your hands frequentlyMaintain social distancingAvoid touching eyes, nose and mouthCover cough or sneeze with a tissueIf you have fever, cough and difficulty breathing, seek medical care earlyCall your doctor before you visit any of our facilities which will allow us to quickly direct you to the right place.Follow advice given by your healthcare provider, your national and local public health authority or your employer on how to protect yourself and others from COVID-19.Stay Informed, Stay StrongSubmitted and Written By: Lee Health - click here for more information

Regularly scheduled hearing tests should be part of your normal health routine but are often not included as part of an annual physical.It is recommended that people over 50 have a hearing test every 5 years and over 65 every two years. Your hearing may have influence on many aspects of health.People with even mild hearing loss are three times more likely to suffer from falls. Johns Hopkins studies show that people with untreated hearing loss are three to five times more likely to develop dementia and Alzheimers as well as general memory problems. Diabetes can influence hearing so anyone diagnosed with diabetic condition should be checked upon diagnosisWomen with untreated hearing loss are almost three times as likely to suffer with depression. There is also a correlation between hearing health and cardiovascular disease. Ringing ears (Tinnitus) should also not be dismissed because it may be a sign of a much more serious health problem.We offer complimentary hearing test and tinnitus (ringing ear) assessments and will furnish you a copy for your personal medical records or send one to your primary care physician for you. Please call (239) 498-7142 today to schedule this critical evaluation!

To learn more about AgeGuide Northeastern Illinois, Click HereBe Patient. Be Ready.Fighting the pandemic has been hard on everyone, especially older adults. With vaccines now available to those over 65, here is what you need to know to get your COVID-19 vaccine:Register with your local Health Department.Check local pharmacies (Walgreens, CVS and Walmart) for availabilityNo access to a computer? Call your local Health Department to register.Be patient and continue using the 3 Ws: wash your hands, wear a mask, and watch your distance.As the state of Illinois and the nation ramp up vaccine availability, older adults have many decisions to make and challenges to navigate. Here is a list of frequently asked questions to help you through the vaccine maze.Q: Is the COVID-19 vaccine safe?A: Yes. The COVID-19 vaccines currently available have Emergency Use Authorization (EUA) by the FDA. They have gone through the U.S. vaccine safety system which ensures all vaccines are as safe as possible.Q: Do I need a vaccine if I already had Covid-19?A:Yes. People who have already had COVID-19 should receive the vaccine. The science is currently inconclusive as to whether you will be naturally protected from a second COVID-19 infection in the future.Q: Will undocumented people be able to get the vaccineA:Yes. Everyone in Illinois, including individuals who are undocumented, can receive the vaccine. Editors Note: This article was submitted by AgeGuide, the Area Agency on Aging for Northeastern Illinois. Contact AgeGuide at 630-293-5990 or info@ageguide.org. Source: Illinois Department of Public Health

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 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 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. Authors Note: Written by JoAnne Mohrland/Executive Director Regency Columbia Village 208-344-2954Author:Joanne Mohrland

Medical Marijuana and AgingCannabis has been used as healing remedy for many thousands of years in many cultures. And recently, modern science has discovered an endocannabinoid system naturally present in the brain from birth in all humans and many animals. Endocannabinoids are manufactured naturally by our bodies and cannabis is the only thing in nature which provides cannabinoids that fit the same receptors, which is the reason cannabis is so successful in treating a wide range of conditions.As baby boomers age, more seniors are turning to medical marijuana (cannabis) for illnesses many commonly deal with as we age. While it is fairly widely known that medicinal cannabis is effective in treating conditions such as glaucoma and the side effects of chemotherapy including nausea and vomiting, recent science indicating its effectiveness in many other conditions is less well known. Conditions which cannabis can be beneficial in treating include arthritis and other autoimmune disorders, cancer, IBD and Chron's disease, diabetes, neuropathic pain and Alzheimer's.I have coped with emphysema and within the last year my blood pressure has been lowered significantly and I no longer have to use inhaled steroids for inflammation of the lungs. My pulmonologist is quite pleased with my progress in fighting my disease and is well aware of my alternative medicinal practice. He concurs that I have improved and as I am only medicating with mmj [medical marijuana], it certainly [is evidence of] the all around benefits of mmj. I am 64 and it is such a pleasure to have the freedom to walk into a beautiful, clean mmj center where I feel safe, and has everything I need to feel better...physically and mentally. Judith, 64, Longmont, COIn January 2011, leading doctors in the field of cannabis science and medical marijuana law experts spoke at a conference at in Laguna Woods spoke to an audience of 1,000 seniors. Robert Platshorn has begun the Silver Tour, a traveling educational seminar and NORML is developing a Senior Alliance. The biggest concerns many seniors have when considering medical marijuana as an alternative to pharmaceuticals with much more severe side effects are: overcoming the stigma surrounding marijuana, obtaining safe access and avoiding the irritation to the lungs due to smoking. It should be noted that while smoking anything is not good for the lungs, marijuana has shown not to cause lung cancer and even presents a slight protective effect.There are many alternatives to smoking as a method of administration. Medical marijuana is now widely available in food and beverage form, tinctures, capsules and suppositories. Vaporizing cannabis with a vaporizer offers an inhaled form that has shown to be safe and effective. Your Medical Marijuana Center (a safe, State regulated facility), or Caregiver (a private provider) can help you decide what is right for you as an individual with your particular health conditions. Editors Note: This article was submitted by Shannon Lamoureux, of Colorado Dispensary Services in Boulder, Wheat Ridge & Denver, Colorado. She may be reached at 303-495-2195 or visit their website at, cdscenters.com

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

Navigating Your Healthcare Needs During the PandemicBy Ailene Gerhardt, MA, BCPA, Founder, Beacon Patient Solutions LLC April 15, 2020Does this snapshot of an appointment calendar resonate with you? Annual Physical: Rescheduled 6 Month Dental Cleaning: Rescheduled 3 Month Follow Up with PCP: Rescheduled This Months Physical Therapy appointments: Canceled, Online Resources Suggested Weekly Behavioral Health Therapy Appointment: Changed to Video or Phone Call, TeletherapyNavigating our own healthcare needs at this time when the system is extremely stressed can be challenging. Many routine appointments are canceled, postponed, or rescheduled. However, there are healthcare needs related to the monitoring of chronic conditions or illnesses, or specific diagnoses that would not be beneficial to postpone or reschedule.While it is critical to leave space for the treatment of COVID-19 throughout the healthcare system and crucial that, when possible, we stay home to reduce the spread of the virus, it is also important NOT to delay or ignore other medical needs or conditions. (Please rely on these resources and action steps should you suspect you have COVID-19) During this uncertain time, when everyone is adjusting to new ways of delivering care, dont assume that your healthcare provider isnt available. Make sure to check in with them, describe your concerns or your symptoms and ask how they can maintain monitoring of a chronic illness or condition.For example: If you need lab work to monitor your chronic condition during this time, how does that occur safely? If you need to continue physical therapy appointments is your therapist available via video sessions or can they direct you to useful online resources?Before assuming you are not able to receive the care you have been, reach out to your provider to ask what they recommend. Then weigh your benefits and risks and make an informed decision. It is important to maintain your health during this time.Heres how to advocate for yourself, loved one, or friend: Involve a friend or family member in your appointment via telehealth or in person. Ask for that person (whether in your home or elsewhere) to participate in teleconference and video meetings. Ask that person to take notes for you, just as they would sitting in a doctors office or on the telephone. Evaluate your Needs: For Example: Is your dental cleaning needed now to avoid future gum damage? Do you feel your body/gait compensating for your weak right knee because you are not keeping up a regular physical therapy routine? Do you need to have your blood work completed to make sure your anemia is being controlled?o Is whatever you feel you need needed right now or is it safer to wait? If waiting is going to contribute to making your health worse in the future ask your provider how your needs can be assessed/treated safely?Navigating Your Healthcare Needs During the Pandemic, Beacon Patient Solutions LLC (617) 651-2140 www.beaconpatientsolutions.com page 2 of 3o Remember, you are an expert about your own body. If you feel something isnt right be honest with your provider.It is always important to prepare for a health appointment. During this time, when providers are feeling stretched and stressed, it is crucial to be prepared.Heres how to make sure you get the most from an upcoming appointment: Make a written prioritized list of concerns and specific questions. Ask your provider if you can send a summary of concerns to them ahead of time via the patient portal so that your appointment time can be maximized. Make sure your medication and supplement list (medication, dose) is current and know exactly what medications need to be refilled or what changes need to be called in Focus on effective communication: Be clear, succinct, and assertive as needed remembering that your provider trying to deliver the best care they can. Make sure to listen to what information your provider offers.Things to Consider While Using Telehealth: Become familiar with telehealth software ahead of the appointment, ask someone to explain it to you Have anything you may need during your appointment (device, medications, blood sugar / blood pressure logs) with you at the computer If you need vitals for your appointment, ask how to provide that (do you have a thermometer, blood pressure kit at home?) Wear clothing that is easy to maneuver if you want to show the provider something during the appointmentDuring Your Appointment: Ask:o If you can record appointment via phone or videoo For medication refills and changes to prescriptionso If you can follow up with summary to confirm discussiono How your provider is responding to inquiries (portal, calls, email, text)? How quickly can you expect to hear back?o What is the safety protocol should you need to come into the office? Become familiar with online health portals for all your providers. The electronic health records do not all communicate with each other so make sure you are set up with all relevant portals and record all username names and passwords in your personal health record. Make sure all your paperwork is organized and you are familiar with it and can access it quickly during your appointment.Due to the volume of patients needing care during the pandemic, many hospitals and facilities are not allowing patients to be accompanied. This is a challenge for everyone since the patient will not have a loved one/friend to advocate for them bedside. It will be hard for healthcare providers to know who to reach out to regarding important decisions should the patient be incapacitated. You can help.Navigating Your Healthcare Needs During the Pandemic, Beacon Patient Solutions LLC (617) 651-2140 www.beaconpatientsolutions.com page 3 of 3Make sure you have a go plan and bag should hospitalization be necessary.What to Include in a Go Plan and Bag: Organized Paperwork (Personal Health Record):o Name, Blood Type, Allergies, Emergency Contact name, relationship and contact informationo A current copy of your Drivers License, Insurance card / Medicare/Medicaid card, Supplemental Insurance Card front and backo Medical Summary: Conditions & Timeline of Procedureso Completed current HIPAA releases, Healthcare Proxy, Advance Directive Documentso Instructive summary about you: include instructions about a condition that requires medication at specific intervals/on specific days and what you take, how often and what happens if it is missed. Also include a mention of glasses/hearing aids and/or mobility devices you need for activities of daily life. Phone/Tablet chargers, hearing aid batteries / chargers, extra glasses Basic toiletries Extra socks, underwear Disinfecting wipes / hand sanitizer Notebook, pens, clipboardMake sure your emergency contact(s) has/have copies of all documents you bring with you and easy access to advance care plan documents such as HIPAA releases, healthcare proxy, living will, etc.View our blog post: what to include in your personal health record for more detailsWhile there is a lot of uncertainty currently, we can take control of preparing for our healthcare appointments. We can also prepare for an emergency by having our records and important documents organized and up to date. Having basic items gathered in the event of a hospital stay will also make things easier at a time of extreme stress.Connect With Us: When the complexity of your healthcare situation is too challenging to navigate on your own working with an independent board certified patient advocate can help cut through the red tape and reduce complications at an emotional time. Contact Ailene to learn more about the value of working with a private patient advocate

A Personalized Memorial Guide is perhaps the most meaningful and important document that any of us can give to our loved ones to help them with our death. In many cases it is the most important gift to be drafted today that we can leave our loved ones on that future emotional day.A Personalized Memorial Guide is a document that is drafted by meeting with a Family Service Counselor or Funeral Director at a local mortuary. They are both experts at developing a Personalized Memorial Guide.Information in this document saves loved ones from having to compile and provide this information to the funeral home, and it makes application for benefits easier on loved ones.It provides peace of mind for loved ones as arrangements are fulfilled as specified; loved ones have no doubts about what funeral or disposition should include and helps to prevent disputes regarding type of memorialization.Urgent tasks and decisions, which would otherwise burden loved ones later, are handled now. Loved ones need to be protected during a time of emotional upheaval and be allowed to benefit from the recalled memories and loving support of family members and friends eliminating the stressful distractions of disturbing funeral details.Once completed, a Personalized Memorial Guide will start protecting loved ones immediately. It will provide loved ones with personal and financial information in settling final affairs. It will allow for use of options to create a properly guided farewell event to help loved ones properly through the grieving process and to move forward.Additional benefits are that it is a FREE public service and document offered by Family Service Counselors and/or Funeral Directors at local mortuaries/funeral homes, it costs nothing and it can be changed as circumstances change with a simple phone call or appointment. It is NOT the same as a Living Will, Advance Healthcare Directive, POLST, Will or Trust.Editors Note: This article was submitted by Valerie L. Rios, MSW, CSW. Valerie is the Community Education Program Director for Myers Mortuary & Legacy Funeral Planning and may be reached at 801-544-1035 or 503-481-3305 or at valslifedestiny@gmail.com.

Seniors and care givers shopping for necessary services quickly discover how complex this process can be. There is an incredible amount of information available on innumerable services, but the learning curve is sharp and the entire process is overwhelming. Sorting through the options on your own is arduous and may not produce the most ideal outcome. A geriatric care manager has already done this research. She will assess the individual needs of the senior, and develop a care plan. She can coordinate all aspects of necessary services, resolve family conflicts, assist with medicaid/medicare issues, and arrange legal and financial services.Are you a senior?It's never too early to develop a care plan. Making your wishes known before care is needed will reduce future stress, expense, time and family conflict. A care manager can walk you through the planning process and explain the pros and cons of every option. She can arrange legal and financial counsel and help you determine the best course of action for your unique situation.Do you have an aging loved one?One in four American families is caring for an aging loved one in some capacity. Many live hundreds of miles apart. It's difficult to spend quality time with your loved one when all your spare time is spent coordinating, managing, researching, and providing care and services. A care manager can streamline this process. She can give a one time consultation, make professional recommendations, and resolve concerns; and can provide ongoing coordination and support.Are you an industry professional?You are likely a compassionate person who loves seniors. Chances are you spend 10-15 hours per week providing non-billable services such as: mediating family conflicts, researching and coordinating services, assisting clients with insurance issues, and planning the next step. By passing the baton to a geriatric care manager, you are addressing client needs and performing your job effectively.Care Management is covered by some long term care insurance policies, however it is usually a privately paid service. Fees for services vary from agency to agency but are reasonable and affordable. Because care management ultimately saves time and money in the long run, it is worth the initial investment!This Article Submitted by Taryn Pearce, owner of Age Well Utah, a senior care consulting and care management firm with a 'quality of life' focus. She can be contacted via phone or email. 801-690-1223 ortaryn@agewellutah.com

You May Not Use a Landline, But Grandma Loves Hers.Smartphones impact us all in todays society. However, according to the US Department of Health and Human Services, 77% of seniors over 65 continue to use landline phones. Why do they hold on to this seemingly outdated technology? Lets look at some of the benefits for seniors of keeping their landline phones. Its a technology they rememberMost seniors grew up using a landline phone when they were young. These types of phones are especially useful for seniors with cognitive issues. Its easier for them to remember what they used when they were younger versus trying to learn a new technology, especially one as complicated and confusing as a smartphone. They dont have to feel embarrassed about not understanding or becoming frustrated by the new cell phone or smartphone. The phones are clearer and louderAs age-related hearing loss begins, it becomes quite frustrating when normal day-to-day sounds are hard to comprehend. Its even worse when seniors have a hard time hearing over the phone. Landline phones have the capability of being louder in volume than cell phones, and have much clearer transmission. They are made with senior-friendly featuresOne of the best capabilities that a landline phone offers is being able to have just enough buttons that are needed to make phone calls. In addition, you can find phones that offer bigger buttons to aid seniors with vision problems, such as cataracts or retina issues. Some phones even use pictures to dial. These are especially helpful for seniors with memory issues, since they dont have to remember anyones phone number. Just touch the picture of the family or friend and dial that person automatically! Landline phones are cool againEverything vintage is trendy again, so the grandkids will think grandma is the coolest for having a retro landline phone!When choosing a phone service for your senior loved one, remember simpler is better, and a landline might just be the best option for them. The more comfortable they feel with their phone, the more likely they are to use it. And the more connected they will stay with friends and family, keeping them healthier and happier for a longer period of time.This article was submitted by Vanessa Luna, Marketing Director with teleCalm, Inc.

Though death and grief are natural and inevitable aspects of life, most of us tend to avoid even mentioningimportant end-of-life topics until absolutely necessary typically when faced with the terminal illness, death or loss of someone we love. Consequently, hospice care remains shrouded in mystery until the time a family member or friend needs it.Its then we learn that when a cure is not possible, hospice offers terminally ill patients and their families holistic end-of-life care based on the principles of comfort, dignity, and choice. This support is offered wherever the patient lives, whether thats a private residence, an assisted living community, or a skilled nursing facility. And its provided by an expert and compassionate care teamusually a hospice physician, nurse, nursing assistant, social worker, chaplain, and volunteers who work to ensure that patients values and decisions are respected, their pain and symptoms are managed, and their spiritual and psychological needs are addressed.Living life to the fullestUnfortunately, many still believe that choosing hospice means giving up hope. But the truth is, hospice care not only improves quality of life, it also sometimes lengthens it. According to a study by the National Hospice and Palliative Care Organization among 4,493 terminally ill patients with congestive heart failure, or cancer of the breast, colon, lung, pancreas, or prostate, the mean survival rate was 29 days longer for hospice patients than for non-hospice patients.Other aspects of hospice are misunderstood as well. For instance, hospice isnt just for cancer patients on the brink of death. Hospices also care for patients with end-stage cardiac disease, dementia, debility, pulmonary disease, renal disease, neurological diseases, and stroke. In addition, hospice is a Medicare benefit, so most expenses related to the terminal diagnosis are covered in full -- including all medications and equipment -- as are visits from the hospice care team.The good news? More people than ever are choosing hospice care at the end of life, and finding peace, comfort, and dignitysometimes while living longeras a result. The bad? Too many people still dont realize what a positive difference this quality end-of-life care can make. But by spreading the word, hospice supporters can help to lay the many hospice myths to rest.Editors Note: This article was submitted by Mary Chokran.Mary is a Director of Development & Communications with HospiceCare of Boulder and Broomfield Counties and may be reached at 303-604-5229 or by email at marychokran@hospicecareonline.org. For more information visit HospiceCare on the web at: www.hospicecareonline.org

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

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

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

When it becomes apparent that an elderly parent can no longer be left alone for extended periods of time, how do you move forward? Often families develop new work schedules to care for their parent. Or they continue work and hire a caregiver to come to the parents home, and then wonder about the quality of care.Adult Day Services Centers (ADS) can be a helpful yet small step to handling this new situation. ADS Centers help prolong participant independence by providing care away from home and separate from the family caregiver. Plus it gives the caregiver the needed break from this responsibility.Participants of ADS Centers benefit in the daily interactions of the staff and other participants. They maintain physical and mental functions through enrichment activities, nutrition, medication management, and exercise. Social interaction in the structured environment of activities and events allow for increased conversation and socialization. For those who live alone, this can bring up spirits and improve interactions when returning home.Seniors have a chance to socialize in a relaxed, creative environment which benefits them mentally and physically, commented Jody Mayer, director, The Homestead.A parent with a chronic condition or disease such as hypertension, cardiovascular disease, diabetes can also benefit from an ADS center. Often the daily regime includes physical activities to address these diseases and to keep the mind healthy.If a gradual transition from home to long term care is needed, ADS centers can help. Today, over 81% of participants attend full days (at least five hours per day). Of these, approximately 46% of participants attended on a five days per week schedule, while 29% and 19% attended three days per week and two days per week, respectively. [1] Gradually working up to full days may ease this transition. During this time, it will also give family caregivers the opportunity to remain in the workforce.At ADS Centers, you can expect a team of professional to meet the mind, body and spirit needs of each participant and the caregivers. So before you consider completely rearranging your life, consider ADS centers as a tool to maintain a life has been comfortable for you. If you decide to visit an ADS Center, we encourage you to include the future participant to come and to help decide future plans with you.Editors Note: This article was submitted by Karen Logan for The Homestead, Longmont United Hospital's Adult Day Services. For more information about The Homestead, the director Jody Mayer may be reached at 303.651.5222 or jmayer@luhcares.org.

If the patient is not a Medicare Recipient and is covered by the VA, the VA will make payments directly to their contracted agencies. If a patient is a Veteran, but is a Medicare Recipient, they may choose any Medicare approved hospice agency for their care.#listing_mgr{1 basic_search}#

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.

What family caregivers need to know about services, costs and finding the right place.Assisted living facilities are designed for older people who are no longer able to manage living independently and need help with daily activities such as bathing or dressing, but dont require the round-the-clock health care that a nursing home would provide.Typically, residents need a little bit of help, says Rachel Reeves, director of communications for the National Center for Assisted Living (NCAL), an industry group. Assisted living is there to offer that assistance, while maximizing their independence.Assisted living facilities usually provide residents with their own apartments or rooms, as well as some common areas. They offer around-the-clock supervision and a range of services, including meals, housekeeping and laundry, as well as assistance with personal care and help with medications.Assisted living also aims to offer a rich social environment where residents can get plenty of interaction thats beneficial to their health care and mental well-being, Reeves says. That can include social and recreational activities, such as book clubs, trips to movies and concerts, and exercise and wellness programs.Facilities typically offer multiple levels of care depending on what residents need and what they and their families can afford.Assisted living facilities, which are mostly regulated at the state level, have a lot of variation among them.To ensure that you find one thats a good fit for your loved one, its important to follow a structured, methodical search process and ask a lot of questions. Have your senior living advisor carefully evaluate the facilitys contract before you sign it.And include your loved one, if you can, in the decision-making, Its imperative that the person who will be moving there be involved in choices about care.Range of assisted living servicesNationwide, 28,900 assisted living facilities nationwide have nearly 1 million beds, according to the most recent data available from the National Center for Assisted Living.They vary widely in size, from fewer than 10 residents to more than 100, with an average capacity of 33. More than half of assisted living facilities are part of national chains with the rest independently owned.Most facilities provide some basic health care services, according to the organization.Access to a pharmacy: 83.6 percentDietary and nutritional guidance: 82.8 percentPhysical, occupational and/or speech therapy: 71.4 percentHospice care: 67.7 percentSkilled nursing care: 66.1 percentMental health services or counseling: 55 percentSocial worker services: 51.1 percentSome offer specialized services for people with dementia, sometimes called Memory Care. A little more than 14 percent of assisted living facilities have a special memory care unit, wing or floor, and another 8.7 percent accept only dementia patients.Some also offer services tailored for people with intellectual and developmental disabilities or particular medical conditions such as Parkinson's Disease.How to find facilities in your areaThe best way to find the right community is to connect with a FREE local referral service like: The Right Senior Living Solution will have files of the care and ammenities offered by the communities in the local area. A reputable senior living advor will have an array of professional partners that will assist you with all of your needs to make the transition to a new community and lifestyle as smooth as possible.  A Local Senior Living Advisor will have knowledge of:1. What are the size and types of units available?2. Do any units have kitchens or kitchenettes?3. Are all the rooms private?4. Are bathrooms private?5. Is special care available for residents with Alzheimers disease or other conditions?6. Does each resident have a written care plan, and is the person involved in creating it?7. Is a contract available that details fees, services and admission and discharge policies?8. Are additional services available if a residents needs change?Remember that the person you speak with will most likely be a marketing or sales representative whose job is to promote the residence and a good well connected assisted living advisor will assist you in negotiating and getting the best move in incentive package available.What to look for when you visit with your advisorOnce you and your advisor narrow down your list to a few communities/facilities with the services and price range youre looking for, your advisor will schedule visits and tour the communities with you. During your visit you will speak with administrators, staff and the residents to ask questions and get a feel of the community.Its good to also bring a friend or family member for support.An Advisor will recommend visiting each community/facility multiple times. It is best to be there during mealtimes and perhaps even have lunch with residents, to give you a better sense of what its like to live there.When visiting communities with your senior living advisor, there are some other very important things to look for:CleanlinessAn emergency generator or alternative power source in case of an outageEnough common areas, such as dens and living roomsA floor plan that's logical and easy to followLarge enough rooms for your family members needsRooms and bathrooms with handrails and call buttonsSafety locks on doors and windowsSecurity and fire safety systemsServices such as banking, a beauty salon or a cafWell-lit stairs and hallways with well-marked exitsA good referral agency like The Right Senior Living Solution will advise that you ask plenty of questions about staff members, including their qualifications and whether they receive additional training from the facility.On your visits, observe how employees interact with residents. Ask about the facilitys suggestion, complaint and grievance procedures, and whether it has resident and family councils to provide feedback.Before signing a contract:Look carefully at the facilitys contract. Take it home with you and go over it with other family members.State regulations for assisted living facilities are on the National Center for Assisted Livings website. The list also contains contact information for each state's regulators, who can guide you on how to find information about a facility.Make sure you clearly understand the terms, and if you have questions, get them answered before you sign. Your Advisor will know: How much are entrance fees and monthly rent, and is a security deposit required? What level of personal and health care services are provided? What privileges do residents have? For example, are they permitted to bring personal furniture? What are the transfer and discharge policies? What specific reasons would lead to a resident being asked to move out, and how much notice would be given? Is a residents space held if he or she has to be hospitalized? Does the contract put any limitations on your right to bring legal action for injury, negligence or other causes? Consumer Reports cautions that many residences include arbitration clauses, which require disputes to be settled outside the legal system via a third party.Some financing options to keep in mind: Long-term care insurance If you have a policy, it probably covers assisted living, but Medicare and most private health insurance plans do not. Medicaid. The federal/state health care program for people with low incomes and limited assets, may provide some help if youve exhausted other financial resources.Most states offer some level of financial aid to qualified assisted living residents Do you qualify for Aid & Attendance Benefit  Department of Veterans AffairsFormer service members may be able to get federal help. The Aid and Attendance benefit, a supplement to VA pensions for older veterans who need help with daily living activities, can help pay for assisted living or memory care.VA health care does not pay for room and board at an assisted living but might cover some additional services.The Right Senior Living Solution Specializes in communities in:Independent Living in BradentonIndependent Living in SarasotaAssisted Living in BradentonAssisted Living in SarasotaMemory Care in BradentonMemory Care in SarasotaGeorge Smith The Right senior Living Solution(941) 705-0293

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

To learn more aboutThe Wellington - MBK Senior Living,CLICK HERE.Home-like, beautiful environments inside and out. Enduring connections with family, friends and staff. Feeling safe and secure. Exercise and wellness opportunities. Delicious cuisine and flexible dining options. Engaging experiences and daily activities. High-quality services and support. These are a just a few of the reasons our residents tell us theyre happy living in an MBK Senior Living community.Fact is, we frequently hear from residents that they wish theyd make the move sooner. Residents quickly find that MBK communities offers an unrivaled low-maintenance lifestyle with top-level amenities, services, high-quality, compassionate care and exceptional programming. All of which translates into engaging, fulfilling and happy resident days.But dont just take our word for it. According to a recent article in McKnights Senior Living (a national media publication that provides news, perspective and analysis for senior living industry owners and operators), studies show that retirement community residents are happier than other older adults. Whats more, of those surveyed the majority stated that their quality of life improved within a year of moving into a senior living community.So, whats holding you back from living a happier lifestyle?Click hereto find an MBK Senior Living community near you and schedule a personal tour today.

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

Im excited to share with you our personal journey that lead to the formation of my family run business, Home Care Preferred.After 25 years in my H.R. executive role I was finally enjoying my life of retirement in sunny FL playing golf, tennis & boating. Then one day, I received a disturbing call from the assisted living facility that my in-laws resided in. The facility had made the decision to separate them due to my father-in-laws severe dementia. The process was to move him to a secured area. My husband and I could not imagine separating them after 60 years of marriage so we moved them closer to us. We hired caregivers 24/7 to assist them and they loved the personal care!My next calling was from my brother-in-law. My sister had an aneurysm and was fighting for her life. After brain surgery, she remained in critical condition and on life support for weeks followed by intense rehabilitation. Again, coming out of retirement, I cared for her for three months until she returned home, fully recovered.Shortly thereafter, my nephew called on me to come offer family support and end of life care to my beloved brother. The diagnosis was esophageal cancer. My brother was dying. With the support of myself and his family, my brother was able to pass in his home surrounded by loved ones.The years of caregiving continued. I began to feel that this was my calling. It was then that my daughters and I, who all have medical backgrounds, decided to open a home health care service to help others.Ashley Green, my honorary daughter, has her Masters in Health Care and is currently a Captain in Army Reserves Medical Unit. Heather Blackburn is an R.N. with Clinical Education and Development experience. Ashley Crandall was a respiratory therapist for 9 years in the Army and over 10 years of Corporate Finance experience. My husband, Lee Schmachtenberg is our CFO and Attorney. Lee has 35 years of experience in Elder Law, Estate Planning, and Real Estate. He is also a former JAG officer and served as Commander of an American Legion Post.We have appointed our dear family friend, Diane Schroeder, as our RN. Diane comes with 40 years of experience, 10 of which are in the Home Health field.Our passionate teams knowledge, skills and abilities, plus our unbridled enthusiasm to be the best makes us the ideal choice when premier home care is preferred.When quality of life at home is preferred, call 239-302-9090. Servicing Collier & Lee Counties. N.R. Lic # 30211851

Being bonded means that a bonding company has secured money that is available to the consumer in the event they file a claim against the company.#listing_mgr{8 basic_search}#

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

For more information on The Sheridan at Lakewood Ranch, click here.Unfortunately, a lot of retirees havelimited fundsfor their retirement years. For many, entering retirement means tightening the purse strings to make their nest egg or pension go as far as it can. Lets take a look at the resources and choices available to seniors and your options foraffordable senior living.Affordable Senior LivingOptionsAffordable senior livingcan take many different shapes. From subsidized rent in a local apartment to programs that allow seniors to live independently in their personal homes, the following are senior housing resources that fall under the affordable umbrella.Traditional Housing OptionsYou might not need to think about retirement communities just yet.Many seniors may be able to find traditional housing or homes to meet their care and budgetary needs. Whether that means downsizing to fit your fixed income or relocating to a more central apartment that has access to public transportation, there are cost-effective housing solutions for retirement. You may find it useful to work with a rental realtor or property management company to find the perfect fit.Low-Income Senior ApartmentsMany cities and municipalities have formalized low-income housing for people in need. These apartments are usually centrally-located with close access to transportation services, and are privately owned or subsidized by the local governmentThere are traditionally income, age, or disability requirements for application, and the wait-lists can be lengthy. Check with local state or city agencies to see if there arelow-income housing options near you.HUD Housing VouchersIf you would qualify for low-income housing, but discover a lack of openings in your area, you may be able to qualify for housing vouchers. TheU.S. Department of Housing and Urban Development, helps low-income families and seniors lease or purchase safe, decent, and affordable privately-owned rental housing, if they qualify for the program.Cooperative HousingDont mind sharing responsibilities or space? An emerging trend in senior housing is cooperative housing.In these housing agreements, the residents jointly own the apartment building or property and share costs amongst each other; each resident pays their portion of the mortgage, property taxes, and utilities. In cooperative housing, residents govern their property through councils, and provide amenities like shared social spaces and gardens. While growing in popularity, especially in theMidwest, long wait lists for application can be an issue. State-by-State ResourcesDepending on where you live, you may have more options available to you foraffordable senior living. In Washington State, adult family homes provide personal care services and other amenities in smaller, more intimate settings.In Illinois, there are supportive living communities that are designed and operated much like assisted living, but with subsidized costs and age requirements. You can work with local support services like your Area Agency on Aging to find out if your state offers specialized,affordable senior housing.Respite CareFor those who arent ready for a long term investment,respite careis a brief visit to a retirement community that provides the same personalized care and attention to medical that a long-term resident would expect. Respite care stays can be as short as a week, or more than three months, depending on the wants and needs of the respite care resident.A good number of people opt for respite care during the winter months, so they can enjoy socializing and activities instead of enduring the harsh elements. Respite care offers a relief from the hustle and bustle of daily life, and a welcome change of scenery!Private Affordable OptionsMany seniors find that even traditional senior living may be more affordable than continuing to live at home.Independent and Assisted Living communities can help residents consolidate their monthly costs into one monthly fee that includes rent, food, and utilities, while eliminating expensive items like property taxes, homeowners insurance, and house repairs. With therising cost of at-home care, retirement communities inclusive pricing can make sense for seniors needing personal care or help with household chores.Another factor to consider is that senior living pricing varies greatly depending on your location, and there are many communities with affordable payment plans and financial assistance available. While finding the right housing in retirement can be challenging, it is good to understand all of your options. Fortunately, there are many places you can turn to findrespite careandaffordable senior livingoptions right for you.

Hospice care focuses on controlling pain and other symptoms of illness so patients can remain as comfortable as possible near the end of life. Hospice care is highly individualized based on the persons goals for end-of-life care. The hospice team is comprised of doctors, nurses, certified nursing assistants (CNAs), social workers, clergy and volunteers. Expenses may be covered by Medicare, Medicaid or other health insurance plans.There are many misconceptions regarding hospice and hospice care. Some of the most common are:Hospice is a place.Truth: Hospice is not a place, but rather a philosophy of care in which medical, psychological and spiritual support are provided to patients and their families. Hospice care can be provided in a variety of settings, including a persons home, assisted living, nursing homes, hospice in-patient care centers and hospitals.Home hospice always provides a nurse around the clock.Truth: In home hospice, patients receive visits from nurses, certified nursing assistants, chaplains, social workers and volunteers several times per week, but around the clock care in the home setting is not common. Nursing staff is typically on-call 24 hours a day to provide support to patients. Additional resources for care may be needed, such as a non-medical home health care or private duty nursing if the person is in need of 24 hour care at home. 24 hour nursing oversight and care is provided in hospitals, nursing homes and in hospice acute in-patient care centers.If I choose hospice, I am giving up.Truth: Hospice focuses on caring and comforting, not curing. The goal of hospice is neither to hasten nor postpone death. If the persons condition improves, hospice can be discontinued. Choosing hospice does not mean giving up, but rather that the goals of treatment have changed.Many patients and families have chosen hospice care and resources to support them through an end-of-life journey or health crisis. It can be the right option for some patients when the time comes.Editors Note: This article was submitted by Robin Hartman of Liaison-Marketing for Exempla Lutheran Hospice at the Collier Hospice Center. For more information Robin may be reached at 303-425-8000 or by emailHartmanr@sclhs.net

Veteran's ContractsMonarch is honored to serve our veterans who have given so much to our country, offering them the best experience in senior living.We are proud to have contracts with the Department of Veterans Affairs and Community Care Network (VA CCN) in many of our facilities. While these communities are not federally-operated Veterans Homes, the contracts allow qualifying veterans to receive services through Monarch. This contract allows Monarch and the local VA to work together by consolidating all community care programs and build an integrated health care network to improve Veterans access to high-quality care both in VA and in the community.VA created the VA CCN program to assist Veterans who cant get necessary services from a VA provider either because the services arent available or the VA provider is too far away. Before a Veteran gets care or services from a VA CCN participating care provider, the VA must issue a referral for an episode of care. VA referrals will include an authorization for a specific standard episode of care. The referral will include a start date and an end date, along with a specified number of visits and/or services. Monarch will work directly with your provider and CCN case manager to obtain prior authorization for the stay.Monarch homes with a VA contract:Hillcrest Rehabilitation CenterOaklawn Rehabilitation CenterThe Estates at GreeleyParmly On the LakeThe Estates at RosevilleThe Waterview WoodsThe Waterview Shores

Homes that are built entirely in the factory under a federal building code administered by the U.S. Department of Housing and Urban Development (HUD). The Federal Manufactured Home Construction and Safety Standards (commonly known as the HUD Code) went into effect June 15, 1976. Manufactured homes may be single- or multi-section and are transported to the site and installed. The MHINCC distinguishes among several types of factory-built housing: manufactured homes, modular homes, panelized homes, pre-cut homes, and mobile homes. They can be rentals or Buy Ins, many times Seasonal rentals. These communities generally offer a clubhouse , pool, social activities for their residents.#listing_mgr{1 basic_search}#

For more information on Gulfshore Home Care, Click here.Make Holiday Memories with SeniorsTake on these simple projects with seniors to make special holiday memories together this season. The crafts are easy and fun. Part of the joy of the holidays is making memories together. Senior mobility and energy may be limited, but making simple crafts at home are special ways to brighten the holidays.5 Nostalgic Projects to Make This Holiday SeasonThese crafts are fit for seniors because they are calm and simple. Theyre also nostalgic, adding joy to the time spent making them. Seniors might also enjoy making these crafts to give as gifts over the holidays.1. Recycled Card Bookmarks Use ribbon, glue, and old Christmas cards to make simple bookmarks.2. Mason Jar Snow Globes Encourage seniors to put knick-knacks collected over the years in their mason jar snow globes. Only a few materials are needed.3. Memento Ornaments Clear Hollow ornaments can be fun to fill with special mementos. These are often valued as priceless memory holders and conversation pieces.4. Scrapbooks/Photo Albums Good old-fashioned scrapbooking allows seniors to reminisce and share stories with a sense of purpose and delight.5. Needlework/Sewing Projects There are a ton of easy, fast, adult crafts seniors can make using fabric, needle, and thread (or yarn). Search online for adult sewing ideas and directions.Simple, Decorative Holiday Crafts Seniors Will LoveBeing able to decorate or make decorations to give as gifts can brighten the holidays for seniors. Decorative items seniors can easily make include:Holiday pinsBasic JewelryCandleholdersGift tagsOrnamentsPinecone decorationsCheck sites like goodhousekeeping.com or countryliving.com and look up holiday craft ideas.Benefits of Crafting for SeniorsMaking something offers a number of benefits to seniors, especially during the holidays. Benefits include:A sense of purposeThe joy of giving giftsFun and laughterSomething to share with othersNostalgic feelings and reminiscingHoning skillsLearning something newMemory makingConversation startersAdding cheer to living environmentMental boostsMake Holiday Projects More SpecialWhether seniors really love making crafts or not, spending time working on projects over the holiday can create precious, joyful memories. There are many ways to make these activities more meaningful to seniors: Turning on holiday music while crafting Planning projects as gifts to loved ones Inviting friends or family to participate Using the projects to decorate Encouraging storytelling and memory-sharing while crafting Completing projects to donate to charity Incorporating mementos or favorite knick-knacks into crafts Making regular time to work on crafts over the seasonHome Care TipSome seniors fine motor skills deteriorate over time. If that is the case, offer to help seniors write cards and select crafts that dont require precision. Seniors should retain a sense of ownership over projects, even if they are unable to do some of the tasks independently.

For more information on the author Fyzical Therapy & Balance Center Sarasota, CLICK HERE.Having good balance is a critical component of healthy aging. Everyday activities like reaching for your coffee cup, bending down to pick up the paper, putting on your shoes, and getting up from a chair require subtle shifts in your body's weight distribution. A healthy sense of balance allows you to hold your position or move at will during these weight fluctuations without falling.Gravity is constantly pulling you downward, giving you the tendency to fall, but your ability to balance prevents this from happening. Balance control is a complex physiological process and, just as with muscles, if you don't use it, you lose it. As the body ages, muscle strength, joint range of motion, and reaction time all decrease. These factors can have a negative effect on an older persons balance control and may lead to balance dysfunction a factor linked to falls among the elderly.Falls from poor balance can cause serious, and even life-threatening, injuries. In fact, according to the CDC, accidental falls are the leading cause of death among older adults. Each year, one in three adults over the age of 65 falls, and the risk of falling increases proportionately with age at80 years, over half of seniors fall annually1. Recovery from a fall can sometimes take at least a year in a long-term facility, with some patients never returning to their homes.Among this age group, falls are the number one cause of fractures, hospital admissions for trauma, loss of independence, and injury deaths2. Most of the fractures caused by falling are in the arm, hand, ankle, spine, pelvis, and hip, with hip fractures being one of the most serious types of fall injury, often resulting in long-term functional impairment, nursing home admission, and increased mortality One out of five hip fracture patients dies within a year of their injury3.In fact, falls account for 25% of all hospital admissions, and 40% of all nursing home admissions 40% of those admitted to nursing homes do not return to independent living; 25% die within a year4.These statistics are pretty grim but don' t for a minute think that there's nothing you can do about it or that it wont happen to you. Perhaps you believe that if you limit your activities and become even more sedentary that your chances of falling will decrease (not true!). If you think you can avoid falling as long as you stay at home, know this: The majority of all falls take place inside the home5. Those who do fall are two-to-three-times more likely to fall again, and many people who fall, even if they are not seriously injured, develop a fear of falling.Injuries from falls, reduced mobility and activity, and the fear of falling can significantly reduce your quality of life, making you dependent on others and taking away your freedom to move and live independently.But here's the good news: Falls are preventable. Falling is not an inevitable result of aging, and there are steps you can take to improve your balance and decrease your chances of falling.Muscle strength and flexibility, which are an imperative part of maintaining good balance, decrease with age, especially for sedentary adults, but these can be partially restored with the right physical therapy program.Studies have shown that attention to certain risk factors, such as impaired balance, can significantly reduce rates of falling. Considerable evidence indicates that the most effective fall reduction programs involve systematic fall risk assessment and targeted interventions6.Additional research reveals that a physical therapist-prescribed exercise program targeting balance and strength can be effective in improving a number of balance and related outcomes in older people with mild balance impairment7.At FYZICAL, we have a comprehensive Balance Program that includes assessment and evaluation programs, balance retraining, and vestibular rehabilitation. With balance retraining and vestibular rehabilitation, our goal is to improve balance function and visual-motor control, increase general activity levels, and help your body compensate for inner ear disorders. We utilize a state-of-the-art balance machine and our balance therapy programs have a 99% balance improvement success rate.As balance dysfunction can sometimes cause problems with walking, we also have a Gait Training program. Gait training consists of making sure that your manner of walking is as effective, sure-footed, and safe as it possibly can be. A balanced, steady gait helps in the prevention of falls and injuries. Strength, endurance, motion, balance, and coordination are all components of an effective gait and our certified physical therapists work with patients to help them reach their goal of safe mobility.Improving your balance can reduce your risk of falling, so make it a priority to get a balance assessment test from your doctor or a certified Physical Therapist. Then, find a physical therapy facility that employs aqua therapy8. Once that's complete, a program of physical therapy specifically tailored to your balance needs will be created so you can begin your quest to regain your footing, your confidence, and your freedom9.1 Falls Among Older Adults: An Overview, Centers for Disease Control and Prevention,http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html2 Ibid.3 Hip Fractures Among Older Adults, Centers for Disease Control and Prevention,http://www.cdc.gov/HomeandRecreaionalSafety/Falls/adulthipfx.html4 How Often Falls Occur, Learn Not to Fall, http://www.learnnottofall.com/content/fall-facts/how-often.jsp5 Where Seniors Fall, Learn Not to Fall,http://www.learnnottofall.com/content/fall-facts/where-seniors-fall.jsp6 Judy A. Stevens, A CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults,2nd Edition (Atlanta: CDC, 2010),1.7 Xiao Jing Yang, et al., Effectiveness of a Targeted Exercise Intervention in Reversing Older Peoples Mild Balance Dysfunction: A Randomized Controlled Trial, Physical Therapy, 92 (2012).8 Noh DK, et al., The Effect of Aquatic Therapy on Postural Balance and Muscle Strength in Stroke Survivors A Randomized Controlled Pilot Trial, PubMed: ClinRehabil, 2088 (10-11),http://www.ncbi.nlm.nih.gov/pubmed/189554289 MelissaGaskil, Finding the Way,TodayinPT.com

For more information on the author, Care Patrol, CLICK HERE!You never really think about support groups, that is until you do. Until you are faced with something that you dont want to face alone, facing what someone who hasnt experienced it themselves couldnt possibly understand. Support groups fill that need by providing a system and framework of understanding, advice, and a sense of community.From online, anonymous groups, to large national networks or small in person circles, multiple sclerosis patients especially benefit from connecting with a support group, whatever shape or size it might come in.The National MS Society identifies specific benefits of support groups to MS patients as1:Learning new information and strategies for confronting problems.Findingsupportfrom others.The opportunity to help others.Feeling empowered and more self-confident in coping with challenges.Some people have a fear of talking about their health or concerns in a group of strangers or are uncomfortable or unable to meet in person due to mobility issues or transportation challenges. Online groups help to break through those barriers. Online groups can be highly relevant, breaking into categories of support for young adults, parents, seniors or athletes with MS. There are many online groups for MS patients.MSconnection.orgis offered by the National MS Society, but there are multiple other platforms.2You'll find diverse MS online support groups on3:Facebook. Pages created by private groups or nonprofit groups like theMultiple Sclerosis Foundation.Websites. Forums for all kinds of medical conditions, i.e. sites likePatients Like Me.Society and Nonprofit Association websites. The National MS Society'sMS Connectionfor example.Drug manufacturers, which may provide peer counseling, a Facebook page or other services for people impacted by MS, such asthe servicesoffered by EMD Serono, highly relevant if you use a medication made by the company.Most online support groups are free. To take part in an internet-based group, sign up for their platform, create a personal profile and then post questions or comments if desired. Sometimes its beneficial to simply read the posts and comments of others. This helps an MS patient connect to similar concerns to their own, read helpful tips they may not have thought of themselves, and see the broader community that is active and available. By understanding the commonality of concerns within a cohort of fellow MS patients, a person may have a sense of reassurance and connection replacing feelings of fear and isolation. Other online members respond to individual posts. And patients can post back and forth as often as they like, 24 hours a day.4Some online groups offer medically provided responses from a physician or a medical professional.They offer education, ways to cope, and opportunities to help others.5In-person groups, through a hospital, doctor's office, or nonprofit agency, likea local chapter of the National MS Society, give patients a chance to develop connections with people in their area. A support group is usually run by a facilitator who leads discussions and a small number of people with MS contribute their feedback.For in-person support, you may need to register with the group offering the session, before going to the meeting. These are also typically free. A topic for the day may be introduced, with members contributing related experiences or concerns. A facilitator may ask members of the group how they're doing, with other members offering insight and advice based on their own experience or information they have received from their medical teams. At some meetings, guest speakers give advice about specific topics. Questions are fielded afterward, with the expert or guest weighing in with their feedback.This is a great way for new patients to learn from patients who have had MS for longer and therefore are able to provide insight to what to expect and ways to manage what might be occurring.Things To Consider When Looking For A Support Group6:There are several things to consider when you're looking for a support group, such as:Location:Are you able to get there on a regular basis? If not, anonline support groupmight be easier.Other members:Are you looking for a group with specific characteristics (such as young adults or newly diagnosed MS), or are you open to any type of group? Whatever group is chosen, there may be group members who are doing better or worse than you. Remember that they may still have valuable information to share wherever they are on their journey.Approach:Do group members share only problems, or are they looking for solutions? Is the group support-oriented or education-oriented? Look for a group that will give you tools to move forward. The goal is to come away with a better way to cope.Whatever group works best for you, remember you are not alone. Group members are happy to lend an ear, offer support and guidance, and share information about other resources that may be helpful. Participate at your comfort level. Sometimes being connected is support enough.1 National MS Society, Chapters,https://www.nationalmssociety.org/Chapters2 Lynn, Judy. MS Support Groups: Pot Brownies, Shoes, Bladders - and InspirationMultiple Sclerosis News Today,BioNews Services, LLC. February 15, 2017https://multiplesclerosisnewstoday.com/youve-got-some-nerves/2017/02/15/ms-support-groups/3, 4, 5, 6 Godman, Heidi. The Benefits of Support Groups When You Have MSUS News & World Report.July 28, 2017https://health.usnews.com/health-care/patient-advice/articles/2017-07-28/the-benefits-of-support-groups-when-you-have-ms

Seniors Blue Book interviews Dr. Nancy Oppenheimer-Marks with Home Instead for a Senior Care Spotlight.Dr. Nancy Oppenheimer-Marks - Owner, Home InsteadAs an associate professor at the University of Texas Southwestern Medical School, Dr. Nancy Oppenheimer-Marks was conducting research in rheumatic disease in the Department of Internal Medicine when she chose a new career path."Following the death of my parents and after serious consideration, I decided to make it my priority to help provide quality care and compassion to our senior population", said Nancy. She found that the mission of Home Instead Senior Care was much like her own and opened the Dallas franchise in 1999."The rewards are immeasurable",she said. "I get personal pleasure from helping clients and their families, and from employing great people."Learn more about Home Instead.

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

About a month ago in Utah we had a disaster drill, staging what various businesses and social agencies would do if we had an earthquake of over 7.6 on the Richter scale. School kids practiced where they would position themselves, various businesses, including our retirement living community, Highland Cove, practiced where residents and staff would go, and what they would do. Im sure that if the real thing happens, well be more prepared than if we hadn't done this drill. We plan for our own health disasters by having regular check-ups, whether dental check-ups or mammograms. We prepare ourselves for disasters such as death by having life insurance. We prepare ourselves for fires, floods, and life's financial struggles through other insurances. Moving to a retirement community is a way to prepare for future aging disasters such as isolation. Recently, I had the misfortune of seeing what happens when we don't prepare for disasters. A close relative found a lump in her breast several years ago and decided to ignore it. She said her medical book said that most lumps are benign. So, she ignored it, it continued to grow, and she kept telling herself that everything would be fine. No need to have it checked. No need to prepare for disaster. The book had said it was probably benign. But it wasn't, and so now she has a full-blown disaster. We cant really ever prepare ourselves for everything life will throw at us. But we can do the things that have been proven to be helpful. These are not suggested in order to be nuisances, but instead have been proven to make life easier in the long run. We can ignore them, but we will face the consequences. As my father used to tell me, You can be the ant and prepare for the winter, or you can be the cricket and while away your time fiddling. He also said that he always thought the cricket was the hero of the story. I doubt that was really the case, for when he died, my mother had enough money to live comfortably for the rest of her life. If only he'd had an EKG . . .Editors Note: Article by Ginny Echevarria. Ginny has been the Director of Sales and Marketing at Highland Cove Retirement for over 10 years, and as such has helped around 10,000 families deal with the disasters that come with aging. She may be reached at 801.272.8226 or visit the website www.highlandcove.com

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

The latest findings on the connection between Hearing Loss and Cognitive Function! Does your loved one 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 contributes to cognitive problems!Johns Hopkins and the National Institute on Aging that finds that Men and Women with Hearing Loss are much more likely to develop Dementia and Alzheimers Disease! The report states that Even mild Hearing Loss DOUBLED the Dementia risk and severe hearing loss, the study reports, makes people five times more likely to develop dementia than those with normal hearing.If you are over the age of fifty you should have a Baseline Hearing Test, especially if you have noticed ANY signs of forgetfulness, states John Hoglund BC-HIS, ACA of Hoglund Family Hearing and Audiology Center. These tests are provided as a FREE public service by our Practice to increasing knowledge and awareness of hearing related issues.We can also arrange for FREE MEMORY SCREENINGS for those who wish more in depth testing. Please call our Practice to arrange a complimentary consultation to learn more about the research findings.All it will COST is a little of your TIME but the KNOWLEDGE you receive may be PRICELESS! www.HoglundFamilyHearing.com/dementia-and-hearing-loss

To learn more aboutSenior Partners, CLICK HERE.Medicare covers home health services. Depending on the circumstances, Part A or Part B provides coverage. However, beneficiaries must meet eligibility criteria.Home health primarily involves helping a person receive care in their own home instead of the hospital when it is appropriate.In many cases, home health costs less and is just as effective as care that a person may otherwise receive in a skilled nursing facility (SNF) or hospital.For Medicare to pay for home healthcare, a Medicare-certified home health agency must provide the service. People who receive services from a noncertified home health agency will need to pay the costs out of pocket.In this article, we explain the coverage of home health services under Medicare.We may use a few terms in this piece that can be helpful to understand when selecting the best insurance plan:Deductible:This is an annual amount that a person must spend out of pocket within a certain time period before an insurer starts to fund their treatments.Coinsurance:This is a percentage of a treatment cost that a person will need to self-fund. For Medicare Part B, this comes to 20%.Copayment:This is a fixed dollar amount that an insured person pays when receiving certain treatments. For Medicare, this usually applies to prescription drugs.What home health services does Medicare cover?Medicare covers a variety of home health services for as long as it is reasonable and deemed necessary to treat an injury or illness.Medicarecoversup to 8 hours of care a day for a maximum of 28 hours a week. For some people, the insurance program pays for up to 35 hours a week of home health. Medicare assesses the need for 35 weekly hours of care on a case-by-case basis.Medicare covers the following services:Rehabilitation therapyRehabilitation services help an individual regain daily function and improve their ability to live independently every day.These services may include physical, occupational, and speech therapy.Medical supplies and equipmentMedicare Part B covers certain medical supplies that are necessary for home health services. A doctor must prescribe the equipment for Medicare to provide coverage.Medical supplies and equipment that Medicare covers may include:canesinfusion pumpswalkerswheelchairshospital bedsblood sugar testing strips and monitorsnebulizer equipmenttraction equipmentwound dressings and suppliesMedicare covers the cost of medical equipment for home use in a few different ways, depending on the type of supplies or equipment.For example, Medicare pays rental costs for certain types of equipment. Patients may choose to buy the equipment, in which case, Medicare also covers the cost.Medical social servicesThese services involve assistance from a social worker or counselor. They can help people deal with emotional issues that may be presenting barriers to recovery from an illness or injury.Skilled nursing careMedicare Part A also covers the provision of skilled nursing care through home health if it is intermittent or part-time.Intermittent nursing involves under8 hoursof care a day for 21 days or, in some circumstances, up to 35 days. It can also refer to nursing care that a person receives on fewer than 7 days of the week.Medicare does not cover skilled nursing care that requires more than 8 hours a day or is not intermittent.A registered nurse or licensed practical nurse must provide skilled nursing during home health services for Medicare to pay. Home health skilled nursing care may include:wound care and dressing changestube feedingsadministering intravenous (IV) drugseducation in disease managementHome health personal careHome health aides provide personal care, such as help dressing and bathing.Medicare only pays for a home health personal care aide when an individual also receives skilled nursing care or rehabilitation services through home health. Medicare does not cover home health personal care aides as a stand-alone service.

Personal medical alert products and home alarm systems activated by pushing a button.#listing_mgr{7 basic_search}#

The aging of the Baby Boomers coupled with an increase in life expectancy and decrease in birth rates means that older adults make up a larger percentage of the U.S. population than ever before.Additionally, the country continues to become a more diverse population across all measures. Every day 10,000 Baby Boomers turn 65 and with all of these changes come unique challenges to keeping America healthy.Adults aged 65 and older report a growing need for help with navigating their insurance, staying healthy and active, remaining socially engaged and staying mentally sharp [1]. Older adults of all backgrounds often have complex needs that require coordinated care. Providing coordinated care requires an interdisciplinary team tailored to each individuals needs.How can a team approach help you? An interdisciplinary care team can include: physicians, nurse practitioners, physician assistants, nurses, medical assistants, social workers, psychiatrists, medical directors, pharmacists, phlebotomist, outreach professionals, Medicare specialists, community outreach and social service providers, the consumer (you), family members, and caregivers. At Oak Street Health, we are rebuilding healthcare as it should be - which is why as an OakStreet Health patient, you have all of these care team members here to help meet your needs.Oak Street Health was designed to meet your needs through high-quality, affordable care in a community setting right in your neighborhood that provides special attention and engagement opportunities for all of patients. We pride ourselves in being more than just a doctors office. We are a team of families, friends, and loved ones here to meet your changing needs every step of the way. We have one-on-one counseling for insurance assistance to help navigate your Medicare benefits. We have care managers to help with your social needs and community rooms and community coordinators filled with activities and events to keep you social and active each day. Oak Street Health provides the unique care that you deserve to make sure you and your loved ones remain happy, healthy, and out of the hospital.Editors note: [1] Hagerty, John. (2016, November). AARP Research - 2016 AARP Member Opinion Survey. https://www.aarp.org/ research/topics/politics/info-2016/2016-member-opinion-survey.html. This article was submitted by Julia Clark MPH, PhD, and Director of Clinical Services - Oak Street Health. Oak Street Health can be reached at 844.496.8738 or you can visit their website at www.oakstreethealth.com to experience the Oak Street Health difference today.

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.

Why would we call arthritis the silent disease? Most people don't recognize the signs and symptoms of arthritis as they begin to get them. Arthritis is not an injury and does not happen overnight. Arthritis is actually part of the aging process, and while aging cannot be prevented, we can learn how to age gracefully.Based on 2010-2012 data from the National Health Interview survey an estimated 52.5 million, or 23% of adults, have been diagnosed with arthritis. Additionally, 23 million adults have some type of activity limitation.Its projected that by 2030 more than 67 million adults will be diagnosed with arthritis. Of those, 25 million will have activity limitations.So, what can be done?Obesity is a known risk factor for the development and progression of osteoarthritis. Mechanically speaking, body weight is a 1:4 ratio. This means that one pound of added body weight translates into four pounds of pressure in the knees and hips. Simply losing 10 pounds can relieve 40 pounds of pressure in the lower extremities.Did you know that obese adults are up to four times more likely to develop knee osteoarthritis? Reduction in body weight can be a significant healthy improvement in the lives of those with arthritis.Movement has been proven time and time again to benefit those with arthritis. Most people who have been diagnosed with arthritis report that they have no leisure time activities in their lives. That is considerably higher than those without arthritis.Those who suffer with arthritis also suffer from other diseases associated with inactivity, such as cardiovascular disease, diabetes, obesity and other limitations. Physical activity not only reduces the symptoms of arthritis, but lowers the risk of other conditions associated with low activity.Not surprisingly the CDC reports that arthritis is the number one disability in the United States. The most common reported disability is difficulty climbing a flight of stairs or walking three blocks. That means that 1 in 10 adults have trouble walking a distance comparable to walking from a parking lot to the back of a large store or strolling through the mall.The TOSH Arthritis Program is a multi-disciplinary program designed to help people with arthritis become more physically active and to help them better manage their arthritis symptoms. Simply put, if you have arthritis, we can help improve the quality of your life.Editors Note: this article was written by Dale Aguirre of the TOSH Arthritis Program. For more information or questions, please call the TOSH Arthritis Program at 801-314-2210.

Local Law Enforcement is alerting the public about the dramatic increase in grandparent scams being committed in communities across Southwest Florida. The grandparent, granny scam works like this: Someone claiming to be grandchild or other close family member contacts an individual claiming to be in trouble and in need of money. The caller will have information easily obtainable through public records found on the internet such as the grandchilds name, age, sex, address, etc. in order to convince you of their identity and make the story plausible. Often, another person will get on the phone claiming to be a bondsman, law enforcement officer, lawyer to validate the need for the money and to provide information on where and how to send the money. Subsequent calls may be made to verify that the money was sent and to extend a special thank you to Grandma.Because victims are embarrassed to come forward with personal experiences, it is difficult to know how many people in Florida have been victimized by this scam. However, accounts relating such occurrences are popping up daily in area newspapers. Criminals prey on Florida communities because they are filled with retirees who many times are physically separated from family and vulnerable to a call for help. Unfortunately, once the scam has been committed and money has changed hands, there is little law enforcement can do. These scammers are difficult to trace and prosecute.If you receive a call or an email from a grandchild or loved one asking for money, stop and think about the situation. Would my grandchild call me in Southwest Florida with a crisis like this? If you are unsure, do your homework. Before sending any money, check the story out. Contact relatives to verify the status and whereabouts of the caller. Get a phone number from the caller and indicate youll call back. If the caller refuses to supply a call back number, then its most likely a scam. Verify the address and phone number to the jail or hospital where your grandchild is supposedly located. Call that agency and verify that your grandchild is there. Contact local law enforcement to assist in locating your grandchild and investigating whether or not you are being victimized in a scam.If you feel you have been a victim of a grandparent scam, contact your local police department. Other sources of information and support is available by calling the Area Agency on Aging for Southwest Floridas Elder Helpline toll-free at 866-413-5337 or LEAPP (Lee Elder Abuse Prevention Partnership), a coalition of Lee County human service providers that promote awareness of elder abuse, neglect and exploitation made possible through a grant awarded to the Alvin A. Dubin Alzheimer's Resource Center by the National Committee for the Prevention of Elder Abuse. For more information about LEAPP call United Way 211. Every five seconds a person over the age of 60 is abused in some way in the United States. Please use care, caution and vigilance to guarantee prevent abuse and financial exploitation.This article was submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator, Area Agency on Aging for Southwest Florida 239-652-6900 x240, gregorym@elderaffairs.org.

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

As our population grows older, the importance of understanding and addressing the unique healthcare needs for the elderly is increasing.Thats why the Emergency Department at Physicians Regional- Collier Boulevard has developed their new Older Adult ER, the only one of its kind in Lee and Collier County. Knowing that an ER visit can be a stressful experience, especially for older adults, they have taken steps to help make them feel more at ease and comfortable. This includes physical enhancements such as: Private patient rooms Special beds with thick, soft mattresses Larger, easy to read clocks Softer lighting Soothing room colors Large and easy to operate remote for nurse call and TV Arm rest seating and recliners for family comfort Portable CD player offering 1940s hits geared for patients with dementiaThough not immediately apparent, another important step the ER has taken is having staff specially trained in caring for older adults. This means all ER staff and medical providers have completed at least ten hours of geriatric care education.In addition, the ER provides a 30-minutes-or-less Service Pledge where a patients time will be noted when they enter the emergency room, and a medical professional will work diligently to have them initially seen within 30 minutes or less of their noted arrival. This allows them to receive faster care and quickly gets them into a less noisy environment to avoid confusion and help induce calm. Each patient room is also enclosed with sliding glass doors that helps drown out hallway noise.The emergency room at Physicians Regional - Collier Boulevard has 18 private rooms, offers 24-hour care by board-certified physicians and is conveniently located in East Naples at 8300 Collier Blvd., Naples, FL. It is a Certified Primary Stroke Center and Accredited Chest Pain Center by the American College of Cardiology.

Aging in place becomes increasingly more important as your loved one ages and as their activities of daily living become more difficult. When this begins, home care is the best option. Finding a caregiver that fits your loved ones needs can seem like a daunting task. To know exactly what to look for in a caregiver, start with these steps. Know What You Need Before starting the search, you need to know what type of caregiver is right for your loved one.First, determine if medical or non-medical care is needed. Medical home care will typically be short-term, while non-medical home care usually is long-term. Then, make a list of activities that require caregiver assistance, and decide how many days a week a caregiver will be needed. Know Your Budget Next, determine your budget. What type of care you need, for how long, and how often will factor into how much home care will cost. In PA, medical home care can be provided by agencies out-of-pocket for $35- $45 an hour. Non-medical home care can be covered by long term care insurance policies, Veterans benefits, or the Medicaid program. However, out-of-pocket agency care costs around $25-$30 an hour. To cut down costs, you can hire an independent caregiver online with Caregogi.com which averages caregiver rates at $12-$15 an hour. Set a Schedule Create a schedule. Choose the days your loved will need help and schedule select hours during those days that a caregiver will be needed. Balance this schedule out with the time that your loved ones family and friends can provide. Interview and Hire Caregivers Using your decisions from the previous steps, caregivers should be selected by matching their qualities with your loved ones needs, budget, and schedule. If you are hiring an independent caregiver, Caregogi.com can help you find the right caregiver with its custom algorithm. After you have found several matches, set up interviews to determine which one is right for your loved one. If using an agency, a caregiver will be chosen for you and not your choice. Editors Note: This article was submitted by Julie Powell. Julie is the marketing/blog specialist with Caregogi and may be reached at 412-708-1000 or by email at info@caregogi.com.

Recently, the State of Colorado implemented new licensing regulations for home care providers providing services within the state. There are definite and defined distinctions between Home Health Care Agencies and Non-Medical Home Health Care Agencies. Below are definitions directly from the Colorado Department of Health's website:Home Care Agencies provide medical and non-medical care services in homes or alternative community settings. The Health Facilities and Emergency Medical Services Division is responsible for monitoring and evaluating the quality of health care services provided by licensed and certified home care agencies. Home care agencies provide a wide range of health and social services to persons recovering from an illness or injury, or persons who are disabled and/or chronically ill. They may provide medical services such as nursing, social services, and therapeutic treatments (physical, speech, occupational therapy). They also may provide non-medical services like help with bathing, dressing and eating.Non-Medical Home Care Agencies include two programs that can be certified by the Home and Community Based Services Medicaid waiver, specifically: In-Home Support Services and Personal Care Homemaker (IHSS). IHSS include attendant assistance with health maintenance activities, support for activities of daily living or instrumental activities of daily living and personal care and homemaker services. Medicaid-eligible clients direct, select and train their own attendants. A clients attendant is employed by the In-Home Support Services provider agency of the clients choice. Agencies provide independent living core services in the areas of cross-disability peer counseling, information and referral services, independent living skills training and individual and systems advocacy. Providers also must provide 24-hour back-up services and a health professional that will be responsible for the attendant training, including assistance with health maintenance activities and skilled nursing care. Personal care services are furnished to meet the clients non-medical physical, maintenance and supportive needs, including bathing, grooming, hygiene, and assistance with ambulation. As these services are non-medical, they do not need to be performed by a certified home health aide as an extension to care provided by a nurse or therapist. Homemaker services are provided to Medicaid-eligible clients when the individual ordinarily responsible for these activities is temporarily absent or unable to manage the household activities. These services include housecleaning, meal preparation and laundry. It is important to know the distinctions between these two services when making a decision for you or a loved one to find the right level of care for your needs. Editors Note: This article was submitted by Maria Deuth of In-Home Companion Care. She can be reached at 720-862-5656.

Non-Medical Home Care - In-home support services that focus on non-medical care on a daily, weekly or 24/7 basis. These services can include personal care, housekeeping, errands, respite care, meal preparation and social contact. Aids can be hired part-time or full-time, depending on the needs of the client. Most providers offer hourly rates with discounted rates for full days and overnights. These agencies are private pay, meaning the client pays out of pocket or through long-term care insurance.#listing_mgr{8 basic_search}#

NextFifty Initiative: Foundation Dedicated to Colorados Vulnerable and Under-Served Aging Population Has Been EstablishedThe new foundation is the recipient of the net proceeds of $196 million from the sale of InnovAge to private equity firm, Welsh, Carson, Anderson & Stowe. The conversion of the non-profit InnovAge to a for-profit entity was approved by Colorado Attorney General Cynthia Coffman on March 25, 2016. In addition to the initial net proceeds of the sale, NextFifty Initiative has the potential to receive an additional $8 million earn out in 2018, per the Attorney Generals conversion agreement.We are pleased to announce the formation of NextFifty Initiative, a foundation supporting senior care initiatives and programs for Colorados aging and aging-disabled citizens and their caregivers. This is an exciting development and we are honored to be in a position to help meet some of the needs of this important group of Colorado citizens, said Maureen Hanrahan, interim chair of the NextFifty transition advisory committee. The foundations name, NextFifty Initiative, establishes our intent to be on the forefront of new and expanded services to seniors. We believe that everyones next fifty years of life should be as vibrant as their first.Colorados senior population is expected to increase by 150 percent by 2030. With that statewide need in mind, NextFifty Initiative will work to fund advances and solutions to address the most challenging needs of aging. NextFifty Initiative will be dedicated to the aging community as a whole including the needs of low and moderate income persons and aging individuals with physical, cognitive, and/or behavioral disabilities.Experts on aging are supportive of the formation of this new foundation. In Colorado, we are proud to be among the nations healthiest states, reflecting our population as a whole. However when it comes to our oldest citizens we have considerable room for improvement to preserve this enviable reputation. With its bold agenda, the NextFifty Initiative will help position our state to be able to boast about our commitment to ensuring good health for our older adults, said Eric Coleman, MD, division head of health care policy and research, University of Colorado Anschutz Medical Campus.Eileen Doherty, executive director of the Colorado Gerontological Society, also commented on the new foundation. As people age and live longer, the critical needs of the aging population increases. For example, low-income housing for seniors is in short supply, and will only continue to get smaller, noted Doherty. In order to provide the right housing, support and services for Colorado seniors, and to ensure they have access to the resources they need to live their day to day lives, additional funding is crucial. NextFifty will be an important player on helping to meet the needs of seniors.The foundations first priorities include recruitment of qualified board members representing multiple Colorado constituencies, recruiting and hiring a visionary and experienced CEO, and establishing the necessary operational infrastructure to begin grant making in 2017, according to Hanrahan. Community members interested in getting involved or applying to serve on the board may contact NextFifty Initiative atinfo@next50initiative.org or by visiting next50initiative.org.

Sean moved to the US as a teenager and has always struggled to keep tabs on his grandparents from afar. With the onset of COVID-19 exacerbating the situation, he struck inspiration and found the perfect solution for his problem.Most adult Americans dont live with their elders and have busy lifestyles. To check in, they call, text, and visit when they can. But much is often left unsaid. Seniors may not want to cause worry or may be unaware of their own health status. This lack of information causes anxiety for the children, and health risks for the seniors.Sean grew up in China and was very close to his grandparents. From early on, Grandma Ping was keen on getting Sean exposed to music. When Sean was a little boy, Grandpa Ming used to have him at the back of his bike and Grandma would ride alongside them to attend piano lessons.Since moving to Chicago, staying in contact has always been a challenge. Now that his family is half way across the globe, the time difference is almost complete opposite. Many times when Sean misses his grandparents and wants to check in, 2pm CT means its 3am in China.Seeing that current smartwatches only give users insights on their own health, Sean had the inspiration to create one which transfers that information to family members. Given his background in Engineering and now a grad student at the University of Chicago, Sean quickly formed a group of classmates who believed in the mission. Together, they developed PING, a senior-centric smartwatch that captures key vitals of the user and makes the information accessible to their family in real-time. Some of the measurements include pulse, blood pressure, blood oxygen, and temperature.The design of the watch is light and with a Velcro strap, the user can easily put on or take off the device. The display features larger buttons, texts, and a much simpler set of operations including medication reminders and notifications like calls and texts. PINGs solution enables seniors to better understand and manage their well-being. For family caregivers, they are empowered with critical information of their loved ones and the peace of mind no matter where they are.

You may find yourself in a situation where you need to find a senior living community and it feels overwhelming. With over 485 Assisted Living options in the Denver area, it is challenging to know where to start.Do you wish you had someone with experience walking beside you through this journey? Someone that can narrow down your search and offer insight that is relevant to your situation?The Greater Denver Placement and Referral Alliance (GDPRA) was created in 2018 to educate the public about Professional Placement Agents. Even though placement agents have been around for over 15 years, many families do not know this service exists. Experts specialize in helping families find appropriate senior living options. GDPRA agents provide hands-on assistance for your unique situation. The agent members adhere to Best Practices and a code of ethics. Working with a GDPRA agent offers peace of mind.You may worry that using an expert will be expensive. The good news is that a placement agent is typically compensated by selected communities. Therefore, placement agents do not generally charge a fee.What to look for in a local professional placement agent?An agent who meets with you and/or your loved one in-personAssesses your care needs, budget, location, and social needsVets the quality of care for communitiesWalks beside you through the entire processThe benefits of using a local placement agent:Determines what are your best optionsAlleviates the stress of making dozens of phone calls to communities that dont fit your needsSaves you time by touring with you and helping ask the right questionsActs as a neutral party during the decision makingHelps with a smoother transition by connecting you with local resourcesIf you start your search online, what you may find:An online agent, who may or may not be local, will contact youYou will be contacted by a dozen communities who may or may not be a good fit financially or meet your care needsOnline referral agent may not have vetted or visited communitiesYou are required to do the leg work without a neutral partyYour contact information may be soldWe understand that organizing the search for senior living can take a considerable amount of time and research. Local agents are available to save you time and relieve the pressure.If you would like to work with a local GDPRA Placement Agent, please contact denver@npralliance.org or Cindy Koch, GDPRA President at 720-390-1383.

Nobody wants to go to the hospital, but sometimes you have to. Thats why its a good idea to prepare by doing your homework.Plan aheadMost people dont have a conversation with their physician about hospitals until it is time for an admission. I advise people to have that conversation early, says Rick Wade, senior vice president for communications at the American Hospital Association. Ask what hospitals your doctor practices at, and why, he says.If you know you will be having a particular procedure, You can ask your doctor which hospitals are best in your area, suggests Patrick Roney, M.D., physician at an Erickson community.Interview the hospitalCall or visit the hospitals you are interested in using, and Dont be afraid to ask questions, says Wade. Hospitals appreciate patients who are highly aware and involved in their care.Make a list of questions to ask the hospital. Depending on what is most important to you, some valuable questions might include: Does the hospital provide short-term rehabilitation or home health care services after your stay? If there is any concern about the quality of care, who do you call? Is it possible to have a family member stay overnight in your room with you?Avoid an infectionIts always important to be aware of infection in the hospital. You should avoid letting anyone give you an intravenous injection without putting on gloves.Also, Dont be bashful about asking people to take precautions. If someone comes in your room, point them to the sink. When your friends or family come to visit, tell them to wash their hands, says Wade.Check your chartBecause your current medications and allergies may not be accurate in the hospitals record, Wade recommends you, Become familiar with your medical record, particularly what medications you are on and what allergies you have. Take that information with you when you go to the hospital. If a friend or family member goes with you, make sure they know these things too.Also make sure your blood type is listed correctly, says Roney. If you have any problem with anesthesia, make sure it is listed in your chart too.Use these tips from the experts, and your next hospital visit is sure to be a smarter one.Editors note: This information was provided by Cedar Crest, an Erickson community in Pompton Plains, New Jersey, that offers independent living in a full-service retirement community. Renaissance Gardens, the health care neighborhood at Cedar Crest, provides Respite Care, Short-Term Rehabilitation, Assisted Living, and Long-Term Care to people living inside and outside Cedar Crest. For more information, contact the Health Care Counselor at Renaissance Gardens by calling 973-831-3755.

Studies have shown that people would rather give than receive. By utilizing specific gifting strategies, not only can you make yourself feel better, you may also reap additional tax savings! Below is a list of tax benefits as well as charitable gifting options.Tax BenefitsCan be gift tax-free In 2021, taxpayers can gift $15,000 per beneficiary without filing a gift tax return and without paying any gift tax. In addition, annual contributions of up to $15,000 can be made to 529 savings plans tax-free as well as potentially qualifying for a state income tax deduction.Reduces your gross estate By gifting assets to other individuals, you can reduce your gross estate and, therefore, the amount of your estate that may be subject to the federal estate tax. This tax is imposed on gross estates exceeding $11.7 million in 2021, and the exemption is effectively reduced by any past gifts made in excess of the annual exclusion. Additionally, gifts ensure that any future appreciation occurs outside of your estate.Shifts income to a lower bracket Transferring high income producing assets to someone in a lower tax bracket than yourself not only benefits them, it also removes this amount from your income tax return. Depending on disparity between your two tax brackets, a great deal of tax savings can be had and the recipient will receive more of that income.Reduces AGI Adjusted Gross Income (AGI), the last number on the first page of the 1040, is one of the more important numbers on a tax return. By gifting income-producing assets and removing those monies from your tax return, you can reduce your AGI and therefore decrease the thresholds for certain itemized deductions.Charitable Giving OptionsOutright Gifts This encompasses a direct donation of cash or property and the taxpayer receives a deduction based on the classification of the charity, the property involved, and the taxpayers AGI.Qualified Charitable Distribution (QCD) QCDs are direct transfers from an IRA to a charity and can act as an alternative option for Required Minimum Distributions (RMDs). QCDs are simply omitted from taxable income. Taxpayers over age 70 can utilize QCDs up to $100,000 per year.Editors Note: This article was submitted by Erin Weber. Erin is a Financial Advisor with The Weber Group at Hefren-Tillotson. She may be reached at 412-633-1671 or Erin.Weber@hefren.com.

Older adults sustain injuries in and around their homes every year. The U.S. Consumer Product Safety Commission (CPSC) estimates that on average 1.4 million people aged 65 and older are treated in hospital emergency rooms each year for injuries associated with consumer products.Falls in and around the home are a top cause of injuries to older citizens. The rate of injury is the highest for people 75 years of age and older. Many of these and other injuries result from hazards that are easy to overlook, but also easy to fix. By spotting these hazards and taking simple steps to correct them, you can prevent injuries to yourself or visitors to your home.Begin making your home safe by going through your home room-to-room. Make sure hallways and walkways are clear and free of obstacles. Remove throw rugs and runners.If you have stairs in your home, make sure there is at least one hand rail. Two rails are ideal. Check to make sure they are anchored and can support weight.Ensure you have adequate and reachable lighting in every area of your home. Consider changing your bulbs to new energy efficient lighting.Check to make sure that items you use regularly are within reach of your bed or chair. If you need to reach something, its best to avoid the need to climb or stand on objects.Make sure you have working smoke detectors and carbon monoxide sensors. Keep an easy-to-use fire extinguisher in an accessible place.It may be a good time to install a grab bar in your bathroom next to the toilet or in the bathtub. A riser or frame over your toilet makes it higher and easier to get on and off. Would a shower bench or chair in your bathtub make it easier to bathe? Hand-held shower heads are easy to install. Non-skid mats or decals in the shower/tub prevent the chance of falls.And finally, make sure you have a phone within easy access at all times in case you ever need to contact emergency services.Editors Note: This article was submitted by Janel Wangsvick-Lane, OTR/L , Director of Therapy Services and Occupational Therapist for Community Nursing Services. She may be reached at 801-233-6100 or by email at janel.wangsvick-lane@cns-cares.org

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

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.

The Senior Friendship Health Center (SFHC) was established in Collier County in 1985 to serve the medical and dental needs of low-income older adults.Our patients are age 50+ who live at 200% or less of the Federal Poverty level, thereby living on less than $24,120 per year. Our center provides care to patients that have very few places to turn for services after they pay for housing, food, or transportation. Our medical and dental providers are retired volunteers in their specialized field and embrace the belief that all people should have the dignity and quality of life throughout the journey of aging.Most of our patients come to us in a state of decline, unable to maintain good health and general wellness. Diabetes, hypertension, COPD, congestive heart failure and obesity are common conditions among our patients. Many arrive in crisis, dependent on costly emergency room care and unable to manage rising health care and medication costs. While we do not offer chronic pain management, but we are here to help with a broad array of other specialized services.Each year over 2,000 patient visits, lives are changed, cancers are detected, smiles are returned and hope is restored for adults 50 and older in Collier County. We are not a walk-in clinic, but we offer a Continuum of Care, simply put, we help patients get their healthand their lives back on track.Editors Note: For more information visit us online at seniorfriendshiphealthcenter.org or call us 239.566.7425. The clinic is lcoated at 2355 Stanford Court, #701, Naples, FL 34112.

Want to Stay in Place? - Typically, the home is one of your largest assets. It is often overlooked when seeking ways to fund retirement. I will help you determine if a Reverse Mortgage will enhance your retirement. For many retirees it provides both financial security and peace of mind. It is a safe and proven way to generate additional cash flow and financial flexibility utilizing the value youve built up in your home.Want to Move? - If you dream about moving then you owe it to yourself to learn about using Reverse Mortgage to buy your next home. You can increase your purchasing power, preserve a large portion of your life savings and eliminate monthly mortgage payments.Im local and will walk you through a free, no obligation review to help you determine which product option best meets your goals and needs.Editors Note: This article was submitted by Jan Jordan, Reverse Mortgage Loan Officer, NMLS 543249. Jan works for Retirement Funding Solutions, NMLS 1025894 and may be reached at 970-646-8908 or by email at: jjordan@rfslends.com

The aging of the Baby Boomers coupled with an increase in life expectancy and decrease in birth rates means that older adults make up a larger percentage of the U.S. population than ever before.Additionally, the country continues to become a more diverse population across all measures. Every day 10,000 Baby Boomers turn 65 and with all of these changes come unique challenges to keeping America healthy.Adults aged 65 and older report a growing need for help with navigating their insurance, staying healthy and active, remaining socially engaged and staying mentally sharp [1]. Older adults of all backgrounds often have complex needs that require coordinated care. Providing coordinated care requires an interdisciplinary team tailored to each individuals needs.How can a team approach help you? An interdisciplinary care team can include: physicians, nurse practitioners, physician assistants, nurses, medical assistants, social workers, psychiatrists, medical directors, pharmacists, phlebotomists, outreach professionals, Medicare specialists, community outreach and social service providers, the consumer (you), family members, and caregivers. At Oak Street Health, we are rebuilding healthcare as it should be - which is why as an Oak Street Health patient, you have all of these care team members here to help meet your needs.Oak Street Health was designed to meet your needs through high-quality, affordable care in a community setting right in your neighborhood that provides special attention and engagement opportunities for all of patients. We pride ourselves in being more than just a doctors office. We are a team of families, friends, and loved ones here to meet your changing needs every step of the way. We have one-on-one counseling for insurance assistance to help navigate your Medicare benefits. We have care managers to help with your social needs and community rooms and community coordinators filled with activities and events to keep you social and active each day.Oak Street Health provides the unique care that you deserve to make sure you and your loved ones remain happy, healthy, and out of the hospital.Editors note: [1] Hagerty, John. (2016, November). AARP Research - 2016 AARP Member Opinion Survey. https://www.aarp.org/research/topics/politics/info-2016/2016-member-opinion-survey.html. This article was submitted by Julia Clark MPH, PhD, and Director of Clinical Services - Oak Street Health. Oak Street Health can be reached at 844.496.8738 or you can visit their website at www.oakstreethealth.com to experience the Oak Street Health difference today.

The final chapter of our lives can be filled with difficult and emotional decisions. A rapid decline in health or an emergency can prompt family members and health care professionals to have to make critical end-of-life care choices. Our personal intentions can get lost during these often-hurried situations.According to a survey conducted by The Conversation Project, 90 percent of Americans believe talking about end-of-life care with loved ones is important, yet 27 percent of individuals have actually done so.Starting a conversation about end-of-life care in advance can help ensure that your intentions are respected and carried out, says Barbara Goll, B.S., Community Education Liaison at Homeland at Home. Beginning the conversation may not be easy, but it can bring you and your family peace of mind.When you are ready to start the conversation, consider these ten tips:1. Plan a good time to speak with your family. Potential opportunities include: o A family gathering like a holiday.o Before you or your family members take a trip or will be separated for a period of time.o Prior to a serious medical procedure.2. Decide who you want to be part of the conversation. This might include close friends, a spiritual leader and/or health care professionals, including hospice support.3. Choose a setting that ensures you and your family members are comfortable.4. Think about ice breakers or ways to start the conversation, such as: o My health is good right now, but I want to be prepared for whatever may happen in the future.o Ive been thinking about how _______ died and it has me thinking about what I want.5. Start the conversation slowly and allow time for feedback from your family. You dont need to cover every detail at one time.6. None of your decisions are final at this stage. The start of the conversation is a springboard for future communication.7. Discuss hospice services to support you and your loved ones with difficult decisions, challenges and frustrations that may arise.8. Set a date in the future to revisit this conversation as your life circumstances may change.9. Encourage your loved ones to document their end-of-life wishes.10. Dont get frustrated if some family members arent receptive. Keep up the effort until you feel your personal intensions will be met.Think of hospice as a resource for you and your family, Goll says. At Homeland Hospice, we work to bring you peace of mind for your end-of-life journey._________________________________________Editors Note: This article was contributed by Wendy Shumaker, Asst. Director of Marketing for Homeland Hospice, HomeHealth and HomeCare. Content for this article was sourced from The Conversation Project National Survey 2013.

Remember the day you got your license to drive? Your first car and the freedom that came with it? Now consider a day in the future when you license is restricted or revoked and you can no longer drive. The freedom to go where you choose, when you choose is gone. Losing your license or choosing not to drive is a loss of freedom. It is confusing and isolating.This very difficult transition happens to members of our senior community every day. ITN Sarasota was established to restore freedom and dignity to Sarasotas seniors and to the visually impaired.ITN Sarasota is a membership based organization and we have been providing rides in Sarasota County for over two years. We currently have 160 members, many of them driving with us weekly, some on a daily basis. We exist to try to restore freedom and make life better for seniors who dont drive. Our service transports seniors over 60 and visually impaired adults 24/7 anywhere they want to go.Last year, from July to June, we made 4,000 one way trips in Sarasota County. 1,000 were for medical appointments. Our members pay a $50 individual membership fee and then a $3.00 fee for each ride and $2.00 per mile.Is it fair to assume that you will drive somewhere today? In your car alone or with a friend? Perhaps you will run errands after that, or stop to see a friend or relative?Now imagine what it would be like to have to rely on other people indefinitely. And for necessitie like groceries or medication. ITN Sarasota can fill these needs as well as drive member riders to lunch, to dinner, and to the theater.We rely on volunteers; in fact this model would not work without them. The inherent costs of driving, such as insurance and maintaining our small fleet of 4 cars is difficult for us to afford. We exist on grants from the Community Foundation of Sarasota, Publix, SunTrust, and support from the Gulf Coast Community Foun-dation and Bank of America. We have a dispatcher that coordinates the rides from our office. Members call in to schedule the ride and she coordinates with volunteers and paid drivers based on their availability. We get calls every day for membership. We have 30 active volunteers and we always need more!Our members live in penthouses on the Keysand we have a scholarship program for the low income. The loss of mobility affects seniors of every income.One rider has dialysis three times a week and has to be there at 6:00 am. We pick him up on LBK at 5:45 am. There was no other service that could provide what ITN Sarasota provides.If you are interested in volunteering to drive or more information concerning our service, please contact Caroline Chambliss at 364-7529.

I have been featuring articles focusing on the scams and exploitation tactics that have been targeted at seniors in Southwest Florida. Sadly, however, statistics show that seniors continue to be victimized at an alarming rate. Please take steps to protect yourself before you are a victim. Be careful, informed and prepared!Be aware that you are at risk from strangers and those closest to you. Over 90% of all reported elder exploitation is committed by family members. Sadly enough, most often children and grandchildren are the culprits of financial deception. Common tactics are to deplete joint checking accounts, promising and not delivering care in exchange for monetary compensation or property, and outright stealing right under the victims nose. Surround yourself with trusted, ensured, bonded, experienced professionals that can provide you with information and security. When dealing with home repair or service providers, check theFlorida Department of Professional Regulation to verify appropriate licensing.Never purchase anything from someone who calls or visits without being invited. This is especially true when dealing with charitable organizations. If you are interested in the product or wish to know more about the charity, invite the solicitor to send you material that you can examine at your convenience. Legitimate companies and charitable organizations will never pressure you for money. Remember, you are in control!Shred, Shred, Shred. Identity theft is a profitable business for crooks. Monitor your bank and credit card statements and report any discrepancies immediately to your financial institution.Don't give any personal information over the phone unless you initiated the call. Legitimate businesses and agencies will not call you asking for your personal information over the phone or email.Sign up for the Do Not Call List. Visit www.donotcall.gov, or call toll-free 1-888-382-1222 from the phone you wish to register to stop telemarketers from calling you. This service is sponsored by the Federal Trade Commission. Remember to register both your home and cell phones.If you suspect financial exploitation or a potential scam, report it to local law enforcement immediately. LEAPP (Lee Elder Abuse Prevention Partnership) is a local coalition advocating against elder abuse and exploitation. To learn more about LEAPP, contact United Way 211. For more information on assistance for seniors, contact the Elder Helpline toll-free at 1-866-413-5337.Editors Note: This article was submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator, Seniorchoices for Southwest Florida, Inc. Elder Helpline 1-866-413-5337.

A couple months ago, Ray Andrus retired from decades of working for big names in construction. Now he's doing smaller projects for people he's never met and it may be some of the most rewarding work he's ever done."We all need to help each other and perhaps the best help we can give is to those who need the help the most," he said.Andrus, 69, recently responded to a newspaper article asking for volunteers to perform odd jobs at the homes of the elderly and disabled in Davis County. He has committed 20 hours each week to fixing minor electrical problems or leaky faucets, digging up broken sprinklers, replacing light bulbs and getting caught up in a friendly conversation or two.Andrus' commitment was a huge boon to the Do Unto Others program that Rocky Mountain Care Foundation launched this summer. An earlier countywide assessment had revealed large gaps in the services available to the two populations and Rocky Mountain's Dede Fluette was excited to get something started.She had previously worked for similar programs in neighboring counties and continues to be shocked that "someone pays me to do this we just do good deeds and nice things for people."Fluette feels the elderly generation deserves star treatment."They are the most vulnerable and the most deserving population," she said. "It's not like you can say to an 85-year-old woman 'go get a job.' They've kind of put in their time and if we can help them, then that's great."The same is true for the disabled population the program assists, Fluette said."I don't think that just because they can't get up on the roof and fix a swamp cooler that they can't live independently in their own home," she said.The Do Unto Others program in Davis County has a few requirements. Beneficiaries must be living at 150 percent of the federal poverty level, be 60 or older or living with a disability, own their home and live within the boundaries of Davis County. The program teams up carefully screened and experienced volunteers to help with minor home repairs and limited seasonal yard maintenance.For more information contact Rocky Mountain Care Foundation at 801-397-4160Editors Note: This article was submitted by Dede Fluette of the Rocky Mountain Care Foundation. For More information contact 801-397-4160.

Many seniors and their families tend to put off the decision to look into the possibility of moving into a senior living community. The process can seem overwhelming, triggering anxieties about loss of independence, affordability, change of lifestyleand, in the near term, the difficult logistics of moving.There are many more senior living options available today than there were even a decade ago. More than ever, there is a focus on personalizing the living experience for every resident. Lifestyle options are tailored to individual needs and preferences, so residents can choose from the many services and amenities available to them.The ideal time to begin to look is at least six months to a year before the move will become necessary. Waiting until your loved one is in urgent need of regular care may narrow your choices.How can you tell when seniors might be ready for the services of a senior living community? Look for these signs.Depression or low mood. Do you observe a lower activity level? Are they seeing friends and partaking in activities they have loved for years?Loss of mobility. Are they having difficulty moving around their home, or going up and down stairs? Having trouble walking or being unsteady on their feet not only limits mobility but also puts them at risk for falls.Changes in routine. Do they show less interest daily routines such as cooking and cleaning? Illness or mobility issues could be keeping them from maintaining their usual routines. Are they taking care of themselves physically? Look to see if they are keeping up with basic daily routines such as bathing, brushing teeth and wearing clean clothes.Personality changes. Are you noticing different attitudes and habits? Memory loss, difficulty in performing familiar tasks, poor judgment, misplacing items, disorientation, rapid mood swings, increased apathy or passiveness are all early warning signs of Alzheimers. A doctors evaluation can help determine the cause and treatment for these symptoms.Editors Note: This article was submitted by Mimi Tapia-Bowie at The Village at Stonebridge. She may be reached at 972-542-9100.

What does it mean to be home? Is it a location? Is it the cozy feeling when you walk in to a warm house on a cold day? Is it who you are with? Or is it a combination of many factors? As proponents of home care, it is imperative that we recognize the aspects of what people define as home and their personal priorities in their dwellings. I was recently in the home of a client of mine, and her husband verbalized how the caregiver who was helping his wife liked to clean the kitchen floor right before she left in the afternoon, but that he and his wife liked their house fully clean first thing in the morning in case they had unexpected company that day. Home care today encompasses many thingsfrom cleaning a clients home the way they like, to skilled care in the home that would have taken place in a hospital not that long ago. Studies have shown and many of us have firsthand experience of the benefits of recovering, healing or just maintaining ourselves in a supportive home environment. Clients can be around their own belongings, furnishings, family members, and pets which promotes a sense of security and safety and can decrease the stress on the client and family. With less stress comes increased health and wellness as well as a sense of control of their situation. Perhaps their diagnoses is out of their control, but if they are in their own environment, they potentially could feel better in general about where they are in life. As home care workers, lets be mindful of where we are and who we are with when we step over the threshold into another persons home, and treat it and them as we would like to be treated. What a privilege to help people at home!Editors Note: This article was submitted by PeopleCare Health Services. A member of our team can be reached at 719.275.2575 or by email at OfficeSouth@PeopleCareHS.com.

As our loved ones age, their health and well-being become paramount concerns. The complexities of managing their care, medical needs, and overall quality of life can be overwhelming for both seniors and their families. This is where the indispensable role of a geriatric care manager comes into play. Assisted Living Locators of North Pittsburgh understands the critical importance of these professionals in ensuring comprehensive and tailored care for seniors. In this article, we delve into the significant contributions of geriatric care managers and how they can make a positive impact on the lives of seniors and their families.The Multifaceted Role of a Geriatric Care Manager:A geriatric care manager is a seasoned professional with specialized training in gerontology, social work, nursing, or related fields. Their primary role is to act as a liaison between seniors, their families, and various healthcare providers, ensuring that the senior's needs are met holistically.Comprehensive Assessments:Geriatric care managers conduct thorough assessments of a senior's physical, emotional, and social well-being. By analyzing these aspects comprehensively, they create a personalized care plan that addresses the senior's unique needs and preferences.Expert Guidance:Navigating the intricate landscape of senior care services and resources can be daunting. Geriatric care managers serve as knowledgeable guides, offering insights into suitable care options, assisted living facilities, medical professionals, and more.Care Coordination:The coordination of medical appointments, therapies, and day-to-day care can become challenging as a senior's needs evolve. Geriatric care managers ensure seamless communication between various healthcare providers, streamlining the care process.Emotional Support:Geriatric care managers understand the emotional toll that aging can take on both seniors and their families. They provide compassionate emotional support and offer coping strategies for the inevitable transitions and changes that come with aging.Crisis Management:During emergencies or sudden changes in health, geriatric care managers act swiftly to address the situation. Their expertise helps mitigate crises and make informed decisions in high-stress situations.Advocacy:Advocacy is a crucial aspect of a geriatric care manager's role. They represent the senior's best interests, ensuring that they receive appropriate care, treatment, and support.The Assisted Living Locators Advantage:At Assisted Living Locators of North Pittsburgh, we recognize that geriatric care managers play an integral role in enhancing the lives of seniors and their families. Our team includes dedicated geriatric care managers who collaborate with families to create personalized care plans that prioritize the well-being of their loved ones. Here's how our approach sets us apart:Personalized Care: Our geriatric care managers take the time to understand each senior's unique needs and preferences, tailoring care plans accordingly.Vast Network: Leveraging our extensive network of trusted senior care providers, we connect families with the best possible resources, from medical professionals to assisted living facilities.Continued Support: We provide ongoing support, assisting families in navigating changes, adjustments, and any challenges that arise as a senior's care needs evolve.Geriatric care managers are invaluable allies in the journey of aging, offering expert guidance, compassionate support, and holistic care solutions. Assisted Living Locators of North Pittsburgh is proud to have a team of dedicated geriatric care managers who are committed to enhancing the lives of seniors and their families. Together, we strive to ensure that every senior receives the comprehensive care and support they deserve.

To learn more about Harmony Home Health and Hospice,CLICK HERE.This season of holiday celebrations is an excellent chance to engage in time-honored traditions with loved ones and friends, but lets be honest: its often also a time for overindulgence in unhealthy eating. With a wide range of sugary, fatty, and rich special treats to choose from at every turn, its hard to follow a nutritious diet, which can result in serious health problems for those with diabetes.Thesediabetic diet recommendations, however, can help individuals stay safe during the holiday season without being deprived of special treats. Be sure to first talk with the doctor for his or her approval on any meal choices that digress from an approved meal plan.Determine your preferences.Consider choices during a holiday meal, and select your favorite two carbs to enjoy. For instance, decide if you would rather have stuffing or rolls, or choose between mashed potatoes and sweet potatoes, rather than indulging in all of the food choices.Provide your own.When attending a holiday event at someones residence, speak with the host concerning your dietary restrictions, and offer to bring a nutritious dish to share, such as a tray of vegetables or a sugar-free dessert.Have a healthy snack first.Eating a healthy snack before the holiday meal will help keep blood sugar levels consistent and aid in preventing the temptation to go overboard. Good snack options for people with diabetes include nuts, veggies and hummus, celery with peanut butter, string or cottage cheese, or an egg.Stay hydrated.Drinking a glass of water before sitting down to the meal will provide you with a feeling of fullness, lowering the chance that youll be tempted to overindulge.Stay physically active.Following a heavy meal, resist the urge to sink into the recliner and watch television or nap; instead, offer to help with cleaning up the kitchen, play an active game with the kids, or take a walk in the crisp fall air.If in spite of these tactics you end up eating too much or making less-than-healthy choices, be kind and forgiving to yourself. Keep in mind that tomorrow is a new day to resume healthy habits again. Pay attention to your blood sugar to make sure levels stay in the appropriate range and to prevent the potential for a serious problem, such as diabetic ketoacidosis, which could cause a hospitalization and most definitely put a damper on the holiday fun.

What is the most significant change youve seen in your industry over the past year?With advancements in technology, audiology and hearing aids can now be offered as a fully mobile service. From the initial consultation, testing, diagnose to treatment, Doctors Hearing can fully take care of a patient in the comfort of their own home.What about further in the future?Treatment for tinnitus (ringing in the ears) has significantly advanced over the last 10 years. Previously, patients were told, I am sorry, but there is nothing we can do for you. You will just have to learn to live with the ringing. Current tinnitus treatments are highly effective in reducing ringing in the ears. However, I am excited to see what the next 10 years hold for advancements in tinnitus treatment.What are three key challenges your industry is facing?The three key problems facing Audiology, in SWFL, can be summed up in one phrase, Sales, sales, sales! Unfortunately, just about on every corner and even in big box stores, hearing aids have sadly turned into a retail industry. Since when do people shop for medical treatment in retail? And most patients are not informed that there is a difference. In fact, in Collier County I could count on one hand the number of Doctors of Audiology. Yet to most outside of the field, it looks like there are dozens of medical professionals. In reality, there are dozens of sales people. My advice to patients searching for proper medical care is to look at the credentials and work with a Doctor of Audiology. Just like a dentist is the doctor to see when one has problems with teeth, a Doctor of Audiology is the professional to see when one has problems with hearing loss, tinnitus or balance.What is your superpower? What strength or talent that has contributed most to your success?I worked in private practices in Naples for 7 years before opening my own practice. I would hear the same complaints from patients over and over, I cannot driveI do not have transportation until next week The office is so far away In SWFL there is a demand for aging in place. Many older adults want to keep their independence for as long as possible. In opening my practice, I knew that I wanted to meet this previously unserved need.Editors Note: This article was submitted by Doctors Hearing, Dr. Ann Rasmussen.

Hello. My name is Cathy Carl and both of my parents reside at Arden Courts of Lely Palms in Naples, FL. What makes my situation unique is that my parents divorced when I was in high school and now their dementia has brought them back together again!In 2010, Mom and I researched facilities in the Cleveland area for my stepfather who had Alzheimers disease. We settled on Arden Courts in Bainbridge, Oh. My stepfather was a resident there for two years before he passed away in November of 2012, one week before his 92nd birthday. He was able to stay at Arden Courts, with the help of Hospice, to the very end of his life.Fast forward to 2014. With Moms health now beginning to decline, my husband and I knew that we needed for her to live closer to us. Once again, I found myself touring facilities, but this time in southwest Florida. We visited many nice places, but based upon our wonderful experience with Arden Courts up north, we decided that Arden Courts of Lely Palms in Naples was the best place for Mom and she became a full-time resident in February of 2015.Little did we know that only nine months later we would be making arrangements for my dad to move into Arden Courts as well. Having accompanied me on numerous occasions to visit Mom and taking advantage of Arden Courts day program, Dad had grown very comfortable with the staff and surroundings at Arden Courts and looked forward to participating in the many activities they have to offer. This made for a smooth transition when Dad became a full-time resident in November of 2015.What I most LOVE about Arden Courts, and experienced in both OH and FL, is the atmosphere of caring! Every staff person at Arden Courts is professionally trained in working with dementia or memory impaired patients. Their expertise is evident in every department from the front office staff, to the programmers, the caregivers, the nurses, the kitchen staff and even maintenance. In my opinion, another distinctive that sets Arden Courts apart is the 10 hours of daily planned activities for the residents, seven days a week. These activities range from exercises to trivia games, Bingo, animal therapy, Bible study, Communion, snacks, singing, movies, live entertainers, field trips and holiday celebrations.In addition to all that Arden Courts offers their residents, Arden Courts provides families like us with endless resources. I now have the peace-of-mind of knowing that my parents are safe and in good hands if I need to be away for a period of time.I would be remiss to not mention the good Lords hand in ordaining all of the details of our lives, including leading us to Arden Courts, and for that, we are most grateful!

For More Information on the Author Paul Andrews, ERA Advantage Reality, CLICK HERE!This month Charlotte County will celebrate its centennial anniversary. What a difference a century makes!Southwest Florida has been inhabited for thousands of years, first by indigenous people and Seminole Indians, and later by European explorers, fisherman, pioneers, homesteaders and cattlemen. Still, it wasnt until the early 1900s that modern development began.The Boom YearsCharlotte County itself was created in 1921 when it was carved out of Desoto County. Real estate developers began to attract people from the North during the brief land boom of the 1920s. Railroads helped develop industry and tourism, and by mid-century vacationers flocked to our area to enjoy fishing, boating and nature. Ultimately, air conditioning changed life dramatically in Florida, and the thriving Charlotte County we know today began to take shape.Charlotte County TodayTodays homebuyers share the same dream as many of Charlotte Countys early settlers: natural beauty, economic opportunity, and a refuge from cold, overcrowded city life. Sadly, $6,000 wont buy a single-family home the way it did in 1921, but the dream of home ownership is still within reach if you have the right guide.Todays medium home price is $275,000, but its lack of inventory that is driving the local market. As potential sellers ride out the pandemic, inventory has plunged to a scant 1.3-month supply, down 67.5% year-over-year. Fewer options continue to drive higher prices and quick sales for those who decide to downsize or cash out. If you have a house or property that you been thinking about selling, now is the time. Give me a call!For buyers, preparation and decisiveness are key. Buyers need to be pre-approved, know what they want and be prepared to make a quick offer when they find it. The good news is that interest rates remain historically low in the 3% range. New construction in Punta Gorda and Port Charlotte also promises to bring fresh options to a constricted market.Looking ForwardSouthwest Florida isnt the rugged outpost it was a century ago, but much of its wild beauty remains in pristine beaches, coastal marshes and inland waterways, attracting a throng of new inhabitants to our little slice of paradise.As a longtime Charlotte County resident, Ive witnessed much growth and change over the years and join my fellow citizens in honoring its centennial celebration.The dream of homeownership is as palpable as it was 100 years ago. If your housing needs have changed and youre ready for anewhappily ever after, it would be my honor to help make your dream a reality.

When seeking services that will help seniors stay in their own homes, it can often be overwhelming learning about the types of services available. The first consideration is the senior is having difficulty traveling outside of the home. The second consideration is usually the family support may also be strained for time, resources, and availability.Fortunately, the internet age has made arguably one of the most important types of support (nutrition and home supplies) easier and more affordable than ever to obtain. The senior and the caregiver support system are both relieved of the burden of having to find the time, the energy, and the means of transportation to shop for groceries and home supplies. Instead, the items can be ordered and delivered directly to the home.What to look for: The best home grocery shopping services will assign you a personal shopper and shop at the store(s) of your choice. The service will offer extras such as prescription pick-ups, grocery list assistance, etc. They will use shopper club cards and offer senior discounts. They will deliver the groceries directly into the kitchen if desired. They will provide you with the original store receipt(s).What to avoid: It is wise to avoid services that that limit you to ordering from their own inventory of items with no choice of substitution or store. Look upon with suspicion any service that hides or marks-up the original prices and doesnt offer you the original store receipt. Services that make you pick up the products or ship them in boxes that have to be unpacked are not helpful to the senior.Helen, 91, just cant drive to the store much anymore. Shes developed a friendship with her personal shopper, and often saves some cookie bars for her. Helen loves the freedom she has to continue to bake and cook for herself and her disabled son. As a bonus, she feels less of a burden on her children (who are grandparents themselves!) and feels blessed when they visit. Home grocery delivery services has become an important part of her plan to stay longer in her home.Editors Note: This article was submitted by Larissa Pearson, owner of WeGoShop. com Dallas. She may be reached at 469-666-0595 or by email at dallas@ wegoshop.com

Helen Keller, both a deaf and blind lady, upon being asked whether she considers vision or hearing more important, replied:The problems of deafness are deeper and more complex, if not more important, than those of blindness. Deafness is a much worse misfortune. For it means the loss of the most vital stimulus--the sound of the voice that brings language, sets thoughts astir and keeps us in the intellectual company of man.What Helen knew, and what popular thought has often overlooked, is that the human sense of hearing represents the primary cognitive window into life itself. Blindness cuts us off from things; deafness cuts us off from people to be cut off from hearing [people] is to be isolated indeed.Indeed, to one who hears normally, it may seem a strange concept that one can stand amidst a room full of fellow beings engaged in excited conversation, bonding and enjoying each other's company and yet feel awkward and terribly alone.In cases of rapid decline, sufferers sense a profound loss not unlike losing a close loved one. Such losses can evoke the same emotions of mourning denial, despair, frustration, and anger that transpire when they actually lose a loved one, but often without recognizing why they feel that way. Reports of sudden hearing loss repeatedly present an almost crippling form of emotional and psycho-social debilitation.Gradual losses, which comprise perhaps 95% of cases, come over, say, 20-30 years, and bring feelings of depression, anxiety, hypertension, and cardiovascular & endocrine stress.Coming back to the wisdom and insight of Helen Keller, in her advancing years she concluded in a letter to a friend that "after a lifetime in silence and darkness, to be deaf is a greater affliction than to be blind...Hearing is the soul of knowledge and information of a high order. To be cut off from hearing is to be isolated indeed."Editor's note: This article was submitted by Dr. Max Chartrand of DigiCare Hearing Research & Rehabilitation. He can be reached at: www.digicarenet.com, 719-676-3277.

Acupuncture is a a system of integrative medicine that involves pricking the skin or tissues with needles, used to alleviate pain and to treat various physical, mental, and emotional conditions.A key component of traditional Chinese medicine,acupunctureis most commonly used to treat pain. Increasingly, it is being used for overall wellness, including stress management.#listing_mgr{7 basic_search}#

For more information on the author, Medical Guardian, CLICK HERE!Did you know what you eat plays a role in maintaining healthy joints? If youre part of the20% of the United States populationaffected by arthritis and joint pain, luckily, there are foods and supplements that can help you manage your arthritis at home.Add Cold-Water Fish to Your DietFish from the cold-water fish family help reduce inflammation, improve brain function, and lower the risk for heart disease because they have high quantities of omega-3 fatty acids. Opt for salmon, tuna, trout, halibut, or sardines, all of which high quantities of omega-3 fatty acids.If youre not a big fish eater, fish oil supplements can help. Fish oil has been shown to help increase HDL (good) cholesterol, reduce blood pressure, and prevent arterial plaque.In one study, the participants use of fish oilsignificantly reduced morning joint stiffness. Add fish oil to your daily supplement routine or try combining fish with any of the below foods for added omega-3 benefits.Add Nuts and Seeds to Your DietMany popular nuts and seeds help with joint pain management. Just as cold-water fish contains omega-3 fatty acids, so do walnuts, almonds, flaxseeds, hemp seeds, chia seeds, and pine nuts.Definitely try flaxseeds. These are some of themost healthful seeds that people can eat, as they contain high levels of fiber, protein, magnesium, and manganese.You can reduce inflammation and feel full by eating nuts and seeds on their own as a snack, sprinkling them on top of salads and yogurt, or adding them in a trail mix.Add Brassica Vegetables to Your DietEver heard of the brassica family? While you may be unfamiliar with the grouping, chances are youll recognize the two types of foods within itcabbage and mustard. Brassica vegetables have surprising, lesser-known benefits. These foods include mustard greens, cabbage, arugula, and kale.Brassica vegetables canhelp block enzymes that inflame joints. The brassica family has a unique component: sulfur-containing glucosinolates (GLSs). These secondary plant compounds make brassica vegetables some of the best foods to combat inflammation in the body.Add Garlic, Root Spices, and Herbs to Your DietGood news: you probably already have these anti-inflammatory spices in your pantry or on your spice rack. Adding garlic, ginger, or turmeric to your recipes can help you manage your joint pain. Garlic is not only common in cooking, but it is a popular anti-inflammatory. Garlic contains diallyl disulfide, an anti-inflammatory compound thathelps prevent cartilage damage from arthritis. Ginger helps block inflammation pathways in the body and in some cases, can reduce osteoarthritis symptoms. You can add ginger to soups, stir fry, or marinades. Turmeric contains curcumin, which blocks inflammatory cytokines and enzymes in two inflammatory pathways. Add turmeric to soups, stews, curries, or rice dishes.Add Blueberries to Your DietBlueberriesand related fruits like strawberries and cherriescontain flavonoids thathelp turn off inflammatory responses in the body. These petite berries are packed with compounds that regulate multiple systems in your body, including your bodys inflammatory and stress responses. Eat blueberries on their own, in a smoothie, or added to a bowl of yogurt and granola.ABOUT THE AUTHOR:Medical Guardian is a leading provider of innovative medical alert systems that empower people to live a life without limits.

Every day I hear information that has been shared that is not completely accurate. Often times, I am talking to people about their planning goals and they are letting these pieces of information keep them from understanding how it applies to them. Here are three quick items to provide you a better understanding so you can choose how they specifically impact you and your own planning:Social Security is going broke is often the headline we see. According to the Trustees Report released on April 25, 2019, it is estimated that the two trust funds would run out of money by 2035. That is absolutely true, however when the funds are depleted and if Congress does nothing, they will use taxes currently being collected to pay those obligations. Benefits may need to be reduced from current estimations IF Congress does nothing.If I work, I will not get my Social Security. This is not entirely true. If you decide to collect social security before your FULL retirement age, for those born between 1943 and 1954, the age is 66, your benefit is reduced by $1.00 for each $2.00 you earn above the earnings limit. After full retirement age, the amount you earn does not impact your benefit.Medicare or Medicaid will cover Long Term Care. This is one of the biggest misconceptions I hear. Medicare provides for skilled care in a nursing home ONLY while you are recuperating following a hospital stay for a related conditions and only for 100 days. Please note that Medicare does not cover long-term care or custodial care. Medicaid is for people with very low assets and limited income.As Joe Friday used to say, Just the facts maam. Demand that all the information needed to make a decision for YOUR situation is provided.Editors Note: This article was submitted by Anthony Cisneros, CRPC CRPS.This article is meant to be general in nature and should not be construed as financial, legal or tax advice related to your personal situation. Anthony Cisneros is a Financial Advisor with Waddell & Reed, Inc., and may be reached at 970-416-6082 or by email at acisneros@wradvisors.com

Heart attacks kill more people in the U.S. than any other single disease.Chest pain is the most common symptom reported. The sensation is described as tightness, squeezing or heaviness in the chest. Some people experience pain in the left arm, neck and jaw. It is critical to have all symptoms of a possible heart attack assessed and monitored by a physician who specializes in heart disease treatment.Heart pain can be difficult to point to with a single finger, explains Louis J. Scala, MD, a Board Certified physician with specialization in Cardiology. Other symptoms include shortness of breath, nausea, sweating and feeling anxious. We pay attention to symptoms and monitor the individuals risk factors.Your physician addresses both modifiable risk factors (smoking, diet, exercise) and non-modifiable risk factors (age, genetics, gender). Risk factors like high blood pressure, high cholesterol, diabetes and high stress can improve with medications and lifestyle modifications, with physician supervision.Understanding heart attack symptoms and your risk factors can save your life or that of a loved one. Dont guess. Always have symptoms evaluated by a physician.Editors Note: Louis J. Scala, MD, Cardiac Care Group, LLC is located at 3208 Chiquita Blvd. S., Suite 110, Cape Coral, FL. Call 239-574-8463 or visit www.flccg.com.

I recently went to a presentation in Boise titled Lets Have Dinner and Talk About Death hosted by Regence Blue Shield and presented by Professor Hebb. He believes that the dinner table shapes our culture and can carry the weight of the heaviest conversations He also believes that breaking bread with others can spark social change.Professor Hebb had recently learned that 75% of Americans want to die at home but only 25% do. This bothered him. He came to the conclusion that how we want to spend our final days is one of the most important conversations that Americans are not having.After leaving Hebbs presentation, I no longer believed the myth that Americans are too afraid to have these conversations. We are just having the wrong conversation. So, I hosted my first dinner.Friends, strangers, and collogues gathered together for dinner. Although, we all knew the topic; none of us knew exactly what to expect. Our conversations had many twists and turns but it did not take long before people became vulnerable and shared their thoughts about deaths they had witnessed, fears of dying and grief over those they have lost. Everyone walked away with lessons learned and thoughts to contemplate. My husband shared this thought with me:"After the dinner, I thought about the conversation. I realized that HOW I die will have a big impact on those that I love. They will live with those memories. So, how I die is less about me and more about those who will still be alive after I am gone. So, I hope to die at home with my family surrounding me so my death will be a cherished memory for those that I love."My hope is to be a part of a patient led revolution in our state. A revolution where ordinary people are talking to each other and where medical professionals are honoring their wishes. Together we can make a difference.This article was written byHoney Goodman, COO Treasure Valley Hospice.For more information, please see our ad below.Or contact honey@treasurevalleyhospice.com

For those individuals who will need home care services and are in the process of a Medicaid spend down, consider an agency that you are able to transition to once you meet your income limit?To maintain continuity, one may consider a non-medical home care agency that provides services for both private pay and Medicaid home care clients. When you contract with an agency consider the issues that may arise once the spend down is complete. If your agency has not been credentialed by the Department of Social Services, you will be required to move to a home care agency that participates in the Medicaid waiver funded home care program (Connecticut Home Care Program for Elders (CHCPE).This transition can prove to be very disruptive to your loved one receiving care. For example, a key problem is lack of continuity. The care that has been provided is disrupted and the care will now be delivered from a range of unfamiliar caregivers. From the perspective of an elderly who may have short-term memory impairment and fears change, this can be very confusing. Your loved one typically develops an emotional bond with the caregiver that has been providing services. A bond is developed and a communication style is created fostering a sense of calmness. In addition, a daily routine is developed. The routine may include anywhere from eating breakfast and getting dressed in the morning, to assisting your loved one with their evening schedule.As the elderly population continues to grow, and life expectancy increases, these decisions should factor into heavily to assure a seamless home care transition for your loved one.Editors Note: This article was written by Mary Ellen Leviness (Care Manager) and Joe Campano, Care (Managing Partner) of Compassionate Care at Home. They can be reached at 203-433-4325.

People often say, If you dont use it, you lose it This phrase certainly pertains to brain function. As with any part of the body, the brain can atrophy if it isnt exercised. The best cognitive workout is hearing, which may seem simple enough but actually involves various portions of the brain that influence our memories, perception, and communication.At Better Hearing at Home, Dr. Anne Reap is trained to treat all types of hearing issues including the connection between hearing loss and dementia. Her intensive training coupled with her in depth study of how the brain processes sound has helped serve her patients well for more than 28 years.When hearing loss becomes a reality, the connection between our brains and our ears is often forgotten. Unfortunately, those patients with undiagnosed or untreated hearing loss increase their risk of physical complications or mental and emotional struggles. According to the Better Hearing Institute, numerous studies link unmanaged hearing loss to a wide range of physical and emotional conditions, including depression, impaired memory, compromised ability to learn new tasks, and the increased risk of personal safety.Hearing loss can impact the lifestyles and relationships of those individuals with dementia, negatively impacting their well-being and leaving loved ones and care-givers to wonder, whether communication and memory issues are due to dementia OR hearing loss??? Confusion surrounding dementia can worsen over time, but it is possible to break the cycle with the appropriate hearing care by a trained doctor of Audiology.Dr. Reap understands that individual needs are unique and treatment plans must be personalized in order to be effective. At Better Hearing at Home, we will work with you to insure that you and your loved ones can reach hearing and lifestyle goals. Remember, early intervention and treatment provides the best possible outcome. Dont wait, better hearing can make all the difference.Editors Note: This article was submitted byBetter Hearing at Home - Dr. Anne Reap500 West Putnam Avenue, Suite 300Greenwich, CT 06830www.betterhearingathome.com203 542-7323

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

The landscape of healthcare is shifting from hospitals to home. Healthcare studies predict that as much as 30% of today's current hospital services will migrate to the home, where patients can receive treatment and recover in a more familiar, more comfortable environment.With this shift comes the need to coordinate the services that are administered to home based patients, especially to the elderly, who may require an array of services. These include medical services provided by licensed healthcare professionals, such as skilled nursing, outpatient rehabilitation and social work, combined with personal care provided by non-medical caregivers assisting with activities of daily living. A combination of services can dramatically improve the quality of life of an elderly person in need. Yet the services also present the challenge of administering them in an orderly and efficient manner.The solution is to assign the coordination and management of all home based services to one source. By having one case manager monitoring all the home based services, the delivery of service can not only become more efficient and safe, but it can also leverage the knowledge, experience and observations that each discipline offers.Healthcare and personal caregivers are by nature caring and proactive people. When they are brought into a home environment, they will not only conduct their own assigned tasks, but they will see opportunities for additional services that will benefit the patient and their family. With coordinated homecare management, each healthcare professional knows where they can send their observations and suggestions (directly to the case manager) and actions can be taken to provide those additional services, if desired.This approach promotes "see the need - meet the need" to the home environment, providing a higher level of care to the elderly who prefer to stay in the comforts of their own homes. The coordinated approach also offers a greater sense of relief to family members, such as adult children, who can rely on a trust-worthy central source to provide a broad range of guidance, recommendations and services for their aging parents at home. With the growing trend of shifting health and personal care services to the home, the coordinated approach will provide a more effective health and personal care experience for the elderly and their families.Editors Note: This article was submitted by Kim Trabing, LPN Executive Director at Salus Home Care and Salus Home Health www.salushomecare.com . She may be reached at 801-566-1185 or email: ktrabing@salushomecare.com

Q: What is urinary incontinence?A: Urinary incontinence is any involuntary leakage of urine. This is most often caused by physical activity, sudden urge to urinate or both.Q: What if I also leak stool?A: Involuntary leakage of stool (fecal incontinence) often accompanies urinary incontinence and can cause significant embarrassment to women of all ages. Fortunately for many patients, the FDA has recently approved the use of a neuro-stimulator (Interstim) to treat fecal incontinence. This has been used in over 100,000 patients for treatment of urinary incontinence, urgency and urinary retention with great success in the United States. Neurostimulation has been used in Europe for fecal incontinence with success for many years as well and now women with incontinence of all types are able to benefit from this technology. It is especially exciting to think that one treatment may solve two different problems.Q: What would an evaluation for this involve?A: Most women find this is a very embarrassing problem that can be difficult to discuss. It is important to feel comfortable with your doctor and their staff. I find it helpful, in my office, to have patients work exclusively with female staff throughout their care. This starts with a thorough one on one discussion about the exact nature of the problem. Once this is established a physical exam is performed. This includes a pelvic exam which should be carried out in a gentle and dignified manner. Some testing may be necessary to evaluate the exact cause of your leakage. This may include a cystoscopy (a small camera inserted into the bladder through the urethra to evaluate anatomy), as well as a urodynamics test (insertion of a small catheter in the bladder to assess function). These should all be performed in the most comfortable environment possible and cause minimal if any discomfort.Q: What can I do to treat urinary incontinence?A: There are many options for treatment which range from simple exercises, medications, injectionsand many very minimally invasive procedures. These can include Kegel exercises, biofeedback, anti-cholinergic medications, slings and neurostimulation. These can all be performed in an outpatient setting and often have minimal, if any, recovery time.Q: Who should I see for these problems?A: I recommend that you seek outa specialty trained physician who specializes in incontinence and pelvic floor dysfunction. Fellowship trained urologists and urogynecologists are the most qualified to deal with incontinence issues. You should not hesitate to ask your doctor if they have completed specialized training and how many of these procedures they have performed in the past. In the hands of an expert these procedures have significantly higher success rates and less complications. Most importantly you should feel comfortable with your doctor and that your treatment plan is tailored to your individual needs.Editors Note: This article was submitted by Dr. John Tillett, MD, Specialists in Urology.

Palliative care is patient andfamily-centered care optimizingquality of life by anticipating,preventing and treating suffering.It is for people of any age, at anystage of a serious illness, whoare seeking relief from pain andsymptoms. Individuals may receivepalliative and curative treatments atthe same time. A Nurse Practitionerand Licensed Clinical Social Workerwill collaborate with the patientsdoctor to alleviate symptoms ofserious and chronic illnessesincluding:- treating pain- managing chronic illnesssymptoms- education on diagnosis anddisease process management- clarifying treatment goals andoptions- assisting with navigating thehealthcare systemPalliative care can occur inhospitals, nursing homes, assistedliving facilities and at the patientsresidence reducing unnecessarytrips to the hospital. Services arepaid for through Medicare (PartB), Medicaid and many private insurances.Hospice is patient and family centered care optimizing qualityof life for individuals who havea life-limiting illness and are nolonger seeking curative, but rathercomfort measures. Hospice is trulyfocused on maintaining qualityof life, dignity and comfort forthe remainder of a persons life.Services are provided wherever aperson calls home and are coveredunder Medicare, Medicaid, privateinsurance or Veterans benefits.Hospice services include: Skilled Nursing weekly/daily/continuous care dependent uponclinical need for the managementof pain, physical/emotionaldistress or symptom management Certified Nursing Assistantservices twice a week to assistwith bathing and personal cares Social Work services to advocatefor patient wishes, helpindividuals address emotionalaspects of illnesses and assistfamilies in identifying additionalresources Chaplain services for spiritualsupport Durable Medical Equipment- items like a hospital bed,wheelchair, walker, oxygen, andmore Medications - any medicationdeemed necessary to managesymptoms/provide comfortmeasures Incontinence Supplies - diapers,bed-covers, gloves, rash creamsand more Bereavement services availableto family members for up to 13months after the loss of a lovedoneHospice services are by choiceand can be elected or cancelledat any time. Hospice is the onlyMedicare benefit that neverexpires. Individuals can useit for as long as they qualifyand continue to show signs ofincremental decline.By keeping the focus on thewishes of the patient, Hospiceservices afford patients to liveout the remainder of their livesknowing their symptoms anddiscomfort will be managed, theywill receive quality care in theirhome, and their families will haveresources after their passing.Editors Note: This article was submittedby Katie Monahan. Katie is the Director ofCommunity Relations at Transitions Hospiceand can be reached at 847-515-1505 or atkmonahan@transitionshospice.com.

Older adults yearn to retain their independence to move about freely. It is important to remember that many older adults live active lives, are safe drivers and are able to use public transit. There is no universally accepted age at which people are no longer safe drivers, even though chronic conditions and disability, which occur more frequently in old age, certainly impact that skill. Its no wonder that the impact of having to give up the keys is a major, often negative, life event for many older adults. But the impact can be lessened considerably if alternatives to driving are readily available and accessible.The vast majority of older adults nearly 90%, according to AARP choose to age in place in their homes and communities. Successful community living requires access to medical and other essential services. While the health impact of reduced access to needed medical services is obvious (missed appointments, ER visits, lack of continual care), social isolation due to lack of transportation can have an equally negative effect on physical and mental health. Without accessible, reliable and affordable transportation, many more older adults could face the possibility of placement in a long-term care facility.SRDA TRANSPORTATIONThrough a donation-based system, SRDAtransportation program provides older adults with rides to:Medical appointmentsGrocery shoppingRecreational TripsLegal and social servicesMonday through Friday from 8:00 a.m. to 5:00 p.m.With the strong support from Pueblo County Commissioners and the Pueblo Area Agency on Aging,SRDAis able to offer transportation that includes all areas of the county. Service is Curb-to-Curb City/County wide. Our vans are wheelchair accessible and have been recently outfitted with bicycle racks for recreational trips. Reservations are required at least 48 to 72 hours in advance.SRDA now offers intergenerational transportation in Rural and Small Urbanized areas of Pueblo County as a part of the Healthy living Through Active Transportation Campaign. This intergenerational service is available in Blende, Avondale, Vineland, Colorado City, Pueblo West, and Beulah. Group recreational trips are available for all ages within normal operating hours. (outside city limits)Senior Transportation programs help increase mobility and independence, in addition to decreasing isolation. For more information call: 719-543-9983.Editors Note: This article was submitted by Tara Morrow, SRDA Deputy Director. For more information, contact the SRDA Active Adult Center at 719-554-8900.

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