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

Many people suffer un-necessary pain from foot problems such as Hammertoes (where the toe is pulled down, creating what resembles a hammer and is generally caused by hereditary factors), and Bunions. These conditions can be treated effectively by our board certified podiatrists. They are trained in minimal incision surgeries (MIS) as well as conventional, state-of-the-art surgeries.In most of these cases, pain is caused by the shoe rubbing the sensitive areas on the tops and tips of these toes. Part of this is because those suffering from these conditions are forced to walk on the very tips of the toes, causing painful corns and even thickening and pain in the toenails.Flexible hammertoes are treated easily and painlessly in the office under a local anesthetic when the tight flexor tendon is stretched until the toe is straight. Most often the patient has only a day or two of down time.Rigid hammertoes are when the bump sticking up prevents the toe from straightening even shaved down. These generally need more involved surgery on an outpatient basis, using local anesthesia alone, or in combination with sedation. These procedures are designed to give better shoe fitting, more comfortable standing and walking, and the ability to wear the shoes without pain.Regular check-ups at The Podiatry Center allows for treatment or prevention of many conditions before they become serious.Editors Note: This article was written by Dr. Howard Immanuel, The Podiatry Center.

We all know that exercise is good for us, even critical to our good health, and the number of programs from which to choose continues to grow. Which one is the right one for you? Before beginning ANY exercise program, you must check in with your doctor. He may have specific suggestions, and will certainly want to check your vitals. Once clear to go, remember this exercise thing is not going away; it is here for the long haul. Your commitment to that long haul is critical to your exercise and wellness program success. When choosing a class or program, consider the three KINDS of exercise: Aerobic Exercise- Activities that increase your heart rate and breathing rate as it works your muscles. Popular aerobic exercises include swimming, water aerobics, dancing and tennis. Aerobic exercises strengthen you heart. Strength Training-helps build strong muscles. Whether you use weights or elastic bands, strength training is also a great calorie burner. Flexibility Exercises-aka stretching is a big part of warm-up and cool down-and an essential part of a well-rounded program. Maybe you and your doctor or fitness coach will decide you need a bit of each, maybe more of one than the others. Take some time to explore your exercise options before you begin!So you have the big picture but what about classes? Here are some descriptions to get you thinking: Stretch and Flex: A combination of Yoga, Pilates, and free-style stretching Stretch and strength: Gain muscle strength and tone through stretching Matsteps: Low impact aerobic exercise Tai Chi Chuan: Gentle graceful moves promoting flexibility and balance Yoga: Connect your mind and body connect through a series of basic, non-technical yoga positions with emphasis on strength, balance, flexibility and relaxation. Pilates: This challenging and innovative system of safe exercises builds up strength without bulking up, increases flexibility and agility and develops optimal core control. Kickboxing: Sets basic boxing and kickboxing moves to music. Work on strength, endurance, balance and coordination without physical contact for an intense workout!Choosing an exercise program is rather like true confessions-be honest with yourself about what you think will work for you. Consider your personality as well: do you like to exercise alone in your own home, take a class, workout with one or two friends? Taking time to evaluate the big picture will increase your chances of success. As with any new program it will take several weeks before you see or feel a difference. Do NOT give up before you have given exercise a chance to work! Oh, and that you have given your body a chance to adjust as well. And finally, with ANY exercise program, listen to your body! If it begins creaking loudly or unnaturally, adjust your level or frequency of exercise. If all else fails, step back and at LEAST commit to: Walking instead of driving whenever possibleTaking the stairs instead of the elevatorWork in the garden, rake leaves or clean house-everydayPark at the far end of the parking lot and walk to the storeREMEMBER: This is a marathon, not a sprint. At our ages, we don't have to prove anything to anyone!!!Health Passport was many exercise programs; call us for more information, 303-629-4921.

To Learn more aboutElder Quest, CLICK HERE.The pandemic has taught us both the need we all have to age in place as well as the available and not so available community resources to help us reach that goal. But you do have control over personal resources in which to obtain this goal. You may be even surprised to know what you can do! What are these resources and tasks which I have control over?? You start with an Aging in Place Plan.To begin, start with an Estate Plan. This can be simple or complex depending on your life situation. But get it done! This plan will include not only a Will, but Advanced directives. At Elder Quest we also like to have our clients complete a list we call, These are a few of our Favorite things This provides more details about what brings you joy in your life. What makes you comfortable and what makes you uncomfortable. You can do this! You owe it to yourself and to any others in the future who will be trying to provide the best care for you.Next step towards your Aging in Place Plan, is to take a look at the Place! Is it your current home? If so- take a good look at the lay out, it access from outside, steps, doorways, lighting, bathroom features etc. There are many professionals who could help you assess your current home and provide suggestions for now or in the future. Home improvements and technologies are available to allow us to stay at home safely and independently!So far, we have touched on your Aging in Place Plan that involves what you can do and with your resources. Now what about the community resources available to help you age in place? There are many! Both free and pay for services are available. As we have seen during the pandemic, there are more services available to people of all ages. The food delivery services alone has exploded. There continues to be Home Care both Medical and Non Medical to keep your home and you happy.If all this sounds a bit overwhelming, there are professionals out there to help you organize your Aging in Place Plan. Please give us a call and we would be glad to help you get started or to help you wherever you currently are in your Plan process!Editors Note: This article was submitted by Paula McCormick MSW LSW of Elder Quest. She may be reached at 970-985-5950 or by email at elderquestgj@gmail.comTo Learn More Click:https://www.seniorsbluebook.com/senior-resources/elder-quest-grand-junction-co-3

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

Its never too late to adopt healthy habits, and for those of us heading into our golden years, its even more important. All of us want to enjoy good health on our back forty, and there are steps we can take to improve our health as we head into our 60s, 70s, 80s and beyond. So how can we maintain good health in our old age? Today were sharing our favorite health tips for seniors.1. Examine Your DietStaying healthy starts with whats on your plate. Obviously, maintaining a healthy weight is important for many reasons. It reduces your risk of high blood pressure, heart disease, and type 2 diabetes. Less weight also means less stress on your bones and joints. As we age, our bodies need fewer calories to sustain them. Because of this, its important to eat healthy and make sure were getting the nutrition we need. But eating healthy helps you do more than maintain a healthy weight. It can help you stay healthy in other ways.Stop Muscle LossAfter the age of 50, we start losing muscle mass, and eating protein in the form of lean meats and fish with every meal can mitigate some of that loss. One geriatric specialist from Massachusetts General Hospital recommends 1-2 grams of protein per kilogram of body weight. That means a 180lb man should be eating anywhere from 82 to 164 grams of protein per day. Consider foods such as chicken, pork, salmon, tuna, and legumes.Keep Bones StrongBelieve it or not, our bones reach their peak in our late 20s and then start a slow decline as we get older. Seniors are especially vulnerable to falling, and broken bones are among the most common reasons for hospital admissions among the elderly. Calcium and Vitamin D are the best way to keep your bones healthy and strong. The American Academy of Orthopedic Surgeons recommends at least 1,000mg of Calcium for men and 1,200mg for women. Foods such as low-fat cottage cheese, greek yogurt (bonus: extra protein!) and Vitamin D fortified milk are excellent ways to add calcium into your daily diet.Reduce InflammationInflammation leads to all sorts of issues, including heart disease, depression, arthritis, and even dementia. It might start with joints that are a little stiff, but it can wreak havoc on older adults if the inflammation goes unchecked. The best way to reduce inflammation is to reduce the number of sugary foods in your diet. Sugar creates extra insulin in your body, which can trigger an inflammatory response. So check those labels! If you crave something sweet, stick to fruits, which are a natural source of sugar and contain healthy nutrients for your body.Healthy Colon and Vascular SystemEating the right kinds of carbs is another step to healthy eating. Choosing whole grains helps reduce your risk of heart disease, diabetes, and even some forms of cancer. Theyre also rich in fiber which promotes a healthy environment for the bacteria in your colon, helping maintain regular bowel movements. Eating whole grains can be tricky because its hard to tell which foods are full of them! Heres a hint choose grains such as steel-cut oats, popcorn, brown rice, and quinoa.AndEat the RainbowSpeaking of fruit, studies show that the more colorful your diet, the more nutrition youre getting. Fruits and vegetables and foods that have bright colors (think blue, red, and purple) have more heart-healthy antioxidants. Blueberries, raspberries, beets, tomatoes, purple cabbage, and yellow squash. The more color, the better! A healthy diet that includes these antioxidants tend to have improved vascular function and a healthy level of good cholesterol.2. Get PhysicalNothing makes you more tired than being inactive. Our bodies were meant to move, and the best way to keep your body used to moving is to engage in regular physical activity. But what isthe best way for older adults to remain physically active? Think of a mixture of cardio exercise and strength training. Dont go thinking you need to start training for a marathon. Were talking about the kind of exercise that helps you in everyday life. Ways to maintain your balance, increase energy and even promote healthy brain function. Here are some of the best ways older adults can add physical activity as they age.WalkingWalking is a great form of cardio exercise and is accessible to just about everyone. Talk to your doctor before starting a walking regimen because goals will differ from person to person based on their physical condition. But walking regularly keeps our joints moving, reduces stiffness, and gets the blood flowing. Its also a great social activity grab a friend and take a walk in a park or even inside your local mall! Even if you cant walk a long distance, getting up to move at regular intervals throughout the day is highly beneficial.Resistance Band WorkoutsThis falls under the strength training category, and its a great low-impact way to strengthen your core, promoting balance, posture, and mobility. Resistance bands dont cost a lot, and there are many online resources for exercises you can do. If you want to get more adventurous, join an in-person class!Water AerobicsWater workouts have become very popular for people of all ages over the past few years. Water supports the body, putting much less strain on your joints. It also adds a natural resistance, so you dont have to use weights. Popular water exercises include water walking, leg lifts, standing water push-ups, and flutter kicking. Water aerobics naturally help improve flexibility, balance, and strength with almost no impact on your body.Tai ChiTai Chi has been called meditation in motion. Its a graceful exercise that has both mental and physical benefits for any senior. Tai Chi comprises a series of movements performed in slow motion as the participant pays attention to deep breathing. Its calming and mentally stimulating at the same time and increases flexibility and agility. Some older adults say they notice an improvement in joint pain and even their quality of sleep.Of course, before you start any regular exercise, its best to check with your health care provider.3. Other Healthy Habits For SeniorsHealthy eating and regular physical activitygo a long way toward helping us age gracefully. But there are other important factors to pay attention to as well. Here are some other ideas to help keep us young in mind, body, and soul!Stop SmokingThis is good advice at any age. Smoking is correlated back to a host of health problems, including heart failure, stroke, and cancer. It takes the elasticity out of your skin, causing premature and excessive wrinkling, and can age you beyond your years. There are many programs that are successful in helping people quit ask your doctor for information.Get Some SleepIts a myth that the older we get, the less sleep we need. Seniors need the same amount of sleep as adults of any age between 7 to 9 hours. However, insomnia is a common problem among senior adults. The pain of old age often affects sleep, as can medications and other health ailments. Control what you can by sticking to a good bedtime routine. Dim the lights in the early evening, avoid watching television or using a phone or tablet 3o minutes before bedtime, and avoid taking late afternoon naps.Visit Your Doctor and DentistStaying on top of your regular health care is vital to a seniors health. Keeping your health care team apprised of all your health information will ensure good all-around health care. And dont overlook your oral health! They say that your mouth is the gateway to good health. You only get one set of teeth, so its best to take good care of them. Plus, good dental health has been shown to reduce your chance of diabetes and cardiovascular disease.SocializeSpending time with family and friends keeps us connected to our community and is proven to help us live longer. Social seniors are less likely to suffer from depression, anxiety, and stress. Healthy relationships are always important, but seniors especially benefit from having a strong community around them.

Legacy Corps is now available in southwest Idaho! Legacy Corps is an award-winning national service project that provides volunteer-powered caregiver support for veterans and military families. A growing and specialized need for caregiver support exists among veterans and military families. Research indicates that caregivers of veterans report more than twice the emotional stress of caregivers of adults nationally, almost three times the level of physical strain, and almost four times the level of financial hardship. Legacy Corps was launched by Friends in Action in 2012 to help address these caregiving needs. Legacy Corps programs operate in 15 cities across 10 states, and all Legacy Corps programs partner with the University of Maryland and the Corporation for National and Community Service to provide support services to many veteran and military families. Legacy Corps volunteers provide weekly, quality assistance to veteran/military families who care for a loved one at home. Volunteers serve as companions with the veteran being cared for so the family caregiver can have a weekly break; volunteers provide transportation and prepare light meals; and volunteers help connect families to other community support services, peer-to-peer support groups, and other related services. Volunteers are well-prepared as a result of 90 hours of pre-service and ongoing in-service trainings! Legacy Corps volunteers commit to 450 hours of service over a one year period, which means every volunteer serves 10-12 hours per week helping 3 to 4 families each. Legacy Corps volunteers become a close-knit team who make a huge difference in the lives of many, many families across the Treasure Valley. All volunteers must complete an application, agree to criminal and sex offender back ground checks, participate in a national research study and have mid-year and end-of- year evaluations. Legacy Corps volunteers receive many benefits from their service. In addition to life-changing experiences helping others, volunteers receive a monthly taxable stipend and are eligible to receive an Educational Award of nearly $1,500 when they complete their year of service. For volunteers age 55+, the education award can be given to a child or grandchild. The Educational Award may be used to attend classes at most colleges/universities or to repay qualified student loans. Legacy Corps volunteers assist many veteran and military families who care for a chronically ill or disabled adult at home. This service project helps family caregivers maintain their own health and well-being; it helps volunteers develop new skills and knowledge; and it fills a growing need in our communities. For further information about Legacy Corps, please contact Friends in Action (www.fiaboise.org) at 333-1363. Friends in Action Friends in Action is a unique volunteer-powered program serving family caregivers and those they care for. We are a program of the nonprofit Mountain States Group. Highly trained volunteers lead award-winning education programs; provide caregiver respite and support/ and assist with the annual southwest Idaho Family Caregiver Conference.Author:Stephanie Bender

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

Making Trips Fun & SafeIf youre caring for someone with memory impairment, taking them on an outing is one of the best things you can do for them. Even short excursions will provide exercise, fresh air and stimulation of the senses.Memory loss can present some unique challenges, but with a little understanding and preparation, you can up your chances for pleasant, meaningful experiences.Identify and avoid your loved ones triggers. Memory-impaired individuals often have unique triggers that can lead to agitation and confusion. In some cases, triggers may be related to sundowning and disorientation to time. In other cases, theyre related to overwhelming crowds, noises or new technologies. Make sure to take your loved ones sensitivities into account when choosing the time and place for your outing.Talk to employees and managers at potential venues. Call a day or two ahead and explain that youre considering bringing a memory-impaired guest. Ask if theres anything you should know about the environment, and if the venue can do anything to make the experience easier. Many restaurants and businesses are happy to find creative solutions, such as seating you in a quieter location or prioritizing your order.Back to the past. Your loved ones history can be a great source of inspiration when planning a trip. Think about what they did for a living or what their hobbies were and draw from that past. This can help reactivate memories and create a meaningful, enjoyable experience.Think slow; think simple. Its usually a good idea to avoid exposing your loved one to a lot of hustle and bustle. Look for locations with a slower pace, where you can take your time without facing the pressure of large crowds. Nature obviously fits these criteria quite well, and a relaxing trip to the park is usually a good call. But there are plenty of indoor activities you can enjoy as wella museum, especially on a less busy day, is an excellent place to keep your loved one engaged while moving at your own pace.Remember, the keyword here is preparation. By taking your loved ones needs into account, you can prevent problems before they arise and have a wonderful time together.----------------------------This article was written by Alicia Seaver, Director of Memory Care at Bridges by EPOCH communities in Norwalk and Trumbull. To learn more about our Fairfield County communities, visit www.BridgesbyEPOCH.com or reach Alicia ataskalicia@bridgesbyepoch.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.

In most states, transferring your house to your children (or someone else)maylead to a Medicaid penalty period, which would make you ineligible for Medicaid for a period of time. However, there are circumstances in which transferring a house will not result in a penalty period. One of those circumstances is if the Medicaid applicant transfers the house to a "caretaker child." This is defined as a child of the applicant who lived in the house for at least two years prior to the applicant's entering a nursing home and who during that period provided care that allowed the applicant to avoid a nursing home stay. In such cases, the Medicaid applicant may freely transfer a home to the child without triggering a transfer penalty. Note that the exception applies only to a child, not a grandchild or other relative.Each state Medicaid agency has its own rules for proof that the child has lived with the parent and provided the necessary level of care, making it doubly important to consult with your attorney before making this (or any other) kind of transfer.Others to whom a home may be transferred without Medicaid's usual penalty are:Your spouseA child who is under age 21 or who is blind or disabledInto a trust for the sole benefit of a disabled individual under age 65 (even if the trust is for the benefit of the Medicaid applicant, under certain circumstances)A sibling who has lived in the home during the year preceding the applicant's institutionalization and who already holds an equity interest in the homeEditors Note: This article was submitted by Rick Romeo, Rick is a Partner with the law firm of Vincent, Romeo & Rodriguez, LLC and may be reached at 303-604-6030 or by email at info@elderlawcolorado.com

For more information on the author, Secure Aging, CLICK HERE!As you get older, your bodys need for certain vitamins and minerals change. This can happen for several reasons:Your metabolism slows down, so you may have less of an appetite. This can affect your nutrition.Food may taste differentin particular, sweet and salty flavors are the first to diminish with age. This can change what types of food you eat.As you get older, you may have less access to food. For instance, poor mobility means you arent able to go to the grocery store as often.Chronic health conditions may change your need for certain vitamins and minerals.For all of these reasons, its important to take a look at what youre eating every day if youre a senior or if youre caring for a senior. Youll want to make sure you get enough of the essential vitamins and minerals that become more important with age. Here are four vitamins and minerals that become more important when youre a senior. Try your best to get these vitamins and minerals from food sources, but check with your health provider to find out if you may need a supplement in addition to what you eat.1. Vitamin B12.B12 becomes more important with age as it helps with nerve function and assists the body in forming red blood cells. Many seniors are low in vitamin B12 because your body absorbs less of it with age. Adults of any age should get 2.4 micrograms/day of vitamin B12. Food sources include animal products, fortified grains and cereals, and nuts and seeds.2. Calcium.Want to build better bone health? Calcium is one of the key building blocks. You have a higher risk of osteoporosis as you get older, and youre at a greater risk for bone fractures from falls. Consuming more calcium can help address these risks. The RDA for calcium is 1,000 mg/day for males 51 to 70 and 1,200 mg/day for females age 51 to 70 and all adults over age 70. Dairy products are a good source of calcium, and so are green, leafy vegetables.3. Vitamin D.Vitamin D also plays a role in supporting bone health, and it assists the body in absorbing calcium. Vitamin D absorption gets harder with age. The recommended daily allowance for vitamin D is 600 IU (15 mcg) a day for adults 51 to 70 years old and 800 IU (20 mcg) daily for those over age 70. Food sources for vitamin D include fatty fish like salmon, egg yolks, and foods like milk and cereals that are fortified with vitamin D. Sun exposure is also a potential source for vitamin D, but many doctors dont support getting vitamin D from the sun, due to the risk of sunburns and skin cancer.4. Magnesium.Magnesium helps your muscles and nerves to work properly. It also helps to regulate your blood sugar levels. However, many older adults are deficient in magnesium. Adult men should get 420 mg of magnesium a day and women, 320 mg/day. Green, leafy vegetables; breakfast cereals, whole grains, and beans are good sources for magnesium.Call Secure Aging to Find Out How We Can Help Seniors With Care ManagementAt Secure Aging in Bradenton, we transform the weight of the world into a sigh of relief for our senior clients and their concerned family members. The mission ofSecure Agingis to protect and preserve our clients independence and dignity through careful and thoughtful financial and care management. As our clients age, it is their desire to remain independent and age with dignity. Our services protect our clients from talented con artists looking to exploit and deplete the financial resources of our vulnerable seniors.

Alzheimers disease (AD) is the most common cause of dementia. Worldwide, it is currently estimated that 35 million people have AD or a related dementia. With increasing life expectancy, those numbers are expected to increase to around 66 million by 2030 and to more than 115 million by 2050.In the United States, 5.4 million individuals of all ages are currently estimated to have AD, with the vast majority (>95%) aged older than 65 years.The main underlying cause of memory loss and confusion with AD is theprogressive damage to brain cellsresponsible for memory.Subtle changes in memory are commonly the first presenting symptom indicating a potential decline. Common early indicators of memory change include: 1) memory loss that starts to impact your daily life 2) difficulty completing familiar tasks 3) confusion with time or place 4) new problems with words in speaking or writing 5) frequently misplacing items or inability to retrace your steps.A memory screening is a simple and safe healthy brain check-up that tests memory and other thinking skills. The memory screening is a series of questions and/or tasks that takes approximately 10 minutes to complete and can indicate if someone might benefit from a comprehensive medical evaluation. It is not used to diagnose any particular illness and does not replace consultation with a physician or other clinician.Benefits of a memory screen include establishing a baseline to measure future repeat assessments and early recognition of memory decline. Early detection of memory impairment may afford a person the opportunity to take advantage of treatments that may slow the changes in memory and thinking skills or participate in a clinical trial.Other benefits of early detection include the opportunity to learn more about the disease, including available and emerging medical treatments; get counseling and other social services support in their community; address legal, financial and other planning issues; and have more of a say in decision-making. Caregivers and other family members can take advantage of community services, such as support groups, which can help them feel betterphysically and emotionally. They can discuss treatment, future care and other issues with their loved ones, rather than having to make decisions on their own.If you or a loved one suspect early signs of memory changes, please feel free to contact us to schedule a free memory screening. This article was submitted by Rekha Gandhi, MD, Board-certified Neurologist and Principal Investigator for Conquest Research. Visit www.conquestresearch.com or call 407-916-0060 to learn more.

Patients who have undergone tracheotomies or use ventilators for mechanical breathing have often experienced different levels of care beginning with the onset of events. Typically a patient in respiratory distress arrives at a Hospital Emergency Room to begin treatment and care. Severe cases will transfer to an Intensive Care Unit, Cardiac Care Unit or Trauma Unit within a hospital. Patients may spend several days or weeks in these units until conditions have stabilized. Once stabilized respiratory patients will often be assessed for placement in a Long Term Acute Care Unit or a Subacute Respiratory Unit.Subacute Respiratory Units are located within Skilled Nursing Facilities and offer services to care for the specific needs of individuals affected by respiratory disease. Services include customized care and recovery plans directed by an interdisciplinary medical team.Patients on ventilators are assessed by Respiratory Therapists for weaning and tracheotomy patients may be decannulated. Physical and Occupational therapies work with patients to rebuild strength. Speech therapy treatments include swallow evaluations and speaking. Nutritionists address patient diet and meal options. Social Services work with patients and families to determine long term placement goals and monitor the well being of a patient while residing on the Subacute Unit. Residents work with an Activity Staff to identify appropriate activities. The Business Office is available to assist with insurance coverage and financial planning. All care of the respiratory patient is overseen by a Medical Director and Pulmonologist.Questions to ask prior to placement at a Subacute Respiratory Unit:What are the unit staffing ratios?Will I have a patient care conference and how often?What style of ventilator and alarm system are utilized?What does routine patient care include?How often is a trach tube changed?Will patient have the ability to set realistic goals?Are there patient and/or family training opportunities?Does my insurance cover subacute respiratory care?Entering a Subacute Respiratory Care Unit is often a second or third transition in patient care but also indicates a patient is stable with improved conditions. Prior to discharge your hospital case manager will present you with appropriate options for care.Article submitted by Advanced Lifeline Services. They can be reached at 801-458-5122 or www.alsvents.com

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.

Getting a flu vaccine is more important than ever during the 2020-2021 flu season to protect yourselfand the people around you fromthe flu, and to reduce the strainon healthcare systems responding to the COVID-19 pandemic.Adults, 65 years and older, are athigh risk for serious complicationsfrom in affluenza due to weakening ofthe immune system. A flu vaccine isthe best way to help prevent the fluand its potentially serious complications.In recent years, flu vaccines havereduced the risk of flu-associatedhospitalizations among older adultsby about 40%. The best way toprevent the flu is to get vaccinated,but healthy habits like covering yourcough and washing your hands oftencan help stop the spread of germsand prevent respiratory illness likethe flu.Here are some frequently askedquestions and answers regarding flushots:What is a flu shot? An influenza(flu) shot is a flu vaccine given witha needle, usually in the arm. Seasonal flu shots protect against thethree or four influenza viruses thatresearch suggests may be most common during the upcoming season.When should I receive a flu shot?The CDC is recommending gettingvaccinated early this year in September and October to prevent illness.Where can I receive a flu shot?You can receive a flu shot at yourdoctors office. You can also receivea flu shot at any pharmacy including Walgreens, CVS or Jewel Osco.Due to COVID-19, a drive thru flushot clinic might be available inyour area.Does Medicare cover the flushot? Enrollees in both traditionalMedicare and Medicare Advantagewill have no copayment and are notsubject to the Part B deductible forthe flu shot.The content is not intended to bea substitute for professional medical advice, diagnosis, or treatment.Always seek the advice of yourhealthcare provider before accepting medical treatment.Editors Note: Article was submitted by AgeGuide. AgeGuide is the Area Agency on Agingfor Northeastern Illinois. AgeGuide Northeastern Illinois and may be reached at 630-293-5990 or by email at info@ageguide.org

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

CareAparent understands you or your loved one want to age independently and safely at home. CMe Connect is an opportunity for virtual visit assistance for appointments with a primary physician or Telehealth calls in the comfort of the home. These services allow easy access to needed appointment providing peace of mind knowing an essential nurse or physician visit is possible without traveling anywhere.Benefits of TeleHealth Visits:Wellness and Welfare CheckWellness or welfare calls can help identify any changes in mental or physical health conditions and builds a relationship of trust and safety with regular, professional contact.Medication RemindersMedication is effective when it is taken consistently and on time. A Telehealth call can provide a gentle reminder to take medicine with the appropriate dosage. CareAparents nurses can also assist with other medication-related concerns and alert a physician or family member if necessary.Food and Water ReminderStaying healthy and hydrated is one step to prevent poor health conditions such as weakened immune systems, lower energy levels or even poor physical functioning. A TeleHealth call can help maintain a regular schedule for meals and water intake with reminders and assistance for continuous wellness.Benefits of Virtual Visit Assistance:Skilled Nurse VisitCareAparent provides a skilled nurse to assist with a virtual visit within the comfort and safety of the home. These visits are scheduled through a primary care provider on a set date and time. CareAparents nurse will come to the clients residence with an iPad and connect with the physician online, take clinical notes of the call, and leave a detailed summary of the visit with the client and/or family member with instructions relating to the visit.Technology AssistanceNavigating technology can be confusing and frustrating. A CareAparent nurse will come into the home to ensure that the virtual visits transitions smoothly and efficiently using the virtual method used by the medical provider. A virtual call or visit could also be facilitated to allow you or your loved one to connect with family if you are unable to visit in-person.Reduce Emergency Room and Clinic VisitsStaying connected and aware of health issues and well-being can assist in a reduction of hospital visits through an interdisciplinary approach in the recovery process.

Poor balance and the fear of falling are primary reasons for declining mobility as a person ages. Mobility is an important factor in the quality of life. As balance worsens (increasing the risk of falling), it is more difficult to be mobile. Unfortunately, falling is the number one cause of hip fracture. Nearly 20% of all hip fractures in the elderly will result in death within the first year, and 50% of people will never regain their prior level of function. Physical therapy is a very viable and helpful resource in improving balance and mobility in order to maintain your independence. The key to helping someone improve balance is to understand why his/her balance is worsening in the first place. Determining the best intervention to address balance-related issues can be difficult and is typically multifactorial. Once the reason for the decline is determined, an effective treatment program can be designed by the physical therapist to address the issue. The following different body systems affect balance:Musculoskeletal System A person needs to have adequate strength and bone structure for mobility and balance.Somatosensory This system consists of all of the touch and nerve receptors in the muscles, tendons, and joints. A common problem affecting the somatosensory system is neuropathy. One very common form of neuropathy is from diabetes. Having numb feet makes it very difficult to balance!Eyesight We rely heavily on our eyesight for mobility and to know where we are located in our environment. Eyesight can be affected by eye conditions such as glaucoma, cataracts, or even if you wear poorly fitting eyewear. Your eyesight is not just about the acuity at which you see, but is also how the eyes move. Gaze stabilization is how well you can stabilize on a target in your field of vision.Vestibular System Our vestibular system is located in our inner ears. It provides us with information on head movement. It works to process information on the heads position in your environment. The vestibular system is one of the more adaptable systems, and with practice, it can be improved.Central Nervous System The brain is responsible for coordinating all of the information gathered by the body's other systems. Damage from trauma or conditions such as Parkinson's disease, or a stroke can also affect balance. Other factors such as medications and dehydration can also affect balance.Physical therapists work with individuals to help improve balance and positively affect ones mobility (and ultimately, his/her ability to function independently). Editors Note: This article was written by Ben Shatto, PT, DPT, OCS, Director of Therapy Services at MultiCare Home Health, and author of the website www.thePhysicalTherapyAdvisor.com

Expressions of gratitude are often reserved for the holiday season. Thanksgiving seems to be the time of year when giving thanks just rolls right off the tongue. But, what if you changed your attitude toward gratitude and started practicing it every day?Research has linked many health benefits, both physically and mentally, to practicing gratitude. Being thankful can decrease your blood pressure, boost your immune system, reduce aches and pains, increase energy, and help develop deeper (and more meaningful) bonds with others.When faced with adversity, Robert Emmons, the worlds leading scientific expert on gratitude, noted, gratitude helps us see the big picture and not feel overwhelmed by the setbacks were facing in the moment.,Keep a journal.Dont set a limit, write one brief reflection for which youre thankful, or write many. Journaling is favored because it helps to change perceptions by shifting the thought process.Plus, youll sleep better.Create a collage/visual.Decorate a piece of paper or sturdy board with positive imagery. Fill the space with family photos, inspirational quotes and other things that make you feel grateful and appreciative.Write a letter.Is there someone that has made a positive difference in your life? A caregiver, volunteer, friend or family member? Reflect on significant moments youve shared, and let your gratefulness flow from your pen.Take a mindful walk.While taking a stroll, challenge yourself to notice something beautiful or that you havent seen before.Acknowledge others.Smile more, be kind and look for others who are doing good things. Give recognitiona thank you can go a long way.The COVID-19 pandemic has been a remarkably challenging time for everyonephysically, mentally and emotionally. To alleviate your negative feelings during this unprecedented time, be mindful and actively look for reasons to be thankful to encourage positive thinking, provide a sense of purpose, and help you to focus on what matters._____________________________Editors Note: Lainey Goss, marketing director at Senior Commons at Powder Mill Independent Living, Personal Care and Memory Care, submitted this article.

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

Warning Signs of Isolation in SeniorsThe behavior to Look for and Life-enriching ResponsesDo you know the best way to measure the effect of your senior loved one's isolation? Measure your own. Now increase by a factor of age, lack of mobility, loss of control, and loss of physical touch. After prolonged periods of isolation, ordinary, small anxieties can begin to resemble anxiety disorders. First, know what to look for:Are they sleeping? Loneliness makes for erratic sleep. Lack of exercise and increased anxiety aggravates sleeplessness.Are they spending more? Its a substitute for social connection, a kind of behavioral comfort food for some people.Are they eating well? Its normal to eat less with age, but a dramatic drop in appetite could signal feelings of loneliness.Have phone calls changed frequency? A significant change in the number and time of phone calls can signal isolation.Now, what can you do about it?Listen. You may hear your loved ones feel they are being forgotten. This may be a simple request for your attention. If they make up errands for you, its a way of asking for company. Thats not a bad thing. Our answer is social engagement through Life Enrichment (LE) in Assisted Living residences. The program provides dozens of planned activities and opportunities to meet new friends and interesting people every month.Use technology. Yes, we know the challenges. The reality is social media at its best is very social when they cant be social in person. Tutor your loved one on phone and mobile device use. Many seniors find that telehealth services are vital when they cant get to the doctor, especially to continue mental health treatment. Most insurance companies, including Medicare, also cover telemedicine. Meditation apps are easy to use and cheap or free. Soothing natural sounds have a calming effect, and many people use them as sleep aids, reducing the dependence on medicine.Collaborate. Brainstorm about things they can do to keep their mind active. Ask them to tell their story. And make it a project. You can do this in a series of phone calls or ask them to write it down. Remember the simple power of having something to look forward to.This article was submitted by Legend Senior Living.Learn more about Legend Senior Living:Legend of Fort WorthLegend of MansfieldLegend of McKinneyWillowbend Assisted Living & Memory CareRosewood Assisted Living & Memory CareRiver Oaks Assisted Living & Memory CareMeadowood Assisted Living & Memory CareRock Ridge Assisted Living & Memory Care

Q:Is it true that women are the fastest growing demographic for substance abuse today?A:Yes. Historically, men have had the higher reported incidence of substance abuse and dependence, but women are closing that gap. Young women, in particular, have an almost equal percentage of abuse and dependence concerns as young men.Q:Are women more at risk for developing addiction?A:While addiction is an equal opportunity disease, it affects women differently. Women become addicted differently, start using for different reasons, progress faster, recover differently, and relapse for different reasons.Many years ago, the Big Book of Alcoholics Anonymous told us that women progress faster. Now science is telling us why. Its purely physiological. The female body processes alcohol, and to a varying extent other chemicals, differently than does the male body. Therefore the brain and other organs are exposed to higher concentrations for longer periods. Thats why one drink for a woman is said to have twice the physical impact as one drink for a man.Q:What prevents women from getting help?A:Shame and fear are major barriers. The stigma attached to addiction can be stronger for women than men. Particularly moms. Its difficult to seek help and to make that first phone call or tell that first person. Its even more difficult to get truly honest with oneself.Sometimes women are diagnosed with a medical condition or mental health concern without being asked about drinking or drug use. Or, if asked, they may deny the problem. Above all, women need a program that offers real hope. Ive seen women begin treatment full of shame and despair, with their heads down. As they progress in recovery, they become shining women of courage and hope for others. The recovery process is truly transformational.Editors Note: Brenda J. Iliff is the executive director ofHazelden in Naples, Florida, a part of the Hazelden Betty Ford Foundation.They can be reached at 866-261-3734.

SBB University | Caregiving Resources Transfer SMARTER (NOT harder) is a 3 part series presented byEmilia Bourland, OTR, ECHM, the owner of AIPC Therapy, and a mobile Occupational Therapy provider.Who is this best for? Family caregivers and professionals who are committed to safety Family caregivers and professionals who want to foster independence Family caregivers and professionals who want to practice self care Family caregivers and professionals who are interested in new solutionsPart 1: Principles, Techniques, and Strategies to Work SMARTER (not harder), Protect Your Back, and Protect Your client,patient, or loved one.Goals:Understand at 3 three basic principles of safe transfers that you were previously unaware of.Name at least three principles of proper planning for safe transfers.Have greater confidence in your ability to communicate clearly during transfersPart 2: Position and Good Mechanics for Success! How to Work Smarter (not harder) by following simple guidelines for movement and positioning.Goals:Understand at 3 three basic principles of good body mechanics that you had forgotten or were previously unaware of.Name at least three principles of proper positioning.Have greater confidence in your ability to use good body mechanics during transfersPart 3:Correct use of the right equipment: Basics you NEED to know!How to work smarter (not harder) by understanding how your equipment works (and doesnt) Be safer, lift less, and protect your transferee!Goals:Understand at least 3 three things about common equipment that you were unsure about or were previously unaware of.Name at least 3 things to check on equipment for safety prior to a transfer.Have greater confidence in your ability to use equipment properly during transfersBasic equipment for review today:Gait/transfer beltWheelchair and its partsWalkerBedside commodeTo learn more or contact Emilia Bourland, OTR, ECHM with AIPC TherapySBB University | Caregiving Resources is provided courtesy of Seniors Blue Book and Kathleen Warshawsky, BSN, RN https://www.sbbdallas.com

To learn more aboutMindMedia.net, CLICK HEREBased on recent scientific research (and backed up by 11 published medical studies) this hypnosis track attacks acute and chronic pain at the root, in your subconscious, literally reprogramming your brain to ignore nociceptive impulses from virtually anywhere on your body. Chronic pain sufferers will see immediate and lasting relief; even those afflicted with migraines, fibromyalgia and other conditions have found complete and lasting relief."This Hypnosis session will remove pain immediately by re-training your mind. Within minutes, youll feel calm and relaxed while your body repairs itself on a cellular level." '"Unlock the full potential of your mind and body to reduce or remove pain with this simple guided meditation. You will completely forget about your pain just as soon as you begin to listen. By following these techniques, you will effectively reprogram your subconscious mind on a deep level using powerful hypnotic suggestions to dissolve your perceived pain. This is definitely a short term solution rather than for lengthy chronic pains, but it does work immediately."Medical Meditation for Immediate Relief of Pain This meditation will bring a sense of relief to a client suffering chronic pain. Because it is about the real aim or purpose of all pain, we find many people who listen immediately notice an immediate relief of any pain. The mastery may be with this audio and no further sessions. This session is unique from many others in that it provides guided imagery for you, while giving you the scripts and coaching for improving your effectiveness as well.Be sure you notify a medical professional that you used this hour-long meditation to reduce the pain you have.

One on one assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)#listing_mgr{7 basic_search}#

When Eric Jepsen and I met, we found an instant connection discussing the idea of having a home that was dedicated to end of life care. Our backgrounds and experience made this collaboration easy and exciting for both of us.Ms All means beyond in Spanish. This beautiful home located just west of Loveland, has space for up to 5 people to spend their last season surrounded by beauty and family. We provide the 24/7 care and work with our guests hospice team as they determine how best to meet the medical needs. This team goal allows family and friends to be just that family and friends.We work with the hospice organization that the guest chooses. Our desire is for each of our guests to feel free to make choices that are best for them. At end of life, there are so many things that are outside a persons control. We believe that any choice you can make about how you live that season should be encouraged and respected.Editors Note: This article was submitted by Becky Davis, CEO of Ms All Homes. For more information she can be reached at 970-549-0600 or by email at: becky@masalla.life

Getting the Maximum Benefit From Your Medicare Advantage Plan Take advantage of everything your plan offers to achieve optimum health and well-being By Dr. Richard Smith, Medical Director for Humana's Senior Products in Idaho If 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 submitted by Humana. For more information on Humana's senior products in Idaho call (208) 319-3400.

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.

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

These are divisions of the state government and they oversee licensing and services provided by senior housing, home care, and other services.#listing_mgr{7 basic_search}#

Does someone you care about display any warning signs of mistreatment? Physical AbuseInadequately explained fractures, bruises, welts, cuts, sores & burnsUntreated pressure bed soresNeglectLack of basic hygieneLack of adequate foodLack of medical aids (glasses, walker, teeth, hearing aid, medications)Lack of clean appropriate clothingDemented person left unsupervisedBed bound person left without careHome cluttered, filthy, in disrepair, or having fire & safety hazardsHome without adequate facilities (stove, refrigerator, heat, cooling, working plumbing, and electricity)HoardingFinancial AbuseLack of amenities victim could affordElder voluntarily giving inappropriate financial reimbursement for needed care and companionshipCaregiver has control of elders money but is failing to provide for elders needsCaretaker living off elderElder has signed property transfers (Power of Attorney, new will, etc.) when unable to comprehend the transactionPsychological AbuseCaregiver isolates elder (doesn't let anyone into the home or speak to the elder)Caregiver is aggressive, controlling, addicted, or uncaringReporting Suspected Elder AbuseIn Salt Lake County Call: 801-264-7669. Statewide Call: 1-800-371-7897. In case of emergency, call your local police station or 911.For more information of preventing Elder Abuse and Neglect in Utah, please call the Utah Elder Abuse Prevention Coalition at (801) 860-3801.

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

You may have thought you had it covered by arranging for a caregiving service to help prepare Moms meals. Its true that seniors value the meal preparation assistance they receive from a family or professional caregiver. Eating that delicious home-cooked meal, after all, is the fun part, right?But when you sit down to dine with an older loved one, do you struggle to know what to talk about? A seniors world may have shrunk to the size of their four walls. Even so, mealtime conversations are an important part of the dining experience.According to Dr. Amy DAprix, an expert on aging. Sharing memories is a great way to deepen your relationship with an aging relative, DAprix said. But sometimes we all need help thinking of new and meaningful things to talk about.That's why DAprix created Caring CardsTM. This packet of playing card look-alikes features more than 50 questions on a wide range of topics that can help you engage a senior loved one in meaningful conversation. The Caring Cards are available as part of the Home Instead Senior Care networks Craving Companionship SM program at MealsAndCompanionship.com. Our goal is to provide you and your loved ones with personalized care to live full, healthy and happy lives.Editors Note: This article was submitted by Home Instead Senior Care, 239-226-0007 or 239-541-4133.

Getting it Straight with MedicaidWhen a loved one needs to be admitted to nursing home care, there are many questions to be asked in regards to nursing home care, as well as to Medicaid coverage and eligibility. The eligibility process can be a daunting, exhaustive maze of nitty-gritty rules and regulations and many have had their applications failed due to minor mistakes that could have been avoided.Often the expertise of a Medicaid planning company like Senior Planning Services is recommended to guide one through this process while the applicant can remain focused on the myriad nursing home details. Let me break down some of the complexities into bite-size, comprehensible pieces of information:What is the asset limit I can keep and be eligible? The asset limit is $2000 for Nursing home, assisted living and community Medicaid.What are assets that count for Medicaid eligibility? Savings accounts, CDs, stocks, bonds, mutual funds, IRAs, life insurance with a face value of $1,500 or more, among others.What assets dont count? The primary residence is excludable when there is a community spouse residing in the house. One vehicle may be kept for the community spouse, personal possessions are not counted, as well as German Reparation funds, special needs trust set up for a disabled child, a prepaid irrevocable funeral trust and burial plot. There may be some other exclusions that need to be determined at a case-by-case basis. Contact a Medicaid consultant for further exclusions.Can the spouse keep any of the assets? Generally, Medicaid will divide all the assets in half, one half remaining with the community spouse while the other half will need to be spent down in order for the applicant to be eligible for Medicaid. In addition, the spouse that is not applying for Medicaid, often referred to as the community spouse, may also keep the primary residence that he /she is living in and one vehicle.Can the children keep any assets? In some cases, Medicaid will allow the children of the Medicaid recipient to remain in the primary residence. If there is a child under the age of 18 or if the child is disabled or blind they may keep the primary residence in most cases. Another example would be if an adult child were to move in and provide full-time home care for two years prior to the applicants admission to a nursing home, they may keep the primary residence. In this case, Medicaid will require proof that the adult childs care prevented the parent from being admitted to a skilled nursing facility sooner .Can any purchases be made with assets to help eligibility? Yes, this is called spend down. There are many qualified purchases that can be made to lower ones assets below the limit. Some examples are; buying toiletries and clothing that the applicant can benefit from once he/she is already on Medicaid, setting up a prepaid irrevocable funeral trusts and some others.Whats the income limit for Medicaid-sponsored nursing home care? This amount varies from state to state. In NJ the income limit is $2,163 for nursing home, assisted living and community Medicaid. If ones income exceeds this cap they may still be able to qualify for Medicaid by setting up a Qualified Income Trust (QIT). The excess income will then go into the QIT. The funds in the trust can then be used towards the care of the applicant. If the trust is set up correctly, as mandated by federal and state law, the excess income will not impede the applicants Medicaid eligibility.Whats considered income? Salaries, wages, pensions, social security checks. Financial assistance, such as Food Stamps, HUD, Home Energy Assistance Program, etc. is not considered income.How much income can the nursing home resident and family keep? The resident may keep a minimal PNA (Personal Needs Allowance) of $35 per monthly, the amount towards a secondary insurance premium. If the community spouses income is below the Monthly Maintenance Needs Allowance of $1,966.25 he/ she may keep some of the institutional spouses income until the total monthly income reaches $1,966.25. In some cases the community spouse may be able to keep more income if he/she proves that her monthly expenses are not covered by this income. Medicaid will need to see utility bills, outstanding medical bills, etc. in order for her to qualify for a higher monthly maintenance amount.Conclusion: These are some FAQs that I often come across. Rest assured that when your loved needs long-term nursing home or assisted living care, there is help out there that can guide you through the Medicaid eligibility procedure.

Researching or booking travel on your own can be overwhelming and frustrating, especially if you are considering vacations, activities, or destinations that are new to you. With so many options available to travelers, it is important to be confident that you are getting the vacation experience you are looking for. The best way to make that happen is to depend on the services of a qualified local travel agent.Why use a travel agent? Essentially, a good agent is better connected, has access to benefits you cant get otherwise, and they can often beat any other prices available (even those online). They provide a safety net during the trip that you simply wont get by booking yourself or buying insurance. The best travel agents are consultants; it is their advice, expertise, and connections that are of great value.Time of Your Life Travel is a local full service travel agency that prides itself on being truly client friendly. Our combined 40 years of experience in this exciting industry assures that you will get the most knowledgeable and professional service available in the Denver Metro area. Our services come at no extra charge to you, and unlike many online travel agencies, you will always reach the same office and be assisted by the same agent rather than being routed to a call center. Our knowledge and expertise in the travelindustry, along with the relationships weve built with our vendors, helps us to provide a safe, stress free, tailored travel plan for you and your travel companions. There will never be unanswered questions or uncertainty regarding your trip. Your complete satisfaction is our goal.While we love to see our clients come in to our office for personal service, coming to us is not necessary if it isn't convenient.We can provide our services over the phone, and we can also easily organize a seminar at your location if you are considering traveling as a group. We can assure that your vacation experience will be the best choice for you, while providing competitive pricing and unparalleled service. You will also receive a special onboard credit or amenity when you confirm a Princess Cruise or Viking River Cruise and mention the Seniors Blue Book prior to deposit. Book early for the best pricing and availability for 2014 sailings. Its time to create memories that will last a lifetime!Editors Note: This article was submitted by Joyce Smith and Tracy Mason, owners of Time of Your Life Travel. Joyce & Tracy may be reached at 303-933-0707 or by email at: joyce@toyltravel.com & tracy@toyltravel.com for information on all your travel excursion needs.

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

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.

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

When or if people prepare for their death or disability, they often are unaware of the five common mistakes people generally make. A well-written estate plan helps you avoid those five mistakes. What are they?Mistake 1. Loss of control. Surprisingly, disability is more likely in the short term than death, so you also need to address what happens if you become disabled and cannot make medical or financial decisions. Do not assume that your spouse can make all of those decisions for you; your spouse cannot access your retirement accounts or any assets just in your name. Thus, you need to have appropriate documents in place.Mistake 2. Loss of access. When you die, at what age will your children get their inheritance, and who will control it? Without a plan, your family must follow the governments rule book, not yours.Mistake 3. Loss of assets. People often say they were told to give their assets away to family members, for tax reasons or Medicaid reasons. However, that strategy can be a disaster. What if those family members get divorced, go into a nursing home, or are in a car accident? Tax laws are not the only things to consider. Long-term care planning, paying for long-term care, and Medicaid qualification are major threats. It is critical to understand how tax and asset protection laws integrate.Mistake 4. Unqualified professionals. Just as you would go to a cardiologist for a heart condition, it is important to work with a Certified Elder Law Attorney certified by the National Elder Law Foundation to plan your financial future. Certified Elder Law Attorneys have undertaken hundreds of hours of specialized training in numerous elder law areas, and have passed an extremely difficult exam. Many professionals, while believing that they are acting in your best interest, are often not aware of the intricacies of elder law. Certified Elder Law Attorneys are trained to deal with the complexities of aging and protecting your assets.Mistake 5. Increased cost without pre-planning. Often people focus on the short-term cost of preparing documents, but ignore the additional cost at death. Understanding the cost of not doing something properly now, and how much it can affect your family, should weigh heavily in your decision-making. The law is complicated, but working with qualified professionals does not have to be.__________________________________Editors Note: This article was submitted by Jeffrey R. Bellomo, Esquire, CELA

Women are at the epicenter of the Alzheimers crisis. An estimated 3.2 million, or two-thirds of American seniors living with Alzheimers disease, are women. In Texas, that equates to nearly million women living with Alzheimers disease. Not only are women more likely to get the disease, they are more likely to be the caregivers of those with Alzheimers. Studies consistently show women make up 60 to 70 percent of Alzheimers caregivers. This means about 10 million women currently provide unpaid care to someone with Alzheimers or another dementia.Consider a life of stress, strain, and sacrifice. These are the lives of women living with Alzheimers, says Diana Kerwin, MD, and Chair of the Dallas Chapter of the Alzheimers Association. Caregiving responsibilities take a toll on womens health and well-being. Many of these Alzheimers caregivers say their responsibilities are physically stressful and the majority finds them emotionally stressful. Feeling isolated can be a result of caregiving duties, and for women, this isolation is linked to depression. Caregiving duties can also lead to adverse consequences in the workplace. Women Alzheimers caregivers often quit work to become a caregiver because their duties become too burdensome. Among working women caregivers, 20 percent have gone from working full to part time, compared with only 3 percent of working male caregivers.Knowledge is power, Kerwin notes. A local initiative, Your Brain Matters, is a volunteer community education program that raises awareness, provides information, and offers resources about the impact of Alzheimers disease on women. Currently, 170 volunteers are at work in Dallas county educating people about the early warning signs of the disease. Women need to know, in their 60s, they are twice as likely to develop Alzheimers disease, as they are to develop breast cancer, over the rest of their lives. With this awareness, women can recognize the value of sharing any suspicions or symptoms with their family and physician. After a positive diagnosis, women, families, and physicians together can access important information; review medication options; determine medical and legal planning needs; and address any final wishes. Care and support resources or volunteer interest in Your Brain Matters is available through the Alzheimers Associations 24-hour Helpline 1.800.272.3900 or online at www.alz.org.

You cannot escape the responsibility of tomorrow by evading it today. Abraham Lincoln (1809-1865), 16th President of the U.S.When you hear the word Veteran what comes to mind? If you're like most Americans, words such as Service, Selflessness and Dedication lead the list. At Hodges Funeral Homes, we are devoted to celebrating the sacrifice and significance of what it means to be a Veteran. Theirs is an honor justly earned, a dignity deserved.We extend this celebration through our many Veterans advocacies, including our Homeless Veterans Burial Program and our Veterans Planning Guide. At a recent presentation to Veterans and their spouses, Chief William Carl, Veterans Liaison at Hodges Funeral Homes, honored his attendees with a famous quote: A Veteran is a person who signed a blank check to the United States of America, up to and including ones life.While we don't know the author of this quote, we acknowledge it with gratitude because it captures the essence of what it means to be a Veteran a credential like no other, Chief Carl said.In welcoming the crowd representing all branches of service, Chief Carl informed his audience that he was on a mission. This is a different kind of mission than the one I've recently returned from in Afghanistan, he said. I'm on a mission to remind you of something that, as Veterans, we've always been instructed to do: Plan Ahead! Life is precious to us, until the day we die. That's why were here to plan for that day in honor of our loved ones and family.Did you know that over 1,800 American Veterans die each day, many of whom do not receive all the VA benefits and distinctions they have earned? As a proud member of the network of Dignity Memorial providers, Hodges Funeral Homes offer comprehensive services to assist eligible Veterans and their families in accessing all of the VA burial benefits provided by the U.S. Government. Our FREE Veterans Planning Guide includes worksheets and valuable information on how you can access important documents and receive an additional 10% off services not covered by your VA benefits.To learn more about these important advocacies for Veterans or to set up an appointment or presentation contact Chief William Carl at 239-370-5428 or email: William.Carl@DignityMemorial.comFor more information about the many programs and presentations offered by Hodges Funeral Homes of Collier and Lee Counties, visit our website at www.dignitymemorial.com or contact Community Liaison, Bernadette La Paglia, at 239-398-3951 or email: Bernadette.Lapaglia@DignityMemorial.com.

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

Social media is everywhere today, and its easy to rely on it to drive traffic to your website. But it can be overused, making it difficult to stand out. Only 23% of businesses say they are satisfied with the results of their social media marketing efforts. (Source: Social Media Examiner)Your website is your most valuable asset, but its often underutilized.  Here are 11 proven strategies to get more visitors to your website and take better advantage of this powerful marketing tool:1.     Crafting High-Quality ContentHigh-quality content is the foundation of your website. Its what draws visitors in, keeps them engaged, and helps you establish yourself as a trusted expert in your field. It also makes your website more visible in search engine results, meaning more people will find you when they look for your product or services.             Actions To Take:        Research your target audiences interests and pain pointsHigh-quality content can help you generate 55% more traffic to your website. (Source: HubSpot)         Create informative, valuable, and well-researched contentEngaging content generates 3 times more leads than paid search. (Source: Content Marketing Institute)        Publish consistently to keep your audience engaged2.     Understanding Your AudienceTake the time to get to know your audience. What are their pain points? What kind of content do they find helpful? What are their goals? Once you understand their needs, you can create content that speaks directly to them. As a result, your visitors will be more likely to return, which can lead to increased brand awareness, trust, and sales. Actions To Take:        Conduct audience research to identify demographics and preferences80% of consumers are more likely to do business with a company that understands their needs. (Source: Salesforce)         Create user personas to guide content creation        Seek feedback through surveys and engagement metrics60% are willing to pay more for products and services from companies that understand their needs. (Source: McKinsey & Company) 3.     Providing Helpful SolutionsTrust is essential for any business. One of the best ways to build trust is to solve your audiences problems. When you do this, you show that you understand their needs and that youre an expert in your field. This makes them more likely to return to your site and refer you to others. Actions To Take:        Identify common pain points within your niche        Craft content that offers practical solutions75% of consumers say theyre more likely to trust a company that creates informative content. (Source: Edelman Trust Barometer)         Encourage user engagement and feedback for continuous improvement4.     Embracing Long-form ContentSearch engines love long-form content because it provides more value to users. You should love long-form content because it allows you to showcase your expertise and provide your readers with in-depth insights they cant find anywhere else.            Actions To Take:        Explore comprehensive topics related to your niche        Aim for in-depth articles exceeding 1000 wordsBlog posts between 2,000 and 2,500 words drive the best SEO results. (Source: SEMrush)        Include rich multimedia elements to enhance user experience5.     Master Guest PostingGuest posting is a great way to improve your website rankings through backlinks, reach a new audience, and build your credibility. Why?Backlinks are links from other websites to your own. Theyre one of the most important factors in search engine rankings. Guest posting gives you a stamp of approval from other websites, which can boost your search engine results. The average first-page ranking result on Google has over 3,800 backlinks. (Source: Ahrefs)Guest posting exposes your brand to a new audience, making it more likely they will visit your website to learn more about what you have to offer. Finally, guest posting can help you build credibility in your industry. When you write high-quality content for other websites, youre showing that youre an expert in your field. Actions To Take:        Find websites in your niche that are trusted and reliable sources of information        Craft valuable guest posts with a link back to your siteBusinesses that guest blog regularly generate 55% more traffic to their websites than those that dont. (Source: HubSpot)        Foster relationships with other bloggers for future opportunities6.     Building an Email ListHaving an up-to-date email list is like having a direct line of communication with your customer. Its one of the best ways to stay in touch, share new content, and drive traffic to your website. When someone subscribes to your email list, theyre telling you they want to hear from you, so send them engaging and valuable content. Actions To Take:        Offer incentives for email sign-ups        Send regular newsletters and updatesRelevant and timely email marketing can help you increase sales by up to 150%. (Source: OptinMonster)        Segment your list for targeted messaging7.     Navigating the SEO (Search Engine Optimization) LandscapeBy optimizing your website and content for search engines, you can boost your visibility, attract more visitors, and generate better brand awareness, quality leads, and more sales. Seniors Bue Book can provide you with keyword research (for you and your competitors) and share with you how your website is performing. Together, we will strategize a plan to boost your results. 93% of online traffic comes from search engine results. (Source: SEMrush)8.     Analyzing Competitor StrategiesStudying competitors websites can unveil effective SEO strategies and content ideas. What keywords are they targeting? What kind of content are they creating? Analyze their backlinks. Dont just copy your competitors! Instead, use their strategies as inspiration to develop your own unique approach. Actions To Take:        Identify your main competitors in the niche        Analyze their keyword choices and content topics, using one of the keyword research tools previously mentioned (SEMrush, Ahrefs, etc.)        Adapt successful strategies to your own content plan9.     Leverage Local SEOLocal SEO can help your business get more website traffic, especially if you have a physical location or serve a specific geographic area.  It ranks your website higher in local search results, making it easier for potential customers in your area to find you.Additionally, it will help improve brand awareness and build trust with potential customers. 76% of consumers use local search to find businesses. (Source: BrightLocal) Actions To Take:        Claim and optimize your Google My Business listing        Encourage customers to leave reviews        Collect and showcase positive local reviews        Create location-specific content and landing pages10. Commenting on Industry BlogsCommenting on other industry blogs can lead to backlinks, exposure, and referral traffic.  Its a great way to get your name and website in front of people who are interested in the same topics as you.When you offer insightful and informative comments, you establish yourself as an expert in your field, and people are more likely to visit your website to learn more. Dont just comment to promote your own website! Instead, focus on adding value to the discussion. Actions To Take:        Engage with relevant industry blogs and websites        Add insightful comments that contribute to the discussion        Include a link to your website when relevant11. Creating Engaging MultimediaMultimedia content enhances user engagement and keeps visitors on your site longer.Actions To Take:        Incorporate videos, infographics, and podcasts91% of consumers want to see more online videos from brands. (Source: HubSpot)96% have watched an explainer video to learn more about a product. (Source: HubSpot)        Ensure multimedia elements are relevant and informative        Optimize multimedia for quick loading and ease of useBONUS TIP: Consistency and PatienceIt is important to be consistent with your SEO strategies and patient with the results.  There is no quick fix. It will take time and effort to see consistent traffic growth. Tracking your website traffic can help you understand how visitors find you, what pages they visit, and how long they stay on your site. SEO can be tricky, but its worth understanding and learning if you want to get more people to visit your website and grow your business. Actions To Take:        Develop a content calendar for consistent publishing        Continuously monitor and adjust your strategies        Understand that significant traffic growth may take time86% of businesses use web analytics tools to track their website traffic (Source: Statista) with the most common tool used by businesses being Google Analytics. (Source: W3Techs)Conclusion:You now have eleven proven strategies to increase website traffic without social media. But remember, there is no quick fix.  It will take time and effort to drive sustainable traffic to your website. Dont be afraid to experiment and try new things. What works for one website may not work for another. The best way to find out what works for you is to test different strategies and track your results. Written by Patty Toner, Director of Marketing, Seniors Blue Book of Greater Pittsburgh. You can contact her at patty@seniorsbluebook.com.  

In the course of rushing about our days many of us are oblivious to the realization that caregivers are among us. This thump on the head realization became very clear to me as I was returning from a weeks vacation and experiencing a momentary pity party about returning to reality and work. After all, who looks forward to the end of a vacation? My husband and I boarded the airplane after parents with children and individuals in wheelchairs. In the row in front of us sat a woman/man/woman.I heard the woman in the window seat ask the man sitting next to her if her husband, sitting across the aisle, might take his seat so that they could sit together. The man declined, saying my wife and I have these seats together because she has a progressive type of Parkinson's disease and is totally paralyzed except for limited speech. The woman empathized and responded, I am so sorry, my husband sitting across the aisle was diagnosed with ALS (amyotrophic lateral sclerosis) over two years ago. She proceeded to explain the condition to the man which started a long conversation between the two. My heart broke.God certainly works in strange ways. My momentary pity party passed instantly as I realized that these two married couples likely experienced their last vacation together and their caregiving experience was about to be about end of life rather than celebrating life. My husband and I were fortunate. We were returning from a vacation and will likely have the opportunity to vacation again many more times.The message to me as a caregiver was to appreciate life and to get back to work because people similar to the two married couples sitting on the airplane in front of me are the people that I help each day in my business. Amazing that in an airplane of more than 200 people, these couples were seated near me and I experienced the blessing of hearing their stories. For those of us as caregivers, professional or family, its important to remember that caregivers are among us and many are fighting an emotional battle to make it through each day.Do not forget to be kind to strangers, for some who have done this have entertained angels without realizing it. Hebrews 13:2This article was submitted by Pamela D. Wilson, CSA, MS, BS/BA, CG of The Care Navigator. Pamela may be reached at pamela@thecarenavigator.com

The very fear of your loved one with dementia wandering away from your home could become a reality. Experts report that 60 percent of people with Alzheimers disease will wander at somepoint during the progression of the disease, and half of those will become lost and separated from a loved one. Using the incident rate of one critical wanderer per year per 1,000 persons over the age of 65 (1998 Census figures), the expected total of critical wanderer incidents reported to local law enforcement comes to 31,000 cases a year. Research suggests that most people become lost within close proximity to their home, as stated in the Report, LOST and FOUND by the Alzheimers Foundation, June 2012.The State of Colorado, Department of Public Safety has recognized these staggering statistics and has established a Missing Senior Citizen and Person with Developmental Disabilities Alert Program (24-33.5-415.8)(individuals with dementia, Parkinsons, diabetes, etc.). This is very similar to the Amber Alert Program, which alerts the public of any missing child.The programming procedure for The Silver Alert entails the family reporting the description of the missing senior along with the last know location to law enforcement. This data is relayed to participating radio and tv stations, and other media outlets in Colorado. The public notices will be placed along the media every 15 minutes for 2 hours thereafter on 30 min intervals until the individual is placed.This alert program has been implemented in some variation nationwide to protect the most vulnerable elders. Keeping seniors safe and comfortable should be the number one priority for everyone!Editors Note: Article submitted by Karen Owen Lee, owner of Housing Options for Seniors and author of The Caring Code: What Boomers Need To Know About Seniors. She can be reached at 303-875-4466 or by email atKaren@KarenOwenLee.com

When it comes to deciding whether a will or trust is best for you, it is important to understand your options and which one is most appropriate for your situation.WillA testamentary will (simply referred to as a will) is a legal document used to transfer an estate to beneficiaries after the death of the testator (the person making the will). Within the will, the testator usually names a personal representative (also called an executor) for the estate. A will is revocable (it can be cancelled by the testator) or it can amended by the testator. For a will to be valid in Idaho, it must meet specific requirements under Idaho law.Living TrustsA person, during his or her lifetime, may create a living trust whereby the settlor (the person making the trust), trustee (the person who has legal authority to manage the trust assets) and beneficiary (the person who makes use of the trust assets) are all the same person. After the settlor dies, depending on the trust instructions, the trust assets may be distributed outright or held within the trust and distributed over time or upon the happening of a designated event. Living Trusts may be appropriate for persons who own real property in more than one state or have a blended family where spouses have children from prior relationships.Testamentary TrustsA testamentary trust is a trust within a will. A testamentary trust is created upon the death of a person as specified in his or her will. The testamentary trust holds assets within the trust instead of outright distribution to a beneficiary. A common scenario is when parents create a testamentary trust to hold assets for the support of minor children or for college education for children until they reach a specified age. A testamentary trust can also hold assets for the special needs of a disabled child who receives government benefits.A New or Updated Estate PlanWhether a will or trust is appropriate for you depends on your circumstances. If you already have a will or trust, it should be reviewed periodically to make sure it reflects your current wishes and needs or upon any significant change in your life such as divorce or death of a spouse or beneficiary.This article was written by Donna A. Schuyler, Attorney, who practices in the areas of estate planning, elder law, guardianship and probate.Donna Schuyler Law, PLLC; elderlawboise.com; Phone 208-344-1947

To learn more aboutActive Home Health, Hospice and Personal Care, CLICK HERE.Active Home Health and Hospice was created with the goal of improving the standard of patient care in the home setting and actively serving those we care for in their journey through life. The ownership consists of local Registered Nurses and Healthcare Administrators that recognized a need in the community and wanted to make a positive impact on patient care. Although there are many Home Health and Hospice companies in Utah, we wanted to raise the bar by providing excellence in patient focused care. Active Home Health and Hospice is locally owned and operated, with over 25 years of combined healthcare experience. Our mission is to stand for excellence in patient service and care. We pledge to lead by example in the community by placing patient care where it belongs, above profit. We believe in hiring attentive caregivers nurtured in a culture of mutual respect and accountability. Actives employees feel empowered because their input is needed and appreciated. Our wonderful caregivers provide patients with loving, respectful, personal care in the comfort of their own home. We believe in providing end of life care with the comfort and dignity that our patients deserve. We always strive to promote the well-being and maximum independence of our patients, and above all we love those we serve! Our commitment to you and your loved ones is excellence. We are honored you would choose Active as your care team during your time of need. You have our commitment that we will place you first as we serve you through this unique part of your lifes journey. Sincerely, Your Active Care Team

As we age we begin to have aches and pains, our backs, hips, ankles, and one of the biggest culprits our knees. Knee pain affects all ages, even those who are healthy and active.More than 14 million Americans suffer from arthritic knee pain. The number of people having knee replacement surgery has doubled in the last decade, with the largest increase in the under 65 age group. This year, approximately 700,000 Americans will have a knee-replacement surgery.If your knees are imperfect, you are not alone. Tiger Woods, Rafael Nadal, Michael Jordan and Tom Brady all complain of rickety joints.Ways to encourage healthy knees. Never injure your knees Take care of your knees when you are young. Stay active: Exercise may be the last thing you want to do when your knees hurt, but studies show that physical activity is one of the best ways to improve your quality of life. Healthy Knees: Run to prevent future problems. Recent knee science shows that regular and vigorous physical activity, including distance running is good for healthy knees Unhealthy Knees: Avoid running and other weight-bearing activities. Try cycling or swimming, range of motion and aerobic exercises instead. For those with balance issues, chair aerobics are also an option. Avoid exercising your knees when you are experiencing a bad flare-up. Strengthen muscles Your muscles protect and support joints affected by arthritis. Maintain a healthy weight If you are over weight, loose weight. Excess weight puts strain on your knees, hips, ankles, spine and feet. Eat a balanced diet A variety of nutrients may help ease knee pain, especially fruits and vegetables rich in vitamin C and fish containing omega-3 fatty acids. Follow a balanced diet that includes fruits and vegetables, whole grains, low-fat dairy, fish and lean meats, as well as nuts, avocados, olive and canola oil.Healthy knees can help you to live a more independent life.Editors Note: This article was submitted by Dr. Terry Madsen, MD with Madsen Orthopedics. He may be reached at 972-664-0606. Dr Madsen practices at Plano Surgical Hospital.

So, what is a care partner team? Well, it of course includes the Elder, and can include any of the following: Family members, friends, neighbors, volunteers, health professionals, home health or hospice support, etc. The only criteria to be part of a care partner team, is a vested interest and desire to meet the needs of the Elder Care Partner.Being well-known in our family, community, or care partner team is extremely important to our well-being and sense of belonging. We are not talking about the traditional ways that Elders and their care partners might become known to one another with surface level information and broad generalizations. We are talking about creating ways that give people the time and support they need to really be able to know each others stories, so that they can anticipate and meet each others needs on a daily basis. Relationships should be deep enough that we can intuitively know what to do and naturally react to needs when they arise. Even family members may not be tuning into each to other to this degree sometimes because they assume they already have all of the answers. This is a pattern any of us could easily fall into. Once we have developed this kind of responsiveness with our Elder care partner, our job is to make sure that all other care partners on the team are equally committed to building relationships that have meaning.The following statistics help paint the picture of caregiving the United States, and it is interesting to note that: More than 65 million people, 29% of the U.S. population, provide care for a chronically ill, disabled or aged family member or friend during any given year and spend an average of 20 hours per week providing care for their loved one.The value of the services family caregivers provide for "free," when caring for older adults, is estimated to be $375 billion a year. That is almost twice as much as is actually spent on homecare and nursing home services combined ($158 billion).Fifty-one percent of care recipients live in their own home, 29% live with their family caregiver, and 4% live in nursing homes and assisted living.40% to 70% of family caregivers have clinically significant symptoms of depression with approximately a quarter to half of these caregivers meet the diagnostic criteria for major depression.(Statistics taken from Caregiving in the United States; National Alliance for Caregiving in collaboration with AARP. November 2009)Former President Jimmy Carters wife Rosalyn was one of the first nationally-known figures to use her public status to raise American awareness about caregiving. She said, There are only four kinds of people in the world - those who have been caregivers, those who currently are caregivers, those who will be caregivers, and those who will need caregivers. I'm guessing each of us can relate to this quote somehow, some way. Given the statistics we just reviewed, the current pressures on our healthcare system, and growing political emphasis on community-based options for long-term care, we need lots of creative tools and options for caring for each other at home. We need creative, grass-roots solutions that inspire communities to see Elders AND the act of caring for one another in a new light. This is where Care Partnership comes into the picture and it is our responsibility to work together, learn together, and make a difference.To learn more about Care Partnership or the Eden Alternative, please contact Diedra Kearney, Director of Community Education at Dignity Home Health & Hospice, and Chair of the Utah Elder Abuse Prevention Coalition. dkearney@dignityhlth.com, 801-860-3801.

When its time to move to a senior living community, there are a lot of emotions involved. This can be a difficult change in a seniors life, and the lives of their family members. Adult children may be nervous about suggesting the move to their parents, and senior parents may feel they dont need to move, or they may think its a hassle.These feelings are natural, and as a senior getting ready to make the transition, its important to understand how they can be managed.Converse. Address any key issues you may be having, such as mobility issues, health issues, or difficulty with everyday activities. Listen and respect what your family members and loved ones believe is best for you and have an open dialogue for the greatest outcomes.Prepare. Youve probably been living in your house for a number of years. Set aside some time to truly enjoy your home, whether that means having friends over for dinner, or spending an afternoon in the garden. Create some memories to take with you to your new home.Decorate. When you get to your new home, fill the space with items old and new. Make plans to decorate the new apartment with items from your current home, but also mix in a few new items as well. New items can be a reminder that the new home has the potential for new, exciting experiences.Plan. Now that you have a new home, its time to invite people to visit! Plan ahead with family and friends and get them to visit regularly to make your transition smooth. If youre used to a certain activity, such as a weekly lunch with a family member, try to stick to that routine. But dont have visitors too often, because youll want to spend time socializing with new friends at the senior community.As a family member, be encouraging to your loved one during this time. Continue to talk openly with them and encourage them to engage in activities and social opportunities at the senior community. Speak with staff members regularly to stay current on how your loved one is adjusting to their new home.During the initial conversations about the transition, consider visiting a senior living professional to help you. There are many resources in your area that can provide you with assistance with planning or moving to make it easier for everyone involved.Editors Note: This article was submitted by Mike Lapinsky. Mike Lapinsky is the Marketing Director at Traditions of Hershey Independent Living and Personal Care.

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

The constant demands on your time.  The never-ending worries. The kind of stress that wakes you up in the middle of the night. Does finding balance while juggling the demands of work, family, and caring for aging parents sound overwhelming?  Where do you even start to look for answers?At Seniors Blue Book we understand your challenges.  We are committed to providing you with the resources you need to navigate these issues. With years of expertise in elder care and a deep understanding of the emotional and logistical elements involved, we are your go-to resource and companion on this journey.Our comprehensive directory of local resources is available 24/7 to make sure you have the knowledge and guidance to navigate the challenges of caring for your aging loved ones:- Free Printed Community Resource Guide with all the resources you need- Chat for free with a Resource Specialist on our Free Referral Line at 412-551-5951 or on our Live Chat on our website- Online educational articles and videos to walk you through key topics- A monthly newsletter to keep you up-to-date on the latest information- An Events Calendar filled with local programming and education, support groups, health fairs, and webinarsAs your trusted resource on this important journey, we will share practical tips, key questions you need to ask along the way, and offer the compassionate guidance of a supportive community so you can make informed decisions that work for you and your family.When it feels like youre carrying the weight of the world on your shoulders, remember that you are not alone. Seniors Blue Book is your trusted companion, guiding you through the complexities of caregiving, and offering a compassionate hand along the way so you can restore balance in your life.Your role as a caregiver is invaluable and you deserve the support and guidance to succeed. Seniors Blue Book is here for you, every step of the way.Subscribe to our monthly newsletter today and make sure you have these valuable resources and support for your caregiving journey by calling 412-551-5951.This article was written by Patty Toner, Director of Marketing with Seniors Blue Book Greater Pittsburgh Area.  She can be reached at Patty@SeniorsBlueBook.com.  Visit our local page at www.SBBPgh.com.

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

Most older adults want to live in their homes for as long as possible. Aging at home brings with it many benefits as well as concerns. A longtime home is a place of comfort, memories and can be a source of connections to family, friends, places of worship, shops and health providers.However, most homes were not built to support the mobility, sensory and cognitive changes that often accompany aging. As one ages, everyday tasks such as climbing the stairs, standing at counters or in the shower, getting in and out of the bathtub and reaching objects in cabinets can become more difficult.With some preplanning, the use of todays technology, some home modifications, and outside assisted services when needed, you can make your home better suited to meet the changing needs of the people who live there.Simple precautions clearing the floor of clutter and removing rugs, improve lighting, add no-slip strips or non-skids mats on floors that may get wet. Place items on lower shelves for easier access.Modifications-Through-out the home replace door handles and facet handles with levers rather than knobs. Add ramp access and/or wider door ways for better mobility and access. Handrails on both sides of stairs or stair lift.Bathroom Higher Toilet seats, grab bars at toilet, shower and bath, level entry shower (no step) with bench.Technology Medical Alert Systems, smart home devices and home monitoring systems enable residents to call for emergency assistance, perform simple tasks by voice command and creates peace of mind for yourself and loved ones afar.In-Home Assistance ServicesIn-Home care and Home Health care are options to assist aging at home.All of these modifications can be tailored to be make your life easier and keep you independent at home for longer. Most importantly, keep your overall health, safety and everyones peace of mind a top priority.When the time comes that you or your loved ones are unable to stay in the home safely, turn to your SRES (Senior Real Estate Specialist) to assist in the transition. As Seniors Real Estate Specialists (SRES)we have unique training and experience in helping home buyers and sellers.Information in this article was extracted from NAR and Eldercare Locator by Bonnie Warren of Pathway Home Team at Keller Williams. Bonnie can be reached at 407-222-4508 or email bonniewarren@kw.com

To learn more aboutChancellor Gardens at Clearfield - MBK,CLICK HERE.At MBK Senior Living communities, we believe its important to make fitness accessible to all, and we do our best to modify and customize our classes and wellness opportunities so every resident feels, there is an activity for ME! Each of our communities offers wide-range of fitness activities and wellness instruction to keep residents fit, flexible and well.Thats also why, were celebrating National Senior Health and Fitness Day (along with more than 100,000 seniors across the country) by promoting the importance of regular physical activity. Understanding and regularly practicing the 5 key components of senior fitness not only helps achieve optimal fitness, it can help you to maintain balance, sleep better, improve moods, manage stress, and releases hormones that stimulate new brain cells and the connection between cells in areas involved with function and memory.These 5 components are:Cardiovascular: repetitive movement with the goal of raising heart and breathing rateStrength: movement performed with the goal of making a muscle strongerFlexibility and ROM: how far a muscle can stretch and how far a joint can moveBalance and Fall Prevention: maintaining balance reduces chance for falls and Fall Prevention training improves agility to prevent a fall from a sudden loss of balance or tripHolistic: enhancing mind and body connectionsTake a moment and ask yourself, does my current fitness program include all 5 of these components? As a resident of an MBK community, you have access to two signature programs that encapsulate all these components and so many more MBK Mind+Body Wellness and MBK Fit.Building on the substantial body of scientific research illuminating the mind-body connection to health and well-being, our MBK Mind+Body Wellness approach provides residents the opportunity to choose from a number of activities, classes and programs that enrich the whole person - mind, body and spirit. Our diverse and evolving wellness calendars are designed with the specific preferences and needs of the residents living in each ofour communities. We are committed to offering one mind/spirit activity, one intellectual activity and one body activity every day of the week to encourage our residents to integrate all aspects of wellness in to their lives on a regular basis.Our signature MBK Fitprogram includes a full-time, certified personal trainer who offers one-on-one training as well as leads residents through a variety of classes to encourage wellness, balance and independence. With MBK Fit, youre guaranteed to find a course you love, whether it be: Senior Kickboxing, Senior Circuit Training, Moven and Grooven, Fancy Feet and Fall Free, Seated Yoga, or any of the many other dynamic courses offered.Whether through taking courses or on your own, there are countless ways that movement improves our lives. From emotional well-being to physical ability, movement is essential to living a joyful and healthy life. In case you need some reasons to move, check out this list of substantial benefits to staying active and on the move.Movement can:Improve stamina and muscle strengthFoster improvements in overall mood and feelings of well-beingHelp control the joint swelling and pain associated with arthritisHelp maintain healthy bones, muscles and jointsReduce risk of dementiaHelp maintain the ability to live independentlyImprove balance, and reduces the risk of falling and fracturing bonesIn MBK communities, we are deeply committed to the health and fitness of our residents, individually and as an entire community. We aim to change the concept of senior fitness to one that is can do instead of cant do, that inspires and energizes our residents and caters to their individual interests, ability levels and offers challenging new experiences. Our enthusiastic instructors are powerful motivators and assist each resident to be active with longevity. This powerful program gives our residents opportunities to learn the best exercise techniques for their bodies and have fun while doing it!

A Good Listener:  When youre shopping around for health insurance, you want your agent to be dialed in to what youre saying about your past medical history. Weve all heard that the number one cause of bankruptcy in the US is medical expenses. So, your agent needs to respect the 75% listening, 25% talking rule when communicating with you. Its paramount that your agent asks the right questions to cover all potential exposure points. Youll know that you have an insurance agent that values you when theyre asking thoughtful questions and focused on your responses. Pinpointing a plan across many carriers takes great listening skills; your agent has a responsibility to ensure that the coverage you have will mitigate the most out-of-pocket exposure for your family if something does happen to you.Clarity and Knowledge:  An insurance agent that values you will master their product knowledge because theyre aware of the fiduciary responsibility to their clients. The purpose of having an agent is for them to explain your policy options clearly and concisely. As a potential client, make sure youre asking questions if anything is confusing. An agent that values you will be more than happy to give you the answers you seek. If they are not, they most likely are more worried about the sale and not your needs. Whatever the budget for health insurance, a knowledgeable agent should find some form of coverage for you. Theyre genuine in their approach when explaining your policy options. If youre speaking with an agent who wont take the time to help you personally or at least refer you to someone who can, theyre limited in their knowledge and most likely commission-minded. Furthermore, you may want to inquire into finding an independent broker. These agents are appointed with dozens of insurance carriers and can build policy options based on your needs and not one companys products. In this manner, you are exposed to greater clarity through options and choice. An agent who provides value in these ways is friendly, non-combative, and committed to helping you.Staying Connected:  If your agent has met the above two criteria, its most likely a good idea to keep them around. They are now aware of your medical history, and you have both established mutual trust and understanding. An agent that values this long-term relationship will reach out to you periodically throughout the year. Their purpose should be to review the policy and make adjustments if necessary. Your agent should want to know whether or not the policy has provided value. This is also a great time for you to ask any questions. Additionally, if you currently have an agent who issued you a policy but hasnt contacted you since, you may want to reach out or consider getting a new agent. Your agent should demonstrate these qualities so that you know your familys health is covered to the fullest extent.

Lets face it. Getting older can be very lonely. Loved ones and friends move or pass away, and it becomes increasingly difficult to leave the house and participate in once-loved activities. But there is once source of comfort and companionship that benefits seniors in countless ways: pets.The Benefits of Pet Ownership for the ElderlyAnimals can help reduce stress, lowerblood pressure, and increase social interaction and physical activity. Pets provide other intangibles, too. Dogs and cats live very much in the present, says Dr. Jay P. Granat, a New Jersey-based psychotherapist. They dont worry about tomorrow, which can be a very scary concept for an older person. An animal embodies that sense of here and now, and it tends to rub off on people.Pets can also have an astounding effect on symptoms of depression and feelings of loneliness. Older pet owners have often told us how incredibly barren and lonely their lives were without their pets companionship, even when there were some downsides to owning an active pet, says Linda Anderson, who founded the Angel Animals Network in Minneapolis with her husband, Allen, to spread awareness of the benefits of pet ownership.Marjorie and Richard Douse couldnt agree more. Soon after the Douses retired, they adopted Bonnie, a golden retriever puppy who quickly became an indispensable member of the family. We never felt alone when Bonnie was in the house. As we aged and tended to go out less, she provided us with loving companionship, say her owners. Bonnies outgoing personality enhanced the lives of other seniors as well. The Douses took her to visit aging relatives in a nearby nursing home, and she was a hit with the residents and staff alike.Psychologist Penny B. Donnenfeld, who brings her own golden retriever mix, Sandee, to her New York City office, has even witnessed animals ability to prompt better memory recall in their elderly owners. Ive seen those with memory loss interact with an animal and regain access to memories from long ago, she explains. Having a pet helps the senior focus on something other than their physical problems and negative preoccupations about loss or aging.Animals benefit from adoption, too, particularly when seniors adopt older pets. These lucky animals go from the pound to paradise. Retired adopters tend to have lots of time to devote to a previously unwanted pet, forming a lasting bond, says Chicago veterinarian Dr. Tony Kremer, who operates Help Save Pets, a nonprofit rescue organization, with his wife Meg.How to Find the Right Pet for a SeniorWhile the advantages of pet ownership are undeniable, there are some drawbacks and consequences to be aware of before going out to adopt a furry friend for an aging loved one. Dr. Donnenfeld encourages seniors and caregivers to have a thorough conversation about pet ownership before welcoming a pet into the family.10 Questions to Ask When Considering a Pet for a SeniorIs the senior set in their ways?If change isnt your loved ones cup of tea, then they may not be a good candidate, say the Andersons. Adopting an animal usually affects a persons whole daily routine.Have they had a pet before?Amy Sherman, licensed therapist and author ofDistress-Free Aging: A Boomers Guide to Creating a Fulfilled and Purposeful Life, thinks its best if the elderly person is an experienced owner. However, if they are open to a new and rewarding commitment, then first-timers can still make great owners.Does the senior have any disabilities or functional limitations?Dogs can be wonderful companions who encourage a senior toexercise, Dr. Donnenfeld says. But dogs can be a challenge for individuals with limited mobility. If taking a dog outside and walking it is too trying, lower-maintenance animals like cats and birds may be preferable.Would a therapeutic or emotional support animal be beneficial?If a person is very infirm or impaired, they may be a candidate for a specially trained therapy dog to help them function both at home and while on outings.What age pet would be best?A puppy or kitten may not be ideal for elderly owners because of the intensive care and training they require. Furthermore, young pets may outlive their owners. Its important to consider that some animals like birds have especially long life spans. On the other hand, a senior pet may have its own physical limitations and illnesses but they are usually well trained already.What temperament would be a good fit for the senior?It is very important to research different breeds characteristics and interact with prospective adoptees to get a feel for their energy levels and personality. Many older people might think theyd do better with a Jack Russell Terrier because its a small breed, but they are very, very, very high energy and require a great deal of effort and commitment, says Susan Daffron, author ofHappy Hound: Develop a Great Relationship with Your Adopted Dog or Puppy. While there are some general truths about specific breeds, every animal is unique.Is the pet healthy?Its important that any pet be examined by a professional prior to adoption. You dont want to compromise an older persons immune system since some pets carry diseases, says Dr. Katharine Hillestad, a veterinarian based in Rhinelander, Wisconsin. Unhealthy pets can be difficult for seniors to handle both emotionally and financially.One pet or two?While multiple pets can keep each other company, that may not be a good idea for an older person. Two animals may bond with each other rather than with their owner, Dr. Hillestad explains.Are finances an issue?Pets are a significant long-term financial commitment. A small puppy can rack up more than $810 for food, medical care, toys and grooming just in its first year. A low-maintenance animal like a fish is less expensive, coming in at about $235, according to the American Society for the Prevention of Cruelty to Animals. Be sure to carefully consider a seniors current budget before taking home any animal.Is there a backup plan in place for the pet?It isnt pleasant to think about, but owners must plan for the unexpected for their pets, too. If a senior had to go to the hospital, spend time in a short-term rehabilitation facility, move to a long-term care community or even passes away, what would happen to their animal(s)? Our golden years can be very unpredictable, so its important to have a contingency plan in place for our furry and feathered friends before an emergency strikes. Without one, beloved animals may wind up back in a shelter.Where to Find a Pet for a SeniorWhile breeders are a good source, adopting from shelters is usually much less expensive and comes with the added benefits of giving an unwanted animal a home and possibly saving it from euthanasia. Some shelters even offer reduced adoption fees for older pets and adopters age 55 and up.Shelter employees often know each animals personality well and can assist in making a good match, says Daffron. Online pet shopping is also possible, thanks to sites likewww.petfinder.com, which allows potential owners to search for their perfect pet in a massive database composed of approximately 250,000 adoptable animals from nearly 11,000 animal and rescue groups nationwide. However, its still recommended to meet a potential pet in person to more accurately gauge the fit.Submitted by: Island DoctorsArticle Written By: Barbara Ballinger, Aging Care

For more information about Boulder Community HomeCare, CLICK HERE.Did you know that one of the best forms of exercise you can do is walking? The American Heart Association recommends 30 minutes per day of physical activity for adults and walking counts!All you have to do is lace up with a good pair of sneakers and walk. Its that easy. Its also safe, the least expensive and has the lowest dropout rate of any type of exercise.Walking also has serious health benefits:Reduces heart attacks (by 86% combined with other factors)Strengthens heart muscleStrengthens lungsReduces blood pressureReduces chances for colon cancerLowers heart rateLowers cholesterolIncreases high-density lipoprotein (HDL or good cholesterol)Strengthens and develops musclesStimulates intestinal movements, resulting in better elimination of wastes

The Community Foundation is launching a new service Collier 211 Information and Referral (I&R) with the help of many community partners and donors interested in gaining more information about the programs they fund. Collier 211 is a federally designated phone number and works like 911, but for non-emergency calls. The information for referrals comes from Collier nonprofits, critical for-profits and government providers of service. In many communities across the U.S. 211 Information and Referral service is the single most important resource for providing real-time data on needed services, especially for their most vulnerable citizens.In order to offer the highest quality service available, the Community Foundation is contracting with nonprofit Switchboard of Miami to provide 211 Information and Referral for Collier County. Switchboard of Miami was established in 1968. Their mission is to connect people in need with community resources, strengthen and preserve families, and develop and provide services where none exist. They offer comprehensive telephone crisis counseling and information and referral services 24 hours a day, 7 days a week, 365 days a year. Their caring multilingual, professional staff and volunteers are available to respond in any language.Switchboard received more than 180,000 calls from the Miami-Dade community in 2009-10. These calls came from all over, such as families seeking help with basic needs; teenagers asking assistance on matters related to suicide, substance abuse, physical abuse, or sexual abuse; victims of domestic violence; and individuals with concerns related to suicide. Switchboard of Miami also provides additional counseling programs for seniors, teens, families of military employees and others.We are very fortunate to have such a highly-qualified and experienced resource available to Collier County says Colleen Murphy, president and CEO of the Community Foundation of Collier County. In addition, we will work closely with community-specific information and referral services in Collier County to create the most comprehensive program for our community.It will cost approximately $200,000 a year to operate Collier 211. To date, several major sponsors have stepped forward to help start up this needed program: Wasmer Schroeder & Company, the United Way and Youth Haven, but we need additional help. A fundraising appeal was launched on May 11 with the help of The Arlington, Inc., and its director Vicki Tracy.For more information on how you can help launch this service, and the benefits of a corporate donation, please call the Community Foundation at 649-5000 or visit our website at www.cfcollier.org.Editors Note: This article was submitted by Colleen Murphy, President & CEO Community Foundation of Collier County.

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

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 FinancesA 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.IncomeYour 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?SavingsIf 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.RetirementRegardless 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.

Modern Square DancingCan seniors Square Dance? The short answer is YES!  Many seniors in their 60s, 70s and 80s regularly participate in dancing one or more times each week. There are several clubs in the Dallas Fort Worth area that a senior can join for very low cost. These clubs accept singles as well as couples. Many clubs visit other clubs to enjoy and enhance square dancing skills.As the name implies, square dancing is performed in a square with eight other people having two people on each side of the square. A Caller will call out the required formation and the dancers will perform the movements to the music to achieve that formation. Then the Caller callas out the next formation and the dancers move into their positions.  Its a lot of fun and no one ever makes a mistake (well, only one or two times a night).There are many benefits to modern square dancing including:1.     Fun You are part of a group whose purpose is to get together and have fun, fun and more fun.2.     Exercise Moving to music is great physical exercise.3.     Fellowship There is time after each tip to visit plus there are many non-dancing activities including dinners out, picnics, theater, etc.4.     Mental Square Dancing has been proven to increase mental alertness.5.     Coordination Dancers must move to the music at the same time and arrive in the required position thus positioning themselves for the next call.6.     Listening Dancers must listen carefully for the next call then move into position.7.     Low Cost Most clubs will dance one or twice a month and membership can be a low as $10 a month, a bargain in todays world.Unless you already know how to square dance you will need to take lessons. The Texas Reelers and other clubs typically offer lessons once or twice a year.Submitted to Seniors Bluebook February 13, 2023 by Dan Ray | Texas Reelers Square Dance Clubwww.TexasReelers.orgTexas Reelers Square Dance ClubRichardson Senior Center1st and 3rd Friday every month7:30 10:00 pm  Fee: $8.00 Square and round dancing.  Lessons start in March and Septemberwww.texasreelers.org and www.facebook.com/texasreelersContact president@texasreelers.org for details

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

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

To Learn more about Western Slope Memory Care,CLICK HERE.We know that brain health and heart health are closely connected. Whats good for the heart is good for the brain. One way to reduce anxiety and care for your heart during American Heart Month is to turn on your favorite tunes! According to a seven-year study from University of Belgrade School of Medicine in Serbia, musicparticularly music you find soothingmay help reduce anxiety, blood pressure, and stress. The study followed 350 patients following a heart attack. The patients were all experiencing a type of post-heart attack chest pain called post-infarction angina. This chest pain can cause stress, and stress exacerbates any existing cardiovascular conditions. Half the patients got standard care following their heart attack, and the other half got music therapy in addition to standard care.Music therapy makes for easy medicine. Its simple to implement and practically free. Patients were asked to listen to a selection of soothing music while seated with their eyes closed for 30 minutes a day. After following these patients for seven years, researchers found that the music therapy patients had reduced symptoms of stress, angina, anxiety, and subsequent heart attacks. The music therapy patients had reduced anxiety symptoms by one third. So, this American Heart Month, try healing your heart with the magic of music!Western Slope Memory Care is proud of how we intergrate music into our Moments Program. Learn more about how our expert staff offers research-based opportunities for sensory stimulation focusing on sight, smell, temperature, touch, and hearing, to create more meaningful communication with our residents

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.

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

Welcome to Know How to Go, your one stop for information on all your travel needs in southwestern Connecticut. This program is designed to enhance peoples access to their communities by identifying the best transportation service to meet the unique needs of seniors, individuals with a disability, and veterans. Our purpose is to provide you with a host of valuable travel-related information about all transportation services in the southwestern region of Connecticut. From the public bus to accessible taxi service, we will let you know your transportation options along with special programs and discounts for each service. As the Regional Mobility Management team for southwest Connecticut, we are also tasked with gathering information about transportation challenges you face and helping to find solutions. Together with our community partners, the Regional Mobility Manager at The Kennedy Center will work with you to connect you with the best service available in your town and beyond.Funded by Federal Transit Administration and CT Department of Transportation dollars, the Regional Mobility Manager works closely with all local transportation providers including: Greater Bridgeport Transit; Norwalk Transit District; CTTRANSIT Stamford; Milford Transit District; Valley Transit District; CTrides; volunteer driver programs; taxi services; and rail transit providers to provide the most comprehensive service to meet your individual needs. We also collaborate closely with our network of human service agencies and other service providers in the region. The Regional Mobility Management programs service area includes the coastal towns between Greenwich and Milford and north to the Valley region. For a map of our service area, click on the Guidebook of Services on our website at www.knowhowtogoct.org, or contact the Regional Mobility Manager at the number below to request a hard copy of the Guidebook.The Kennedy Center, Inc., a non-profit agency that provides a wide array of services for people with disabilities, seniors and veterans, administers the Regional Mobility Management program. The program is guided by a Steering Committee whose members consist of a variety of stakeholders in the Bridgeport/Stamford Urbanized Area including representatives from the Western Connecticut Council of Governments, Greater Bridgeport Regional Council, Valley Council of Governments, Connecticut Department of Transportation, Greater Bridgeport Transit District, Norwalk Transit District, Valley Transit District, and others. Steering Committee membership is open and participation is welcomed and encouraged from all who are interested in improving transportation services and options for people with disabilities, seniors and veterans in southwest Connecticut.For more information about the Regional Mobility Management program or transportation services in your area, please contact Margaret Mixon at 203.365.8522 x. 263. Be sure to visit our website atwww.knowhowtogoct.org, like us on facebook at www.facebook.com/knowhowtogo, and follow us on twitter at www.twitter.com/knowhowtogo

Social distancing requirements during the current pandemic have made it difficult to connect with referral sources in traditional ways. In-person networking and marketing has not been the same for several months now, and there is uncertainty as to when it may or may not be safe to resume. Join Kathleen Warshawsky, BSN, RN, Seniors Blue Book Publisher and Cathy Hefko, BSN, RN Clinical Liaison with CC Young Senior Living, in a round table discussion on how to stay in-touch with your referral sources during the current pandemic. Share ideas that have been working well for you and leave with creative out of the box ideas to connect again with the Covid-19 restrictions.You may watch the webinar below.Learn more about Seniors Blue Book Greater DallasClick on the photo to watch the video.To learn more about CC Young:CC Young Assisted Living|CC Young Memory Support|CC Young Skilled Nursing|CC Young Adult Day CenterPHONE(214) 305-9662Learn more about CC Young Senior LivingCC Young Assisted Living|CC Young Memory Support|CC Young Skilled Nursing|CC Young Adult Day Center

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

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.

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}#

As a Nation, improved longevity is a reality. Enhanced medical care, better diet and exercise, and less invasive medical technology are adding years to our lives. Living longer is a blessing but can propose significant financial worries.Here are the main reasons to consider protecting yourself by investing in Long-Term Care insurance.The odds are in your favor that you will need it.The cost of care is steadily rising.Family member cannot be counted on. Family sizes are shrinking.Self-insuring is not a reasonable option.The Government will be trimming benefits, not enhancing them. Assistance is currently being scrutinized for a reduction. The Medicaid program is even more fragile.The Long-Term Care plans offered today have many options and innovative benefit parameters to help put together an affordable policy to offset these financial woes. There are even plans that offer your premiums back. Regardless of how you tackle this problem, you must act before a health problem arises. It is MUCH less expensive to seek this protection BEFORE poor health makes it difficult or impossible to purchase.You will never save money by waiting until you are older, even though you will pay premiums longer statistically before you need the benefit. And the healthier you are the less you will have to pay for premiums. Be smart, plan ahead.Editors Note: This article was submitted by Rosemarie Hurley, President of Senior Insurance Solutions, 239-274-6678, www.longtermcareinsurance-online.com

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

To learn more aboutMacKenzie Place Senior Living, CLICK HERE.At Leisure Care, weve always prioritized the health and well-being of our residents. Its part of our commitment to doing the right thing. Its how we have operated for nearly 50 years, how we have navigated the past few months, and how we will manage the upcoming distribution of the COVID-19 vaccine.We are excited to announce thatLeisure Care communitieshave partnered with CVS pharmacies to administer the COVID-19 vaccine on-site in each of our communities for every resident, making the vaccine easy and convenient for those who need it most. CVS pharmacies are well equipped to provide appropriate temperature-controlled storage of the vaccine, meeting the manufacturers required temperature range.We know that people have strong feelings about this vaccine, and we want our residents and their families to have peace of mind, knowing that our team is trusting medical professionals and scientific data.WHAT TO KNOW ABOUT THE COVID-19 VACCINEThe COVID-19 vaccine will not cause COVID-19. The vaccine does not use a live virus.The vaccine is more effective than the seasonal flu vaccine and the chickenpox vaccine.Based on trials, approximately 10% of participants experienced side effects. Known side effects of the COVID-19 vaccine are short-term and mostly mild.The vaccine will not immediately eliminate the pandemic, but it is a powerful tool for better health.Contact a Leisure Care communitytoday to learn more about our commitment to doing the right thing.

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

When youre an older adult, any housing change can seem like youre losing your independence. However, as the name suggests, independent living is more about making your life easier than giving up your independence. Sometimes, acknowledging your limitationsthat youre unable to manage the upkeep of your existing home, for exampleand accepting some assistance now may help you maintain your regular independent routine for longer.1. How easy is it for me to maintain my current home?Maintaining a home may be a longstanding source of pride for you, but it can also become a burden as you age. Perhaps your home has a large yard which requires constant maintenance, or maybe its becoming more difficult to clean those extra rooms that are rarely used. If your home is difficult to access, such as on a steep hill or up several flights of stairs, it may be harder for you to leave your home as often youd like, leading to more isolation. Or increased crime may mean that your neighborhood is now too dangerous to walk around safely.Some of these challenges may be partially remedied by hiring outside help, remodeling parts of your home, or by other family members lending assistance. However, if youd like a place that does not require a lot of maintenance and upkeep, independent living may give you more freedom and flexibility in the long run.2. Is it difficult for me to connect to friends and family?The more isolated you are, the greater your risk for depression and other mental health problems. You may have a difficult time getting out of the house, perhaps due to trouble driving or increased mobility issues. Or your friends and neighbors may be busy with other work or family commitments, or the neighborhood may not be easy to get around. While the phone and Internet can help, nothing can take the place of face-to-face human connection.Independent living facilities can give you a built-in social network of peers, while many also provide structured activities such as sports, arts, or field trips.3. How easy is it for me to get around?You may live in an area where you have to drive to attend social activities, visit friends, and shop. If you find yourself less comfortable with driving, you may find yourself relying more and more on public transportation or family and friends to get around. It may be harder to visit others, go to activities you enjoy, or keep doctors appointments.As well as onsite amenities, many independent living or retirement communities also offer convenient transportation options to outside activities.4. How is my health (and the health of my spouse)?Its important to consider your current and future health. For example, if you have a health condition that makes it difficult to stay active and will most likely worsen with time, its good to consider your options carefully. Its also important to consider the health of your spouse if you are married. Can you manage the activities of daily living, such washing, showering, and eating? Can you manage your finances? Can you manage medications and doctor appointments?If you see needing only minor assistance with activities of daily living, independent living may be right for you.(Source: http://www.helpguide.org/elder/independent_living_seniors_retirement.htm)Editors Note: This article was submitted by Sharon Naslund of Villa Pueblo Senior Living Community . She may be reached at 719-253-3725 or by email at snaslund@villapueblo.com

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

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.

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.

Rehabilitation Hospitals, sometimes referred to as Inpatient Rehabilitation Hospitals, provide intensive rehab to patients who are generally medically stable but need help to recover from injury or other medical conditions. They can be found within a hospital or in a free-standing building. Rehabilitation hospitals were created to provide services less costly on a per diem basis than general hospitals but provide a high level of professional therapies such as physical, occupational and speech therapies. Rehabilitation Hospitals need to meet a minimum number of physician visits, increased daily rehab hours (3 hours/day, 5 days/week of PT, OT, and/or Speech), and interdisciplinary services including increased RN oversight and nursing hours per day.#listing_mgr{7 basic_search}#

To learn more aboutThe Charleston at Cedar Hills - MBK,CLICK HERE.Released today byFortunemagazine, MBK Senior Living (MSL) has been named in top 50 Best Workplaces in Aging Services list among senior housing and at-home care service companies nationwide. Of those ranked, only 30 were senior housing providers. The list was determined through data received from more than 160,000 industry employee surveys by Fortune magazines research partner, Great Place to Work.The senior living industry is filled with quality companies who seek to provide seniors with supportive environments and caring services as they age. To be named among the top in this competitive field is truly an honor, said Jeff Fischer, president of MBK Senior Living. Im incredibly proud of our company culture that puts emphasis on honoring, respecting and supporting both our residents and employees.With more than two decades of experience in the senior living and health and human services industry, MSL has earned a solid reputation for its enduring company culture based on MSLs pursuit, purpose, principles and core values that is embodied in Our Commitment.More than a mission statement, this commitment is practiced daily and has continuously yielded results, including happier, healthier residents, invigorated and enhanced lifestyles, increased self-esteem, well-trained and professional team members, caring and compassionate team members, genuine relationships, trust, respect, loyalty and more.This award could not have been possible without the dedication of our team members to Our Commitment, said Fischer. Each day our enthusiastic team members come to work with a passion for excellence, focused on exceeding the quality, service and care expectations of those we serve and it shows!About MBK Senior LivingMBK Senior Living (MSL)owns, operates and develops senior living communities providing standalone services or a combination of Independent Living, Assisted Living and Memory Care services. For over 20 years, they have focused on building an experienced operations team whose skilled management adds value to both their existing community assets and new acquisitions. Based in Irvine, CA, MBK Senior Living is a subsidiary of MBK Real Estate LLC which is supported by the vast financial strength and global resources of its parent company, Mitsui & Co., Ltd. MSL is a low-leverage, high-equity investor with the ability to complete an all-cash transaction based on the particular opportunity at hand. They are actively seeking acquisition and development opportunities throughout the Western United States. For more information, please visit the companys website atmbkseniorliving.comor on

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

As you start your search for the best Life Plan community for you or a family member remember to try out the food! We hope youll be pleasantly surprised! Retirement or Life Plan communities are committed to the wellness of their residents in many ways; with the most important aspect being a commitment to providing excellence in quality and service of their dining programs. Prospective residents are passionate about their health and are pleased to learn that retirement communities in Central PA offer a wide selection dining venues and healthy meal options. Many communities offer residents a flexible dining program in a variety of settings from formal to casual settings. Special dietary needs are carefully accommodated, including, but not limited to, delicious Vegetarian and gluten-free options. Often, a Committee of Residents meets regularly with the Executive Chef to help plan upcoming menus. Residents also enjoy seeing nutritional information on daily menus displaying the carbohydrates, fat, sodium, calories, and sugar in each meal.Their menus - which regularly feature fresh, local, seasonal produce aim to offer the highest-quality dining comparable to any great restaurant. Did you know, some communities even offer catering services where residents can host events in their own homes? Many communities offer delivery or take-out, and some even allow residents to use their dining dollars for their guests!Often, if available, dining services teams strive to buy much of their produce from local farmers and suppliers. At Homestead Village in Lancaster, PA, the Executive Chef recently offered a seminar educating guests about the health benefits - as well as positive economic and environmental impact of buying local. Following the talk, a representative from Lancaster Farm Fresh Cooperative, also gave a brief presentation about the new co-op facility that was recently built next to Homestead Villages Farmstead neighborhood.There are many ways to enjoy life in a retirement community, but one of the biggest is the joy of a great meal. But dont take our word for it make some visits and try for yourself!Editors Note: This article was submitted by Christina Gallagher. Christina is the Director of Marketing with Homestead Village Enhanced Senior Living.

The National Hospice and Palliative Care Organization defines hospice care as quality, compassionate care for people facing a life-limiting illness or injury, that involves a team-oriented approach to expert medical care, pain management and emotional and spiritual support expressly tailored to an Individuals needs and wishes. Hospice affirms that concept that death is a natural part of life and not only considers the individual, but the family as the center of care. To receive hospice care, an individual must have a life limiting illness in which they are no longer seeking aggressive or curative medical treatments and if the illness were to run its natural course has a life expectancy of six months or less.Similar to hospice, palliative care is family-centered care that optimizes quality of life by anticipating, preventing and/or treating suffering. Palliative care addresses physical, emotional, social and spiritual needs to facilitate patient autonomy, access to information and choice. Palliative care is available to individuals that desire additional support while still pursuing aggressive, curative treatments; individuals admitted to Hospice are not seeking curative treatments, rather comfort and support at the end of life.Bottom line, whether an individual is seeking palliative care or hospice services an interdisciplinary team will be available to provide expertise and support to the individual and the family. Hospice focuses on end of life comfort while palliative care provides additional support to those patients that are pursing curative measures.Editors Note: This article was submitted by Shawn Swanson, RN, BSN, CHPN. Shawn is the Director of Clinical Services for Porter Hospice and St. Anthonys Hospice in Denver, Colorado. Shawn can be reached at 303-561-5344 or at shawnswanson@centura.org.

You may have been advised to consider hearing aids even though you believe you just dont have that much trouble. Better hearing in noise. Noisy environments are a challenge even to those with great hearing. If you have even a slight hearing loss, much more of what youre trying to hear gets drowned out. This is because many speech sounds become muffled in noise. Hearing aids can help reduce background noise and preserve the speech clarity that is necessary to hear in spite of noise. Tinnitus reduction. Even mild hearing loss can be associated with ringing or other sounds in the ears, or tinnitus. When hearing is improved by hearing aids, this often reduces those sounds. Todays hearing aids may be programmed in ways to mask the tinnitus or allow you to work with your audiologist to create a tinnitus therapy program customized for you and your hearing loss. Increased energy. Straining to hear tires a person out more than most people realize. When you can relax knowing that you will likely hear most conversations well, it gives you more energy to focus on other things. This one is often overlooked. If you have a hearing loss, especially when one ear hears better than the other, it can be difficult to determine the source of something like an ambulance on the road. Where is it coming from? Is it behind me? Do I need to move? Improved memory. There appears to be a relationship between untreated hearing loss and early onset of dementia and/or memory loss. It is easier to commit something to memory when ALL senses were involved in forming that memory. And lets be realistic: you cant remember what you didnt hear or heard incorrectly.Todays hearing instruments are tiny computers that address hearing loss in all new ways. The sooner you let these tiny little miracles help you hear, the better-equipped youll be to deal with lifes other problems!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.

Getting older is an inevitable part of life. Its something that we all must face, and although it has its challenges, it also has its perks. Here are some interesting facts about getting older:Age is just a number. While its true that your body may not be able to do everything it once could, getting older is not a reflection of your ability to enjoy life to the fullest.Your brain is getting sharper. Contrary to popular belief, your ability to learn, process information, and think critically actually improves with age.Youre more resilient than you think. Studies have shown that older people are often more adept at dealing with stress and handling challenge.Youre less likely to indulge in risky behaviors. As you get older, you become less likely to engage in risky behaviors like drinking too much alcohol, smoking, or driving too fast.You become more financially stable. Many people find that as they get older, their financial situation becomes more stable, allowing them to enjoy their retirement years.Your taste buds change. Your taste buds become less sensitive as you age, which can actually make certain foods taste better.You may have more health problems. Unfortunately, as you get older, you are more likely to develop chronic health conditions like arthritis, diabetes, high blood pressure, and other conditions.You have more time for hobbies and interests. As you retire or work less, you will likely have more time to pursue hobbies and interests that you may not have had time for earlier in life.You may need less sleep. As you age, you may find that you need less sleep to feel rested, which can free up more time for other activities.Youre wiser. With age comes wisdom, which can help you navigate lifes ups and downs with greater ease.Overall, getting older can be a mixed bag of experiences, but there are certainly many advantages to growing older. You should cherish the years you have and make the most of them. Article written by: Seniors Blue Book 

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

For more information on Barrington Terrace, Click Here.When determining what senior living option would be best for you or a loved one, you may find yourself thrown into a world that you have minimal experience with. How can you tell whether you will need to choose assisted living, skilled nursing, memory care or independent living?In an effort to shed some light on assisted living communities and help you find options that will work for you, our team at Barrington Terrace of Naples has compiled some items to watch for when touring an assisted living community.What healthcare services are provided?Your assisted living community likely will offer more than physician visits on the premises. Check to see if there are flu shot or pneumonia vaccination clinics as well as podiatrist, psychiatric and dental visits available at the community, and how often those services are offered. If the community has an on-staff doctor, find out what his or her specialty or board certifications are to determine if the physician can meet your needs. Are other healthcare providers such as home health care, hospice, or private duty agencies available?Are the apartments safe?Assisted living apartments should have safety items such as grab bars in the bathroom and a step-in shower. There should also be emergency pull cords or another type of safety system in the apartments; some assisted living communities use a pendant necklace for each resident that alerts the nursing station to falls or other emergencies. Are exterior doors alarmed and locked at night?Are there good meal options?Assisted living communities offer three meals per day and snacks in a social setting, the dining room. Make sure that the assisted living community offers choices for meal entrees as well as specialized diets to support medical diagnoses or goals that may arise in the future. Some assisted living communities will deliver meals to a residents room if he or she is unable to take meals in the dining room. Ask what the policy is and if there is a service fee for in-room meal delivery.Which is more important to you, care or luxury?Although theres nothing wrong with a designer landscape and a grand front lobby, finding the right assisted living community requires more than picking the most luxurious-looking option. Remember that fancy features are just icing on the cake; whats really important (the cake, if you will) is that you or your loved one receives the highest quality care possible. For instance, if a resident needs support with dressing, bathing or toileting, 24-hour access to excellent personal care assistance is far more important than the pretty gazebo seen from the parking lot. Likewise, a high staff-to-patient ratio is probably more meaningful than that stunning Persian carpet in a community living room. By all means, dont rule out luxury communities if they are in your budget. But look closely enough to be sure you are choosing a community that combines luxury and comfort with a quality of care that will give you and your family peace of mind. Ask what the nurse and caregiver schedule is so that you can determine if a nurse is in the community 24/7 or just during day and evening hours. How many caregivers are there at night to assist residents with needs? How often are residents checked overnight by staff? In the middle of the night, if your family member needs help with a breathing treatment or medical need, who will be there to provide that assistance?What types of programs are offered?Assisted living communities often have a very busy social calendar of opportunities, trips and events for residents. Ask to see a copy of the monthly calendar; you can also ask to sit in on an activity as well. Are the programs appealing? Are there specialized bridge or transition programs for residents who have early cognitive loss? When determining what senior living option would be best for you or a loved one, you may find yourself thrown into a world that you have minimal experience with. How can you tell whether you will need to choose assisted living, skilled nursing, memory care or independent living?In an effort to shed some light on assisted living communities and help you find options that will work for you, our team at Barrington Terrace of Naples has compiled some items to watch for when touring anassisted living community.What care do you need now and in the future?Although you or your loved one probably wants to have as much independence as possible, dont choose freedom over adequate health care. Take an honest look at health needs now and try to anticipate what lies ahead. Its crucial to find a community that can provide needed support and deliver a higher level of care as circumstances change.In particular, if your loved one shows cognitive decline, check whether the residence has a memory care wing or a bridge program that will allow eventual transition into more specialized care. And keep in mind that moving seniors from one residence to another can be stressful, especially if they have dementia. If your parent or loved one has already been diagnosed with Alzheimers disease or another form of dementia, it will be very important to make sure he or she is provided with specialized memory care by experts who understand the unique needs that come with cognitive decline of this type.What care do you need now and in the future?Although you or your loved one probably wants to have as much independence as possible, dont choose freedom over adequate health care. Take an honest look at health needs now and try to anticipate what lies ahead. Its crucial to find a community that can provide needed support and deliver a higher level of care as circumstances change.In particular, if your loved one shows cognitive decline, check whether the residence has a memory care wing or a bridge program that will allow eventual transition into more specialized care. And keep in mind that moving seniors from one residence to another can be stressful, especially if they have dementia. If your parent or loved one has already been diagnosed with Alzheimers disease or another form of dementia, it will be very important to make sure he or she is provided with specialized memory care by experts who understand the unique needs that come with cognitive decline of this type.Are there hidden costs?Some families have been caught off guard by unexpected fees or price increases. To avoid surprises, carefully read the assisted living communitys contract; when meeting with a senior living provider or care counselor, ask for copies of the communitys resident agreement that outlines services, prices, extra charges, move-in and move-out criteria, staffing, and house rules. After carefully reading the contract, resident agreement and other fee schedules, review them with family members, making note of anything that is not clear. If the community doesnt answer the questions to your satisfaction, consider reviewing the contract with a lawyer. It is very important to have a crystal clear understanding about the services included in the basic fee. If the fee only covers room and board, find out theadditional cost for services such as housekeeping and laundry, personal care assistance, transportation, and telephone, cable TV and Internet services. Make sure to ask about annual increases and whether the fees go up when a residents level-of-care needs change. Understanding the costs in light of a realistic evaluation of your familys budget is critical in ensuring consistent, long-term care. Know what options you have for financing assisted living so that you can make a decision with confidence for the long term. The community should be able to refer you to professionals who can help with veterans benefits or trust and estate professionals. If you have long-term care insurance reach out to your insurance provider and ask what types of communities are covered under your plan. Many times these are specific to license types or the type of care provided. The community representative should be knowledgeable in this subject and can guide you on how to determine benefit eligibility and opena claim.How involved is the executive director?Assisted living communities are often led by an executive director. Ask if you can meet the executive director and find out how involved the director is with residents and staff. It is good to know and trust the person in charge of the community.How accessible is the management team to families and residents?A good way to determine this is to visit the community multiple times, find out where the executive director and nursing director offices are and see if they are visible in the community interacting with residents or behind a receptionist and hard to access.Good luck in your search. The more information you have before touring each community, the more prepared you will be to ask questions that will help in your decision making.

Currently, an estimated 50 million people worldwide are living with dementia, including more than 5 million Americans. The disease also affects the 16 million Americans who provide unpaid care for people living with Alzheimers or another dementia. The terms Dementia and Alzheimers are often used as though they mean the same thing. They are related, but there are important differences between the two.Presenter: Deb Schleh, Liaison & Coordinator - Seniors Blue Book of South Central PA, Volunteer - Alzheimer's Association

Benjamin Franklin said it best in this famous quote, "In this world, nothing can be said to be certain, except death and taxes." SBB University and area expert panelists discuss the documents that you need to have in place and the best tax practices while you are alive.Panelist contact information:- Ashley Sharek, Sharek Law Office, LLC call 412-347-1731- Erin Weber, The Weber Group at Hefren-Tillotson, call 412-633-1671- Anna Marie Kijanka, Agent with New York Life call 412-334-1014

To learn more about The Auberge at Aspen Park, CLICK HERE.With a significant portion of our countrys population aging faster than at any other period in history, its the perfect time to discuss how countless families (including yours) can afford quality senior care for loved onesThe thought of finding senior living care that is both effective and affordable can be scary if not downright overwhelming.Whether the care is for yourself or a loved one, the same questions persist:When should I start thinking about shopping around?What factors can influence the price of care? Does where I live matter?Do certain care options influence how much I will pay?Can personal investments or safety net programs, like Medicaid, be used to foot the bill?Please dont pull out your hair! Theres no need. The process doesnt have to be this intimidating, nor ultimately will it be. As youll read, a number of options await you and your pocketbook to ensure you receive the care you need and deserve at the price you can comfortably afford.Whens The Best Time To Start Thinking About Paying For Senior Care?Before we get into the what or how, lets discuss the when. When should you start to think about how you can best afford quality senior care? Now. Especially if you anticipate having to provide post-retirement healthcare for a spouse, parent, or other loved one in the not-so-distant future.According to ademographic analysis recently conductedby the United States Census Bureau, of the estimated 332.6 million people living in the United States as of April 1, 2020, more than 21 percent are categorized as Baby Boomers.Baby Boomers are commonly regarded as the generation that has shaped the demographics of the countrys population for nearly three-quarters of a century, and now an astounding 10,000 of them will turn 65 every day until 2030.If this running tally does not include you or a spouse, it most certainly pertains to either or both of your parents or a number of other family members. If you fall at the backend of the spectrum, do not wait until the end of the decade to get started.The clock is ticking and withthe Baby Boomers effect on the overall healthcare systemexpected to only grow getting the info you need to make the most educated decision possible on finding the appropriate level of senior care at a good price cannot happen soon enough.What Factors Affect The Price of Senior Care?Like any important buying decision, you will want to consider many factors when searching for the right source of senior housing, but they should be weighted.For example, level of care may take a much higher priority over available amenities.And some factors, depending upon your budget or situation, may be out of your control, such as having to absorb higher monthly payments from one state to another.The following are typically considered to be the main factors that influence of thecosts of senior living care:Levels of CareThis one is perhaps the most obvious.Estimated costs for an independent living community range on the low end for as little as $1,500 per month, depending upon the state. This lower number reflects the fact that residents living in these senior living facilities largely live an autonomous lifestyle with little to no assistance from staff for activities of daily living (ADLs), which consist of bathing, grooming, dressing, continence, medication, laundry, and more.At the other end, theresmemory care, a heavily-involved form ofassisted livingin which residents can require attendance around the clock.On average, the cost of assisted living, according to a 2018 study conducted by Genworth, an industry-leading long-term insurance company, can runas much as $4,000 per month. When you consider the required extra monitoring necessitated by residents with memory impairment, this could account for an additional $1,000 per month.Average monthly fees may range even higher for 24-hour in-home care or a private room within a skilled nursing facility.Location of CareUnfortunately, senior living communities are not immune to the volatile effects of geography on real estate values. As such, you could very well find that an assisted living community in Washington State requires a monthly fee nearly three times that of a community in Missouri, even if the two are under ownership and management of the same company. There are many tools on the Web you can use to assess the average cost that every state may charge now and going forward for different levels of senior care.When doing your research on the average cost a given state may charge for senior care, please bear in mind that these aggregates are calculated using numbers from all areas of that state from the most-dense urban epicenters to the smallest rural town.Additionally, remember that, in some cases, neighboring states could show vastly different senior care cost averages, presenting you opportunities for saving considerable amounts of money over time if relocation is an option.Living ArrangementsSenior living communities all over the country offer residents a number of floor plans to meet individual preferences and needs.A resident at an independent living community that prefers more autonomy may be willing to pay more per month to enjoy a full private kitchen, larger or extra bedroom, in-unit washer and dryer, contemporary touches such as granite countertops, or simply just more overall square footage.Finer appointments may be not of much concern to another resident. Someone who lives at an assisted living community may place more importance on the companionship of a roommate, potentially drastically reducing the monthly expense.Staff-to-Resident RatioThis ratio is calculated as the number residents who require care at any given time to the number of staff members present to administer care services.When a senior living community employs a higher concentration of registered nurses, physical therapists, dieticians, culinary staff, and administrative and support employees, the difference in the quality of care can be significant.The tradeoff, however, is higher monthly fees.When finding the right senior care, its always important to inquire about a communitys staff-to-resident ratio to weigh this figure against its fees. Also keep in mind to ask the community whether or not secretarial or general support employees are included in the overall ratio.Typically, these employees do not have daily interaction with residents and thus should be excluded.Move-In DateDepending upon the circumstances, it wont always be possible to pick the exact date upon which you or a loved one becomes a resident of a senior care community If those circumstances, though, do allow for some move-in flexibility, late-summer and early-autumn months August, September, and October often rank as the most popular times of the year to officially call a community home.These months offer a number of advantages, including cooler weather across much of the country, off-peak moving prices, a safe buffer zone from any winter-related challenges, and enough time to get settled into a new environment prior to the holidays. And we would be remiss if we didnt mention that a lot of senior living facilities, depending upon their bottom lines, tend to offer move-in specials at the end of a month or quarter, no matter the time of year.What Are My Payment Options For Senior Care?As stressful as finding the right senior living community may be, you can take some comfort in the fact that paying for the care you need is a lot easier on the nerves (and perhaps pocketbook) than you may think.The following do not represent an exhaustive list, but they can be considered as some of the more popular options available:Pooling Family ResourcesThis all-hands-on-deck approach can be a relatively simple option for a group of siblings who may be concerned about a mother or father who is living alone but do not necessarily have the luxury of the time it takes to provide the care the parent needs.Because of the obvious sensitive nature of the subject matter, tensions and emotions can run high and understandably so. This makes it imperative that you lean upon the assistance of trained professionals, such as family mediators, licensed nurses, orgeriatric care managers, whose expertise can provide everyone involved with a sense of calm during an otherwise turbulent time.The assistance of a third-party can go a long way in keeping everyone on the same page or stepping in when disagreements arise.Life InsuranceThe living benefit rider of a life insurance policy with a death benefit of at least $100,000 can be exercised to provide the policyholder with a cash advance of up to half the worth of the death benefit.After this rider option is exercised, the benefits of which can be used to pay for any number of types of long-term care, the policy will still provide coverage for the policyholders family, and the beneficiaries remain unchanged.The living benefit option of a life insurance policy can be used to pay for the following types of long-term care:Assisted livingMemory careRehabilitation careNursing home careHospice careHome careReverse MortgageThe most popular type of reverse mortgage is a home equity conversion mortgage (HECM). A special type of home loan reserved only for those 62 years of age or older, an HECM works identically to a traditional mortgage in that it gives homeowners the freedom to borrow money using the equity in their homes without relinquishing title.Unlike traditional mortgages, though, a reverse mortgage does not require the homeowner to make mortgage payments. As a result, true to its name, the balance on a reverse mortgage loan goes up (not down) over time as interest and fees accrue.Because the loan on a reverse mortgage is repaid when the homeowner is no longer physically occupying the home, this method of using funds to pay for senior care tends to work best when a loved one needs assistance while the other is capable of living alone in the home.Also, reverse mortgage scams become more prevalent every day, so beware. Do your homework and do not consider this option if the home in question is being considered for future family generations.Veterans BenefitsThrough itsAid and Attendanceprogram, the Department of Veterans Affairs (VA) provides eligible veterans and their families with monthly payments on top of the normal pension amount.The purpose of the program is to supplement the basic pension of veterans and their surviving spouses with additional financial assistance to be used to pay for senior care.To apply for assistance under the Aid and Attendance program, veterans must meet at least one of four criteria, which include the need of another individual to complete performa daily activities (bathing, feeding, etc.) and residency in a nursing home due to the loss of mental or physical capacity related to a disability.AnnuitiesAvailable to people up to the age of 85 who meet specific health criteria, a long-term care annuity is a type of deferred annuity that is structured specifically to help those who need to pay for expenses associated with long-term care.Like traditional deferred annuities, long-term care annuities provide future payments to the account holder in exchange for an initial lump sum investment.The contract stipulates how much will be paid to the account holder once he or she needs to start pulling from the annuity fund for long-term care, and to access the money, the recipient must prove that he or she needs assistance with two of the six main activities of daily living (ADLs).The key to long-term annuities, however, is the accompanying long-term care rider. If specific criteria are met, such as a chronic or terminal illness (Alzheimers disease), the payout from this rider could potentially double or triple the amount of the initial annuity investment.MedicaidThis joint federal and state program assists low-income individuals with medical costs.Eligibility requirements vary from state to state as do the names states assign to their individual Medicaid programs and not all senior living facilities accept Medicaid as a form of payment.If you or a loved one prefers home care to that provided inside a community setting, Medicaid waivers often pay for in-home support services.

The markets for antiques, fine art, and collectibles have undergone profound changes in the the last 15 years, with prices trending lower often much lower in most categories.The reasons for the changes are numerous, but the principle driver is simple demographics: Millennials have little interest in traditional furnishings and especially avoid anything that requires polishing or cant go in the dishwasher or microwave.With these trends in mind, the problem of how to re-home items or turn them into cash is growing more difficult by the day and one that I deal with frequently in my own business. So, here are some tips and strategies that can make the task easier for you.First, understand what you have. The internet is a great source of information but nothing beats paying for an hour of a qualified appraisers time. Appraisers can also help in setting values when an estate will be divided among heirs.Secondly, be realistic. What was paid for something 20 years ago is meaningless today, as is the age of an item. It is heartbreaking to see beautiful sets of china going for nothing but the markets are speaking loudly and clearly these days.Thirdly, know your options. For better things, a reputable auction house can be great venue. For lesser items, a consignment store may be a good bet. After that, organizations such as Goodwill and the Salvation Army can be considered.Lastly, consider gifting relatives. But dont sweat it if a younger relative politely says no thanks or has your gift on Ebay before you have pulled out of the driveway remember, its just demographics!

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

As we age, tooth loss, discoloration, and even tooth shape can affect the way you look and feel when you smile.Although your teeth are designed to last a lifetime when cared for properly, many people find that age-related imperfections of the teeth can cause them to look older than they are. Even worse, in some cases, tooth decay has been linked to larger dental and overall health issues such as heart disease. However, there is good news. In some dental practices, doctors have created specific protocols for seniors which assist in rejuvenating aging smiles. These dentists use procedures that can actually take years off your appearance and keep you healthy for years to come.Effects of Aging on Your TeethOver the years, night grinding, teeth clenching, gum disease, discoloring foods such as wine and chocolate, smoking, and lack of preventative care can have a negative effect on your appearance. The color, shape, and size of your teeth can add 5-10 years to your appearance. There is help for all of these issues from dentists who focus on anti-aging procedures such as: Porcelain crowns, inlays, and onlays Tooth-colored fillings Laser and gum reshaping Custom nightguards or invisible braces Dental implants to replace missing teeth Cosmetic denturesOlder adults often believe that its natural for their teeth to age as they age, but this is simply not true. There are so many ways to keep your young look and protect your body from disease with regular visits to your dentist or a visit to a dentist who focuses on anti-aging procedures. To find a dentist near you, look in this directory or online for a dentist who focuses on anti-aging dentistry.No matter what your age taking care of your teeth will help your overall health and well being for years to come.Editors Note: This article was submitted by Frederick Guerra, Jr., DMD of Guerra Dental. He may be reached at 719-362-0681

For more information on the author Good Life Healing Center, CLICK HERE.Anger is the emotion associated with springtime in Traditional Chinese Medicine. For most of us, we consider anger a bad emotion, something to avoid or get rid of, so why would it be one that TCM would shine a light on?Well, no emotion is inherently good or bad, its how we deal with challenging emotions that can end up hurting ourselves or those we love.According to TCM, springtime is a very yang time of year, full of new energy and growth in nature, and in us. In humans, when growth or change occurs in our lives, there often is a catalyst, something were not satisfied with or something were inspired by, something compelling enough to move us to make a change.Anger can be a very compelling emotion. When anger is channeled into action, it can be very powerful. All of this to say, TCM connects the high energy and potential growth of springtime with anger, a strong catalyst for growth if its acknowledged and channeled well.Of course, its not a given that when we feel anger, well be able to use it to catalyze an important change or even recognize why were angry in the first place. Too much anger can also cause harm to the physical body over time.One of the most common causes of anger, according to TCM, is chronic or acute stress resulting in energy stagnation, especially in the liver. The liver is responsible for the healthy flow of qi around the body. When qi is stuck in our bodies, emotions too can become stuck, and hard to express or even identify.According to TCM, there are several modalities that can help the flow of qi and emotion in our bodies.Acupunctureis a great modality for supporting the healthy flow of qi through the liver.Stretchinghelps release blood and qi through the body and into the tendons, maintaining a healthy physical body.Eye exerciseshelp support the health of the liver and vice versa. The liver is partly responsible for the function of the eyes. Remember to take breaks from looking at computer or phone screens throughout the day.Eating greenshelps maintain healthy liver function and the movement of qi.Spending time outside, especially combined with exercise, helps qi movement and overall mental health.Qi stagnation is very common, especially in springtime as we move out of the lower energy of winter. But when qi is flowing smoothly, we can fully engage with all the opportunities springtime can provide. Getting seasonal acupuncture tune-ups is a great way to stay healthy all year long. Call me today for an appointment!

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.

To learn more aboutBrightStar Care,CLICK HERE.Every 70 seconds, someone develops Alzheimers and in 2006, there were 26.6 millions sufferers worldwide. The disease is predicted to affect 1 in 85 people by 2050. Thats why we are taking a closer look in our latest blog series to not only identify key symptom and the stages of Alzheimers but also to identify what family caregivers and loved ones can do for someone who is living with this disease.So what is Alzheimers Disease (AD)? Imagine losing your memory so severely you forget your name and the names of those you love. Alzheimers is the most common form of dementia, which is serious loss of cognitive ability in a previously unaffected person, beyond what may be expected from normal aging. There is no cure for Alzheimers, which worsens as it progresses and eventually leads to death. Most often, AD is diagnosed in people over the age of 65, but early-onset Alzheimers can occur much earlier.While AD is a difficult affliction which causes great stress on caregivers and families alike, here are some tips for caregivers during these difficult circumstances:Organize your efforts to provide care and support for a loved one with a free account onCare Together.Having a plan for getting through the day can help caregivers cope.Do the best you can, and remind yourself to take breaks.Ask the doctor any questions you have about AD.Find out what treatments might work best to alleviate symptoms or address behavior problems.Contact organizations such as the Alzheimers Association, http://www.alz.org, and the Alzheimers Disease Education and Referral (ADEAR) Center, http://www.nia.nih.gov/alzheimers, for more information about the disease, treatment options and caregiving resources.Some community groups may offer classes to teach caregiving, problem-solving and management skills.Find a support group where you can share your feelings and concerns.Online support groups make it possible for caregivers to receive support without having to leave home. The Alzheimers Association and other organizations sponsor support groups.Study your day to see if you can develop a routine that makes things go more smoothly.If there are times of the day when the person with AD is more cooperative, plan your routine to make the most of those moments.Consider using adult daycare orrespite careservices to ease the day-to-day demands of caregiving.Begin to plan for the future.This may include getting financial and legal documents in order, investigating long-term care options and determining what services are covered by health insurance and Medicare.

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 written by Kathleen Warshawsky, BSN, RN; Publisher, Seniors Blue Book; President Dallas Area Gerontological Society. She may be reached at Kathleen@SeniorsBlueBook.com Article on page 23

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}#

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

Adult children of an aging parent often find themselves in a difficult position. While they know how important it is for a senior loved one to maintain their independence, they also worry about keeping them safe at home. Understanding if and when to intervene can be tough to do.If you will be heading home for the holidays to visit an older loved one, there are a few warning signs you should be on the lookout for when you are there. They are good indicators that the time has come to talk about making a change.10 Signs an Aging Loved One Needs More HelpIf you are noticing more than one or two of these behaviors in a senior you love, it might be time to talk about making a move to a senior living community. These communities offer older adults a combination of safety and independence, in addition to a wide variety of life enrichment and wellness activities. Personal Hygiene: An early indicator that a parent or other senior loved one is struggling is their personal appearance. Have you noticed a change in their hygiene habits? Is their clothing appropriate for the time of day and season of the year? Changes in this area can be signs an older adult is having trouble with personal care. Less Social: Has an always involved and social older loved one withdrawn from favorite pastimes and organizations? It might be a sign they are having problems with transportation or that they are aware something is wrong but arent sure what it is. Depression: Along those same lines is a case of the blues that goes on for many months. Seniors who are isolated or live alone are at higher risk for depression. If the older adult in your family seems tired, uninterested in carrying on a conversation or is sleeping a lot, it might be time to intervene. Make an appointment with their primary care physician. Falls: Have they experienced any falls or near falls? Is your senior loved one struggling with balance problems or are they a little unsteady on their feet? Older homes may not be the safest environment for a senior who is experiencing mobility issues. Falls remain the leading cause of fatal and non-fatal injuries among seniors. Accidents: When a senior driver bumps their car in to things like a curb or the garage door, it might not seem like a serious concern. But small accidents can indicate they may not be safe behind the wheel of a car any longer. Slower reflexes, problems with vision and hearing loss are just a few reasons why. Housekeeping: If your parent has always kept a tidy house it is usually easy to spot when there might be a problem. Is laundry piled up? Is the trash overflowing? A dirty house is not only a sign a loved one is struggling, it can also present health and safety risks. Finances: Is your senior family member safely managing their finances? There are a few ways to tell. Are bills stacked up unopened on their counter or desk? Another tip off is calls from bill collectors. When an older adult is having trouble keeping their financial house in order, they may pay some bills twice while neglecting others. Being Scammed: Criminals often target seniors. They believe them to be lonely and confused. It puts older adults at higher risk for fraud and scams such as fake sweepstakes prizes, phony roofing companies and identity theft. If your loved one has fallen victim to a scam, it might be a sign they need to make a move. Nutrition: When you visit your loved one this holiday season, take a peek inside their pantry and refrigerator. Are they full of out-of-dated foods? Does your senior loved ones diet seem to consist primarily of fast food? Poor nutrition can contribute to a variety of health conditions, as well as increase their risk for a fall. Mismanaging Medication: Mistakes with medication are a leading reason seniors end up in the emergency department of a hospital every year. Some take too much medication and others forget to take it altogether. Thats why medication management is one of the most commonly utilized services in senior living communities.If you are noticing more than one or two of these behaviors in a senior you love, it might be time to talk about making a move to a senior living community. These communities offer older adults a combination of safety and independence, in addition to a wide variety of life enrichment and wellness activities.

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

Many feel an enormous weight of guilt or failure when struggling to care for aging parents. The pain of realizing that you can no longer personally meet your elderly parents needs is a huge burden for any child. Deciding your parent may need more time and specialized care than you can provide is not easy. You may need to consider issues such as: Are my parents safe in their current living environment? Can I devote the time to adequately meet their needs? Do I have it in me to manage a cognitive disorder such as Alzheimers? Am I able to help my aging parent with mobility issues or incontinence?Decisions like this often carries a heavy emotional toll and brings thoughts like: Should I be doing more? Am I doing things right? Is my elderly parent too much of a burden for me? Im so tired!When feeling guilty, adult children often tell parents what to do. Despite the best of intentions, they can increase resistance and trigger the number one fear of older adults: losing their independence.A different approach is to share your concerns with your parents. Use I rather than you to reduce defensiveness. For example, instead of saying you should move since you cant be alone anymore, you may want to say its becoming very difficult on me and the rest of the family to travel so many hours to see you. Ask your parents for their ideas on how to solve the problem. This step is a process and will not be solved with just one conversation.In his book, Telling Yourself the Truth, William Bakkus writes directly to caregivers feeling guilty: You did not cause this disease. Your loved one would not have wanted you to stop living. Being a caregiver is one of the most noble and wonderful things anyone can do for a loved one. You did the best you could under the most extreme care giving circumstances.It is important that you give yourself some time to adjust or to grieve, just know that the goal is to begin living again while keeping your loved one safe.Editors Note: This article was submitted by John Alagood, CSA. John is the Area Owner of Senior Care Authority and may be reached at (469) 333-8833 or by email at john.alagood@seniorcareauthority.com

Weatherization Programs for Seniors in IdahoEnjoy a Healthier, More Comfortable Home At No Cost to YouIdaho Power offers two weatherization programs to help you use less energy and make your home more comfortable. Both of these programs provide free energy efficiency improvements to customers who own or rent[i] electrically heated homes, apartments and manufactured homes.Free home efficiency improvements for both programs may include:Vinyl windowsExterior door replacement and weather strippingAttic, floor and wall insulationBathroom/kitchen fansInsulating and sealing air ductsNew furnace and/or water heaterNew light bulbsBenefits Youll AppreciateThese upgrades help keep cold air out during the winter and hot air out during the summer. Trained and certified weatherization crews ensure improvements are installed effectively.These weatherization programs focus on the entire house. When a home is weatherized, it is weatherized with all cost-effective improvements possible to save energy and provide a healthy and comfortable living environment for eligible customers.Through these weatherization programs, customers learn how to use energy wisely, where they might save additional energy to help reduce their heating costs, and how to use new equipment such as a digital thermostat in their home. This one-on-one education is a good time to have questions about energy efficiency answered by professionals.These home improvements make a real difference in the lives of Idaho Powers customers. Donna Blay, a participant in Idaho Powers Weatherization Solutions program, said We dont get cold, and we dont hear the wind blowing through the house like we did before.The primary difference between these two programs is the amount of a customers annual household income.Weatherization Assistance for Qualified CustomersFamily sizeMonthly income range1$0 to $1,9622$0 to $2,6553$0 to $3,3484$0 to $4,0425$0 to $4,7352016 GuildelinesTo see if you qualify for this program, call these contractors in your area: El Ada Community Action Partnership (serving Ada, Elmore and Owyhee counties) at 208-322-1242 or CCOA Aging, Weatherization and Human Services (serving Adams, Boise, Canyon, Gem, Payette, Valley and Washington counties) at 208-459-0065.Weatherization Solutions for Eligible CustomersFamily sizeMonthly income range1$1,716 to $2,4522$2,323 to $3,3193$2,930 to $4,1854$3,536 to $5,0525$4,143 to $5,9192016 GuildelinesTo see if you qualify for this program, call these contractors in your area: Power Savers (serving Ada, Elmore and Owyhee counties) at 208-377-0700 or Energy Zone, LLC (serving Adams, Boise, Canyon, Gem, Idaho, Payette, Valley and Washington counties) at 208-459-0066.Help us, help you save energy and feel warm, comfortable and safe in your home. Were sure youll be glad you did!Learn more at idahopower.com/weatherization.[i] If you are participating in Weatherization Solutions and your home is a rental, the landlord must pay a small portion of the total cost of improvements.

The Councils on Aging in Marlborough, Hudson and Northborough have received a grant (from whom) to implement a project called building a Dementia Friendly Community. The purpose is to educate the public on best practices for interacting with people, at various stages of dementia, who are living in the community. The program is called Come 2B Dementia Friendly.Health Technology students and Practical Nursing students at the Assabet Valley Regional Technical High School are working together on this project to become the First Dementia Friendly School. This will be an impactful way of spreading the Dementia Friendly initiative for years to come by educating the future tradespeople of the community.Many Assabet Valley departments already serve older adults in their shops and many students will graduate as tradespeople who will be entering homes in this community. Practical Nurse students and Health Technology students have participated in a training program from the Alzheimers Association in addition to their clinical experience. They are using their expertise and understanding to help educate other students in the school about the problems of living with dementia and provide them with some strategies they can use to help persons with dementia they may encounter in their work.The Health Technology and Practical Nurse- Dementia Friendly teams have been going into the schools technical program shops to do interactive training sessions. There has been a lot of enthusiasm for the project and many students have shared stories of family members who are living with dementia. Discussions and questions have been excellent and post program surveys have been extremely positive.At the end of the sessions the shops are given written information about dementia and a decal to display identifying their shop as Dementia Friendly. Once the training is complete the school will be labeled Dementia Friendly and the team will move on to the next phase.Assabet Valley is proud to be working on a community wide project and the education the students provide for each other is one more way that we show our commitment to be the best we can be.For more information on the project visit the website: http://www.come2bdementiafriendlymarlborough.org/For information on the Practical Nurse Program visit www.assabetvalleylpn.orgFor information on Assabet Valley Regional Technical visit www.assabettech.comThis article was submitted by Ellen Santos MSN, RN, CNE, Director of Practical Nursing, Assabet Valley RVSD

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

Every day patients are discharged to the home setting in need of additional supportive services to ensure a complete recovery from an illness, injury or surgery. Home health care agencies assist patients with understanding and complying with the medical treatment plan ordered by their physician. Patients who receive self-care management education along with involvement by family members and caregivers typically experience better health outcomes and greater satisfaction with their post-hospital care.Telehealth monitoring can improve the communication between patient, home health agency staff and the physician by collecting vital information and clinical data on a daily basis. Telehealth combines advanced communication technology and health monitoring equipment to gather and transmit patient data, such as blood pressure and heart rate from the patients home, allowing earlier intervention by health care providers when problems develop.Many older patients are confronted later in life with chronic medical conditions which can be challenging and sometimes unstable. Hospitalizations occur and patients are displaced from the familiar surroundings of their home when their chronic illness becomes unmanageable at home. Early discharge from the hospital and poor understanding of the discharge instructions for post-hospital care can precipitate another hospitalization or a visit to the emergency room. Telehealth monitoring can eliminate unnecessary and unscheduled visits to the doctors office or to the emergency room. The information is received daily and early warning signs are monitored by a nurse and addressed immediately. Daily monitoring and early intervention supports the patients desire to be cared for at home while maintaining control of their chronic illness and preventing adverse outcomes. Patients can actively participate in their plan of care and can check their vital signs are often as they desire. Patient compliance with their treatment plan improves and their physician can rely on objective clinical data to make adjustments in their treatment plan. Patients may discuss home monitoring with their physician.Which chronic illnesses can benefit from home Telehealth monitoring?Congestive Heart Failure Hypertension PneumoniaCoronary Artery Disease Coronary Bypass AnginaAngioplasty Stroke (CVA) DiabetesValve replacement Emphysema Heart blockNurses are specially trained in Telehealth monitoring and assessment of patients for appropriateness of Telehealth monitoring. Hospital grade equipment is used to gather clinical data to support patient care at home. Home health agencies which offer this sophisticated home monitoring system improve the quality of care their patients receive and decrease the likelihood the patient will experience an unnecessary re-admission to the hospital. Editors Note: This article was submitted by Mary Gardner, MPH, RN. Mary is the Vice President of Business Development for Community Nursing Services Home Health & Hospice and may be reached at (801) 233-6100 or at mary.gardner@cns-cares.org.

What is a reverse mortgage?A reverse mortgage enables you to withdraw a portion of your homes equity, use it anyway that you like, have no monthly payments, stay in your home as long as you like and when you are ready to sell your home or you have passed, the loan is repaid. This program is insured by the Federal Government. You do not forfeit title to your home or lose any rights as the homeowner. You or your heirs decide when or if the home is to be sold and after repaying the loan balance, all remaining equity in the home belongs to you or your heirs.Who qualifies? Qualifying simply requires that the homeowner(s) be 62 years of age or older, own the home as their primary residence, meet standard FHA Appraisal guidelines for property type, value and conditionIs it safe? In 1988 HUD adopted reverse mortgages and with the assistance of congress, enacted laws that put into place 12 safeguards that guarantee a senior will not give up title to their home and will not put themselves, their home or their family in any financial risk. Paying off a traditional mortgage with a reverse mortgage secures the home and eliminates the risk of foreclosure due to an inability to make a monthly mortgage payment.How much of my equity may I use and how do I take the funds? HUD provides authorized lenders with a Reverse Mortgage Calculator that will determine the amount of equity available to a homeowner. The determining factors are the borrowers age, home value and current interest rate. From this calculation, fees are deducted and any existing mortgage balances are paid in full. The amount that remains is available to the homeowner to draw as a lump sum, treat as a line of credit, receive monthly tax-free income, or any combination of these three options. Regardless of how you choose to draw your funds, you will make no monthly payment. Interest accrues only against the funds you draw, and all remaining equity belongs to you or your heirs.How do I select a lender? It is not interest rates and fees that distinguish reverse mortgage lenders, it is depth of knowledge. While a growing number of traditional lenders offer reverse mortgages, you will want to select a Colorado Based Lender that is dedicated to reverse mortgage lending. Editors Note: This article was submitted by 1st Reverse Mortgage USA. Please feel free to contact Dave Harder, 303-904-info (4636) or by e-mail, dcharder@1strmusa.com

Part 2 of 2.Although the topic may be an uncomfortable one, it is one that needs to be addressed. SBB University and our panel of experts discuss the documents that you need to have in place, best tax practices while you are alive, pre-planning your funeral arrangements, as well as hospice care and bereavement counseling. Original event took place 2/19/2020.

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

What is a funeral?A funeral is any ceremony that offers an opportunity for family members and friends of the deceased to express love, respect, honor and grief for a loved one. Whether you choose traditional burial, cremation or green burial, a funeral offers the bereaved a place to celebrate life and take the first step towards healing.What do funeral directors do?Essentially, a funeral director is trained to anticipate your needs and help you decide on the details of your service. But, in the end, it is you who knows your loved one best, so a director is here to simply help arrange any type of service that will honor and celebrate your loved one. Directors can be caregivers, planners, organizers and advisors all at once. They are trained to answer questions about grief, recognize when a persons having difficulty coping, and recommend sources of professional help. Funeral directors can also link survivors with support groups at the funeral home or in the community.Why do we need an obituary notice?An obituary notice serves to celebrate the life of a loved one. Theyre also nice for friends and family of the deceased, as they detail the many memories and stories of a persons life. Publishing an obituary can also help take some of the burden of having to notify many people about funeral details off your plate. For more information, check out our guide onhow to write a beautiful obituary.What type of service should I have?You have the utmost control in deciding the service you want. The cemetery counselor and the funeral director are there to help you understand all the options available so that you can plan a service that is truly personalized and tailored to your loved one. You can incorporate memories into the service, whether that be through a favorite type of music, some readings that reflect them or a special type of flower. Above all, you should feel that the service appropriately reflects your loved one and the people he or she touched.Can I personalize my funeral service?Absolutely, in fact, we recommend it. After all, a funeral is a celebration of life and each life lived is unique. Funeral directors are happy to discuss any and all options to ensure your funeral is tailored to your wishes, and youll find that you can personalize services in many unique ways. You can reach out to us at any time to explore your options, or view ourservice pagefor more information.Is cremation a substitute for a funeral?Cremation is an alternative form of final disposition, but it can and frequently does still follow a funeral service. Our cemetery also offers green options such as scattering ashes around our lush, beautiful grounds. We can assist you with the necessary information about cremation, including the details of several wonderful cremation burial options or ash scattering, if this is an avenue you wish to explore.Can I have a visitation period and a funeral service if cremation is chosen?Absolutely! Cremation does not mean you cannot have a visitation period and a funeral service. Cremation is simply one option for final disposition of the body.What is the purpose of embalming?Embalming is a process to sanitize and preserve the body. It also makes it possible to lengthen the time between death and final disposition, allowing family members time to arrange the type of service most comforting to them and begin their own healing processes. While this is a personal decision for you to make, the emotional benefits of viewing the deceased can be quite helpful, particularly to those who are having difficulty dealing with the death.What should I do if the death occurs in the middle of the night or on the weekend?We are available 24 hours a day, seven days a week. All you need to do is place a call to us at (612) 377-2203. We can help lead you in the right direction.What should I do if a death occurs while away from home?Your funeral director can help you if a death occurs anywhere on the globe. The director will coordinate all arrangements that are needed to get your loved one safely back to his or her community. Please refer toWhen A Death Occursfor the key steps you can follow in the event this occurs.Is embalming mandatory by law?It is not, but there are factors of time and health that may make embalming either appropriate or necessary. Please note that embalming may be required if the deceased is being transported by air to another country where local laws need to be observed. You can always contact us if you have questions on this subject, as we know it can be an unfamiliar subject to many.Funerals seem so expensive - why is that?When youre in the middle of planning a funeral, it seems like there are so many costs that go along with it. Thats because funerals incorporate many elements, from viewing rooms and chapels to limousines and caskets. But each of these elements help ensure that every detail is perfect, and there are options available for every preference and budget. We can help you decide what options are right for you.Have the costs of funerals increased significantly?We know that funerals can seem expensive when youre in the middle of planning, but costs have not increased significantly. In fact, funeral costs have kept pace with the general consumer price index. You can always talk to us to figure out an option that meets your needs.What recourse do I have for poor service or overcharging?Most funeral homes provide outstanding services, but sometimes outcomes may not be exactly what you had in mind. In most cases, it makes sense to discuss problems directly with the funeral director first. But if the dispute cannot be resolved by talking with the funeral director, you may wish to contact the Federal Trade Commission by contacting theConsumer Response Center.You should never hesitate to refrain from speaking up if youre unhappy with the final result.

Ambassador Health Services, Inc. and Family Private Care, Inc. offer a choice of both an agency and nurse registry based on the core values and commitment to excellence that have characterized from its beginning of almost 20 years, we promise to be governed by these five qualities: Respect We value every human life, and will consistently treat you with respect, courtesy, and dignity. Expertise We are committed to being the very best at what we do, and will maintain a highly-qualified team of experts, ready to meet and exceed your needs and expectations regarding our services. Responsiveness We know that our best efforts will sometimes fall short, and we will respond immediately and thoroughly to your concerns. Integrity We believe trust is the foundation of every solid relationship, and will strive to be honest and ethical with you at all times. Cost-Sensitivity We understand the economic pressures on families, and will do all we can to keep your costs (client) and your reimbursement (caregiver) competitive and fair.This is who we are. It is in our DNA as a company.Contact us for your care options at 239-250-0100 . Ambassadorhealthflorida.com; Familyprivatecare.com. #HHA299993950 #NR30211387

As the 80 million baby boomers reach retirement age, many of them will need support to maintain their active lifestyles and quality of life. More and more, however, seniors and their families are recognizing the benefits of hiring caregivers to help them stay in their homes longer, in comfort and safety, and to give families peace of mind. The key question is how do you find the right caregiver? While there is no one simple answer, these guidelines will help you in this important decision making process.First and foremost, assess what your needs are. Do you need home health care, such as nursing, physical therapy or medication management? Do you need non-medical personal care, such as help with bathing, dressing, toileting, and meal preparation, or are you looking mainly for a companion or sitter? What hours of the day or night do you need help? Based on this information, you can discern what skills and background your caregivers should have.Once you know your needs, you need to decide where to look for a caregiver. You may not want to spend time looking in places where you wont find someone suitable for you. Neighbors or friends may seem to be good prospective caregivers. Family members are a natural choice, but first and foremost, hiring, managing, and firing a caregiver are all business decisions, and for that reason, many family members (or friends) don't make good paid help. Hire a professional caregiver if you can afford it.Prepare a list of questions to ask. Have a list for any applicant, caregiver agency, referral source, or reference you may call during your search. If you don't know what questions to ask a private caregiver, call a caregiver agency. The agency should be helpful, because you are a prospective customer.After you have screened applicants on the telephone, you should conduct an interview in person with those who sound acceptable. Invite a friend or family member to sit in on the interview to provide a second opinion. Always observe interactions between the worker and the person who will be receiving care to assess how they mesh with each other.If you are interviewing a caregiver agency, ask to interview the in-home caregivers yourself. Many agency employees look good on paper, but will not be a good fit for you, either for cultural, religious, social, or any number of reasons. You may just not like the person the agency has assigned to you. It is important to check references carefully, talking to everyone who is given as a reference. Remember, you are looking for someone who is dependable and reliable as well as someone who is qualified to do the work. If you are hiring an agency or from an agency, make sure that the agency does criminal background checks. Many states laws require a background check, but that doesn't mean it has been done.You want to hire a caregiver who has experience in the specific areas in which you need help. For instance, people who have Alzheimer's disease often need help with toileting and bathing, so look for someone who has experience in working with elders with this illness. Try to hire a licensed and bonded care-giver. If the agency is not licensed or bonded, you may want to look somewhere else.Following these simple steps can help insure that you find the right caregiver for you or for your loved one.Editors Note: This article was submitted by Dr. David Fraser, MBA. Dr. Fraser is the chairman of the Home Care Standards Bureau and the CEO of Vitality Home Healthcare. He may be reached at 970-667-2273 or by email at david@vitalityhomehc.com

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

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

Cooking for one or even two, presents challenges as we age. It can be dif?cult to shop and prepare healthy, well-balanced meals on a daily basis. Did you know the Older Americans Act provides grants to State and community senior organizations to help provide a healthy, well-balanced meals for older adults?Through the Community dining and home delivered meal programs, seniors struggling with isolation and loneliness or those who have difficulty buying or preparing meals for themselves have two great options! Older adults who have transportationcan get a healthy meal and spend time with friends in a community dining setting. Homebound seniors, unable to shop, prepare or obtain meals, can also receive a nutritious meals delivered to their homes up to five days per week, often by a friendly volunteer. Community dining meals and those offered to homebound older adults are approved by Registered Dietitians and provide 1/3 of the daily nutrition needs of the average older adult. Older Adults must be 60 and older to qualify to receive meals or be a disabled person or spouse residing with an eligible individual. There is no income or asset requirementfor community dining or home delivered meals. A suggested donation is requested and appreciated for all meals, however it is also not required. No one is denied a meal if unable or unwilling to contribute. While the importance of offering nutritious meals to older adults cannot be overstated, having the opportunity to join others for a meal in a community setting is a great way to get out of the house and see other people. No one likes to eat alone and having the ability to join others who are the same age, with a similar history and experiences can make for an enjoyable dining experience!For homebound seniors, having a friendly face greet them each day while delivering a nutritious meal, can be something to look forward to and serve as a daily well-being check. For more information on Community and home delivered meals, a contact list has been provided. If your County is not represented on this list, please call your local Agency on Aging and they will be able to assist you.Editors Note: This article was submitted by Leslie Edstrom, Community Planning Division Manager for The Agency on Aging Northeastern Illinois. Leslie has a Masters Degree in Public Administration with a specialization in Gerontology.

Are you or a loved one having problems with your memory? If so you should know there are now many things available, proven in scientific studies, to improve brain health, mood, and memory, at any age! Many factors can lead to cognitive decline - malnutrition, medications, food and environmental toxins, etc. Fortunately, most of these can be avoided, corrected or compensated for if identified and caught soon enough. While there are no good FDA approved medications for mild cognitive/memory impairment various dietary and lifestyle modifications have proven to be of great help. Avoiding excess sweeteners and TRANS fats, while eating more fresh veggies, fruit, nuts and other healthy lipids, like those found in clean cold water fish, can do much to maintain a healthy brain, mood and memory. Specific carefully formulated food supplements containing polyphenols and other antioxidants, key proteins like carnitine, carnosine, and N-acetyl cysteine; minerals like magnesium, zinc, and boron; as well as good fats like DHA & choline; and the brain essential B vitamins 1, 3, 6, 9 & 12, plus SAMe have been shown in University studies to reduce risk for damaging plaques, tangles, inflammation and oxidation associated with cognitive decline. Moreover, these and other essential nutrients can strengthen delicate brain structures and increase chemical messengers in the brain to improve cellular communication and memory. But good nutrition works best when taken in conjunction with regular physical and mental activity, learning new things, social interaction, a good nights sleep, and stress management. Working together, these have been shown in hundreds of studies to improve mood and reduce atrophy within the brain, and more than double the ability of seniors to learn and remember. If youd like a better brain or sharper memory, these can help make that a reality for you and those you love.This article was submitted by David R. Larsen, MFHD, Director of Advanced Memory Dynamics who may be reached at 801-529-8238 or by email at DavidRJL@aol.com

The palliative care industry emerged as a way to provide comfort and support for those navigating long-term illness and health care options. Palliative care is comprised of various pain and symptom management services, along with counseling and support for patients and their families.What is symptom management?Symptom management refers to various methods used to alleviate the pain and discomfort surrounding serious illness. Some challenges that palliative care addresses include shortness of breath, anxiety, depression, lack of appetite and nausea.How does counseling help?Many families are faced with the struggle of caring for a loved one suffering from serious illness but are not equipped to handle the situation alone. Palliative counseling helps families identify their goals and determine the best method of care based on each unique situation. Once the method(s) of care have been chosen, palliative care professionals continue to offer guidance in the form of coping mechanisms, community resources, financial concerns and more.Palliative v. HospiceOftentimes, the term palliative is confused with hospice, but the two methods of care differ greatly. Whereas hospice care is reserved for patients with a prognosis of six months or fewer, palliative care is available for patients of all ages and during all stages of serious illnesses, including but not limited to cancer, stroke, diabetes, Alzheimers, etc.Palliative v. Primary PhysicianPalliative care does not work against primary medical care but in collaboration with such care. While doctors focus mostly on general health and treating the disease, palliative care professionals have the specialized skills to provide daily comfort and additional guidance.Where is Palliative Care available?Pathways in Fort Collins is a nonprofit hospice, palliative care and grief management organization that has served Larimer and Weld Counties for nearly 40 years. Our palliative care team consists of a physician, advanced practice nurse or nurse practitioner and medical social worker, all with expertise in pain control, other symptom management, and psychosocial intervention. Telephone assistance is available 24 hours a day, seven days a week.Editors Note: This article was submitted by Evan Hyatt who is the President of Pathways. He may be reached at 970-663-3500 or by email at Evan.hyatt@pathways-care.org

Exploring the unique role of social workers in hospice.March is Social Work Month, a period for recognizing the 680,000 social workers who empower and advocate on the behalf of vulnerable individuals and communities all over the country. VITAS Healthcare understands the value of their contributions intimately, as each VITAS hospice team is staffed with a social worker to ensure that the needs of patients and families are meta model that has proved beneficial since our first patient over 40 years ago.Social workers are true jacks of all trades: They help patients navigate the complex healthcare system, offer supportive counseling and advocate for patient decisions. This doesnt mean employing a one-size-fits-all approach to patient carehospice social workers perform a complete assessment for each patient to develop an individualized care plan.Social workers are present in nearly every sector where social welfare is at stake, providing a combination of emotional support, resource management, community organizing and service coordination. VITAS social workers are no different, undertaking many roles to help patients and their families feel understood and respected.For instance, a VITAS social worker may help a new patient update their will and establish end-of-life care preferences, or meet with the family caregiver to gauge their stress level and determine if additional support if necessary. They can help align the patients end-of-life goals and the physicians plan of care, contact distant family members, or plan a party for a patient. Even seemingly small gestures go a long way in improving the patients quality of life.Hospice social workers can be a calming force for families as their loved one approaches death, offering supportive counseling and helping them through the process of anticipatory grief. They can also connect families with funeral, cremation and/or burial professionals.Countless patients and families can attest that social workers serve as the catalyst that makes good things happen. If you know a social worker, show them your appreciation during National Social Work Month. If youre a social worker, let VITAS be the first to thank you for everything you do.For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.Article written byBy Cathy Carlson, general manager for VITAS Healthcare in Chicago

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.Are you wondering if its time to get your elderly loved one the help they need? Do you often find yourself thinking about whether or not to hire a live-in care provider to watch them? If so, then you should consider the signs its time to find home care.Its never too late to get them the help that they deserve. By looking into senior care, you will experience full peace of mind, knowing that theyre safe.See below for several signs that its time to look into live-in care providers in Naples. It can help you better understand when is it time to get home care for seniors.1. Not Eating WellPerhaps youve noticed that your elderly loved one hasnt been eating the same as they once did. Maybe youve even noticed that theyre losing a significant amount of weight.If thats the case, then they might be skipping out on meals or can no longer operate the kitchen the way that they once did. They might also find it increasingly difficult to run to the store for food items that they need to cook.A live-in caregiver can give the assistance that they desperately need. They can go out to shop for groceries, come back to the house, and make your loved one the meals that theyll chow down on.Once the meal is done, they can also help clean up the dining table and kitchen, wash dishes, and put away all the items for future meals.Be sure to reach out to a live-in referral companythat can help you find the right caregiver for your loved ones situation.2. Slow Recovery TimePerhaps youve grown concerned for your loved one because of an illness or injury that theyve recently suffered. You have noticed that theyre taking longer and longer to recover from health complications.These injuries and illnesses might also be more frequent, with no signs of that slowing down any time soon.If so, then youll want someone to be around them 24/7. As much as youd love to be around them all the time, you still have a career and your spouse/children to care for as well.Hiring a live-in care provider can help give you peace of mind. Even when youre not around, theres a specially-trained and well-educated live-in caregiver thats watching over them, giving them the best medical attention possible.Be sure to give your loved one time to adjust to the idea. If you rush them into it too quickly, they mightresist the caretheyre given.3. Their Memory Is FadingSometimes the biggest sign that your loved one needs help is when you notice that their memory is starting to fade. Sometimes its a sign of Alzheimers or Dementia, while other times it comes naturally as they age.No matter what the reason is for the memory loss, it will only continue to worsen. If their memory fails them while no one else is around, it could lead to a very serious situation.A live-in care provider will work tirelessly to keep an eye on them. Theyve been trained on how to work with patients that suffer fromAlzheimers and dementia, and how to get them to cooperate in moments of confusion.4. They Recently Had An AccidentDid your loved one recently fall and injure themselves? Was there a close call that you were (fortunately) there to help them with? If so, then you might be struggling with the eye-opening sign that they need constant supervision.Not only that, but your elderly loved one might not becomfortable with being left by themselves for any period of time. This is a clear sign that its time to get them live-in care from a specialist.If they were to have an accident while no one was around, then it might lead to a life-threatening situation. They might not be able to reach for the phone to call for help.5. They Seem LonelyNo one should ever have to feel alone in their own house. As much as you, your kids, and your siblings might try to keep them company, there will always be moments where your elderly loved one is alone.Not only are those moments a danger to their physical health, but their mental health as well.Live-in caregivers dont just focus on giving medical treatment to their patients. They have a passion for taking care of elderly people in need. They will build a friendship with your loved one and find different ways to hang out with them.That way, even when youre at work or running the kids around, youll know that your loved one is hanging out with a close friend around the clock!6. They Cant Drive AnymoreThere comes a time where all elderly people can no longer drive. Their worsening health makes it impossible for them to safely operate a vehicle.With a live-in caregiver, theyll have access to drive wherever they need to without having to wait for a loved one to pick them up.That way, you dont have to adjust your schedule every time they have a doctors appointment. The live-in care provider can take them wherever they need to go.Find The Right Home Care For Your Loved One TodayNow that you have seen several signs that its time to get home care for your loved one, be sure to use the right referral service for your needs.Be sure to read this article for more information on senior lonelinessand how you can help them cope with their emotional distress.

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

To learn more about Manasota Care Services, Click Here.When it comes to driving and mobility, being safety-conscious is a good thing. We typically grow concerned about senior drivers, but rarely do we consider the safety when seniors are being transported by a non-emergency medical transportation provider. More specifically, how safe is your loved one when they require assisted ambulatory, wheelchair, or even stretcher transportation?With a rapidly growing elderly population, an increasing number of seniors and disabled people are in need of assisted transportation to and from medical appointments, physical therapy, personal errands, family functions, and more. Especially for those with mobility challenges, accidents can happen within their residence, while being assisted to the vehicle, while loading and securing the passenger, traveling to their appointment, and then again when being returned.The level of required assistance is in direct proportion to the patients level of mobility. A senior requiring only a steady hand or firm arm to hold while ambulating requires much less direct assistance as compared to someone requiring wheelchair or stretcher transportation. Similarly, if the patient is bariatric, chances are very good that multiple attendants will be required to safely secure and transport the patient.When considering a transportation provider, many things that need to be considered to ensure your loved one is safe during the entire transportation process:1. Is the transportation provider properly insured? For those relying on rideshare or independent providers, chances are very good they do not have proper for-hire insurance. Hence, should their be an accident, passengers will not be covered.2. Is the driver(s) literally capable of assisting your loved one? Are they knowledgable, knowing how to properly use the equipment, and are they physically fit, capable of literally assisting seniors to navigate stairs, thresholds, and possible inclines when sitting in a wheelchair or secured on a stretcher?3. What type of equipment does the transportation deploy? Is it safe, durable, and suitable for your loved one? When using the providers wheelchair and stretcher, you want confidence in know the equipment is serviceable and well maintained.4. What are the driving habits of the driver(s)? Being concerned about a seniors driving ability might seem like common sense, but what about the driving habits and record of the drivers? Are they drug tested? Does their employer check their Motor Vehicle Report (MVR) for discrepancies, tickets, fines, DUIs?5. Does the driver invest the necessary time required to properly load and secure the wheelchair/stretcher or do they cut corners in an effort to expedite?6. Upon arrival at the destination, does the driver accompany your loved one all the way into their appointment and ensure they are properly checked in and received by facility staff?7. When the appointment is complete and your loved one is ready to be returned, does the transportation service arrive in suitable time versus forcing your loved one to wait excessively?At Uplifting Transport Service, our goal is to provide safe, reliable, and timely non-emergency medical transportation service that not only meets, but exceeds your expectations. In addition to screening and properly training our drivers, this goal starts by deploying ADA compliant vehicles and reliable equipment.We welcome the opportunity to introduce our service to you and your loved one. Please feel free to contact us with any questions or to discuss how we can provide transportation solutions to meet the possible mobility challenges.

Did you know that seniors walking speed is directly related to longevity and that proper nutrition is important for seniors to maintain good ambulatory balance?Recent studies have demonstrated that good nutrition is vital for seniors to live happier and safer. Yet, it is also common to find seniors eating poorer diets as they age. This leads to a more sedentary lifestyle because a person just may not have the energy to move about much. The combination of poorer aging diets coupled with reduced muscle tone results in an increased risk of falling. Falls that include broken bones or joints often significantly reduce a seniors lifespan. Such falls result in many seniors passing away within the following year. Falls need to be prevented as much as possible.Nutrition is a complex science because there are so many variables. Food preferences, medications, cooking ease, fast food, preservatives, synergistic and antagonistic vitamin relationships and changing dietary needs all play into proper cellular nourishment. Nutrients, in the cells stipulate whether or not a diet is satisfying a persons nutritional requirements. There are many steps to get vitamins, minerals, antioxidants and nutrients from their origins, to consumption, through our digestive system, into our blood stream and then across our cell walls to finally make them available for energy production and DNA protection.Even when we think we may being eating well, the good food may be lacking much of the nutritional value the same food had 30 or 50 years ago. Top soils in many areas of the country are simply depleted in levels needed for good dietary benefits. This is why it is common today to hear that we should be eating 8 to 12 servings of fruits and vegetables daily.Now, how many of us are doing that?!Our health is built on the foundation of ample cellular nutrition. Diseases such as osteoporosis, macular degeneration, strokes, arthritis and dementia, in fact all chronic diseases are correlated to low cellular saturation of vital nutrients. Your cells genetic (DNA) material requires antioxidants from foods as protections against destructive molecules that are constantly bombarding it. These free-radicles attack the cells genetic makeup and may result in DNA changes that create mutant cells found in cancers.Fortunately, science has been simplifying nutritional barriers and making it easier to achieve proper cellular results. Today, ones antioxidant status can be measured. A person, with a 30-second, non-invasive, painless, light scan of their hand can know their score. Measurements create motivations. People empowered with their personal vitamin measurement work to improve it by eating better and by filling in their nutrient gaps with scientifically proven supplementation.The Journal of the American Medical Association indicated that all people should take supplements. This is even more important for seniors who want to feed their cells while maintaining or improving their balance when walking.Seniors should know their antioxidant levels are improving. Get tested regularly!Editors Note: This article was submitted by Dr. Mark O. Bowman. Dr. Bowman is the owner of Home Care Assistance of Utah which provides high quality in-home care for seniors. He can be reached at 801-733-6100 or by email at mbowman@homecareassistance.com

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

Everyone enjoys socializing and entertaining family and friends, so when your guests visit, can they move around freely with minimal assistance in your home?Wanda Gozdz, a residential interior designer and Certified Aging in Place Specialist (CAPS), is an expert on the subject of making a home visitable and says that every persons home should meet these key elements: Have at least one zero-step free entrance into the home (zero-step OR step-free not both) Minimum 32 wide interior door/s with lever handle Minimum 36 wide level route on ground level except, at doorways Full bathroom on the ground floor, with all walls reinforced for installation of safety bars Light switches, electrical outlets, thermostats and other controls at accessible heightsThese features provide safety, stability, comfort and ease of use for all visitors regardless of age or ability and provide for a long lasting independent lifestyle for inhabitants. They also allow homeowners to modify their space as their lifestyle changes.Other modifications Gozdz recommends include: Changing lightbulbs from incandescent bulbs to LED, white light, or compact florescent, which emit blue light or white light Using a bulb that is 800 LUMENS or higher, which instantly improves our ability to see better Replacing scatter rugs with a min 20X40 gel pad at work areas, which reduces fatigue when standing and allows a person to transition safely onto different surfaces Using contrasting colors on walls, counters and floors, which helps with depth perception and provides clear line of sight when navigating throughout the home and in working areasThese simple and cost effective steps provide safety, stability ease of use and promote independence.Editors Note: Gozdz is author of Sensible Smart Tips for Living in Your ForeverHome a walking tour guide through the home to determine modifications that will enhance quality of life. Gozdz, an instructor for the National Association of Home Builders (NAHB) teaches a three day Certified Aging in Place (CAPS) Designation Course. For more information on courses or events Contact Wanda Gozdz, President, Golden Age Living, LLC, PO BOX 1553, Deerfield Beach, FL 33343, 954.401.5948, email wegcaps@att.net or visit www.goldenageliving.com.National Association of Home Builders(NAHB), 2007, Marketing & Communication Strategies for Aging in Place & Accessibility, Washington, DC, pg SG-1-8.

Proper estate planning requires carefully crafted documents covering a range of matters. One of the most important is a financial, often called a durable, Power of Attorney (POA) which allows you to name the people who will act on your behalf in financial matters if you are cannot, or if you want assistance in doing so. Those people are called your Agents. A POA is a relatively simple and inexpensive document. If properly drafted, a POA should avoid the need for a guardianship proceeding with its considerable and ongoing time, and financial and emotional costs.POAs are not only for the elderly.Mental incapacity can result from severe accidents or health conditions unrelated to age. Additionally, parents of young adults, especially college students, may want to encourage their child to have a POA. Being the parent of a legal adult does not allow you to act for that child as you did when they were a minor.Many married couples assume that because they are married they do not need POAs. That is true for most, but not all, jointly owned assets. For example, to sell real estate, both spouses must sign the deed, or have it signed by an Agent under a valid POA. Also, most married couples have assets which are owned individually, such as IRAs, 401(k)s, life insurance, or separate bank or investment accounts. Without a POA, a spouse has no legal rights regarding those assets owned solely by their spouse. Generally, financial or insurance companies will not provide any information to the spouse. Thus, even married couples need POAs.Most people want and, generally, good planning dictates, their Agent to have the same power to make financial decisions as they have, so it is generally a good idea to give the broadest possible powers to the Agent in the POA. This includes the powers necessary to do financial planning if the person creating the power needs to go into a nursing home. This is important because Pennsylvania law says that powers must be specifically granted to ones Agent in the POA; if a power is not specifically listed, the law presumes that the person creating the power did not intend to give it. A durable POA remains effective even if the creator becomes incapacitated or incompetent. Pennsylvania law presumes that all POAs are durable, unless the document says otherwise. Most POAs are effective immediately upon signing, although it is possible to create a POA that only becomes effective when one or more doctors certify that the person is unable to make financial decisions. However, those are generally not recommended because of the difficulties involved in getting the medical certification, and the risk that a bank will want additional proof of incapacity. Also, often fully competent elderly people simply want the Agent to assist with their finances.Importantly, the person creating the POA must have the legal capacity to sign. This means that at a minimum he (she) must understand that he (she) is giving the power to make financial decisions to another person, and must be able to identify that person. Too often attorneys receive calls saying that a loved one had a stroke yesterday and they need a POA. When asked if the person is able to understand the POA, the callers say, Oh no! He (she) doesnt understand anything. Unfortunately, that person waited too long to get a POA.Thus, a properly drafted Durable Power of Attorney is a critical component of any estate planning, and is overlooked at ones peril. Editors Note: This article was contributed by William H Poole, Jr. Esq., attorney at Bellomo & Associates LLC a full-service estate and trust law firm.

The Shoulder JointA ball-and-socket joint, your shoulder gives you the ability to reach high and low, behind and in front of you, throw, catch, and perform an innumerable number of other tasks. It is the most flexible and mobile joint in your body, which also makes it more susceptible to injury or dislocation. Injuries to the shoulder joint or disease, like osteoarthritis, can cause mild to severe shoulder pain and limited flexibility. There are effective non-surgical remedies for shoulder pain, but if none of those are working for you, then it may be time to consider shoulder replacement surgery for pain relief and restoration of mobility.Main Causes of Shoulder PainShoulder pain could be the result of several underlying causes, but the most common reasons for shoulder pain are:Osteoarthritis:A degenerative joint disease, osteoarthritis typically occurs in people over the age of 50 and causes the cartilage around the bones of the shoulder to degrade and wear away. Without the cushioning of cartilage, the bones begin to rub together, causing pain and stiffness in the shoulder.Rotator Cuff Tear:The rotator cuff is a group of muscles and tendons that support and stabilize your shoulder joint. When one of these muscles or tendons is torn, either through a sudden injury or from everyday wear-and-tear, pain, weakness, and loss of full range of motion can result.Fractures:Fractures occur when one of the bones that make up your shoulder becomes broken causing pain and limited flexibility. Depending on the severity of the injury will determine the best treatment.Non-Surgical Remedies for Shoulder PainThe best non-surgical treatment options for shoulder pain include rest, application of ice, over-the-counter pain medication, steroid injections, and physical therapy to help improve flexibility and relieve pain. After about eight weeks of physical therapy, your shoulder pain should be reduced and range of motion mostly restored. If you are still experiencing pain and discomfort, though, then it may be time to consider shoulder replacement surgery.CHow to Determine If You Need Full Shoulder Replacement SurgeryIf nonsurgical treatments are not doing enough to alleviate your shoulder pain and improve shoulder function, then surgery may be the best option for you. Other determining factors that make you a good candidate for shoulder replacement surgery include your inability to perform normal everyday activities due to pain and limited shoulder function, and if the pain is severe enough to keep you up at night.Shoulder Replacement Surgery What to ExpectIn the last 15 years, shoulder replacement surgery has skyrocketed due to technological advancements in implant design and improved outcomes in helping patients alleviate pain and regain mobility in their shoulders. It is the fastest-growing joint replacement surgery in the U.S. and an effective way to reduce pain, restore flexibility, and get you back to enjoying activities you used to do.Shoulder replacement surgery involves replacing the damaged parts of the shoulder with artificial components. Reconstructing the anatomy of the shoulder joint, a polished, metal ball and plastic socket are put in place to prevent bone-on-bone rubbing. Typically, patients can go home the day after surgery.After SurgeryPost-surgery, youll likely experience some pain that can be managed by over the counter medication, but by the second week, your shoulder pain should be significantly diminished. With physical therapy and strengthening exercises, you will have improved range of motion by three months after the surgery. After a year, youre likely to not even think about your shoulder replacement but will just go about your tasks pain-free.If you are tired of suffering from shoulder pain and limited shoulder mobility, then contact the orthopedic surgeons atCoastal Orthopedics. Experts in pain management, they can help you with pain relief and improved shoulder mobility. Click here for more information!Submitted & Written By: Coastal Orthopedics

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

Ever struggle to remember what day it is? It happens to all of us and some types of memory loss is perfectly normal. Yet, some types are early signs of dementia and possibly mild to moderate Alzheimers Disease. What signs do we look for? Lets compare normal age-related memory changes and dementia symptoms. And how you can be pro-active in your brain health.NORMAL AGE RELEATED MEMORY CHANGES:Able to function independently and pursue normal activities, despite occasional memory lapsesMay pause to remember directions, but does not get lost in familiar placesJudgment and decision-making ability the same as alwaysSYMPTOMS THAT MAY INDICATE DEMENTIA:Difficulty performing simple tasks (paying bills, dressing appropriately, washing up); forgetting how to do things you have done many timesGets lost or disoriented even in familiar places; unable to follow directionsTrouble making choices; May show poor judgment or behave in socially inappropriate wayKEEP YOUR BRAIN HEALTHY EIGHT PILLARS OF BRAIN HEALTH:Stay Active take the stairs instead of the elevator Eat Well choose brain healthy foods such as: dark leafy vegetables, berries, dark chocolate Sleep Well establish a regular, relaxing bedtime routine, limit daytime napping, avoid caffeine, nicotine, and alcohol close to bedtime Exercise Your Brain try learning a new language or volunteer Connect invite friends for coffee, go dancing, use social media to stay connected Relax & Reduce Stress learn how to say no, set clear boundaries with others Control Risk Factors get regular check-ups, know your family medical history, be more active Get Involved with Research speak with a research volunteer about his/her experience, contact your local research centerHAVE A HEALTHY BRIAN CHECK-UP:Research clinics like ClinCloud provide memory assessments and are administered in the clinic by a certified memory assessor or from the comfort of your own home via telehealth. Amemory assessmentinvolves general questions around personal, social, and work life as well as specific questions concentrating onmemoryand mood. A cognitive assessment provides a baseline of your cognitive health in order to track your brain functioning over time and personalized recommendations on ways to optimize cognitive functioning, over time. It is your choice, so why not give it a try!This article was submitted by Jessica Branning, Chief Executive Officer, ClinCloud Clinical Research and may be reached at 407.636.4031 or jbranning@myclincloud.com

To learn more about Plan Right Law,CLICK HERE.Trying to determine Medicaid eligibility is very complicated. The rules are often changing, and they are different in each state. Often medical eligibility differs by what program you need. In addition, the application is as well as the review process is lengthy. Sad to say, If Medicaid denies you, the consequences can negatively affect the comfort and health of a senior citizen and the financial stability of your family.Medicaid plannershelp their clients to structure financial resources and prepare documentation to ensure the best possibility of being accepted. Medicaid planners can create trusts, change countable assets into excused assets, and manage asset transfers to guarantee eligibility. Planners can show you how to protect a loved ones home and administer finances to safeguard the healthy spouse which allows them to have acceptable income and assets to remain living independently.If you are wondering if it is needed to use a Medicaid planner, the answer is it is a sound idea. Base your decision on whether to hire a Medicaid planner on your specific financial situation. Family situations impact the need for planning. Some conditions are:When only one spouse needs care, the cost of caring for one spouse can rapidly deplete a couples resources and possibly exceed the value of your home. To protect the spouse who is healthy and allow him/her to remain living at home, separation of resources is often necessary. This tactic is very complicated. If you need to separate resources, it is essential to use a Medicaid planner.If both of you require care, note that long term care costs for two individuals can bankrupt a family quickly. Without one spouse caring for the other spouse, the caregiving burdens that come from a Medicaid denial could be substantial. If you two of you are ill, the critical nature of acceptance into Medicaid requires the use of a Medicaid planner.If you are healthy and wish to preserve some of your assets for your children, working with a Planner may be the wisest thing you can do. Families can plan for themselves without professional guidance, but if you make a mistake in Medicaid planning, it can affect your eligibility for up to five years. If you are not confident enough to manage the complex legal and financial techniques, use a Medicaid planner.If you are single and have no assets and little income despite your health conditions you do need help to navigate the waters of Medicaid eligibility. If you choose not to use a Medicaid planner, do get some help somewhere.The Medicaid planning process is not painful. Most Medicaid planning firms will offer you a free consultation where they will discuss the health status and financial resources of your family. Planners use this information to establish success with Medicaid and have a positive impact on preserving your assets. Planners also use your information to determine whether to accept you as a client.It does take several weeks to collect information and make a formal analysis of the familys assets. A plan is built, modified as needed, and continually discussed. Putting the program into action may take longer. It all depends on the strategy being offered. Sometimes where there is an immediate need for Medicaid care, the Medicaid documents can be prepared along with the execution of the plan. There are also some cases where Medicaid coverage is retroactive. It does take a Medicaid planner to determine your success of you being enrolled in Medicaid.Documents You Will NeedTo apply for Medicaid, you will need to verify your identity and your financial circumstances. Documents need to prove your age and can include your birth certificate or drivers license. You may also need to provide proof of citizenship which requires a US passport or a birth certificate. To verify your marital status, you may need to provide a marriage certificate, separation papers, a divorce decree, or the spouses death certificate.Financial resources are harder to confirm. You will need checking, and savings account statements, money market accounts and if you have them, certificates of deposit. Stock or bond, annuities plus IRA, 401K or Keogh Account documents must be provided. You will need the title to your automobile and the value, deeds to property, and mortgages. If you have a life insurance policy, you will need to show this information. Burial plot information is also required as is prepaid funeral contracts.Other documents you may need will be your social security card, Medicare card, and additional insurance plus RX cards. You will need to show guardianship documentation if you have it.Income can be verified by the most recent pay stubs, social security award letter, pension statement or unemployment check stubs. You may need to show a support or alimony check or court order, a VA award letter or an SSI Award Letter. The documentation could take weeks to get it together and maybe more than several inches high!When a loved one requires long term care, you have many challenges. The added stress of trying to cover all the needs to determine Medicaid eligibility is an unwelcome burden that will further compound your difficulties.Medicaid planning servicesfrom Plan Right Law is the best solution for optimizing your Medicaid eligibility. When you use a senior planning service, a secure financial future becomes a reality. Health insurance will cover some of the medical costs of caring for your aging family members, but if insurance is not enough, Medicaid can help.Medicaid is an insurance program for very low-income individuals with limited financial assets. Medicaid can pay for unlimited nursing home care and does pay for some home care, assisted the living, adult day care, and medical alert services.To receive Medicaid, you need to get through two challenges associated with Medicaid. The first is qualifying and the second is the availability of services. Work with a Medicaid planner to understand your health insurance benefits and to determine if Medicaid is right for you. A planner will also help you gather up the verification you need, fill out the paperwork for Medicaid, and be your advocate with the Medicaid system.

To learn more aboutThe Wellington - MBK Senior Living,CLICK HERE.As McDonald's so succinctly told us, You deserve a break today. If youre the primary caregiver of your elder loved one, you undoubtedly understand the sentiment. But how does one take a break? The answer is Respite Care!Respite Care for the elderly is a short-term stay at a senior living community. While often used by seniors who are recovering from a hospital visit or other health circumstances, it is also available for other circumstances as well. When the caregiver takes a vacation or needs a break, respite care is a fabulous service to use. Whether it's just for a few hours or a few weeks, respite caregivers take over for you, ensuring your loved one is well cared for during your time away. The services are designed to provide relief to the primary/regular caregiver (usually a family member). Respite caregivers are also available to come to your loved ones home to help with tasks such as going to doctors appointments, picking up prescriptions, grocery shopping as well as meal preparation and light housekeeping duties. There are a variety of skill levels for respite caregivers, from nurses, home health aids or simply assistants. Respite caregivers are typically trained in collaborating with the primary caregivers, to understand and help resolve any concerns and encourage open communications with other family members to accurately assess the respite needs.While Medicare does not cover Respite Care in most cases, there are funding options that may be available. A great resource to find options iswww.211.org a free and confidential service that helps people across the country find local resources for many situations. You can also contact your state and federal Elder Care Offices or the Aging and Disability Resource Center in your state to access respite care options. Many states also offer coverage through Medicaid, and some have separate caregiver support programs known as 1915C Home and Community-Based Waivers.Being a primary caregiver for your loved one is a rewarding and loving experience yet to be the best you can be, you need to take care of YOU too! Respite Care may be the answer!

There was a time when the local hospital emergency room was a persons only choice for an illness or injury that wouldnt wait for normal business hours.Today, its one of a menu of options for such care, from urgent cares to neighborhood micro-hospitals and stand-alone ERs.Defining an emergencyIt starts with knowing what a health emergency is. Generally speaking, its a serious or life-threatening condition that requires immediate attention or advanced care such as heart attack, major broken bones and large wounds. Emergency rooms, whether they are attached to a hospital or are stand-alone, are open 24 hours a day, seven days a week, and offer extensive testing options to care for life-threatening emergencies.Have a PlanIn the event you are sick or have an emergency, you dont want to be scrambling for where to go or what to do. Calling 911 is the obvious first step in the most serious of emergencies, but you should know what services are close to you for needs that dont rise to such a level. Know where your closest emergency department is. Confirm level of care and what your insurance covers before a need arises. Download a virtual doctor tool, such as the Doctor On Demand app for your phone, for non-acute care any time. Find out if your primary care doctor provides same-day visits or offers after-hours care. This is often the best option for urgent, but non-emergency medical issues. For affordable after-hours care, find out if an urgent care facility is near you, and exactly what its capabilities are. Find out where the nearest accredited Chest Pain and Certified Stroke Centers are. These emergency departments provide the best care for these specific critical issues. Keep vital information with you, Keep a list in your wallet of such information as medications, allergies, primary care doctor and advanced directives. Know your insurance, such as if you have differing co-pays for urgent care, emergency care and doctor visits. When you have a true emergency, dont worry about insurance and call 911 immediately.To learn more, visit FindYourER.orgEditors Note: This article was submitted by Rachel Hamasaki, Marketing Manager at Good Samaritan Medical Center, andmay be reached at 303-689-5278 or by email at Rachel.Hamasaki@sclhealth.org

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}#

Sometimes the smooth pavement beneath us turns to gravel and we find ourselves questioning the journey. At times it becomes a narrow path, not of our choosing, and we wonder how or why we have been asked to pick our way through the "handicaps" we have been dealt. We stumble over the jagged rocks of disappointment and hurt. During those times, can we really find joy; real joy? Joy when the walls around us are crumbling? Joy when the doctor's report is not good? Joy when we read about one more tragedy in the news? Joy when it seems we are being thrown off course? Falling headlong into one more pothole leads us to believe that all purpose has gone from life. The days are long, the nights are dark.When my world crashed around me and my precious Pastor/Husband was gone in 6 seconds, I couldn't cry and I couldn't breathe. I could only play the words over and over in my mind; "widow-maker's heart attack." The road ahead was black and foreboding. I was no longer linked to him by ministry. My identity seemed to be stolen.I stumbled on these words in the Book of James, (and I do mean stumbled); "Consider it a great joy, my brothers, whenever you experience various trials, knowing that the testing of your faith produces endurance." At first, I could not wrap myself around that truth. I truly felt God was trying to trip me up. I wanted to sink into one of those potholes and never emerge. I tried to convince myself it was only for "brothers," not me, a pastor and a pastor's wife! Still, I found myself returning to those words in James; questioning, meditating, seeking to absorb the truth.For days and weeks, I really didn't seem to feel the presence of Jesus and to me, that was the most discouraging. I resorted to my most favorite prayer; "Jesus, give me a song in the night. Let me hear you singing!" (Zephaniah 3:17)..."He will joy over you with singing." I also cried out to remind Him that He promised to be a husband to the husbandless. During one of those days, I recalled a lesson I learned from a kaleidoscope. When it is aimed toward the light, even a dark piece of jagged glass adds to the design.Then, it came..."I will never leave you, in my arms I'll hold you...with my love enfold you...I am your redeemer, I will care for you." I couldn't stop singing it. I taped it to my refrigerator. I rejoiced! At His feet I found joy unspeakable and full of glory.I found people along the way further along in their journey than me. From them I gleaned food for mine. I found people just entering lifes rocky detour and I am now able to share crumbs of hope and joy from mine.The roughness of the road before me is changing. I no longer focus on the gravel and my choice to choose joy has changed everything. I'm changed from being paralyzed by the past to savoring the joys around me: hearing the birds, opening the door to the sound of laughter from smiling grandchildren, a precious card in the mail; joy, sheer joy. I find joy in the present and chose not to worry about the future. I repeat the words one of my daughters spoke when she arrived at the house the evening of her dad's passing, "Mom, God's got this."I don't know where your journey is taking you at this moment, I do know this; Scooping up the broken pieces of life and placing them in His kaleidoscope brings joy unspeakable and full of____________________________Editors Note: This column was contributed by Rev. Judi Wiegman who is the mother of seven grown children, one step-daughter and 21 grandchildren. Rev. Wiegman regularly speaks for womens events and keeps a blog at jottingjudi.blogspot.com. She can also be reached at Scarletcrd7@yahoo.com and welcomes your emails.

For more information on the author Lexington Manor - Five Star Senior Living, CLICK HERE.When a parent has Alzheimers or another type of dementia, adult children may struggle to keep them safe and engaged at home. It is a difficult conditionto navigate, especially if family members work outside the home. From nutritional struggles to concerns about wandering, caring for a loved one with dementia can be all-consuming. It sometimes leads families to explore memory care assisted living programs in hopes of improving the seniors quality of life and their safety.A specialty dementia care program, like the Bridge to Rediscovery at Five Star, meets the residents where they are looking at their current abilities to create a lifestyle that supports engagement so that they can enjoy their best quality of life. These programs also provide a secure environment that supports freedom while reducing the risk of wandering.But for many adult children, the idea of moving a parent with memory loss to an assisted living community can create stress and anxiety. It can also lead loved ones to feel guilty about their inability to manage a parents care at home.How can you help a senior loved one with dementia successfully transition to a new environment? We have some tips you might find useful.4 Tips for Moving a Parent with DementiaMake it familiar:For people with memory loss, being surrounded by familiar things helps to decrease their stress and anxiety. This becomes more difficult to do as the dementia progresses, so it takes thoughtful planning. Think about the items your parent uses and touches most often. Maybe its a throw they cover up with in their favorite chair. Or it could be a cherished photo from their wedding day. Try to recreate their home environment in their new assisted living apartment or suite. Hang their bathrobe up in a place they immediately notice it. Cover their bed with a quilt or comforter they might recognize. Place family photos all around the apartment before they arrive. Whatever belongings signal home to your parent are important to incorporate into their new space. One of the signatures of Five Stars Bridge to Rediscovery Memory Care program is the keepsake box that includes special mementos. Our community team will teach you how to create one for your loved one.Moving time matters: Adults with Alzheimers and other forms of dementia usually have good and bad times of day. While the disease can be unpredictable, it will help to schedule a move to coincide with their best time of day. For many seniors with dementia, morning is the easiest time, especially if they experience sundowners syndrome. If possible, have a relocation company or loved ones move belongings while you keep your parent occupied. Once the new apartment is settled, you can introduce them to their new residence. We have shadow boxes displaying our residents pictures and item of personal interest by the entrance to their residence to make it easy to locate and to give a reassuring feeling of belonging.Create a reminiscence board:When a senior has dementia, they may have difficulty with verbal skills. This makes it more challenging for the staff to get to know them. You can help by creating a reminiscence board or scrapbook with photos of family members along with names and descriptions. Share it with the team members ahead of time so they can look it over before your parents arrival. Once they move in, you can keep it in a prominent place in the apartment to share with staff and visitors. Our Bridge to Rediscovery neighborhoods help the family to complete a detailed life narrative. We learn all about each individuals story, their career, their hobbies, their like and dislikes and more. This helps make the transition much more comfortable for everyone.Music as therapy: Many people find the healing harmonies of music to be beneficial. This is true for adults with dementia, too. During this time of transition, play some of their favorite music softly in the background. This can help decrease the anxiety your loved one is likely feeling and unable to verbalize. Set up a small CD player with a few of their favorite musicians. Ask the care team to turn it on when you cant be there.When to Make a Transition to Dementia CareFinally, if you are wondering how to tell if it is time for your parent to move to a memory care community, we have a resource that can help you decide. Click on the link above to speak to someone about making a move to dementia care assisted living.

You forget to pay a bill once, twice, a dozen timesto worry or not to worry?You forget where you put your car keys, where you parked your car, how to drive the carto worry or not to worry?You forget how to get to the shopping center, you get lost coming hometo worry or not to worry?With increased attention on Alzheimers Disease, also known as Dementia of the Alzheimers Type (DAT), comes increased focus and concern as to whether one has it or will get it.Use it or lose it. Our mental faculties are important, in fact crucial. We need them to function and manage at home, work and in the community. Any threat to that core, whether real or perceived, becomes worrisome. With age comes a slowing of mental faculties and a tendency to misinterpret and elevate normal changes associated with aging to the level of disease and dysfunction. We need to know what is normal and what is not normal. Slip-ups happen to everyone now and then. If a pattern of slip-ups develops, it could indicate something more. Lets look at 4 scenarios:DIAGNOSIS: NORMAL AGINGAging is marked by expected changes in memory and cognition; changes that are considered normal and part of the aging process. The expected changes are more related to a slowing of functions than to actual loss of function. You misplace your car keys or miss an appointment. These may be normal - lets call them senior moments.CONCLUSION: NOT TO WORRYDIAGNOSIS: WORRIED WELLA condition in which one complains of failing memory, there is no corroborating objective evidence to support their belief, yet they worry.CONCLUSION: NOT TO WORRYDIAGNOSIS: MILD COGNITIVE IMPAIRMENT (MCI)A condition involving complaints in a single area of cognitive functioning, such as memory, that is corroborated by impaired performance on standardized testing and is a significant decline from a previous level of functioning. As MCI progresses to dementia, cognitive problems other than forgetfulness become apparent (i.e increased difficulty concentrating, completing tasks and making decisions). Those with MCI are at increased risk for developing DAT.CONCLUSION: WORRYDEMENTIA OF ALZHEIMERS TYPE (DAT)A disease in which there is widespread and progressive worsening of cognition including memory in addition to one or more other areas of cognition, is a significant decline from a previous level of functioning, and causes significant impairment in social or occupational functioning. You have trouble keeping track of appointments, figuring out and taking your medications and recalling recent and past events (even hints dont help jog your memory).CONCLUSION: WORRYThe prevalence of DAT is expected to double over the next 30 years. Those with MCI will develop Alzheimers 10 times above the rate healthy elderly persons do.WHAT TO DO IF & WHEN WORRIEDSeek evaluation. Evaluation can rule out other causes of memory and cognitive impairment (i.e. reversible causes) as well as detect problems early so that maximal benefit can be made of treatments designed to impede the onset of DAT and/or slow down the degenerative process. Seek medical evaluation by an MD or DO to rule-out reversible causes. Then, seek cognitive evaluation by a neuropsychologist (a licensed psychologist with specialty in neuropsychology which is the field specializing in understanding and evaluating relationships between the brain, cognitive function and behavior).FOR THOSE WHO FALL IN THE NOT TO WORRY CATEGORY Go for annual cognitive health check-ups and get baseline cognitive testing to compare future performance Stay active exercise both your mind and body Use strategies and techniques to maintain performance such as: keeping lists; following a routine; making associations; keeping a detailed calendar, etc.FOR THOSE WHO FALL IN THE WORRY CATEGORY Make appointments to see your medical doctor as well as a neuropsychologist Seek treatment with the goal being to improve or maximize functioning, slow progression of the disease and conversion to DAT, and control secondary symptoms and behaviors Start addressing issues regarding competency with regards to decision-making; management of personal and financial affairs; driving; and long-term care planning.

Before AIDS was an officially recognized disease, before HIV was identified as the virus that caused it, and before any healthcare professional understood how HIV/AIDS spread from person to person, VITAS nurses and doctors in the early 1980s and 1990s were on the front line of care for patients who exhibited a variety of unexplained, unpredictable and invariably fatal symptoms.During VITAS 40th anniversary year and with World AIDS Day commemorated on December 1, VITAS reflects on the early days of the AIDS crisis. While patients often struggled with fear, confusion and rejection at that time, healthcare workers provided care to patients suffering from symptoms and diagnoses doctors had rarely encountered.Because the AIDS/HIV crisis and the American hospice movement evolved in the same decade, VITAS played a key role in developing real-time care standards for HIV/AIDS, supported by field nurses, admissions nurses, medical directors and clinical staff who documented processes and protocols from the field. Many of those standards still govern day-to-day AIDS/HIV care at VITAS today.VITAS networked, advocated to understand AIDSBetween 1981 and 2000, nearly 450,000 Americans died from HIV/AIDS. Today, it is considered a treatable but long-term, chronic disease, thanks to anti-viral drugs that began appearing in 1996.VITAS navigated the world of HIV/AIDS in the 1980s and 1990s by: Providing care where it was needed: in hospitals, nursing homes, medical clinics, jails, prisons, private homes, even visiting patients who were living under bridges, on the beach or in cars. Understanding the gay culture: VITAS hired LGBTQ staff who understood the gay community and became involved in supportive organizations and movements. Contributing expertise to the national database about AIDS/HIV: VITAS care teams played a role in drafting national standards of care covering symptom management, pain relief, hospice eligibility for end-stage AIDS and more. Addressing the stigma and fear attached to AIDS/HIV: VITAS team members often served as quasi-family members for many of their patients, especially those who had been rejected by their families.Article writtenBy Cathy Carlson, general manager for VITAS HealthcareFind out how VITAS cares for HIV/AIDS patients and their families today at VITAS.com. For more information about hospice or end-of-life care options, call VITAS Healthcare at 866.759.6695.

Declared an Essential Health Service, Local In-home Senior Care Company to Add 15 New Caregivers to Support Northern Colorado-Area Seniors and their Families; Partners with local businesses to deliver meals to families in need.FORT COLLINS, Colo.,April 16, 2020/PRNewswire/ --Declared an essential health service as a home health agency,Senior Helpers,one of the nation's premier providers of personalized in-home senior care, today announced its locations acrossNorthern Colorado, includingFort Collins,LaporteandGreeley, will bolster its corps of caregivers to support local seniors and their families.Further, Senior Helpers ofNorthern Coloradohas partnered with several local businesses to produce and deliver meals to families in need throughout its communities.According to the Centers for Disease Control and Prevention (CDC), seniors are exceptionally vulnerable to the novel Coronavirus and should avoid being out in public. This situation makes in-home care one of the safest options available for seniors today. Asa result of the community's growing needs, Senior Helpers will immediately add up to 15 new caregivers across its regional franchise network, to include personal care workers and home health aides that will complement its existing team of professionally trained in-home senior care experts."We know that older adults and their families need tremendous support in keeping elderly loved ones healthy and safe during this global pandemic, and we are committed to offering this essential service safely in their homes," saidGil Atanasoff, owner and executive director at Senior Helpers ofNorthern Colorado. "Our community can rest assured knowing the Senior Helpers team is dedicated to offering premier in-home care and that we will do so with proper precaution."Senior Helpers provides each franchise owner across its nationwide network with Personal Protection Equipment (PPE) that is needed to help ensure all caregivers and clients remain safe under its care amid the current pandemic. Further, Senior Helpers ofNorthern Coloradowill host virtual interviews, pre-hire, and new hire sessions for a safe and effective hiring process for all new team members.The company recently digitized all documents and forms to ensure the safety of its new and existing team members, while also improving and streamlining the hiring process."In this time of complete uncertainty, we are proud to be able to continue offering local-area seniors and their families the care they need," saidPeter Ross, chief executive officer, Senior Helpers. "Preserving the safety and health of our team and clients will continue to be our highest priority, and we encourage seniors and their families to continue seeking safe, effective in-home care, knowing Senior Helpers will follow every precaution and procedure with the utmost consideration."Additionally, Senior Helpers ofNorthern Colorado, together with FoCo Caf, Jay's Bistro, Fort Collins Delivery Network, The Alternative Board Northern Colorado, Me Oh My Caf and Mill City Church, is coordinating meal deliveries and pickup sites to support families in need. The meals, created by Jay's Bistro for Easter and by FoCo Caf ongoing, are hand-delivered to Senior Helpers clients, low-income independent living senior apartments, homeless community members, families with school-aged students and more. The company has also collaborated with Me Oh My Caf and Mill City Church to set up pickup points for local families to safely obtain meals to take home. The initiative beganEaster Sundaywith a brunch menu consisting of Glazed Ham & Herb-crusted Leg of Lamb, Bistro Potatoes, Deviled Eggs and much more, and FoCo Caf anticipates delivering meals ongoing to those in need within the community during these uncertain times. The organizations delivered over 250 meals onEaster Sundayalone."With schools closed until the fall and older adults relying on others to bring them groceries so that they stay out of harm's way, we know that far too many families in our communities are struggling to obtain daily essentials like food," added Atanasoff. "We knew we had to do something more to help our clients, their families and others throughoutNorthern Colorado, and we are so grateful for our partners who have given us the opportunity to be involved in the distribution of meals to those who need it most."Senior Helpers ofNorthern Coloradoand its caregivers are available to continue providing immediate care and support for the local senior community and their families. Senior Helpers will continue to be transparent with any new developments and will provide any further updates as necessary.For more information on Senior Helpers ofNorthern Coloradoand how to apply, please visithttps://www.seniorhelpers.com/co/fort-collins/careers. To find out more about Senior Helpers ofNorthern Colorado'smeal donation program, visithttps://www.facebook.com/SeniorHelpersNoCo/.About Senior HelpersSenior Helpers is the nation's premier provider of in-home senior services ranging from specialized care for those with diseases, such as dementia, Alzheimer's and Parkinson's, to personal and companion care to help individuals looking for a little assistance with daily activities. Founded in 2002 with a vision to help seniors age with dignity despite age-related illnesses and mobility challenges, Senior Helpers has hundreds of franchised and owned businesses that have cared for tens of thousands of seniors.Senior Helpers was the first and remains the only national in-home care provider to be certified as a Great Place to Work. The company has been named by Fortune Magazine as one of the best places to work in the aging services category and one of the best places to work in the state ofNew York. Senior Helpers is one of Entrepreneur's Top 500 Franchise Companies and is an approved partner in the Military Spouse Employment Partnership. Senior Helpers is also an active member of the Healthcare Leadership Councilan exclusive alliance of leading healthcare companies from all health sectors committed to advancing the American healthcare system. Learn more by visitinghttp://www.seniorhelpers.com.Contact:Paige ThornleyHavas Formula(619) 831-8039SeniorHelpers@havasformula.com

Refers to providing care 24 hours a day for as long as the client requires this supervision. These services may be contracted through Companion Agencies or through Individual contracts.#listing_mgr{8 basic_search}#

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

In June 2011, the 3rd Annual Elder Abuse Prevention Summit was held. It has had a profound effect on professionals and elders alike. Community leaders and government met to make a difference. In partnership with the 2011 Utah Elder Abuse Prevention Coalition, Utahs Governor Gary R. Herbert made the following declaration:Whereas, nearly one-quarter of a million Utahns are over 65 the age of sixty-five;Whereas, Utah Adult Protective Services received 3351 reports of elder abuse, neglect and exploitation in 2010, an increase of more than two hundred cases from the previous year;Whereas, elder abuse occurs in families and communities of all social, economic, and racial backgrounds; andWhereas, individuals, civic organizations, and government plays a critical role in preventing elder abuse through education, support groups, training, assistance to those at risk, and treatment for victims; and,Whereas, Elder Abuse Prevention Month affords all Utahns the opportunity to remember victims of elder abuse and their families, promote the programs and organizations that serve them, and participate in community efforts to improve the safety and well-being of all people in Utah.Now, Therefore, I Gary R. Herbert, Governor of the State of Utah, do declare June 2011 as ELDER ABUSE PREVENTION MONTHIn addition to the above declaration, the following sponsors were recognized for the provision of education and resources for seniors in their communities:Seniors Blue BookLegacy Retirement CommunitiesDignity Home Health & HospiceSenior Care AssociatesNeighborhood HouseComfort KeepersMountainland PharmacyEden AlternativeEnsign GroupOrbit MedicalVital Signs StaffingFurthermore Utah Non-Profit Housing Organization was honored with the Caring Communities Award and Hazel Bibles was celebrated with the Life Celebration Award.Our distinguished list of presenters included Governor Herberts Chief of Staff Paul Neuenschwander, Director of Division of Aging, Nels Holmgren, Director of the Medicaid Fraud Unit at the Utah Attorney Generals Office, Robert Steed, Salt Lake County Sherriff, Jim Winder, Coalition Chair, Diedra Kearney, Dignity Home Health & Hospice CEO, Brice Wilson, and Director of Caregiver Support at Division of Aging, Sonni YudellThis years theme was Everyone deserves to be treated with dignity and for those who presented, it was a powerful reminder that regardless of age, socio-economic status, race, gender, or health; we have a common need; to be regarded as important and treated with compassion and dignity. Abuse and neglect have no place in our society, and most especially among our most vulnerable citizens!There was a common message from each of these outstanding speakers; it will take a collaborative effort from Government, Civic Organizations, the Private Sector, and Individuals to stomp out abuse and neglect!An added feature this year was the Art for Awareness Silent Auction. Senior artists from around the state donated pieces of art for auction! There were beautiful examples of workmanship, dedication, and creativityand all were sold to help stomp out abuse and neglect!If you are /interested in helping, please contact The Utah Elder Abuse Prevention Coalition at 801-860-3801.Elder Abuse Prevention SummitSave the Date: June 15th, 2012Grand America. For more information call 801-860-3801To report Elder Abuse: in Salt Lake call (801) 264-7669; Statewide call (800) 371-7897.

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

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

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

Dad, I dont think it is safe for you to drive anymore.Mom, have you considered Assisted Living?You are not eating very well and I noticed you did not take your medications again last night that I left out for you.Mom and Dad, the house is falling apart around you. Have you considered bringing in some help with yard work, repairs, and maybe housekeeping?As an adult child who is helping to care for a parent, you might be facing a tough conversation with a loved one. There are ways to make those discussions easier and most of all, respectful, to those that have loved and cared for you over the years. Starting the conversation can be as easy as Dad I am concerned about (fill in the blank) You may find that they have been sharing some of these same concerns.First, be respectful of the aging process. Physical and cognitive changes can be scary, and sometimes hard to acknowledge and accept. Educate yourself on options available, from help at home with household chores, additional medical care or assisted living options. Understand that you are possibly asking a loved one give up a portion of their life, whether it is driving, making meals, or even living in their home. You are possibly proposing that they close a chapter of their lives.Secondly, dont ignore things such as not eating, failing to take medications or a change in how the home is kept. Do try to open up a conversation on what you are observing and share information you learned from educating yourself on options which could help them. Get help or guidance from professionals if appropriate.Lastly, understand that the choice, whatever it might be, is ultimately theirs to make. Asking a parent to accept help with cleaning, with cooking, or even help with bathing can be a big deal to them.Dont avoid those tough conversations, but handle them with compassion and understanding.Editors Note: This article was written by Laura Cooley, CSA. Laura is the local owner and Certified Senior Advisor for Care Patrol and may be reached at 719-373-0040 or by email at laurac@carepatrol.com

None of us like to think about dying, and often our first conversations about end of life occur when someone close to us is terminally ill. When hospice is brought in to serve a patient, it isnt about giving up hope, its about maximizing the quality of life left when a cure is no longer possible and aggressive treatment is no longer desired.You can be a big support to your friend or family in their end-of-life journey by following these tips:Be there. Call or visit as often as possible. Write notes about memories and the love you share.Be a good listener. Allow your loved one to talk about their illness and impending death at their own pace.Educate yourself about the illness. Being prepared and knowing what to expect will ease your mind as the different stages occur.Be compassionate. Tell them they are loved and that you are there for them.Offer practical help. Tidy the house, bring meals, offer to provide transportation. Show you care with companionship if possible.Recognize your own limitations. If you cant do something but you know it needs to be done, maybe there is another way or someone else who can help. Asking for help can be healthy for everyone.Remember you will also experience worry, fear, and even anger. You want to make everything comfortable for the patient, but youre going through a tough time too, and it can be overwhelming. Take care of yourself.As a friend or family member, you can be a blessing to someone close to you. Your hospice team, made of social workers, chaplain, nurses, nurse aides, and volunteers are there to support not just the patient, but the whole family. Sharing your feelings, concerns, and getting assistance from your hospice provider can help bring people together and help support your family.Editors Note: This article was submitted by Katherine Krause, President & CEO of VNA Texas, a non-profit hospice provider in 13 North Texas Counties. live streaming movie Rings

Located on 14 wooded acres in suburban North Haledon, the Holland Christian Home is a Continuing Care Retirement Community licensed for 118 residential beds and 52 skilled nursing beds. With a staff of approximately 150, the Home offers professional care and modern amenities in a warm, homelike environment. Applicants must be at least 75 years of age and in relatively good health.At the Holland Christian Home we provide a tiered approach to healthcare. With graduated levels of care including Independent Living, Extra Care, and Skilled Nursing all in the same building, residents of the Home have the comfort of aging in place and never need to worry about moving to a different facility should their healthcare needs change.Even more exciting is the Homes Life Care program our contractual arrangement where a residents one-time entrance fee and monthly Social Security or pension contribution secure lifetime residency at the Home. Life Care residents enter the Home at the Independent Living level, however should a change in health require fulltime nursing care you will receive quality professional nursing care in our nursing unit at no additional cost. For our residents and their families, that means peace of mind. It also means over the average length of stay at the Home, our costs are significantly lower than similar facilities in our area.Life Care services (as needed) include: Private room with bath 3 delicious, nutritious meals daily Professional medication management Access to our skilled nursing unit and a qualified physician always on call Choice of multiple daily activities Access to limited on-site bank services Enjoyment of all public areas: spacious grounds, manicured gardens, chapel, library, resident computer room, equipped exercise room, woodworking shop, coffee shops and special occasion rooms. Cable television Laundry services $50 monthly cash payment for personal needsIn addition to Life Care, we also offer nursing home beds at a daily rate. Our Skilled Nursing Unit can provide the following: Short term respite care Observation Stays Long term care no longer feasible in a home settingHolland Christian Home. Retirement Living with Peace of Mind.For more information call 973-427-4087.

Did you know that a Senior Citizens mental, or behavioral, health has positive or negative effects on their physical health? Whether its pain, cardiovascular health or some other medical conditions, maintaining good behavioral health can significantly improve your illness recovery time continued well-being. Just as specific treatments are given for physical injury, specific mental health programs are designed for seniors. Its important to get the appropriate type of treatment for geriatric behavioral health.Sometimes a seniors behavioral health issues may be addressed on an outpatient basis based on what the doctor orders. Outpatient programs may be primarily based on group therapy during which licensed behavioral health professionals set appropriate topics for group discussion and encourage members to participate. Group therapy is effective because a participant interacts with others in a structured setting that promotes a better understanding of behavioral health issues. Seniors share their thoughts and experiences and learn from each other with professional guidance. Social interaction helps the senior talk and socialize with other seniors who may have similar experiences. In addition to group therapy, the senior may also receive individual, family or marital therapy if ordered by the doctor. Sometimes these outpatient programs can meet a seniors behavioral health needs without requiring more intensive care such as hospitalization.If a Senior Citizens Behavioral Health needs cannot be met on an outpatient basis, more intensive services such as acute geriatric behavioral health treatment in a hospital may be required. Each Patient has a goal oriented plan detailing how the hospital, patient and family will work together to reach treatment goals resulting in discharge from the hospital. A senior may need this type of treatment due to thoughts of self-harm, not wanting to live, depression, anxiety, or medication management issues. One of the greatest benefits of acute in-patient care is the 24 hour controlled environment while behavioral health issues are addressed.How does someone go about requesting behavioral health care? The first step is a phone call to a Geriatric Behavioral Health Provider, and an assessment by a healthcare professional. Strict laws regarding rights to privacy protect all conversations and treatment with behavioral health professionals or behavioral health care facilities. Your confidentiality is protected by law, so, if you feel that you or a loved one may benefit from these services please call any company listed in the Mental Health category in this Seniors Blue Book.

The decision to undergo any surgical procedure is one to be taken seriously, and patients should take time to be well-informed when committing to a procedure and choosing a surgeon. If youve been considering joint replacement surgery, seeking an experienced surgeon and asking lots of questions is a great way to get started.There is good evidence that experience of the surgeon correlates with the outcome in joint replacement surgery.If you are a candidate for hip or knee replacement, look for a surgeon who is experienced (fellowship-trained) to minimize risks and complications. The surgeon should not only be able to perform primary hip or knee replacement, but also complex revision hip or knee replacement.New techniques should only be performed by surgeons who have special training in the instruments and approach. Most important, the surgeon performing the technique should not just be a good orthopedic surgeon, but a specialist in joint replacement surgery.When evaluating providers, ask your surgeon: 1) Do you have fellowship training (a year of additional training, beyond the 5 years required to become an orthopedic surgeon) in joint replacement surgery? 2) How many hip and/or knee replacements do you do each year? 3) If you do direct anterior hip replacement, how many have you done? 4) Do you perform revision surgery on joint replacements? 5) Do you teach other surgeons how to do hip and/or knee replacements?You can find plenty of background information online regarding the surgeons youre considering, including their bio, board certifications, and years in practice. Caring, qualified professionals will be glad to answer these questions and provide you with all the information you need to make an informed decision, so dont hesitate! Do your research, ask questions and take an active and informed role in your orthopedic care.Editors Note: This article was submitted by Jason Weisstein, MD, MPH, FACS an Orthopedic surgeon who specializes in joint replacement and reconstruction. Dr. Weisstein is the only fellowship trained orthopedic oncologist in Southern Colorado. He may be reached at Colorado Center of Orthopaedic Excellence 719-623-1050.

Diabetes is the leading cause of blindness among people between 25 74 years old.Half of people with diabetes are unaware they have it. Of those who are aware only 50% get appropriate eye care.Most people think that blood sugar levels are the most important risk factors for vision loss in Diabetes Mellitus. However, blood glucose control only accounts for 10% of the risk of vision loss in DM.Other factors such as sleep apnea, hypertension and kidney disease impact vision risk in a diabetic individual.There is a complex relationship between the nervous system, the immune system and the circulatory system. These 3 systems interplay in a way which both predicts and allows early diagnosis and effective treatment.New diagnostic modalities include:Wide-field retinal photography and artificial intelligence screening applications.Non-invasive OCT angiography (OCT-A)Electrophysiologic testing for retinal function (ERG)These tools allow early diagnosis and treatment with medications designed to limit the growth of abnormal blood vessels in the eye and the swelling of sensitive retinal tissue.The eye manifest changes in several ways:Diabetic retinopathy with leakage and abnormal vessel growth.Bleeding into the gel cavity of the eye (vitreous hemorrhage).Cataracts may occur as a result of fluctuation in blood sugar.Diabetics are at a higher risk of optic nerve swelling due to lack of blood flow to the optic nerve.Double vision is more common in diabetics due to lack of blood flow to the nerves controlling the eye muscles.Glaucoma occurs 2x more frequently in diabetics.Carotid artery narrowing is more common in diabetics. This can lead to stroke.Diabetics are more susceptible to corneal ulcers, dry eye and eye pain.The data is convincing, the longer one has had DM, the greater the chance of developing eye related complications.Keys to avoiding eye problems in people with diabetes include:Regular eye examinationsHemoglobin A1C levels

One year ago, we had never heard the term, novel coronavirus COVID-19. Now, every day we are hearing or reading about the virus behind our current global pandemic. The effects of the virus are profound physically, economically, and emotionally.Among the guidelines from the Centers for Disease Control (CDC) and reinforced by Pennsylvanias Governor is social distancing keeping a six-foot physical distance between you and another person. While important in the current environment, social distancing can create issues of isolation and boredom, regardless of an individuals age or location.Here are some ideas to help you stay active physically and emotionally during these times.Technology platforms like FaceTime and Zoom create opportunities for real-time discussions.FaceTime requires only a smart phone. It provides a one-on-one opportunity for a phone call during which both parties can see each other. Think creatively about how you might make that call fun. Take your phone outside and show your FaceTime friend your garden.Access Zoom on your computer or tablet using an internet connection. Download a free application from the App Store if you have an Apple iPhone or from Google Play for other brands of smart phones. Multiple people can use Zoom simultaneously, and everyone can see each other. Schedule a time when your kids, grandkids or friends can meet. Have fun taking it a step further and coordinate a meal so that everyone can show off their favorite family recipes.Cable and satellite TV services provide programming that can help you to move a little more. Explore offerings to discover classes for dance, yoga, meditation, and in-home activities for all levels of fitness.For a comprehensive list of in-home activities, visit srcare.org/resident-resources to find links to a wide variety activities, like watching the Pittsburgh Zoo & PPG Aquarium web cams, listening to the Pittsburgh Symphony radio, and touring via Heinz History Centers History at Home programming.At Presbyterian SeniorCare Network, enriching the aging experience is an essential part of our mission. Its a mission that extends beyond our campuses and into the homes and hearts of everyone in our community.Editors Note: At Presbyterian SeniorCare Network, enriching the aging experience is an essential part of our mission. Its a mission that extends beyond our campuses and into the homes and hearts of everyone in our community.

Weve all heard the dreaded names - heart attack and heart failure. So what sets these two frightening conditions apart?Heart Attack: a (Myocardial infarction) occurs when a blood clot develops at the site of plaque in a coronary artery, suddenly cutting the blood supply to that part of the heart muscle. If the blood supply is not restored quickly, the heart muscle will begin to die due to lack of oxygen. It can cause permanent damage to the heart or even death.Heart Failure: (congestive heart failure) is typically a chronic, long-standing condition, while heart attacks generally come on suddenly. It occurs when the heart fails to pump enough blood to maintain the needs of the body. A common condition, it affects an estimated 5 million Americans each year.Heart failure is typically a chronic, long-standing condition, while heart attacks generally come on suddenly. While heart failure can be less dramatic than heart attack, it can also be just as lethal. If you suspect you or a loved one may be suffering from either heart failure or a heart attack, seek medical care immediately.Editors Note: This information is for educational purposes only and is not intended to replace the advice of your doctor. Call Cardiac Care Group for more information at 239-574-8463.

Facing a life-limiting diagnosis is rarely simple. When patients are ready to focus on comfort and quality of life, they may not want an expensive stay in the hospital or skilled nursing facility.Hospice offers an alternativeparticularly during COVID-19s heightened risks and restrictions.Whether the patient has decided the side-effects of their current treatment plan outweigh its benefits, or their care provider has recommended end-of-life care, transitioning to hospice care should be easy and safe for patients, families, caregivers, and physicians.Hospice transitions begin with a team of specialists who confirm the patients hospice eligibility with a short assessment. Questions are asked and answered, and the hospice provider supports the patients and familys informed decisions about their preferences for end-of-life care. The patients needs and goals come first, and reasonable efforts are made to care for the patient wherever theyre most comfortable. In most cases, this means home.The hospice teamphysician, nurse hospice aide, social worker, chaplain, and volunteerthen develops a personalized plan, including any equipment and supplies the patient may require. Patients leaving a hospital or skilled nursing facility can still benefit from any specialized medical equipment they may have used in their care facilityright from the comfort of their home. Medicines that improve quality of life are delivered as well.At home, hospice patients receive day-to-day care from a family caregiver with plenty of assistance and training from the hospice team, either in-person or via telehealth. Each week, team members visit on a schedule designed to meet the patients needs. Hospice patients also face fewer restrictions at home than in a facility, so families can work out a visitation plan thats best for them.If symptoms flare up and additional support is needed, a patient may receive continuous care with 24/7 support from a crisis nurse until symptoms are back under control. Even as levels of service change, Medicare or private insurance continues to cover the cost of care 100%.Most patients with advanced illness want to be home near the end of life. Hospice can provide the expertise, resources, and personnel to make that happen.Editors Note: Article written by Evalisa McClure, general manager for VITAS Healthcare in Pittsburgh. For more information about end-of-life care services, call the nations leading provider at 866.759.6695 (available 24/7) or visit VITAS.com.

Im not going to a nursing home, I want to stay in my own home.Unfortunately, physical and mental capacity issues may require additional care that is difficult and extraordinarily expensive in your home. Transitioning into an assisted living or skilled nursing facility can be exhausting and expensive. Proper advanced Medicaid planning with an Elder Law attorney can help you find the government resources to pay for a majority of your health care costs. The best time to plan is before you need assistance.SKILLED NURSING FACILITY My individual medical care needs are more than family caregivers or assisted living facilities can provide.You or a family member may be in a position where they need immediate skilled nursing care. It is important to make sure you consult an elder law attorney before applying for Medicaid. Applying before you meet the income test and asset test can be a major setback on the path to obtaining financial assistance. Each month you do not qualify may result in major financial loss.ASSISTED LIVING FACILITY I need assistance with Activities of Daily Living (ADLs).While it is a difficult decision to move into an assisted living facility, often it is the best decision for you and your family. To ease the financial burden, it is necessary to prepare for any future medical issues that may happen down the road. While full cost-of-care Medicaid coverage is not automatically available for Assisted Living, there are discretionary government programs that you may qualify for, including the Medicaid Diversion program.INDEPENDENT LIVING FACILITY I am fully capable of handling daily activities on my own, but it is nice knowing that I have assistance nearby when needed.While less expensive than assisted living or skilled nursing, independent living still comes at a high cost. There are numerous legal and financial planning techniques available to help preserve your hard-earned money. These techniques may be used to put you in a position to cover the cost of long-term care.Elder law is an important piece of estate planning that will help you establish a plan to cover the high costs of long-term care and preserve your estate for your family. While it is important to ask for help at any stage when seeking long-term care, remember to plan early and plan often. Preparing well in advance of any major health issues can save you money and also save you years of stress and aggravation down the line. Please consult with your advisors to develop a long-term care plan that is right for you and your family.

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

Two things you may not have known about Medicare. 1st, For those of you moving into a new area, this may be some helpful information. If you currently have original Medicare with a supplement, you are generally not required to change your plan, since supplements travel with you wherever you reside. However, it would be wise to weigh your supplement against the Advantage Plans that exist in this area since the Advantage option may be much more beneficial here in the Treasure Valley compared to wherever you moved from. If you move to the Treasure Valley with an existing Advantage Plan you have a window of time to change to an Advantage Plan or supplement. I wont get into the gritty details of this window but it is generally 63 days from the time you either move or notify your current plan that you have moved. 2nd, Although the Center for Medicare and Medicaid Services (CMS) attempts to do a good job at making sure Medicare consumers understand the part D penalty, many have not even heard of it. For the part D drug program to work, the government wants everyone paying into the drug system whether they need prescriptions at this time in their life, or not. Therefore, a penalty is assessed to those who may be Medicare eligible without any credible form of prescription drug coverage. If one has credible coverage through their current work or retiree coverage, the penalty will not be assessed to them. For every month the Medicare participant goes without drug coverage when they were eligible for Medicare, 1% of the national average drug plan cost is assessed to them. For example, in 2012 the average cost of a part D plan is approximately $40. 1% of $40 is 40 cents. So if a person goes through a 12 month period without drug coverage, their penalty will be $4.80. Going forward and for the rest of their life, or as long as they have a part D plan, they will pay $4.80 above and beyond any premium for the part D plan. Since part D plans have only been in existence since 2006, the maximum the penalty will be is around $24. Keep in mind, however, this would be assessed to a person every month as long as they have a part D plan. Written by Aaron Flake, an Independent Medicare and Healthcare Advisor. Healthadvisor@aaronflake.com

To learn more aboutRowe & Walton, P.C., CLICK HERE.It appears that the COVID-19 pandemic is not going away any time soon! Now, more than ever, these three basic estate planning tools should be in everyones preparedness kit.Trust or Will: A trust instructs how your assets are managed during your lifetime and distributed upon death. A will states how your assets are distributed upon death. A trust or will safeguards your family from disputes and other complicated and costly situations, like complex probate. Your trust or will also needs to be updated to reflect your current wishes and ensure that the administrator is willing and able to manage your estate.Durable Power of Attorney (POA): If you need help handling your financial matters, you need a POA naming a trustworthy person. Your POA can speak, act, and sign on your behalf. They can open your mail, pay bills, sign checks, bank, buy and sell property, and discuss legal matters with your attorney. Conversely, you should not add your children or any other third party to your bank account or real property. If that person is seriously injured, sued, or enters bankruptcy, your assets could be at risk. Your POA needs to be up-to-date because many banks do not accept POAs that are more than 7-8 years old. A springing POA is effective only when you are declared incompetent. An immediate POA goes is effective when signed.Medical Directives: Medical directives are an important estate planning tool. Your directive names a person who can pick up prescriptions, attend appointments, and coordinate with your doctor. Without a medical directive, health care professionals cannot legally communicate with a third party concerning your condition, records, or treatment. During the pandemic, at risk or immunocompromised individuals should consider naming an adult child in place of a spouse on their medical directive.Editors Note: This article was submitted by Britten J. Hepworth. Britten is an attorney with Rowe & Walton PC and may be reached at (801) 298-0640 or by email at rw@rowewalton.com.

Routine tests such as blood counts and blood pressure checks are just a few of the measurements health care providers monitor to get an accurate picture of patient health. Once you've reach your 50th birthday, screening for hearing loss should be a part of your health routine.Routine hearing screenings provide a reference point should any hearing problem arise in the future. They create a better picture as to how your hearing has changed and the severity of your loss making it easier to determine appropriate treatment. Early detection can help prevent further hearing loss by alerting patients to the progression and steps that should be taken to prevent further damage.The connection between aging and hearing loss is well known. Other factors that may damage or lead to hearing loss include:Occupational noises. Many jobs involve loud noise as a regular part of the working environment. Continuous exposure to noise can damage hearing. Farmers, hunters, shooters, machinists, musicians, woodworkers and carpenters should consider screening their hearing before employment as well as follow-up hearing tests.Recreational noises. Exposure to explosive noises, such as from firearms and fireworks, can cause immediate and permanent hearing loss. Snowmobiling, motorcycling or listening to loud music can also cause damage.Cancer treatments. Certain chemotherapy drugs or medications taken in conjunction with treating cancer can cause hearing loss. If a hearing loss was present prior to cancer treatment, the treatment may cause it to worsen.Diabetes. The National Institute of Health (NIH) has found that hearing loss is twice as common in people with diabetes as it is in those who dont have the disease. Of the 79 million adults thought to have pre-diabetes, the rate of hearing loss is 30% higher than in those with normal blood sugar.Medications. Antibiotics, loop diuretics, antieoplastic drugs, antimalarial drugs, and salicylates such as nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin are known to damage auditory function and speed up normal decline of hearing with aging.Hearing loss is often gradual and many people do not recognize the problem or report it to their doctors. Hearing Loss can have a negative effect on quality of life, independent function, and social interaction. When determining strategies to stay healthy, a routine hearing tests should be part of the discussion.Editors Note: This article was submitted by: Shane S Larkin BC-HIS, ACA, BS . He may be reached at 801-525-5254 or by email at sbl@hearinglife.com

Families need to understand their options when it comes to paying for senior care, but first, its important to understand the level of care you need.Senior care in the home can range from a couple of hours of help per week to 24-hour skilled nursing care. You may think that Medicare is the only option for long-term care, but Medicare only covers nursing and clinical care for acute conditions, usually following a stay in a hospital or rehabilitation, or skilled nursing facility.Rates vary on how much care will cost. Generally, 24-hour care in a nursing home will be much more expensive than private in-home care. However those rates also vary depending on how many hours a caregivers services are needed. Your family has many options to assist you in paying for long-term care. In addition to Medicare, there are Medicaid, Veterans Administration benefits, long-term care insurance and money from savings and other assets. Comfort Keepers can help identify potential pay resources that might be available to you.1.Medicaid This program covers a limited amount of long-term, in-home care for those who qualify. Medicaid will only pay for in-home care if provided by a Medicaid-certified home care agency, not by an independent, paid caregiver or family member. To find out about Medicaid eligibility and coverage for in-home care, call 1-800-221-3943 or visit www.colorado.gov. You can also contact the Area Agency on Aging in Mesa County at 970-248-2717, and Region 10 in Delta and Montrose at 970-249-2436. PACE The relatively new Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive home and community care for frail elders who would otherwise require nursing home care. PACE is only available in certain areas and eligibility is restricted to low-income seniors, usually those eligible for both Medicare and Medicaid.Veterans and Surviving Spouses Benefits Veterans and the surviving spouses of veterans may be eligible for some in-home care assistance from the Department of Veterans Affairs, either through health benefits offered to veterans or in the form of a monthly cash benefit. If your loved one is a housebound, these benefits may be even higher. Comfort Keepers can provide help and information in applying for these programs. Long-term Care Insurance If your loved one has a long-term care insurance policy, it may include coverage for in-home care. Life Insurance Policy Comfort Keepers can help families convert their life insurance policy into cash to help pay for in-home care, even a term life insurance policy. Personal and family assets There are several ways personal and family assets can be used to help pay for in-home care, including tapping into the equity in your loved ones home and gathering contributions from those family members, who arent actively helping with daily care. Reverse Mortgage This is a special type of home equity loan that allows you to receive cash against the value of your home without selling it. For most reverse mortgages you can choose to receive a lump sum payment, a monthly payment, or a line of credit. You continue to live in your home and you retain title and ownership of it. However, you do not have to repay the loan as long as you continue to live in the home. Instead, the amount you owe, based on loan payouts and interest on the loan becomes due when you or the last borrower, usually the last remaining spouse, dies, sells or permanently moves out of the home. Uranium workers benefits If you or a family member incurred a lung illness, kidney cancer or fibrosis silicosis within the last 60 years (even if the family member is deceased) and they worked as a uranium miner, uranium miller, worked at a processing plant or transported uranium between 1942 and 1971, they may qualify for $150,000 to $275,000 tax free. This compensation can include in-home care.Editors Note: This article was submitted by Ora Lee of Comfort Keepers. Comfort Keepers can help you decide what works for you. In Grand Junction, call 970-241-8818, and in Montrose and Delta, call 970-240-4121.

I wish we had found you sooner. Hospice caregivers hear this statement so often from patients and families. Why? Because, under hospice care, patients feel relief from pain and other distressing symptoms. Many feel a sense of normalcy, perhaps for the first time in months, or even years.Dr. Diane Meir, Director of the Center to Advance Palliative Care, explains: If a person is in pain, nothing else can really be accomplished. That is, they cant interact effectively with their families. They cant accomplish important goals. Very often, they cant even get out of bed in the morning, because the pain is draining all their strength and energy.?People often equate hospice with a morphine drip, sedation or even hastening death. The reality couldnt be more different.The goal of this medical specialty is helping patients feel comfortable and as alert as possible. Instead of living the last months or weeks of life in and out of a hospital, hospice care gives people a chance to stabilize. Instead of invasive medical intervention with no guarantees of prolonged life, hospice physicians and nurses work to get (and keep) symptoms under control so people feel better. Only then can patients focus on family, friends, taking a trip or accomplishing something meaningful.Patients and family also receive support from experienced social workers and chaplains, who are part of the hospice team. They help with social, emotional, practical and spiritual issues which may surface at this complex time of life.Hospice is a team of experts expressly dedicated to each patient and family. One Agape Healthcare patient said, The care is such complete care, here at the houseits not an atmosphere of illness. I dont feel like Im dying. Life is going on.If you or someone you love has an illness that likely wont respond to curative treatment, we encourage you to talk to your doctor, or call and find out more about how hospice can help. Hospice care is paid for by Medicare, Medicaid and most private insurance.Editors Note: This article was submitted by Agape Hospice & Palliative Care, a Denver company serving patients wherever they call home. For information, please call 720-482-1988 or by email astanley@agape-healthcare.com? http://www.democracynow.org/2010/3/24/palliative_care_pioneer_dr_diane_meier

To learn more about Utah Senior Care Advisors,CLICK HERE.Make no mistake; laundry is a huge issue in every assisted living. Items will be lost, misplaced, bleached, torn etc That is a simple fact that you must come to terms with. All assisted living communities try their best. Every garment must be labeled and every community has a different system. If their services are not up to your standards, instruct administration to leave your loved ones laundry in their room.You can take it home to launder or ask the administration if you can use their facilities to launder clothing while you are visiting. They will generally let you do as you please during off hours, when the nursing assistants are busy helping resident to bed or during meals. Christmas time is the worst time for laundry, because family members always want their loved one to wear a garment before they are required to label it.

When this nerve getspinched or compressed, there are certain tell-tale signs your body will demonstrate indicating you have sciatica.THE TOP 5 SIGNS OF SCIATICAPain that extends from your lower back all the way down to the back of your leg and footPain in one buttock or leg that feels worse when sittingPain in the back of your thigh and calfConstant hip pain or pain on only one side of the buttocksTingling or burning sensation down one legSciatica refers to lower back, hip, and leg pain resulting from irritation or injury of the sciatic nerve.The sciatic nerve runs along the lower back, down through the buttocks, and down both legs to the heel and sole of each foot. As thelongest and widest nerve in the human body, the sciatic nerve connects the spinal cord to various muscles in the lower back, legs, and feet, providing muscle movement and vital sensory information.Common causes of sciatic pain are:Herniated disk in your lower spineBone spurs on your vertebraeDegenerative disk diseaseA tumor, which can pinch the sciatic nerveNarrowing of the spinal canal (known as spinal stenosis)Muscle inflammation and injury or bone fracturesSciatica pain can range from sharp and excruciating, to a dull ache.Mild forms of sciatica may go away in time, however some sciatica can be severe and debilitating. For short-term relief, over-the-counter medications like Advil (ibuprofen) and Aleve (naproxen) can help. Also, rest, light activity, stretching, and the use of cold packs on affected areas may reduce pain.If the pain is severe or doesnt go away after a week, then visit your doctor immediately for recommended treatment.Sciatica is a common ailment that comes with aging, as age-related injuries and diseases can affect the sciatic nerve.Other risk factors:ObesitySitting for prolonged periodsDiabetesTo reduce your chances of getting sciatica, keep a healthy weight and exercise regularly. Try not to sit for long periods of time, and, when you do, maintain good posture. Avoid awkward twisting of the body or lifting of objects which may be too heavy for you.Written & Submitted By: Coastal Orthopedics- click here for more information*Click here for original blog post*

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

To learn more about Covington Senior Living in Orem, CLICK HERE.Start your search for assisted livingby creating a list of communitiesthat are local to the area they preferto live in.Many times, it is important forfamily to be in the surroundingareas so you can provide support,monitor their care, and visit them.Try reaching out to neighbors whomay have had loved ones in communities, discharge planners in hospitals and skilled nursing facilities,and websites of communities youare interested in. Reach out to theassisted living and ask to speak totheir Community Relations Directorto get more information. When touring assisted living communities, there are many things tolook for that can provide insight intoeach facility. Set up a tour to seethe community, request to try theirfood, and observe how residentsare cared for. Ask to see severaldifferent sized bedrooms, commonareas, the memory care community,and meet their administration team. There are several factors that playinto making this big decision. Hereare some things to consider: MONEY. What are the up-frontcosts to move in? Are there additional fees or is the community allinclusive? When is rent due? Do theyaccept long term care insurance? It is very important to have a clearpicture of what is included in thebase price, and what is going to costyou extra. Things that may not be included are some activities, haircuts, outings, and prescriptions. FIRST IMPRESSION. Were yousurprised with the community? Anything you noticed about onecommunity that stood out over theothers? What did you like? What didyou not like? A persons first instinctis usually a good one to go off of. YOUR LOVED ONES NEEDS ANDCARES. Will the community be ableto meet all your loved ones needs,including those with dementia?What do their care services look like, and their approach to providingthose cares? Can they provide careall the way to the end of life? Howdo they handle behaviors like aggression, depression, or anxiety from their residents? THOSE THAT LIVE THERE. Lookaround you during the tour. Dothe residents look well cared for,groomed, and content? Are they using any restraints, are the residentsalert, or are they sedated? What isthe level of functioning and would itmatch your loved ones? Do the residents look happy and entertained? Reach out to a resident or familymember and ask how they like thecommunity.Most importantly, always includeyour loved ones in the process. Nomatter their physical or mental limitations, try to keep them involved inall stages of choosing the right assisted living community for them. Focuson what matters to them and whatis going to be best for their safety, happiness, and care.Editors Note: This article was submitted by Lexie Call with Covington SeniorLiving in Orem. She may be reached at801-494-2020 or by email at Lexie@covingtonliving.co

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

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.

Naples, Florida is full of delightful sights; Cruise Naples connects with them all. Enjoy five daily 1.5 hour narrated cruises aboard the M/V Double Sunshine. See luxurious mansions. Catch a glimpse of dolphins, manatees, bald eagles and more while discovering Gordon River history. Enjoy twinkling harbor lights during our spectacular sunset cruise departing daily one hour before sunset! Also choose a savory Wine & Dine Cruise or explore with our weekly Kids Cruise.Cruise Naples also offers private boat rentals. Cruise at your own pace with a new, easy operation Hurricane deck boat equipped with cruise chart, safety gear and a Bimini top for added sun protection. Enjoy lunch at beautiful Marco Island or take the family calm bay fishing.At Adventure Naples, a division of Cruise Naples, exploring has never been more fun! Catch grouper, snapper, redfish and more during one of our daily deep sea, coastal, private or calm bay fishing charters. Party boat charters are also offered daily for the group fisherman.Explore Naples inland waterways on your own with a Jet Ski rental! Encounter dolphins up close or adventure through a vast mangrove jungle with an experienced guide during a guided Jet Ski adventure tour! Custom beach picnics, shelling adventures and more are also available.Editor's Note: This article was submitted by Cruise Naples. For more information they may be reached at 239-263-4949 or on the web www.cruisenaplesflorida.com

Right now, almost 500,000 leading edge Baby Boomers in Colorado are facing difficult issues about aging. For most of them, it's not getting older that causes them the most concern, it's their aging parents.To help address their concerns, Covenant Retirement Communities tapped the insight of thousands of professionals to create an online resource with practical information and tips for seniors and their families. The web site, www.HavingtheConversation.com, helps families talk about sensitive subjects such as: Personal and home health care Transportation General services Housing and living environment Social networking Financial and legalThe articles include topics such as, when is the right time to give up the car? or is staying in the house a good idea? By reading the article before beginning the conversation, you can be confident that youve covered the major points on all sides of the issue. You can start making progress toward a realistic solution.Getting startedBy far the most popular page is the article titled, how to best get started. It tells adult children how to bring up sensitive subjects without scaring or alienating mom or dad. Professionals advise that its best to have family conversations sooner rather than later. That way the aging parent can be actively involved. Conversation is a two-way street. If we delay conversations until were faced with declining health or a crisis, the conversation won't be satisfying for either side. Delay causes more stress than having the conversation.Handling objectionsParents objections are another source of stress. HavingtheConversation.com includes an article titled, what if your parents say No? It happens a lot. You may be trying to have a conversation about staying in the family home. Your parents may say they are not ready for change. The article offers tools that will give you the confidence of knowing what to do next. By working with your parents, you can help them make decisions that will make their lives easier and offer more peace of mind.In addition to the downloadable articles, the web site includes a video, checklists for families, and lists of national resources, local services and supportive spiritual insight.Provided by Peter Milbourn, marketing director at Covenant Village of Colorado, who can be reached at (303) 403-2231 or PJMilbourn@covenantretirement.org.

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

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.

To learn more aboutTransitions Hospice, Click HereMost people dont know hospice care has zero out-of-pocket cost for patients under the Medicare benefit who meet eligibility requirements.All care services are provided for the patient with no out-of-pocket cost since there is no deductible/copay for hospice care under traditional Medicare.We can reach more patients in need of hospice by communicating with and educating patients and families. We must ensure that they know about this benefit. Many times, this responsibility falls on referral sources who must be educated on how hospice is reimbursed.In the future it will be important to monitor changes within Medicare Advantage plans. These plans are becoming popular and sometimes offer additional benefits compared to traditional coverage for Medicare beneficiaries. We expect Medicare will allow Advantage plans to cover and pay the hospice benefit, rather than traditional Medicare coverage, just as it has for other healthcare services.However, unlike traditional Medicare, these Advantage plans may require patients to incur out-of-pocket costs in the form of deductible/copay when electing hospice care, similar to commercial insurance plans. Essentially, while the Advantage plan may offer more extensive coverage, it could also mean an out-of-pocket cost for hospice.If families are concerned about their ability to pay, they can always contact Transitions. We are here to ensure that patients have full access to continued education and awareness of all available options. We care for all patients who need our help and always prioritize our patients comfort over their ability to pay.A Trella Health study supports how partnering with the right hospices and referring appropriate patients sooner can reduce end-of-life costs while also improving the patient and family experience.Patients who were referred to hospice early saved an average of $14,000 in the last three months of life compared to patients who were admitted for a mid-term stay.Costs for late-term hospice patients were on average $5,182 less than patients with no hospice care.With only 7% of hospice-eligible patients referred for early hospice care, there is a significant opportunity for many providers to positively impact patients end-of-life care.Editors Note: Article Submitted by: Katie Monahan Business Development Manager Transitions Hospice. For more information on Palliative Care or Hospice, please call 877-726-6494 or visit www.transitionshospice.com.

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

Temi Charrier, owner of Home Instead Senior Carejoin Seniors Blue Book Publisher, Kathleen Warshawsky, BSN, RN in this Senior Care Spotlight.Temi shares "why do we do the things we do".She talks about having"Passion, Purpose and Attitude towards Quality".Watch the video to hear more.Learn aboutHome Instead Senior Care

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.

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

HOSPICE! Just the mention of the word creates fear and anxiety! Not long ago, this author had to wrestle with understanding, not only the definition of HOSPICE, but the ramifications as well! My amazing Mom was diagnosed with terminal cancer. Seemingly overnight, my family and I were challenged to learn as much as we could about this philosophy of care that had invaded our lives!Actually, Hospice does not indicate a death sentence at all, just a change of direction. The aim of Hospice is not curative, but has comfort as its goal. Friend, entering into hospice care is not about dying. Rather, its about living, and living as well as possible, for as long as you have left.In Hospice Care, the Patients pain and symptoms are addressed, and emotional and spiritual support is also provided. I encourage you, dear reader, to do your homework. I believe you will discover Hospice Care is so misunderstood! And I believe it is the best vehicle available to help our precious loved ones live life to the fullest with the time they have left.Editors Note: This article was submitted by Dr. Bob Damey, PhD; PT:Csp. Dr. Bobby is a Hospice Chaplain with Auburn Crest Hospice and may be reached at (970)775-7022 or by email at Robert.damey@auburncrest.com

When caring for your own or for a loved ones wound, it is important to understand at-home treatment methods as well as symptoms that require professional medical attention. Wounds can be caused by injury, disease (such as diabetes), a surgical incision, poor circulation, poor nutrition or other factors. Most wounds heal naturally over time, but sometimes this process does not happen as it should.Acute wounds are injuries that occur on the skin suddenly rather than over time. These wounds can be painful and exposure to air can lead to infection as well as further damage of vessels, nerves and muscle tissue. General symptoms include pain, bleeding and swelling and treatment must be provided as quickly as possible. Basic steps toward acute wound healing include: Apply pressure and control the bleeding Clean the wound area with soap or saline solution If possible, remove debris from the wound Keep the wound moist and covered to prevent infection. A moist wound heals twice as quickly as a dry one. Maintain proper nutrition including quality proteinWounds should show signs of healing within two weeks and be largely healed in four weeks. Wounds that do not respond in this manner should be seen by a medical provider. Additional signs to seek medical attention for a wound include: Bleeding cannot be stopped or blood is soaking through the outside of the dressing The wound is very deep or has jagged edges The dressing becomes wet or falls off Pain from the wound continues to increase Signs of infection are present such as increased redness and warmth, increased drainage and odor, increased pain, swelling, and feverIf an acute wound fails to heal properly, it can progress into a chronic wound. Generally, this is the worst scenario for a wound because failure to heal properly has led to an abandonment of blood, oxygen and nutrients being administered by the body to the injury.When a wound progresses to a chronic phase, at-home healing becomes out of the question. Professional medical attention is now the only option to properly treat the wound and prevent complications and potential amputations. Addressing a wounds underlying causes, such as diabetes, tissue ischemia, and/or venous insufficiency, is an essential treatment component.download Before I Fall 2017 movie nowEditors Note: This article was submitted by Linda S. Meola, MBA.Linda is a Program Director with the Stamford Health Wound Care, Ostomy, and Hyperbaric Center and may be reached at 203-276-2486 or by email at LMeola@stamhealth.org

To learn more about Abbington Manor, CLICK HERE.Our mission and passion at Abbington Senior Living is to improve the lives of people.The Abbington difference is created by focusing on our residents and improving not only their lives but the lives of everyone that loves them.These areas are among our highest priorities: Delicious food that everyone loves High-quality services through professionally trained staff Life enriching activities Creating a friendly and safe place to liveThe words of a daughter of one of our residents truly reflects this passion for all our residents.Our first visit to the Abbington was on a Saturday afternoon. The marketing director, came in special to give us a tour. She was amazing!!! She was so upbeat, so patient with all our questions, and so understanding of the difficulty of moving a parent from their home to an assisted living facility. The same can be said of all the staff. From the activities director, to the maintenance man, and all the dining room staff, the cleaning staff, the nurse and CNAs. They are all so kind and every time they see our mom, they call her by name.The move to the Abbington has been 100% positive for our mom. She can now go to church on her own, and to the beauty shop by herself. She is actually more independent at the Abbington than she was living alone in her home. She eats 3 delicious meals every day. She loves going on the bus to different places and for scenic rides. She is able to exercise, play games and most importantly she gets to mingle and socialize with others of her same age and stage in life every day! She has thanked us several times for finding this beautiful place for her to live.I have recommended the Abbington to several people. I cannot praise the facility and the staff enough; they truly are the best of state.This is our mission at Abbington Senior Living.This is our focus each day.To improve peoples lives one person at a time.

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

How Misinformation Hurts Us As Americans we think we can beat anything. This includes of course, serious illness. No matter how aggressive our disease process is, often times, we decide to fight it. Even when end of life is near, we don't want to think about changing tactics and avoid having difficult conversations with loved ones. So we decide to go for one more surgery or one more round of chemo although a cure seems to be improbable. We decide that although we see death approaching, a trip to the hospital or physical therapist is still a better option. We think that if we just go, go, go, and fight, fight, fight, somehow, someway, well beat it. Sometimes we do but death eventually comes to us all. Maybe, just maybe, it might be time to take the gloves off, go back to the locker room, reflect on the good fight we've fought, and spend the rest of our time surrounded by family, friends, and loved ones. We've all seen the movie where the boxer keeps getting up after he gets knocked down repeatedly, and each time he gets up, he gets pummeled! We shout at the screen, Stay down! Don't get up, you're gonna get clobbered! And often times, he gets up, gets dealt one last knockout blow, and doesn't walk out of the ring alive. He could have lived longer, but getting up the last time killed him. Hospitalizations and physical therapy can go this way near the end of ones life. They have their place no doubt, but many curative measures end up killing people due to the body's inability to endure them. Life-limiting illness wreaks havoc on the human body. A surgery that a healthy person would be able to endure could end up killing someone who is battling a serious disease. Physical therapy is a God-send for the 28 year old NFL player who just shattered his knee but could end up being deadly for a 91 year old who is barely able to move or breathe. Its time to change the conversation about death and dying in America. Its time to stop pushing for invasive surgeries toward end of life, and to start advocating for comfort, pain management, and holistic support when we've run out of options to cure. This isn't giving up or throwing in the towel. This is approaching death differently. This is hospice. Brian Lenney, Patient Care Advocate Kristi Hartway Director, Business Operations kristihartway@harrisonshope.com

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}#

To learn more aboutDanville Support Services,CLICK HERE.Hindsight is 20-20. This is especially true for adults who are suddenly faced with a crisis in caring for an aging parent or loved one.Senior Editor ofCaring.com, Melanie Haiken prepared 6 Things I Wish I Knew Before I Cared for My Parents, to help people who might otherwise be blindsided by the demands of caring for an aging parent.The advice is gathered from people whove been there.I Wish Id Been More Realistic About What I Could Do.I Wish Id Known That Medications Can Affect People Differently as They Age.I Wish Id Understood How Attached My Mother Was to Her Things.I Wish Id Realized That Someones Memory Can Seem Fine, and They Are Still Losing Mental Capacity.I Wish Id Understood Sooner That Dementia Causes Anger, Rudeness, and Crazy Behavior.I Wish Id Sought Medical Advice About What to Expect From My Parents Health Situation.The fact is caring for an aging loved one is a demanding, always-on endeavor. Its often a tough physical challenge helping seniors bathe or do household chores. Its also an emotional weight that can drain care givers of vital energy. Lastly, its a mental challenge to stay up on all the developments in senior care, plus all the prescribed medicines, doctor appointments and so on.The good news is Danville provides the essential support that you and your aging parent or loved ones need. How much support is up to you. We provide everything from live-in care to just one hour a week. We can come by and play cards and check on your loved one, or we can take on more personal responsibilities, like grooming, keeping active and providing someone to talk to and interact with.Its important to know that by reaching out for help, you are not giving up and there is no reason to feel bad. With Danvilles help, you gain more free time to spend with your loved one, where caretaking is not the main priority. Doesnt that sound like a winning plan?

What is Medicare?Medicare is a government health insurance program primarily for people age 65 and older.It offers several different coverages and comes with a lingo that can be confusing. The following is a brief summary of Medicare's most common lingo: Part A (Hospital Insurance) This provides coverage for inpatient hospital care, skilled nursing and hospice. Part B (Medical Insurance) Covers doctor services, outpatient care and limited preventive services. Part C (Medicare Advantage Plans) Medical coverage that is provided by Medicare-approved private insurance companies. Part D (Drug Plan) Prescription drug plans that are run by Medicare-approved private insurance companies. Medicare Supplement There are 12 standardized plans that are provided by private insurance companies to fill the gaps in Medicare's Part A and B coverages. Many people find it helpful to have an Insurance Broker or Agent to help them select their best option. The best news is that there is generally no cost for this service.Also, additional information can be found at www.medicare.gov or toll free 800 633 4227. This article was written by Craig N. Anderson, LUTCF President of Anderson Benefits, Inc. located in SLC Utah. 801-363-9575.

Every year thousands of seniors utilize physical therapy to get back on their feet. Reasons may include: recovering from a joint replacement, chronic or acute pain in any part of the body, stroke, balance and falls, recovering from an extended illness, and declining strength and function. The primary goal of physical therapy is to help alleviate pain and restore function and return independence. Most people are aware that you can receive physical therapy in your home through a home health agency when you are required to be homebound. Many people may not know there is another option to receive the therapy they need. Those who may not qualify for home health services or are no longer technically homebound can receive the therapy they need in the comfort of their own home. Much like an old fashioned doctors house call you can receive physical therapy, occupational therapy, and speech therapy in your home that is paid for by most insurances including Medicare part B, Medicare HMO , and secondary insurance benefits.Editors Note: This article was submitted by Jim Harrison, DPT. Jim is a Physical Therapist with South Mountain Home Rehabilitation. He can be reached at 801-523-6376 or jim@smhrehab.com . Visit his website www.smhrehab.com.

At the law office of Beth Prather, you will find a team ready to help you through some of lifes most difficult moments.Beth Prathers credentials as a board certified elder law attorney with expertise in the areas of estate planning, probate, trusts, guardianship, Medicaid, and VA planning bring clients through the door. Her down-to-earth approach and skill at communicating in a manner that can make sense out of difficult topics keep clients coming back.Beth is passionate about helping older adults create a proactive plan for successful retirement: a plan which gives them peace of mind. She treats clients with respect and dignity while navigating them through difficult conversations to get at what matters most to them for their care.Her undergraduate math major and MBA both complement her legal knowledge as she skillfully maps ways for clients to stretch resources to pay for care at each step in their journey. Her thoroughness and analytical skills are essential to draft critical legal documents and help clients develop the comprehensive plan for care they are likely to need throughout their life journey.When Beth is not hard at work at the office, she strives to make her analytic skills work in her favor on the golf course.

Individuals who can assist you with understanding the range of home care and housing options. They are prepared to ask you questions that help you narrow down your options and help you with resources that you can seek out prior to making decisions.#listing_mgr{7 basic_search}#

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

Pam's involvement with Care Centers for the elderly, handicapped, and disabled is a true gift. She is a very talented hair dresser who can work in all types of environments and around all kinds of obstacles. The individuals absolutely love getting their hair done. Their faces light up every time Pam is there. The individuals are so pleased when they get that new look it gives them a boost of confidence and a source of independence. They always want to go out and show off their new dos because they are happy with it. The individuals also ask Pam about hair products used on their hair and what they need to do to care for their hair. She does such a great job explaining it so they can understand. It is a true blessing to have someone like Pam to be able to do in-home and facility visits. For many individuals because the wheel chairs make it more challenging to go to a salon and get the services that Pam provides when she comes to the home. She also donates her time and services for Hospice patients.Many of Pam's clients say she is one of the most selfless, compassionate, and genuine people they have had the honor of knowing. They truly believe Hospice Hair (her volunteered service for hospice patients) makes those last few months, weeks, even days better. She has dedicated much of her time and effort into going to homes, and for just one hour, making the people she takes care of feel very loved and cared for. This feeling of care is a different feeling than feeding or bathing them. She is making them feel beautiful. That feeling of beauty is an invaluable important gift. Pam truly loves what she does because she truly loves those she does it for.Note: Pam's Mobile Hair Salon provides free hair services to Hospice patients and $10 services for an in-home or facility visit. To reach Pam, or donate to her cause, call (801) 870-3139.

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

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.

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

Authored by: Jackie Waters (Guest author)For More Infomation on Exit Compass Realty, CLICK HERE!Financial fraud is generating a lot of buzz today, as many consumers are facing related issues. Seniors can be especially vulnerable, and many people are seeing issues with stolen credit card numbers and issues that wreak havoc on your financial stability and long-term life planning.Be wary of anybody who wants access to your financesThe National Council on Aging shares some important tips on how seniors canprotect themselvesfrom fraud, but these tips are valuable for everybody to consider. The news has reported on multiple issues in recent years of credit card data being breached by hackers, but there are fraud issues that can take place much closer to home as well.The NCOA notes that it is not necessarily strangers who can do the most damage to one's financial well-being. Unfortunately, especially in the case of elder abuse, close family members can be the ones causing the damage. Be careful who you allow to access your checking accounts or credit cards, and keep a close eye on your day-to-day finances to ensure that nobody is taking advantage of you.Scammers can make things seem legitimateIt is critical to be skeptical of anyone who asks you to give them your Social Security, bank account, or credit card numbers. Thieves are getting more and more creative in how they try to tease this information out of people. As the Federal Trade Commission explains,scammersare adept at making themselves look legitimate, like they are from the government, a charity, someone you know, or a business you utilize.People aiming to commit financial fraud frequently send emails or make phone calls that appear legitimate. The FDIC recommends that you beskepticalof any requests for this kind of information and verify everything before making a purchase or sharing information. Scammers will often try to rush you into making a decision or sending money, but do not be afraid to research situations before moving forward.Keep a close eye on your finances and report anything amissBecoming a victim of financial fraud can cause a great deal of distress and can wreak havoc on your long-term life and financial planning if you are not vigilant and take action quickly. Credit Sesame details that fraud and identity theft in its various forms can negatively impact yourcredit score, and when left unchecked this can put you in a tough spot when it comes to needing credit down the road for a mortgage, car loan, or credit cards.Because financialfraudcan cause such chaos on your personal finances, it's critical to keep an eye out for these issues on a daily basis. When it comes to debit and credit card fraud, there are consumer protections in place to limit your liability. Monitor purchases made with your card and immediately report anything that seems out of place.Take steps to keep your information secureIt's also good to avoid using public Internet connections when using banking or shopping apps and utilize strong, varied passwords for all of your online accounts. It can feel like a hassle to have a different password for every site, but Identity Hawk notes that mixing things up from site to site,changing passwordsoften, and making your passwords challenging with symbols, numbers, and both uppercase and lowercase letters can be key in keeping your finances safe from scammers and hackers.Financial fraud can be a significant threat to your family's long-term financial security, and scammers and hackers are getting trickier by the day. It is wise to be vigilant about anybody trying to access your financial information, whether it is a family member, supposed government entity, or business you believe you've utilized. Never hesitate to question anyone's need for your information so you can protect your financial assets both now and in the future.

To learn more about Highland Glen - MBK,CLICK HERE.Its American Heart Month! A great time to join the battle against heart disease and celebrate our bodies most important muscle the heart! Here are five ways you can keep the beat and stay heart healthy this month and all year long.1. Wear RedAccording to the American Heart Association, heart disease claims the lives of 1 in 3 women. That staggering statistic boils down the fact that heart disease is more fatal to women than all forms of cancer, accidents and diabetes combined. To shed light on the importance of heart health, the first Friday of February is Wear Red Day. To help fight to end heart disease, consider having your own Red Day and donating to the American Heart Association to support research and heart disease awareness.2. Eat Heart HealthyFruits, vegetables and legumes contain flavonoids (a group of phytonutrients or plant chemicals) that offer anti-inflammatory and immune system benefits, as well as being associated with cancer, neurodegenerative and cardiovascular disease prevention. At MBK Senior Living communities, our culinary team offers a diverse daily menu of delicious and heart healthy options that utilize healthy fats as well as a wide variety of fruits, vegetables and whole grains.3. Stay ActiveAdults should aim to exercise for approximately 30 minutes a day. In addition to getting your blood pumping, regular exercise also helps seniors with balance, agility and maintaining their independence. Consider joining a walking group, taking a yoga class, jumping into a water aerobics class or working with a trainer. At MBK communities, our MBK Fit programs support residents overall wellness, and achieve a wide range of fitness goals.4. Be SocialWho knew that being social can reduce the risk of a stroke? Fact is, being social can lower your blood pressure and reduce inflammation in your body, as well as boost your immune system, encourage good habits, delay memory loss, and relieve pain. Through our Mind+Body Wellness program, residents find a host of resident enrichment activities, events and outings that provide ample opportunities to connect and be social.5. Cheers & ChocolateStudies have shown that consuming dark chocolate and red wine (in moderation) can provide a number of benefits for your heart and overall health. Both include resveratrol, an antioxidant that is associated with lower blood pressure, lower cholesterol levels, suppressing cancer cells, and slowing down the slow down age-related cognitive decline.

To learn more aboutOasis Senior Advisors in Ogden,CLICK HERE.Seniors are told that they should limit their alcohol consumption to no more than seven beverages a weekbut as many as 5.7 million older adults participate in at-risk drinking behaviors. According to a 2018 survey, one in 10 seniors admit to binge drinkingfour or more drinks in a two-hour span. Even seasoned healthcare professionals are often surprised by the prevalence of alcohol abuse among seniors.Alcohol abuse poses risks for people of any age, but for older adults, the potential perils can be extremely high. Alcoholism can lead to numerous illnesses, including dementia. Injuries, drug interactions, automobile accidents and dehydration can cause greater harm to seniors than those abusing alcohol at a younger age.Detection and open, honest communication are vital in keeping our communitys seniors safe from alcohol abuse.Detecting Alcohol Abuse in Seniors:Detecting alcohol abuse in seniors can be difficult. Often, it can present itself with other aging-related challenges, such as falling frequently, confusion, memory issues, and even depression leading to misdiagnosis. Seniors are also less likely to disclose a history of excessive alcohol intake to their medical providers, which can lead to underdetection.Many signs of alcohol abuse in seniors are similar to those we see in a younger population:short-term memory lossirritability or severe mood swingsbloodshot eyessudden fluctuations in weightbecoming isolated from family and friendsa change to lethargic behavior, which also may signal depressionbruises from falls or smaller injuries due to loss of coordinationRisks of Alcohol Abuse in Seniors:While the issue may be difficult to detect, elder alcohol abuse is both prevalent and dangerous. A 2015 study by the NCADD (National Council on Alcohol & Drug Dependence) reports that up to 11 percent of elderly hospital admissions and 14 percent of emergency room admissions aredue to drug and alcohol related issues.Substance abuse is associated with a number of potential health issues, which can be exacerbated by the aging process. Because seniors have less muscle and a slower metabolism, alcohol can remain in the body longer, causing potential organ damage and preventing prescription medications from working properly. Substance abuse is also linked to several types of dementia. Over time, heavy drinking can lead to brain damage, as well as diabetes, abnormalities of the liver and pancreas, osteoporosis, immune disorders, nutritional challenges, high blood pressure, heart failure and stroke, and even some types of cancers.Talking with Seniors about AlcoholTalking about alcoholism with seniors can be particularly challenging. Alcoholism carries a stronger stigma among older generations, and terms such as addiction can put seniors on the defensive. Additionally, perceived ageism can be a challenge when elders are speaking with younger people.To show respect, ask questions that encourage self-reflection. For example, you can discuss goals for their independence, mobility, finances, and relationships, and then guide the conversation to a discussion of how their alcohol use impacts their progress towards those goals. Doing this will help them see the gap between where they are now and where they want to be.Most importantly, express empathy and support self-efficacy. Encourage the seniors in your life to take responsibility for their change and empower them to find their own solutions.For those who seek professional treatment, there is reason for hope. Studies have shown that seniors often have more favorable outcomes after alcohol addiction therapy and treatment than younger people.Your local Oasis Senior Advisor wants to be your trusted partner as you serve senior clients and customers. Oasis has a wide network of referral partners to assist you and the seniors you serve. To learn more about partnering with Oasis to build your business and better assist your older clients, call (888) 455-5838.

To learn more aboutSenior Care Associates - VA Aid & Attendance Specialists Nationwide,CLICK HERE.Families who are unable to sell their homes or who are not willing to leave the comfort of their homes as they age run into many issues. Am I living by myself? Is a neighbor willing or able to care for me? Are my children close enough to give me aid. If not, do I need to relocate to either live with them in their home or live close by. So many questions.Lets break this down. Staying at home. Can I maneuver the stairs? Am I able to do yard work? Is the house too big and doesnt serve its purpose anymore with the family grown and gone. Am I lonely? This leads to not eating well because you dont want to cook anymore, so you eat whats convenient which isnt always good. Is it good to eat alone? Am I able to drive? If not, how do I get around to do shopping, hair appointments, doctors appointments etc. If I am driving, is it safe for me and those on the roads?There are many options to being able to stay at home. Lets break this down. Is their family in the area that can assist with your needs? How about a neighbor, church etc.? You can usually rely on family to assist with your needs. What I hear from seniors is that they know their children are busy with their own lifes and dont want to be a bother. Many times we run into family caregiver burnout which could lead to abuse. Make sure we are all in check when you know this could lead to abuse.Other stay at home options for care are to hire a Home Personal Care Agency. The advantage to this is that they need to be licensed through the state, caregivers should have criminal background checks performed, liability insurance and bonded. Just in case something is stolen or an accident is caused everyone is covered. You will usually pay an hourly rate depending on where you live and how much care is involved. It could run anywhere from $15-$25 an hour. Some agencies will accept Medicaid which will cover your costs.The VA also offers benefits for Veterans and their spouses such as caregivers comingin to offer personal services such as house keeping, laundry etc. They will also do yard work. The Area Agency on Aging which is usually county run also offers many services and a phone call to them is well worth the time and effort. They offer transportation, meals on wheels etc.Another option is having a Home Health and Hospice company come in which is covered under Medicare. Their services are based around medical care, taking blood pressure or blood, medication administering, bathing assistance etc.If you are paying out-of-pocket for any services and you are either a Veteran, a spouse or a surviving spouse to a Veteran, the Aid and Attendance pension is another option to pay for this.

We regularly sit down in our sales office with individuals who get right to the point: We are visiting many communities, and weve started a spreadsheet to compare them objectively. Honestly, we love this approach even if it is all wrong in the end.We love the spreadsheet because when the time comes to tally up the score, our village will have more boxes checked than most communities in any price range. If you are starting your own spreadsheet after visiting two or three villages, we humbly suggest that you pay special attention to the following categories: Presence of a strong Memory Support program in all service lines: Health Care, Personal Care and in Residential Living in the form of education and an active, holistic Care Team Possibility of extensive aging in place in Residential Living thanks to a reliable 7-days-a-week residential nursing program, adequate internal transportation services, and technological check-in features A flexible (read optional) meal plan with menu and venue variety, and with dining room coverage for 21 meals every week A long tradition of strong census and financial stabilityNow, why do we say that the spreadsheet approach is all wrong in the end? Thats because you are not going to move into a spreadsheet or into a brochure. Yes, our village offers all those features and countless more in a convenient and reasonably priced location, but that is only the beginning.What truly sets a community apart is its spirit. Here, for instance, we are a retirement community but there is nothing retiring about us. As demographically diverse as we are, we are all linked by a certain character: we are intolerant of limitations and dogged in our belief that aging is an opportunity, not a handicap. Instead of saying no, we prefer to say why not? We take our work seriously but we dont take ourselves a bit seriously. We dont dress up for dinner but we get up early to volunteer. So go ahead and start with the spreadsheet if that is your wish, but spending time in the communities you are considering (actively connecting with your potential neighbors and the staff), is an essential step in determining whether you will feel at home after your move.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.

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

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

Cant remember why you walked downstairs to the kitchen? Forget where you last put your glasses? By age 60, more than half of adults have concerns about their memory. Advancing age means an elevated risk for various debilitating diseases and conditions like Alzheimer's and other forms of dementia, but minor memory lapses can also be the result of normal age-related changes in the structure and function of the brain.Memory changes can be frustrating and for those with a form of dementia they can be life-altering. However, studies have shown that you can prevent age-related cognitive decline and reduce the risk of dementia by adopting healthy habits including:Eat a balanced diet. A general rule of thumb is that foods that are good for your heart are also good for your brain fruits, vegetables, whole grains and lean proteins like fish. Dehydration or drinking too much alcohol can cause confusion and memory loss.Stay physically active. Physical activity gets your blood pumping, bringing oxygen and nutrients to the brain. Aim for at least 30 minutes of physical activity every other day.Maintain social connections. Social interaction helps reduce stress and depression, both of which can contribute to memory loss. Make time to get together with loved ones or consider joining a community group or club, especially if you live alone.Get organized. Take advantage of calendars, maps, planners and address books to record appointments, tasks and other routine information. Make sure to-do lists are current, checking off items as you complete them. Keep your wallet, keys, glasses and other important items you use often in a designated area.Get enough sleep. Scientists hypothesize that deep sleep and dreaming are necessary for learning and memory consolidation. Exercise your brain. Just as physical activity keeps your body fit, mental stimulation helps keep your brain in shape, strengthening communication pathways. Keep your mind sharp by engaging all five primary cognitive domains: memory, executive functioning, visual-spatial perception, attention and language. Pursue a hobby or learn a new skill.If memory loss is interfering with your ability to complete your usual daily activities, consult with your doctor. Though there is no cure for Alzheimer's and other forms of dementia there are lifestyle changes you can make to maximize quality of life, including many of the above. Cognitive stimulation, in particular, has emerged as a promising treatment for reducing the functional decline associated with dementia.Editor's Note: This article was submitted by Mark Bowman of Home Care Assistance of Utah For more information call 801-733-6100

COVID monoclonal antibody therapy can reduce the risk of severe illness and hospitalization when you test positive for COVID-19. American Infusion offers the treatment in the convenience of your home or a long-term care facility, administered by our own trained nursing staff. Monoclonal antibody therapy is for emergency use in individuals with high-risk COVID factors or those in danger of developing severe illness. We provide the treatment with zero out-of-pocket fees. Contact us to find out more today.Learn more at home monoclonal antibodies and COVID antibody treatment on our website.Business address: 7 Church Lane STE 22, Pikesville, MD, 21208Phone: (855) 264-6387Email: info@americaninfusion.com

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

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To learn more aboutBloom Companion Care, CLICK HERE.Our Concierge Care uses a multi-disciplinary approach that includes nurse and medical advocates. When we visit with your loved one, we perform daily charting. We then audit the information and sort through it on a linear basis. This summary can be provided weekly or bimonthly, which enables you to make more informed decisions regarding your family members care. It also makes doctors appointments more effective by consolidating the bigger picture and acknowledging both the small and the large changes. Just askwere happy to help.At Bloom, we strive to match the best possible caregiver with you or your loved one. We conduct an in-depth interview to give us a better sense of who you are. We then cater your companion care to your experiences and how you want to spend your time. For someone like our beloved Benie who was an Airplane Mechanic and Pilot in WWII, listening to big band music or visiting the SAC Museum conjures up fond memories. Hitting a bucket of balls at the driving range or simply sitting in the car and watching someone else hit a bucket of balls makes him happy, too. The point is we want to revisit Bens life through a visual experience. Its a way to validate his experiences and connect him and his memories to the present.

Thinking about long-term care placement is never easy. The move into an assisted living facility or nursing home almost always means a loss of at least some independence, and for many people the cost can seem overwhelming.For veterans with a documented service-connected disability of 70 percent or greater, financial assistance may be available to cover the entire cost of long-term care. The key to accessing this Veterans Administration benefit is finding a VA contract nursing home or state veterans nursing home in your area. Some privately or corporate owned nursing homes have obtained contracts with the Veterans Administration to provide long-term skilled nursing care to these service connected disabled veterans, which is paid entirely by the VA. State veterans nursing homes, too, are able to provide the same service.For veterans with a service-connected disability of less than 70 percent who need long-term care specifically because of their service-connected disability, the same benefit may apply. In these instances, detailed medical records documenting the need for long-term care is directly related to the veterans service-connected disability is absolutely necessary prior to admission into a state veterans or VA contract nursing home.Veterans wanting more information about VA benefits for long-term care, or finding the nearest state veterans nursing home or VA contract nursing home should contact the Veterans Service Officer for the county where they reside. Typically, this information can be located in the county government section of the phone book.For qualifying service-connected disabled veterans, this VA benefit eliminates the financial concerns frequently associated with long-term care.Author:Lisa Seley of the Bruce McCandless Colorado State Veterans Home in Florence, CO

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

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 has not 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 Parkinsons 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, and assistance with personal care including bathing. Some centers offer professional nursing services (RN and LPN) including the administration of medications. Additional services may include the provision of transportation, podiatry, and physical, occupational, and speech therapy services, weekly outings, 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 Saturday and/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 the Veterans 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 Day Services Association which is www.nadsa.orgAdult day care centers are the most cost effective way to help seniors age in 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 Care at the DTC. He can be reached at 303- 221-7272 or at rgornbein@sarahcare.com

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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.

For more information on the author Discovery Village At Sarasota Bay, CLICK HERE.A recentTime Magazinearticle stated that New recommendations for U.S. dietary guidelines included the surprise suggestion that cholesterol should not be a nutrient of special concernbut added that sugar and saturated fat are still worth worrying about. Doctors also say that if we cut out processed food and focus on eating whole foods, the instance of disease and chronic health conditions will decrease.With all of the discussion about a healthy lifestyle, the focus tends to be on younger generations to keep them from becoming obese as they age. But, truthfully, it is essential for the elderly to maintain a healthy diet.It is common for this segment of the population to experience a loss of appetite as they age. Not only do they experience a slowing of their metabolism and reduction in physical activity, but they may also take medication that affects their appetite or forget to eat because of dementia and forgetfulness. For some, they may eat very little or even nothing at all for a couple of days if given the opportunity especially when living alone.That is where living in a senior living communitycan prove to be an enormous help. Most communities offer dining services with excellent, healthy meal options to ensure that those living there get the nourishment they need. Following are some of the ways senior living communities focus on nutrition:Three Balanced Meals. Senior living communitiesinclude meals prepared by expert chefs who create delicious, fresh, and healthy options that all the residents enjoy. Many communities create an atmosphere in the dining room where residents can relish the camaraderie of others while each part of the meal is brought to them in a style similar tofive-star dining.Proper Nutrition. As people get older they become deficient in vitamins and minerals that are essential to proper health, specifically Vitamin D and Vitamin B12. Not only do they provide three balanced meals, but also dining services at most senior living communities focus on ensuring that residents get the recommended allowances of vitamins and supplements. More often than not, nutritionists review menu plans to give them a stamp of approval from their perspective.Dining is an Experience.Depending on the community, dining is typically done similarly to a high-end restaurant where everyone is seated at tables and residents pick from a prepared menu of several options for a particular meal. Additionally, residents have the choice of sitting where and with whom they would like. Mealtimes are social times for most of the residents, providing a great opportunity for them to get to know their neighbors better.Chefs Participation with Residents. Just like in a restaurant, the chef at most senior living communities comes out before serving to go over the menu and describe each item to entice residents to look forward to their meal. As they eat, the chef also likes to go to each table and talk with residents. Because senior living communities are close-knit, the chef makes every effort to get to know the residents on a personal level. This adds special warmth to the residents, making them feel as special as they are.Chef Accommodates Dietary Restrictions. Overall, most any chefs will prepare meals as healthy as possible by using different seasonings and spices in place of salt and preparing meals that are not laden with fat. But for those who have specific dietary restrictions, the chef is usually able to accommodate each meal to meet those needs.Special Meals and Events. Senior living communities love to host dances, parties, and other events especially special meals around the holidays. Even during these times, great care and preparation go into making sure that the food is healthy and nutritious not to mention tasty.Food and diet are essential to maintain optimum health. Independent living communities understand this and work hard to ensure residents get balanced nutrition.Discovery Village at Twin Creeksoffers senior living programsthat includeSensational Dining.This program makes everyone feel like they are eating at a 5-star restaurant every day. To learn more about our community and programs, click the link above.

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

We all know there are certain things we can take for granted such as death and taxes. We should also expect the unexpected. Consequently, I think it is helpful to do a simple self-assessment of what plans you have in place if the unexpected happens, as it will.For example: Do I have in place adequate powers of attorney that allow trusted persons to make decisions for me? Do I have a will or have I planned for how my property will pass to those I want to have it? If I am in a blended family have I made plans to address the issues such situations frequently bring such as how will step-children be handled. What plans do I have in place to address the reality of my family dynamics? Am I suffering from a condition that might require assisted living or long-term care?Asking these simple questions might reveal the need to do some planning or to address changed circumstances which have arisen since the original plans were made. The time to do this is now while there is time and while you can be in control of your destiny. Dont assume your family will make the choices you would because it is very possible they will not.What to do then? Plan for the unexpected. Consult with the necessary professionals today so that the unexpected does not catch you unawares. The decisions you make today will affect your family tomorrow; help them to enact your wishes by giving them the tools they need to implement your plans for both life and death. The problems will not just go away.Editors Note: This article was submitted by William H. Moller, Attorney and Counselor at Law, The Moller Law Group, LLC. He may be reached at 719-694-1284, or by email at whmoller@mollerlawgroup.com.

Pajamas can be powerful! Helping needy seniors with something so simple, yet so meaningful can make such a difference. Many Dallas local businesses are joining efforts to collect pajamas this Fall to be delivered during Christmas time to area low income nursing communities in the DFW area. Did you know that many nursing home residents on Medicaid are allotted less than $60 per month to cover needed personal items, such as toiletries, paper products, and clothing? Warm pajamas are considered a luxury, as basic supplies like toothpaste and soap are the priority.I want to make a difference in the lives of our seniors, says Jo Alch, a Registered Nurse. I was a hospice nurse for many years and seeing firsthand the needs of lower income nursing home patients tugged on my heart strings. With such limited resources, some of the residents only have hospital gowns to wear. One of my favorite memories as a child was opening a present from my Grandmother on Christmas Eve, a brand-new nightgown. It was something I looked forward to every year.The first 3 years of the drive were tremendously successful with hundreds of pairs of pajamas distributed to area communities at Christmas. Our goal for 2017 is to collect over a thousand pairs of pajama sets and gowns. So how can you help? Commit to donating 1 or more sets of pajamas (XXL and XXXL sizes are needed the most) Register your company as a pajama drop off location Be a sponsor Host a pajama party Volunteer to sort and distributeSeveral sponsors will be hosting pajama collection drives and parties this Fall. Please call the Pajama Drive Coordinator at 214-866-0085 for more information about how you can participate in the 4th Annual Pajama Drive benefitting low income Dallas Senior Communities.Editors Note: Submitted by Julie Walkup- Beazley, Geriatric Care Manager at Acappella in Home Care. She may be contacted at 469-855-6266. (See ad on page 119.)

Legacy Corps is now available in southwest Idaho! Legacy Corps is an award-winning national service project that provides volunteer-powered caregiver support for veterans and military families. A growing and specialized need for caregiver support exists among veterans and military families. Research indicates that caregivers of veterans report more than twice the emotional stress of caregivers of adults nationally, almost three times the level of physical strain, and almost four times the level of financial hardship. Legacy Corps was launched by Friends in Action in 2012 to help address these caregiving needs. Legacy Corps programs operate in 15 cities across 10 states, and all Legacy Corps programs partner with the University of Maryland and the Corporation for National and Community Service to provide support services to many veteran and military families. Legacy Corps volunteers provide weekly, quality assistance to veteran/military families who care for a loved one at home. Volunteers serve as companions with the veteran being cared for so the family caregiver can have a weekly break; volunteers provide transportation and prepare light meals; and volunteers help connect families to other community support services, peer-to-peer support groups, and other related services. Volunteers are well-prepared as a result of 90 hours of pre-service and ongoing in-service trainings! Legacy Corps volunteers commit to 450 hours of service over a one year period, which means every volunteer serves 10-12 hours per week helping 3 to 4 families each. Legacy Corps volunteers become a close-knit team who make a huge difference in the lives of many, many families across the Treasure Valley. All volunteers must complete an application, agree to criminal and sex offender back ground checks, participate in a national research study and have mid-year and end-of- year evaluations. Legacy Corps volunteers receive many benefits from their service. In addition to life-changing experiences helping others, volunteers receive a monthly taxable stipend and are eligible to receive an Educational Award of nearly $1,500 when they complete their year of service. For volunteers age 55+, the education award can be given to a child or grandchild. The Educational Award may be used to attend classes at most colleges/universities or to repay qualified student loans. Legacy Corps volunteers assist many veteran and military families who care for a chronically ill or disabled adult at home. This service project helps family caregivers maintain their own health and well-being; it helps volunteers develop new skills and knowledge; and it fills a growing need in our communities. For further information about Legacy Corps, please contact Friends in Action (www.fiaboise.org) at 333-1363. Friends in Action Friends in Action is a unique volunteer-powered program serving family caregivers and those they care for. We are a program of the nonprofit Mountain States Group. Highly trained volunteers lead award-winning education programs; provide caregiver respite and support/ and assist with the annual southwest Idaho Family Caregiver Conference.

While hospice care for people who are nearing the end of life is fairly well known, palliative care remains a mystery. Because palliative care is one of the fastest growing areas of service in the healthcare spectrum, it is important to understand what it involves.Palliative care is derived from the term palliation, which Dictionary.com defines as to relieve or lessen without curing; (to) mitigate; (to) alleviate. While the relief provided by a palliative care team is often pain related, other symptoms such as labored breathing, nausea, anxiety or bleeding can be the presenting problem. The goal is to provide comfort, support and practical assistance in finding needed services for those with chronic illnesses, frail health or post-surgical problems that are not yet end-of-life issues. The most common conditions seen in palliative care are cancer, COPD and congestive heart failure.Hospice always includes palliative care, but palliative care does not always include hospice, because the patient does not have to be near death to receive palliative services. Palliative care teams emerged first in hospitals, but more recently, services are being provided in private homes, clinics and long term care facilities in an effort to provide comfort while keeping people out of emergency rooms and hospital beds. The palliative care team usually includes a doctor, nurse and social worker, although in recent years, Navigators have been added, to help patients navigate the maze of healthcare services in the community.Unfortunately, palliative care is not well supported by private insurance or government programs such as Medicare and Medicaid. Because of the lack of reimbursement, most hospices cant afford to provide non-hospice palliative care services, so many patients are left to live with their symptoms until they reach hospice-eligible status - meaning six or less months to live. Medicare is beginning to embrace the inherent value of palliative care, recognizing the need for services during the gap that exists between hospitalization and hospice. Older patients in particular leave the hospital and become depressed, confused or ineffective in managing their own medications, only to escalate back to the hospital, or on to hospice.The frail elderly and those with chronic health conditions should contact their family doctor for a referral to a palliative care provider. A determination of eligibility can be provided quickly, and the care team works in conjunction with the patients personal physician to assure a coordinated approach to symptom management.Editors Note: This article was submitted by Gary Morse. Gary is President and Chief Executive Officer with Sangre de Cristo Hospice & Palliative Care and may be reached at 719-542-0032 or by email at gary.morse@socohospice.org

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

Better balance leads to less risk of fallsActivities in our daily lives require a variety of balance and mobility actions such as- bending over, reaching and turning, as well as shifting your weight as you stand up or sit down or simply walk about. Some activities may magnify unstable joints and weaknesses in muscles to execute movements. For those who begin to recognize that they might have a problem doing these regular daily activities a fear of falling unavoidably develops.Whether you are injured or not taking a fall will likely affect your quality of life. An increasing number of those 65 years and older fear falling and, as a result, limits their activities and social engagements. This leads to further physical decline, depression, social isolation, and feelings of helplessness.So what can you do?Retain and regain your Physical Health by Exercising RegularlyRemove Environmental Risks around Your Home such as: Rugs on wood floors, electrical cords, stair cases without railings, and cupboards that are too high or lowBe aware of your medications (some may cause dizziness which can lead to poor balance)Get an alert PendantWhat is an Alert Pendant This is a device that you carry on your person at all times and allows you to call for help at the push of a button. There are a variety of Alert Pendants available, please consult your physician or home health provider when selecting one. Alert pendants can help keep you safe in the following ways:Allow you to call for help most anywhere in the homeProvide a sense of security, for those who are often found aloneAllow for quick response time for emergency teamsAllow for the independence and safety while living at homeWhat can Home Health do to help you?At Midas Creek Home Health we can help you take the steps to increase your strength, endurance, balance and mobility while maintaining your independence with our Safe Steps Fall Prevention Program. Our Physical Therapists can help you stay within the comfort of your home while teaching you balance/mobility methods that will allow you to continue daily activities that make life worth living! The best part about it, most insurance policies cover the therapy. Lets prevent that fall from happening and get you the help you need today!Editors Note: This article was submitted by Steven Collard, with Midas Creek Home Health and may be reached at 801.302.8526 or by email at midascreekhh@digis.net

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.

Alzheimer's Disease Related to Poor Dental CareWhat if anything, does the health of teeth have to do with memory and the quality of overall health? The number of real teeth in the mouth directly correlates with the possibility of being diagnosed with Alzheimer's disease.A study of residents of Leisure World in Southern California indicates a significant correlation between poor dental care and the diagnosis of Alzheimer's disease. 1 Findings from the study indicate that significant tooth loss meaning, loss of 50% or more of teeth between the ages of 35 and 50, failure to brush teeth daily and missing semi and annual dental appointments result in a greater risk of being diagnosed with Alzheimer's disease.Other studies confirm that poor dental care, not brushing teeth daily, results in mental decline. Research confirms the spread of bacteria to the brain likely occurs through the trigeminal nerve which controls our ability to chew. The ability and frequency of chewing is beneficial to the brain. Research confirms the absence of the activity of chewing, because of missing teeth, results in reduced levels of acetylcholine that supports proper functioning of the brain.2 Acetylcholine levels are lower in persons diagnosed with Alzheimer's disease and result in memory loss, inability to learn new tasks and disruptive mood and behaviors.Good dental care by way of daily teeth brushing, avoiding infections and retaining the ability to chew is an individual choice. While brushing teeth may seem like a hassle, brushing is better than the alternative. Brushing is a small daily preventative effort taking less than a few minutes a day to ensure decreased risk of being diagnosed with Alzheimer's disease or another chronic disease. Making the effort to take care of teeth and your memory is an individual choice.References:1 Paganini-Hill, A. et al. Dentition, Dental Health Habits, and Dementia: The Leisure World Cohort Study. J Am Geriatr Soc 60:1556-1563, 2012.2 Okamoto, N. et al. Relationship of Tooth Loss to Mind Memory Impairment and Cognitive Impairment: Findings from the Fujiwara-Kyo Study. Behavioral and Brain Functions 2010: 6:77.Editors Note: This article was submitted by Pamela D. Wilson, CSA, MS, BS/BA, CG, owner of The Care Navigator. Pamela may be reached at 303-810-1816 or by email at pamela@thecarenavigator.com

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

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

A discount dental plan is a program that allows anyone to go to a board-certified dentist in their own neighborhood and pay a reduced rate (usually half) for any work they need done. Discount dental services are fortunately available to everyone. You don't have to be part of a company or a group.There are literally thousands of dentists in the tri-state area that are willing to offer significant discounts on all services, including braces.These discounts can go as high as 60%. Coverage in these programs begin immediately without any kind of pre-existing condition clause and they have no annual maximum.Editor's Note: This exact program is also available in Health Discounts. To find out more about either plan call Mark Heller toll free at 888-866-8451.Author: Mark Heller 

As recent as ten years ago, when people referenced SNFs, they were generally talking about a traditional long term care nursing home. In recent years, the SNF model has evolved to include specialized short term rehabilitation centers, geared towards helping people return home after a serious illness, injury or operation.These centers are staffed with a team of licensed therapists, compassionate nurses and doctors. Admission eligibility depends on a few factors. First, are you in need of long term care or short term rehabilitation services? If you are in need of short term rehabilitation and you have Medicare or private insurance, both will help pay for these services. Prior to entering a SNF, Medicare beneficiaries must have been hospitalized for a minimum of three consecutive nights. Medicare covers the first 20 SNF days paid in full. Days 21-100, the Medicare beneficiary either pays a daily co-insurance rate or may have opted for a secondary insurance that picks up these co-payments. Medicaid traditionally pays for long term care services. What should you do if youre discharged home but dont feel strong enough to be home? Medicare allows a 30-day window for people who return home to be admitted into a SNF, as long as the patient was in the hospital for at least three consecutive midnights. There is no need to readmit to the hospital, as you can be directly admitted to a SNF. There are multiple skilled nursing facilities in your area, how should you choose where to go? Visit Seniorsbluebook.com for a complete list of providers as well as www.Medicare.gov/nursinghomecompare offers a reliable rating system based on staffing, quality measures and health inspection outcomes. Understanding the 5-star rating system is crucial to ensuring that you receive exceptional clinical care from a reputable facility. New SNFs will not obtain their 5-star rating until after one year of operation. As with rated facilities, it is incredibly beneficial to schedule a tour for yourself or a loved one to gain understanding about your SNF of choice. While on a tour of the SNF be sure to observe the staff friendliness, building cleanliness, amenities and overall feel of the facility. Its our privilege to guide you through this process and be your personal resource on the path to optimal wellness. 'Editor's Note: This article is sponsored by Monarch Healthcare Management.

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

Sliding scale or income qualifying energy resources for seniors. Look at your local public service company for possible resource.#listing_mgr{7 basic_search}#

When the Crisis Hits, families may have very little time to decide on the best care facility for a loved one. Trying to find a Skilled Nursing Care center as the clock races can make you feel overwhelmed or even paralyzed. Fortunately, there arealwayscare options available, even when time isnt. We recommend breaking down your decision into three steps:Step 1: ResearchAsk family and friends to recommend caregivers or centers. Find and compare Skilled Nursing Care Centers online with Medicare's Nursing Care Compare, a rating site for Medicare- and Medicaid-certified nursing homes, professionally called Skilled Nursing Care centers. Medicare has developed a five-star quality rating system based on health inspection results, care center staff data, quality measures, and fire safety inspection results. Though there is plentiful information you can find, relying on ratings alone is not sufficient enough to make a decision. Be wary of for-profit placement services, you want your decision to be based on careful consideration, not their commission.Step 2: ConsiderBased on your research, choose about three centers to visit. Call each to schedule a tour. Communicate the immediacy of your situation and ask to speak with an admissions coordinator. The admissions coordinator can tell you more about thecenter and availability. Only visit centers that you know have available accommodations.Step 3: SelectAfter visiting and doing your research, select the center that best meets your care needs and consider giving yourself one night to sleep on your decision. Once you have made your care choice, learn more about what to expect during the transition.As you go through the decision process, remember your loved one will need you as much now as ever. Youll remain an integral part of your loved ones care and decisions. You are your loved ones strongest voice and advocate.This article was submitted by Karl Bieber, Public Relations Coordinator for Vetter Senior Living. He can be reached at kbieber@vhsmail.com or 402-895-3932

To learn more about Senior Care Associates, CLICK HERE.If you are living at home in need ofcare from your family, a home careagency, independent living, assistedliving or private paying in a skillednursing facility you may be eligiblefor up to $2,295 per month to coverthose expenses.This is a tax-free VA pensioncalled Aid and Attendance whichwas put into place in 1952. It isdirectly deposited into your bankaccount such as social security.This additional money can be usedto cover your care expenditures asyou are aging. This is NOT a welfareprogram like Medicaid. You can owna home and have significant moneyin your assets to still qualify.Areas of Eligibility:90 days active duty, one day ofservice during war time and notdishonorably discharged.Care being provided from family,home care, independent living,assisted living and private pay ina nursing home.Care includes dressing assistance, bathing, medicationreminders, walking assistance,transfers, toileting, and mealpreparation. Custodial Care dueto frailness or memory loss.Income would include socialsecurity, pension, retirement,rental income etc.Assets in your checking, savings, cds, stocks/bonds, mutualfunds, IRAs, and 401ks.Your home is not included as anasset unless it is sold.How long does it take to get approved? It is taking 1-3 months toget approved.The VA has a 3 year look back intoany asset transfers such as movingmoney into a trust, annuity, or gifting money to family.Please call Dennis Autrey tosee if you may be eligible. 'Editors Note: This article was submitted by Dennis Autrey, Marketing Director for Senior Care Associates, LLC He may be reached at 801-424-1444 orby email at: dennis@scaiusa.com www.seniorcareassociates.com

Refers to most Home Health Agencies providing wound care services to their clients. Some agencies may employ specialty nurses to provide and instruct in care specifically for ostomy patients and for more complicated wounds.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

Many of our everyday decisions about healthcare are limited by factors such as cost, insurance coverage or a list of pre-approved providers.But we really do have a choice when selecting a hospice provider.VITAS Healthcare, the nations leading provider of hospice care, offers this checklist to help with one of lifes most meaningful decisions. Explore hospice options. Identify hospice providers in your area and ask about details for comparison. Ask about coverage. What sources of payment do they accept, and what is covered (e.g., medications, home medical equipment)? Explore different types of hospice care. Does the hospice bring care to the patients home? How often do hospice team members visit? VITAS offers all four levels of Medicare-mandated hospice care: routine home care, continuous care at home, inpatient care and respite care. Ask about hospice expertise. Do members of the hospice team have hospice credentials or special training? Is the hospice care team able to meet a range of patient needs, based on diagnosis, disease, culture, language, end-of-life wishes, military service, LGBTQ status and other factors? Research education and after-hours care. Does the hospice team educate the family and caregivers on caring for a loved one at home? Is after-hours support available? VITAS is available 24/7/365 to answer questions and dispatch a team member to the bedside when needed. Inquire about bereavement and grief support. How does the team prepare family members and caregivers for a patients death? How long does grief support last? Ask about volunteers. Hospice volunteers can help with tasks ranging from companionship and personal care to neighborhood excursions and life-story journaling.For 40 years, VITAS has worked to ensure that terminally ill patients and their families have immediate access to compassionate and high-quality end-of-life care, including services that range from home visits by a registered nurse or aide to music and massage therapy, pet visits and outings of the patients choosing.Learning about end-of-life care options can transform a challenging time into a comfortable experience.Article submitted by: Cathy Carlson, VITAS Healthcare General ManagerFor more information about hospice care or your end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com

An assisted living waiver may be used to transition individuals out of nursing facilities or to provide persons at risk of institutionalization with options for remaining in their communities. Assisted living waivers are designed to provide an alternative to more costly nursing home care.#listing_mgr{8 basic_search}#

For More Information on The Sheridan at Lakewood Ranch, CLICK HERE!As we age, mental health becomes increasingly important, especially since older adults may find themselves alone or in new living arrangements. Increased isolation brought on by COVID-19 and stay-at-home orders have further impacted conditions that may affect elderly mental health.According to the World Health Organization, more than 20% of adults over 60 have some type of mental or neurological disorder.Find out 7 ways senior communities promote health & wellness.There are dozens of resources for seniors available through online or mobile app portals. Here are some select resources and mental health programs for older adults.General Mental and Behavioral Health ResourcesAdministration on Aging The Administration on Aging is an agency of the U.S Department of Health and Human Services. Its webpage offers links to resources, programs and agencies covering a range of topics on substance abuse and mental health in the elderly.Behavioral Health Treatment Services Locator This service from the Substance Abuse and Mental Health Services Administration can help you find a nearby treatment facility for mental health aging issues.Health in Aging This service from the American Geriatrics Society provides information for older adults and family members about mental health concerns.Mental Health.gov This site from the U.S. Department of Health & Human Services provides one-stop access to information on mental health and mental health problems.National Council on Aging This organization offers a range of services and links to services for senior adults, along with apage of helpful resources.National Mental Health Consumers Self-Help Clearinghouse This directory provides comprehensive information on national and local programs providing mental health services for older adults.Older Adults and Mental Health Learn about senior mental health and depression in older adults with this resource from the National Institute of Mental Health.Alzheimers Disease, Cognitive Impairment and DementiaAlzheimers Disease and Related Symptoms This resource from the National Institute on Aging offers articles and advice for dealing with cognitive impairment and Alzheimers.Alzheimers.gov A government-run resource with links to authoritative, current information from agencies and organizations with expertise in Alzheimers disease and dementia.Cognitive Aging Efforts From the American Psychological Association, this site offers up-to-date publications, webinars and activities related to APA cognitive aging efforts.Anxiety and StressAnxiety and Older Adults: Overcoming Fear and Worry This article from the Geriatric Mental Health Foundation discusses anxiety and its treatment.Anxiety in Older Adults This article from Mental Health America discusses various anxiety disorders, such as panic disorder and obsessive-compulsive disorder, and their treatments.Coping with Stress and Anxiety Learn more about how stress affects your health and what to do about it, from the American Psychological Association.Community and EngagementengAGED This site, the National Resource Center for Engaging Older Adults, offers information and resources to remain engaged with other older adults.Senior Community Service Employment Program This community service and work-based job training program for older Americans offers work experience in a variety of community service activities at non-profit and public facilities, including schools, hospitals, day-care centers, and senior centers.Senior Corps This organization connects adults 55 and older with volunteer opportunities near them.Learn more about the mental health benefits of socializing for seniors.Download The Complete Guide to Health & Wellness for SeniorsAs people grow older, their health and wellness needs change. Read our eBook, The Complete Guide to Health & Wellness for Seniors for everything you need to know about staying healthy and happy as we age.Download the GuideCounseling ContactsCrisis Text Line Send a text from your phone to connect instantly with a crisis counselor. Text HOME to 741741.Disaster Distress Helpline Access a Substance Abuse and Mental Health Services Administration counselor ready to talk to people in emotional distress related to any natural or human-caused disaster. Call 1-800-985-5990 or text TalkWithUs to 66746.Suicide Prevention Lifeline Connect with a confidential 24-hour suicide prevention hotline available to anyone in suicidal crisis or emotional distress. Call 1-800-273-TALK (8255).Treatment Referral Routing Service This helpline offers treatment referral and information service for individuals and families facing mental and/or substance use disorders. Call 1-800-662-HELP (4357).Veterans Crisis Line This service lets veterans in crisis and their families connect confidentially with qualified Department of Veterans Affairs responders. Text 838255 or call 1-800-273-8255 and Press 1 orvisit the websitefor online chat.Elder AbuseNational Adult Protective Services Association This organization provides easy access to information on reporting suspected elder abuse nationwide.National Center on Elder Abuse This agency offers a resources site that gathers reports, webinars, podcasts and databases on elder abuse.Government Agencies and ServicesEldercare Locator This service of the U.S. Administration on Aging connects older Americans to services and resources.Preventive Services This Medicare site shows the many preventive and screening services offered to the aged to keep them healthy and find problems early.MeditationHow To Meditate In Twelve Minutes This YouTube video is a beginners guided meditation using mindfulness meditation techniques.Meditation for Older Adults This article from The Hartford covers basic meditation instructions and techniques.The Honest Guys This YouTube channel offers guided meditation and sleep meditation experiences.The Omega Institute This organizations YouTube channel features a variety of meditation videos, each under five minutes.YellowBrickCinema This YouTube site offers long meditation music videos, some up to eight hours long.Mobile AppsCalm This app addresses issues like anxiety, focus, depression and self-care.AppleandAndroid.Doctor on Demand This site and app provides a face-to-face digital connection to a doctor, psychiatrist or psychologist, along with other services.AppleandAndroid.FearTools Anxiety Aid This app incorporates tracking and exposure therapy, including breathing exercises and journaling, to slowly overcome fears.AppleandAndroid.Happify Play engaging games, engage in suggested activities and read gratitude prompts to boost your mood.AppleandAndroid.Headspace This app offers guided meditation sessions for more calm and better sleep.AppleandAndroid.MoodKit This app uses cognitive behavioral therapy principles to help users manage mood.Apple.Sanvello This app provides mood tracking, guided meditation and custom courses.AppleandAndroid.Talkspace Online Therapy This site and app connects you with a trained therapist as needed, with different price plans available.AppleandAndroid.Teladoc This app connects patients to a board-certified doctor. Rates are dependent on the users health insurance.AppleandAndroid.Whats Up This app usesAcceptance Commitment Therapy and Cognitive Behavioral Therapy to help with anxiety, depression, stress and more.AppleandAndroid.Previous PostNext Post

Hospice is a term that describes a specific type of symptom management care for people who will eventually die from a progressive illness. In order to help you make informed decisions and take advantage of the personalized services offered by hospice, let us correct some common misconceptions. A Doctor would not make a referral to hospice unless death was imminent.While it is true that some hospice referrals are made after all else has failed, it is also true that consumers are demanding more choice and control regarding their health care. Therefore, a new trend toward earlier hospice access is emerging. Hospice means giving up.Hospice means changing focus. The focus of hospice care is on aggressive management of the patient and familys experience of disease, as distinct from aggressive focus on disease itself. Hospice patients receive large quantities of narcotic medication to control their pain. That makes them drowsy or unresponsive, and sometimes leads to addiction.Hospice professionals are experts in comfort care. Many different methods of pain and symptom control, including relaxation techniques and massage are used. Sometimes medication is a preferred treatment. There is no evidence supporting the idea that prolonged drowsiness occurs when narcotic medication is used to control real physical pain. Addiction is also not an issue as long as real physical pain is present. Once a person enrolls in a hospice program they decline very quickly.Rapid decline is always possible. However, it is more common for hospice patients to rally in response to all the care they receive. The goal of hospice is to take care of the problems that interfere with quality of life. Patients can only receive hospice benefits for six months or less.There is language in all Medicare and Medicaid policies, and most private insurance policies that talks about a life expectancy of six-months or less. However, it is very uncommon for a policy to limit the number of days or months of service. There is recognition that every person progresses through disease differently. Stability is never a cause for discharge. If the underlying terminal disease process continues to be present and the patient and family continue to desire a palliative approach to treatment, they can keep their hospice benefit for as long as they need it. Hospices are not required to discharge a patient because of failure to die. Once somebody chooses hospice care they can never change their minds.Freedom of choice is always a right of patients and families. This is a huge and difficult decision for many people. Hospices should encourage patients and families to continually assess their options.

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

Sarasota County is part of a network of more than 280 cities and communities worldwide promoting greater health and well-being for people of all ages through Age-Friendly Sarasota, an initiative to engage government, businesses, organizations and residents to build a lifelong community.The age-friendly designation, which was presented by the World Health Organization (WHO) and AARP, makes Sarasota County one of more than 70 communities across the United States and the first in Florida in the global network.Age-friendly cities and communities strive to promote active, happy and healthy lifestyles for people of all ages through interconnected Domains of Livability outlined by WHO.These domains include:Civic participation and employmentCommunication and informationCommunity support and health servicesHousingOutdoor spaces and buildingsRespect and social inclusionSocial participationTransportationThe WHO Global Network of Age-friendly Cities and Communities launched in 2006 and has grown to include cities and communities from more than 30 countries around the world, serving more than 113 million people. Other age-friendly communities have successfully researched, designated and implemented intergenerational approaches to make life better for their residents, including enhancements like additional seating for older riders on public transit, housing for older residents located in close proximity to services and amenities, using younger residents to provide technology training sessions for seniors, and training for family caregivers.Age-Friendly Sarasota is supported by The Patterson Foundation, a fully endowed charitable foundation, which facilitates a unique partnership between AARP Florida, the Florida Department of Elder Affairs, the Florida Policy Exchange Center on Aging at the University of South Florida, Sarasota County Government, and the University of South Florida Sarasota-Manatee. Dr. Kathy Black, a gerontologist and professor at the University of South Florida Sarasota-Manatee, is serving as The Patterson Foundations initiative consultant.Editors Note: Visit agefriendlysarasota.org to learn more about the initiative. Follow Age-Friendly Sarasota on Facebook and Twitter.

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

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

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

Minor repair or small scale home maintenance. Some agencies offer sliding scale, income qualifying or donated help by volunteers for seniors to maintain their homes.#listing_mgr{7 basic_search}#

Americas Veterans have done everything asked of them in their mission to serve our country.We believe it is never too late to give them a heros welcome home. Thats why we at Bristol Hospice are honored and proud to serve Veterans each and every time we visit.We are on a mission TO SERVE THOSE WHO HAVE SERVED US.There are over 21 MILLION Veterans living in America today. These men and women often carry experience from their military service that present unique healthcare challenges.As a Bristol Hospice employee, we consider it such an honor to care for Veterans. Continual and consistent training is imperative. We are committed to: Learn about the unique needs of Veterans and their families Educate Staff and Communities about caring for Veterans Provide Veteran to Veteran Volunteer Programs Commit to providing the best quality health careWith each Veteran that we serve, we can help Veterans and their families to: Enroll and Access VA benefits Be recognized for their service with special ceremonies Replace lost medals and awards Receive extra support from other VeteransNeeds by war or TraumaVeterans often take great pride in their service, seeing it as a period of time when they did to make a difference in the world.However, not all Veterans see their service as a positive one or do not see their sacrifice as having made any difference, and this has resulting complications.Understanding how Veterans view their service, whether it is positive or negative, has implications for how they view their disease process, especially if it is related to their military service.Americas Veterans have done everything asked of them in their mission to serve our country. Now it is time that we acquire the necessary skills and fulfill OUR mission to serve these men and women with the dignity they deserve, enabling them to die healed.Bristol Hospice is proud to be a Level 4 We Honor Veterans Partner through the National Hospice and Palliative Care Organization NHPCO.We are committed to serving our Veterans as they face challenges from illness, isolation, or traumatic life experiences. We are honored to serve you and your families.Editors Note: This article was submitted by Stephanie Puffer of Bristol Hospice. She may be reached at801-924-0867 or by email at: Stephanie.Puffer@BristolHospice.com

Hospice care affirms the belief that it is important to make every moment of life as meaningful as possible, from the first days of a life-limiting illness to the last. Hospice care seeks to validate the quality of life rather than the quantity. It also provides compassion and dignity for both the patient and family members. Hospice focuses on relieving the symptoms of the illness, as well as managing pain, and providing emotional and spiritual support. Many consider hospice to be comfort care because hospice is designed to keep the patient as pain free as possible while they enjoy their remaining time with family and loved ones.Hospice is often misunderstood. A common belief is patients are giving up or choosing to end their life. Quite the contrary, hospice patients are electing to live every minute to its fullest, maintaining as much independence and access to family and friends as possible. Helping people understand the philosophy of hospice is part of the changing culture in long-term care. These services are intended to promote a purposeful life and dignity in death.Hospice care is for people who have a life expectancy of six months or less and have chosen to focus on palliative care, comfort, and relief from pain symptoms. Diagnoses commonly associated with hospice care may include, but are not limited to: Cancer, Cardiovascular Disease, Alzheimers, Respiratory Disease, Liver/Renal Disease, and Neurological Disease. Also common are AIDS/HIV, Adult failure to thrive, Stroke and Coma.Services provided by Hospice vary depending on patient needs, but may include nursing care, medications, medical supplies and equipment related to the diagnosis, assistance with personal care, and 24 hour access to a Physician, Nurses and a Chaplain. In addition services include bereavement services and spiritual counseling. These services are fully covered by Medicare and Medicaid, and coverage is unlimited in length, and may be covered by many private insurances with no out-of-pocket expenses to the patient.Editor's Note: Please call for additional information, volunteer opportunities, or to get involved with Culture Change in your community. Diedra Kearney, Community Education Director, Dignity Home Health & Hospice (801) 860-3801.

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

Moving a loved one into residential care is a big life change. Here are three tips to help make the transition easier for everyone involved.Communication. Ask how they will keep you updated on your loved ones care. One of the hardest things about this time is not knowing how your loved one is doing. Questions like whether the doctor rounded, or if mom got her haircut. A general Facebook group may give you the generic story, but ask for regular, specific communication about your loved one.Expectations. Ask the community to spell out specifically what they do and what they do not do. Not all residential care provides insulin shots or physical therapy, for example.Relationships. Youre hiring a team to help care for your loved one. Ask them what you can do to help build relationships with the care team. As family, think of yourself as the CEO of the care team.Editors Note: Article submitted by Katherine Wells, CEO, Serenity Engage. She may be reached at 720-515-8839 or by email at katherine@serenityengage.com

Many people experience some form of vision loss during their lifetime and it becomes even more prevalent as we age. According to the National Eye Institute, one in 28 Americans over the age of 40 will experience vision loss or blindness. However, by age 65, one in three people will experience some degree of vision loss related to eye disease. By 80 this number increases even further to two in every three people. Therefore, it is imperative that older adults begin to take the necessary steps to recognize and treat eye disease early in order to mitigate the loss of vision that may result.At the American Council of the Blind & Visually Impaired of Colorado (ACBCO) we strive to help our clients adapt and adjust to their vision loss to achieve maximum independence and quality of life. Whether vision loss is something you have dealt with before, or you are facing new vision challenges for the first time, ACBCO can help. Here is brief overview of the essential services we are able to provide for our clients:In-home assessmentAdaptive aids distribution/trainingOrientation and mobility trainingLow vision specialist OD examsIn-home Volunteers with background checksComputer & technology assistanceSupport groupsCommunity WorkshopsAll of these services are available upon request and we are proud to provide them free of charge. However, we do ask for a contribution or donation to offset the cost of services for future clients we like to think of it paying it forward to the next person in need. If you think that you or a family member might be interested in learning more about what we can do to help please call us at 303-831-0117 (www.acbco.org). We welcome the opportunity to assist you in the comfort of your home to remain independent and empowered in your life.

The City of Dallas Senior Services Program is a project of Housing/Community Services. The Program focuses on persons 60 and older who reside in the City of Dallas. The goal is to provide information and education on issues which impact the quality of life for seniors. This is accomplished through community outreach activities in the form of educational seminars, community fairs/expos, and presentations. The small staff provides limited casework and benefits counseling. They pride themselves in knowledge of community services such as home repairs, housing options, elder abuse and health related concerns of seniors. The goals are accomplished through collaboration and coordination of services with other agencies and programs serving seniors.The Program also serves as staff for the Senior Affairs Commission. This is a 15 member commission appointed by the City of Dallas Council members respective to their district but not always correlated to each district. The Commission meets on the third Monday of each month excluding July. The commissioners are the voice of the community, bringing to light the issues pertinent to seniors in their district. Their role is to identify issues which could affect City policy and services to older residents. They are the driving force behind MayFair Senior Expo, luncheon and dance in celebration of Older Americans Month in May. The Commission advocates for budgetary items to improve the lives of seniors in the City of Dallas. Dallas is the only City in Texas to have such a viable and active senior community within City government. Dallas is fortunate to have City leaders who support the value of older citizens.Editorial: Article provided by Valencia Hooper-Alexander, LMSW, Manager, Senior Services Program, City of Dallas, Housing/Community Services.

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

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.

Meet Charlie. His brother James has Alzheimer's and needed a memory care facility. They are very close and when it comes to James' care, the prospect of compromising care because of James' limited income was not an option. Funds to pay for the care James needed were a real concern solved by getting information on programs that would assist with the costs of care. Sigh of relief. This family will no longer have to worry about how they are going to pay for James' Care.It is estimated that over 70% of people over 65 will need some type of Long-Term Care (LTC) according to the US Department of Health & Human Services. Colorado has many resources for financial help like Health First Colorado, and Veterans Aid and Attendance Pension that will help pay for in-home care, assisted living, adult day care, and nursing facility care.Most Colorado elderly who need help paying for LTC feel that they will not qualify for these programs because they have too much income or too many assets. Many families are told this by people they feel should be in the know on this topic. There are a lot of myths out there, online and relayed from health professionals. In reality, many could qualify if they had accurate information from a knowledgeable professional, holding a VA Accreditation or a Certified Medicaid Planner (CMP) designation. With uncertain care costs it is valuable to have one person or firm who understands multiple programs for assistance to ensure that all options are considered for the outcome a family desires. Gaining access to programs that assist in paying for long-term care costs will greatly reduce the erosion of hard-earned cash and other valuable assets like family property. Incomplete or inaccurate information often causes people to think they must spend or sell things they own to avoid losing it. This simply is not true and can lead to an unnecessary liquidation of the assets people have worked a lifetime to obtain.There are legitimate means of preserving valuable or sentimental assets and income. Here in Colorado, to the surprise of many, following guidelines carefully afford numerous opportunities to protect income and assets. Consulting with a CMP that specializes in LTC financial solutions can help you and your family to file a successful application and qualify for the program that has the best financial outcome for your family.Editors Note: This article was written by Stacy Osborne, MBA CMP with Beneficent. She can be reached by phone at 719-645-8350 or by email at: info@doinggoodforothers.com.

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

Take action in the fight against Alzheimers disease Alzheimers disease (AD) is reaching epidemic proportions, as the 6th leading cause of death in the U.S. Currently, 5.2 Americans are living with the disease and the number is expected to triple by the year 2050. The Alzheimers Association is taking action to change these numbers and we need your help! Alzheimers Association TrialMatch Scientists are constantly working to advance research. Clinical research, with the help of human volunteers, is the only way to find better treatments, prevention and cures. TrialMatch is a free, easy-to-use clinical studies matching service that connects individuals with AD, caregivers, healthy volunteers and physicians with current studies. Our continuously updated database of over 130 AD clinical trials includes both pharmacological (drug) and non-drug studies being conducted at 500 trial sites across the country. To learn more, visit www.alz.org/trialmatch or call 1.800.272.3900 to speak directly with a clinical trials specialist. Become an Advocate for Alzheimers Association. Alzheimers advocates play an important role in improving the quality of care and quality of life for people with AD and their families by carrying our message to elected officials at the federal, state and local levels. As an advocate, you will receive regular updates about current legislative and public policy issues; invited to communicate with elected officials via petitions, phone calls and other calls-to-action; and asked to share your story with others. Make your voice heard by signing up today. Join us in helping achieve our vision of creating a world without Alzheimers. Go to www.alz.org/advocacy to get involved right away! Walk to End Alzheimers Walk to End Alzheimers is the worlds largest event to raise awareness and funds for Alzheimers care, support and research. Held annually in more than 600 communities nationwide, this inspiring event calls on participants of all ages and abilities to reclaim the future for millions of people. Families, friends, co-workers, social and religious groups are invited to be a part of this fun experience. There is no fee to participate but all walkers are asked to set individual fund raising goals. It is easy to sign up a team online and use our interactive tools to reach out to others to raise awareness and funds which support local resources and research throughout the world. The Treasure Valley Walk is held in early October each year, followed by a Walk in the Magic Valley. Go online today to sign up and join in the fight at www.alz.org/walk!Author:MacKenzie Rodgers

Wouldn't it be great to live with real peace of mind? I mean the kind of peace that lets you sleep at night knowing that you have taken care of the important people and things in your life. The uncertainties around us are many: economic weakness, global unrest, changing laws and even differing opinions from so-called experts about all of those topics! How can we achieve peace of mind in times like these?The truth is that most Americans don't plan for two of the most important concerns in life those surrounding our personal aging and the passing on of our legacies. This is partly because we avoid these uncomfortable issues. The greater problem may be that we are paralyzed by a lack of information or scared by misinformation. We want to plan, but what should we do? Consider some of the questions surrounding key issues every senior faces:Health Care Decisions: What documents are necessary? Can I choose my caregiver? How do Powers of Attorney work? What are Advance Directives? Is HIPAA important?Disability Planning: Who will handle my financial affairs? How do I plan in advance for my care? Can I avoid Conservatorship/Guardianship? What is the role of the court in my care?Medicaid Planning: How do I qualify for Medicaid? When do I need to begin planning? How would Medicaid Planning impact my other plans?Estate Planning: Is a Will all I need? What is the advantage of a Living Trust? What are the costs of Probate? Can I avoid Probate? How much control do I have in passing on my legacy?Accurate, easy-to-understand information is the key to unlocking your ability to plan for your future. Consult with a qualified estate planning attorney so that you can make informed decisions about what is best for you and your loved ones. The initial consultation should be free. Take the first step toward peace of mind today!Editors Note: This article was submitted by Hammond Law Group. For further information please contact them at 719-520-1474

How many mailers and advertisements for hearing aids do you receive in one week? I just asked a patient this question. Her response? Every week? How about every DAY? And I dont trust any of them!Expect to see many more hearing aid mailers, infomercials and magazine ads in the upcoming years as our population ages. How does a person know what to believe? How can a consumer wade through the hype? How does one end up with well-fitted hearing aids that will help, not hinder, this process that leads to better communication and improved quality of life?The consumer who needs hearing aids is left in a difficult predicament. Prices are all over the place and there are several different types of credentials that a hearing healthcare provider may possess. To further complicate the matter, a bill has recently passed that will one day make basic hearing aids available over-the-counter.Before spending a significant sum of money, whether its thousands for high-tech, Bluetooth-enabled, nearly-invisible devices, or hundreds for questionable devices ordered from the back of a magazine, its important to be able to trust your source.Audiologists train for several years to do what some new to the scene marketers attempt to do with little-to-no training. Mail order hearing aids, internet hearing aids and soon, drugstore hearing aids are merely profit-grabbing schemes to get money away from professionals and into other pockets. Baby boomers are getting older and many have available funds for hearing aids. Dont think for one minute that this fact has been lost on those who seek to make easy money.There is very little that is simple OR easy about fitting hearing aids. Find someone you can trust, who is knowledgeable, compassionate and most of all, honest.The road to better hearing isnt always straightforward, but you can swing the odds in your favor. Work with someone who didnt simply appear on the scene because they think theres money to be made on the baby boomers. Work with a real person who has real training.Work with someone who can look you in the eye.Editors Note: This article was written by Laurie Bornstein, MS, CCC/A with Executive Hearing.

Aquatic Physical Therapy, especially in a modern therapy pool with a treadmill that can be raised and lowered, offers enhanced care and faster recovery from many medical problems. Modern therapy pools offer monitoring cameras so therapists can watch exercising from multiple angles from the side of the pool. They also have recording capability to use in instructing patients on what they are doing right and wrong. Many also offer therapy jets to relax stiff and sore muscles or for increased resistance.Because of the buoyancy of water, the stress of certain exercises is dramatically reduced if done with Aquatic Physical Therapy. A 200 lb. person in a therapy pool with water at half the persons height only experiences the equivalent of exercising while weighing 100 lbs. Buoyancy reduces compressive forces on joints allowing those with chronic pain to walk with greater ease. In addition, while exercising in a pool, the chance of falling is nearly zero. It is a much safer environment than exercising on land.Aquatic Physical Therapy pools can help with many types of rehabilitation exercise, such as are needed after knee or hip surgery. Because of the reduced impact from exercising, therapy can begin up to three weeks earlier than land-based exercises. Not only does this allow faster recovery, but with exercising sooner, it is easier to prevent deconditioning that comes from waiting too long after surgery for therapy to start.Aquatic Physical Therapy can help those recovering from back surgery, suffering from arthritis, dealing with respiratory problems and those suffering from chronic pain. It can help with rheumatic disorders, including rheumatoid arthritis, osteoarthritis and fibromyalgia.Exercising in an aquatic therapy pool can increase blood flow to an injured area faster. This will increase healing and recovery.Additionally, one of the strengths of aquatic therapy is that it is appropriate for any phase of rehabilitation and for all ages.If you think that aquatic physical therapy might help you, talk to your doctor. He can help access if aquatic physical therapy will be a help with your specific medical issues.Editors Note: This article was submitted by Lyle Black, MPT, Director of Rehabilitation for Sunshine Terrace Foundation. He may be reached at 435-754-0281.

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.

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