Im sure that youre asking how can any ONE thing help everyone? In this age where there are a multitude of different solutions for everyone, its hard to think that everyone taking the same action would be good. Well, lets suppose that you were so hurt or ill that you couldnt speak. What would your loved ones do? How would they know what treatment options and medical decisions to make for you? For that matter of fact, who would you want making those decisions? What personal values or beliefs do you have that you would want considered when making these types of decisions? Wouldnt you need them to know what you would want? Of course, you would!This process that Ive begun to outline is called Advanced Care Planning or ACP for short. ACP involves several issues and is for all adults over the age of 18. It means that you think about and plan for future healthcare decisions if you had sudden health event, such as above. While everyone should document their healthcare decisions, the decisions that each of us would make will be different! There are many distinct types of individuals that help you to identify and document your decisions such as Social Workers, Care Managers and Advanced Care Planning Facilitators.Why should you plan for yourself and your family members? If your loved one was hurt or ill, wouldnt you want to know what their wishes are? For you, if you care about the burden your family and/or loved ones would be under or if you care about your wishes being heard, then please look at the Advanced Care Planning process. Both Chris and I at Seniors Blue Book are Advanced Care Planning Facilitators thanks to the partnership between Lancaster General Health and Gundersen Lutheran Medical Foundation so you can ask us to help! Alternatively ask a Social Worker or Care Manager at any hospital that is close to you. If youd rather, you can go to www.yourlifeyourwishes.com or www.lghealth.org/advancecareplanning/ to learn more.Contact Chris or Cynthia for help with Advance Care Planning at pa-info@seniorsbluebook.com.Cynthia Gartman, PublisherFirst Steps ACP Certified FacilitatorCertified Senior Advisor (CSA)

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.

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

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

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

Guidelines on the Hospice Compare website and how it can helpThree years ago the Centers for Medicare and Medicaid Services (CMS) launched a useful tool, on the www.medicare.gov/hospicecompare website, that can help anyone when choosing a hospice provider.The Hospice Compare website allows you to easily search for hospices by name or location and compare publicly reported data on hospice providers.The data is divided into five categories, including General Information/Level of Care, Conditions, Location of Care, Family Experience of Care and Quality of Care.The first category, General Information/Level of Care, defines the four levels of care covered in the Medicare Hospice Benefit. Offering all levels of care, including Respite and Continuous care, are important in identifying how hospices can appropriately care for patients.Data for the second and third categories Conditions and Locations of Care are extracted from Medicare claims to show general characteristics of hospice providers.You can also see the breakdown ofwherea hospice agency provides most care, such as at home, in an assisted living facility, nursing facility, or inpatient hospice facility.Finally, the last two categories are most important to consider. These show data on quality measures that hospice agencies are now required to submit.The Family Experience of Care data is a subjective measure of the experience of a patients primary caregiver. It comes from the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.The data shows what percentage of caregivers would rate their hospice a 9 or 10 (on a scale of 1-10) and what percentage would definitely recommend the hospice agency to friends and family.The last category of data is Quality of Care. It shows the percentage of patients who received at least one visit from a registered nurse, a physician, a nurse practitioner, or a physician assistant in the last three days of life.Also under the Quality of Care tab, you will find scoring on how well hospices are doing when patients are first admitted.You should expect a good hospice partner to receive high scores on this Quality of Care data. It is essentially a straight-forward measure of whether hospice agencies are completing essential care processes or not.For more information, please visit www.medicare.gov/hospicecompareEditors Note: The article was written by Dawn Darvalics, PMP, who is the Directory of Quality and Education for Care Synergy/Pathways. She may be reached at 970-663-3500

Validus Senior Living announces the Grand Opening of its newest memory care community, Inspired Living at Bonita Springs, located at 27221 Bay Landing Drive.Inspired Livings hallmark is personalized care for those with Alzheimers, dementia or another type of memory loss.Inspired Living at Bonita Springs consists of 72 memory care suites and features the latest resident location technology, including an emergency call system and keyless door locks. This technology enables family members to participate and engage in the care of their loved ones regardless of distance, giving them a sense of comfort and peace of mind. It also empowers residents to explore the expansive but secure campus with confidence, knowing caregivers are there if they are needed.Our new community is one of the most technologically advanced memory care communities ever seen in Florida. But what makes us stand out from the rest is our personal approach to care, said Validus Senior Living CEO Steven Benjamin.Caregivers use a Positive Approach to Care, based on the teaching of renowned expert Teepa Snow, which focuses on what each person still can do, not on what abilities they may have lost. Programs are tailored to residents specific interests, abilities and needs and support their mental, social, spiritual and emotional wellness.Fresh, chef-prepared meals are served daily, featuring visually appealing, portion-sized gourmet food. Dining hours are flexible with snacks and refreshments available anytime.The beautifully landscaped courtyard at Inspired Living at Bonita Springs features a gazebo with butterfly garden, raised flower beds, walking paths and seating areas giving residents the option to seek out friendly conversations with new friends or to simply enjoy a little fresh air and nature on their own.Other services include daily suite tidying and weekly deep cleaning, plus full laundry service and on-site therapy services. Licensed nursing is also available 24 hours a day, 7 days week.Editors Note: For more information or to arrange your own personal tour of the community, please call Inspired Living at Bonita Springs at (239) 330-2119.

Kare Works presents Seniors Blue Book Senior Care Spotlight with Kathleen Warshawsky, BSN, RN; featuring Shannon Sennett, LMSW, Intake Manager/Client Care Supervisor of Visiting Angels in McKinney. Shannon addresses the importance of Self Care for Caregivers, stress and what it does to the body, along with providing practical ways to take care of yourself. She covers grief and loss during COVID and the five domains of wellness: 1.) Physical Wellness 2.) Social Wellness 3.) Mental Self Care 4.) Spiritual Self Care 5.) Emotional Self Care Learn More about Visiting Angels in McKinney.

Adults make decisions every day in life. You make financial choices regarding banking, paying bills and managing assets. You decide with whom to socialize and also where to live. You make health care decisions such as consenting to or refusing treatment, obtaining medical records and choose a course of treatment when ill. But what happens if you are too sick or disabled to manage these decisions? Before it is too late, have you prepared for someone to act on your behalf in the event of a crisis or if you are unable to manage decisions on your own? Adding a person to your bank accounts is not the answer because, among other reasons, it is dangerous and places your accounts at risk. Thankfully, there is a key legal tool for substitute decision making called a Durable Power of Attorney.A Durable Power of Attorney means one person (the principal) gives legal authority to another (the agent or attorney-in-fact) to act on behalf of the principal. Durable means the agent can act when the principal loses capacity. A General Durable Power of Attorney permits your agent to manage any part or all of your financial affairs and property. A Health Care Durable Power of Attorney enables your agent to make any or all health care decisions if you become incapacitated. A Living Will allows you to spell out your desired medical treatment regarding life-saving procedures, artificial nutrition and artificial hydration if you become unable to speak for yourself and have a terminal illness, or are in a persistent vegetative state.Choosing the right person as an agent is a very important decision and should be given careful consideration. It should be someone who is trustworthy, honest, knows how to handle money and accepts the responsibility as an agent. This agent owes a duty to the principal called a fiduciary duty, which means the agent has to act in the principals best interest, in good faith and with care, and keep good records. Abuse by an agent or a breach of fiduciary duty can be punishable civilly and criminally. A principal has the control to revoke a Power of Attorney at any time.If you become incapacitated and have not executed Power of Attorney documents, court proceedings called Guardianship and Conservatorship may be needed for someone to obtain decision making authority, which is both time consuming and costly. However, this may be avoided by planning in advance the execution of Durable Power of Attorney documents, which give you greater control and freedom of choice in an affordable manner.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

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

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

According to Newsweek magazine, The average American spends over 55 minutes looking for things we cannot find. What would you do with an extra hour every day? There are numerous ways to improve your life through organizing your home.Increased Productivity By eliminating the time you spend on worrying and trying to find things, you spend more time on the things that are really important.Saved Money - No more losing money on buying duplicate items, impulse buying, unnecessary trips to the store and late fees from forgotten or lost bills. In fact, many people actually find uncashed checks, gift cards or money they forgot they had!Improved Health A clutter-free space frees up emotional and physical burdens that have been carried for way too long. Anxiety goes away when things are easy to find and you may even find yourself sleeping more restfully.Safer, More Spacious Environment Relocating items that block walkways and put unnecessary strain on your body eliminates safety hazards and opens up your living areas. It is surprising how much more space you actually have when your belongings are organized with well labeled, proper containers.Happier Relationships - This is a big one!Organization offers a stress-free way to stay on top of all your commitments to the people in your life. Family members especially feel a great relief knowing your space is de-cluttered, well organized and safe. You will feel proud to invite people over!Peace and Flow With the feeling of overwhelm gone, imagine actually enjoying being in your home environment. Having the right home for everything will help you feel much more relaxed and in control of your life.The small investment of time and money upfront it takes to get organized will last you for years to come. Doesnt your life deserve to be as healthy, safe, productive and stress-free as possible? Dont waste another day in chaos. The journey of a thousand miles begins with a single step. Lao TzuEditors note: The Author, Cheryl Chandler, is a Professional Organizer experienced in handling the needs of Seniors. Please call her at (801) 759-1195 for a FREE 15 minute Phone Consultation.

To learn more aboutCharter Healthcare, CLICK HERE.More than 11 million Americans provide an estimated 15.3 billion hours of unpaid care for loved ones with Alzheimers disease or another type of dementia. Compared with caregivers of people without a cognitive disorder, twice as many caregivers of those with dementia demonstrate significant emotional, financial and physical challenges.Caring for a friend or family member with Alzheimers or dementia can be a long and stressful journey. As your loved ones cognitive, physical and functional abilities gradually decline, its normal to feel overwhelmed and experience depression or burnout from the demands of the caretaking role. When faced with this difficult situation, there are strategies that can aid caregivers and help improve your loved ones care.Learn about Alzheimers DiseaseThe symptoms of Alzheimers worsen as the disease progresses, which presents new challenges for caregivers. Understanding the different stages of the disease and their symptoms can help you plan ahead and ease the burden of caregiving.Alzheimers disease consists of three stages: mild, moderate and severe. People in the mild stage can still function independently, but may have issues concentrating or remembering recent events, names or words. During the moderate stage, patients may seem confused about where they are and what day it is, have trouble performing daily tasks or experience delusions, compulsions or repetitive behavior. In the final stage of the disease, individuals may lose the ability to respond to their environment, hold a conversation or control movement. As memory and cognitive skills deteriorate, significant personality and behavioral changes can occur and the patient may require more intensive care.Create a routineEstablishing a routine can reinforce a sense of familiarity and help orientate your loved one to their surroundings. Individuals with Alzheimers require time to adjust to new situations, so try to keep consistent times for daily activities like waking up, eating, dressing and preparing for bedtime. Often there are changes that are unavoidable, such as introducing a new care provider or shifting care settings, but caregivers should implement these changes steadily to avoid overwhelming their loved one.Plan activitiesWhether its cooking a meal, taking a walk or listening to music, planning activities with a person with Alzheimers can help keep them engaged and active. Try planning outings around the time of the day when your loved one is at their best, which varies from person to person, and monitor their energy levels to determine when its time to return home.Communicate with your loved oneSince Alzheimers can make it difficult for patients to interpret or remember specific words, its important to make communication as simple and direct as possible. When you speak with your loved one, maintain eye contact and smile naturally. Ask one question at a time and use relaxed body language. Speak with a calm, soothing voice, but avoid baby talk as it can make them feel trivialized or diminished. Facilitating ongoing communication can help individuals with Alzheimers participate in more conversations and activities. It can also relieve stress for the caregiver.Seek support when you need itProviding care for a loved one with Alzheimers can significantly impact caregivers physical and mental well-being, especially as the disease progresses. While caregivers often neglect their own needs to support a loved one, its important to remember that quality care starts with a healthy body and mind. As the need for more intensive care increases, caregivers may want to consider enlisting professional help to alleviate stress and ensure the best possible care for their loved one. Charter Healthcares private duty home care program offers in-home services ranging from a brief visit to 24 hour care, depending on your needs. For more information on private duty home care and other services at Charter, visit our website at charterhcg.com or call 909-644-4965.

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}#

Are you or a loved one struggling with a CPAP to treat obstructive sleep apnea?The sad truth is that many people who have had CPAP therapy prescribed to treat their obstructive sleep apnea are unable or unwilling to wear their CPAP every night for their entire length of sleep. While some patients are very compliant and use their CPAP faithfully every night as prescribed, there is research that suggests that non-tolerance/non-compliance with CPAP is over 80%. Once prescribed, there is usually little follow-up for these patients and like Supreme Court Justice Scalia, many will die in their sleep with their unused CPAP on the night stand or in the bedroom closet.Oral appliance therapy (OAT) is becoming the primary treatment for mild and moderate obstructive sleep apnea when patient preference is taken into consideration. When effectiveness is coupled with actual compliance, the true effectiveness of oral appliances meets or exceeds the effectiveness of CPAP therapy.There are over 100 FDA-approved custom made oral appliances for obstructive sleep apnea and both Medicare and standard medical insurance plans cover oral appliance therapy performed by a qualified sleep dentist.Oral appliances need to be both custom-made and adjustable by the treating dentist over a series of visits with a home sleep test administered after 3-4 months treatment to validate effectiveness.It is important to make sure the dentist is qualified to treat obstructive sleep apnea in that they have one of the following designations:Sleep-Qualified Dentist of the American Academy of Dental Sleep MedicineFellow or Diplomate of the Academy of Clinical Sleep Disorders DisciplinesOSA (Obstructive Sleep Apnea) is found in over 92% of stroke patients and may be a primary cause of A-fib. Treating your obstructive sleep apnea can play an important role in the prevention of cardiac deaths and strokes.If you or a loved one has been diagnosed with A-fib, stroke, recent onset high blood pressure or congestive heart failure and have not yet had a sleep study, it is important to request your physician order one right away.___________________________________________Editors Note: This article was contributed by Terry M. Gordon, DDS Dental Director of PA Center for Dental Sleep Medicine and Sleep-Qualified Dentist of the American Academy of Dental Sleep Medicine, Pennsylvania Center for Dental Sleep Medicine.

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

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

FACT: 1% of Realtors in the United States is qualified to work with Seniors.As a Senior Real Estate Specialist I help seniors navigate the sale of their home by providing a patient, specialized, and compassionate one-stop service from start to finish. My full team eliminates all of the extra phone calls, interviewing, hiring, stress and costs that youll have to endure. A Realtor who knows how to help seniors and their family through this transition of selling their home and downsizing is very important. The National Association of Realtors created a special designation for Realtors who work with seniors. The Seniors Real Estate Specialist (SRES) & Accredited Senior Agent (ASA) credentials guarantees that a Realtor has learned how to be the best best serve the needs of seniors who are selling their home. Call for a list of TRUSTED RESOURCES!

Finding the right Assisted Living Facility for your loved one should be your primary goal when considering placement. Some people do better with a large Country Club setting and some do better in a small family like environment. A wonderful example of this concept is Bayshore Guest Home and Gardens in Nokomis Florida.We are a small 10 bed facility this gives us the flexibility to create a custom care plan for each resident, designed just for their specific needs so they will thrive. We work with Wade Botkin, Psychotherapist LMHC Transitional Therapy and James Cosgrove Elder Care Specialists well as our on staff Case Manager to create the perfect plan for each resident.Moving here with us means you will never need to move again! Just moving down the hall when you are ill or in pain is not a very unpleasant experience. It gives you and family piece of mind to know no matter what may arise health wise that you're not going to have to leave your home. In fact Owner Monica Dowan observed we still have many loved ones of former residents stop in for meals they are still part of the Bayshore Community.The staff is what really sets Bayshore apart explains the Administrator. Our community has not had a citation from (AHCA) American Health Care Administration for over 21/2 years which is relatively unheard of in the senior living industry. We encourage all families to go to AHCH.org to view the surveys of any community they are interested in prior to touring it. We have had many residents come to us receiving Tidewell Hospice Care and their quality of life improved so much living here with us that they are taken off hospice care! All Bayshore caregivers are all extremely experienced, have a level 2 FBI background check and there is staff in the building round the clock. Head staff member on duty always carry the key fab alarm system and with a press of the button law enforcement agencies are contacted. We run our staff through both fire and elopement drills monthly to keep this information fresh on everyone's mind. We also house an AED (difibulator) on the premises that all staff members know how to operate. In an emergency, seconds can save lives but by using all the tools available to us we ensure our residents safety.Bayshore partners with the Nokomis Fire Dept. who actually runs drills right in their community great training for first responders, residents and staff. The Fire Station has a two minute response time to Bayshore Gardens.Bayshore Gardens is a place created with the care and dignity of seniors in mind, Monica Dowan (Owner) with the help of Leslie O'Gorman Harcourt Administrator have been able to bring this vision to life.

There is an important service that should be performed by every Assisted Living Facility when they take on the responsibility of caring for a loved one in your family.In fact I encourage you to add this to your list of criteria when selecting a facility particularly when you are dealing with a senior who is frail or has memory care issues. The question: When a resident is sent out of the facility to the hospital Emergency Room, do they send a person from the facility to act as an patient advocate? An advocate can speak about the medical condition and needs of that resident, can explain the resident's baseline condition, medication list, allergies, recent behavior and issues surrounding the circumstances leading to the visit to the ER.Too often residents get sent out on their own to an ER and the hospital staff don't know the circumstances of the crisis or the background of this resident, now patient. Family members are often summoned to come and help. Many times the family members that can come to the ER are the ones who are most available at the time, but they may not be providing current vital information because they are not up to date on the resident's condition or they don't understand the true medical condition of their loved one. Memory care residents struggling with a crisis can be extremely difficult to deal with and figure out when they are not in the company of an informed advocate.Sending an informed patient advocate to the ER, will lead to a reduction in hospital admissions, a reduction in return trips to the ER, faster recovery times due to better diagnosis and more appropriate medical solutions put in place. There is a reduction in stress for the resident because they have a trusted familiar person with them to help navigate this crisis. The ER doctors and nurses really appreciate having the information and will actually often show preferential treatment in terms of getting this patient taken care of because they have the ability to order tests and eliminate probable causes faster. Make sure your loved one has someone to speak on their behalf when they get sent to the ER.Editor's Note: This article was submitted by Russ Udelhofen,Administrator ofJaxpointe Assisted Living and Memory Care Homes. He can be reached at info@jaxpointe.com.

Communication in Long Term Care Settings: Tips for LTC FacilitiesCommunication between Long Term Care Facilities with a family member, can go a long way and set a very strong foundation for the families to feel assured and safe with their loved ones care. With the set back of COVID-19, along with other barriers there has been a change in the typical customer service communications. There are many psycho-social studies that show there is already a lot of guilt, stress, anger, exhaustion, financial burden, and distrust by the time that they reach the point to admit their loved one in LTC setting. It is crucial to be extra sensitive about his matter when assisting a family member in this process.Long Term Care Communication Tips:Reduce Confusion: Upon admission is the best time to reduce confusion by taking time to explain Director Roles, also be sure to provide them with their cards so that they can make notes of who will be calling and the purpose of the communication.Visitation: It can be very frustrating for families when they do not understand or have a very clear picture of the visitation process.High Communication: Communication is key, when you are dealing with peoples loved ones, whether it is financials, health insurance, hospitalizations, new treatments, progress, or onset of new illnesses. Communications leads the way to a happy family and a happy resident.This article was submitted by Valerie Niebrand withHighlands Guest Care Center.

Resources to aid individuals and families in deciding if aging changes are affecting a persons ability to drive safely. Some issues to be considered include eyesight, medication effects, physical fitness, reflexes, mental sharpness, hearing and memory.#listing_mgr{7 basic_search}#

For many of us, supporting our favorite charities is an important way of helping others and advancing causes that we believe in. Did you know that there are also many ways you can personally bene?t from such acts of generosity?Most important, of course, is the satisfaction you get when helping a charity that is dear to your heart. But your gifts, when planned smartly, can also help you even financially. Here are just three examples: Gifts of Appreciated Stock or Mutual Funds Gifts of appreciated securities, when held longer than one year, allow you to make a gift at a fraction of its cost. Lets say you bought XYZ stock a few years ago at $25 a share and its now worth $50 a share. If you transfer those shares directly to your favorite charity, your gift is valued at its current value rather than what you paid for it. And, as long as you transfer the gift directly to charity, you avoid paying tax on the capital gain. Charitable Gift Annuities A charitable gift annuity helps a charity to achieve its future goals while providing you (and/or someone you love) with an income stream for life. The rate of payment is based on your age and never changes. (The older you are, the higher the payout rate). Payments are partially tax-free for a period of years, and a charitable income tax deduction is also available if you itemize your deductions. You need to keep in mind that such a gift is irrevocable, but so is the charitys obligation to pay you for life. IRAs Gifts through your IRA provide yet another opportunity. Possibility 1: if you are age 70 or older, you can direct up to $100,000 a year to charity from your IRA. Although you wont receive a charitable tax deduction, neither will such a distribution count as taxable income. (Keep in mind that the distribution must go directly from ones account to the charity.) Possibility 2: make charity a full, partial or contingent beneficiary of your IRA upon your death. IRA funds left to loved ones can be heavily taxed, but giving these funds to charity can allow you to direct other assets to loved ones, with potentially favorable tax treatment. The Society of the Little Flower would be happy to provide additional information about these or other ways to help both your favorite charity and yourself. Elizabeth Wesel in our Special Gifts office can be reached at 888-996-1212 or elizabeth.wesel@littleflower.org.Editors Note: This article is intended to provide general information and is not meant to provide legal, tax or ?nancial advice; always consult a trusted professional about these or other giving opportunities.

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

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.

Stress, you have it, I have it, we all have it and it doesnt look the same for everyone.Stress can look like emotional distress that can be seen by others: the agitation, anger, or tremors. Or maybe your stress is more subtle, maybe you dont even think of it as stress, such as you can no longer handle certain types of foods, whether its nightshades, gluten, corn, or wheat, those are all signs of stress on the body.More dramatic cases of stress can lead to diseases; heart disease, blood sugar disorders from lack of a proper diet, due to stress not eating properly, or other life threatening conditions.So what can be done for stress? There are options: meditation, relaxation, a vacation, exercise or more direct therapies such as Emotional Freedom Technique (aka Tapping), journaling, and biofeedback.What we see too much of when dealing with stress is resorting to drugs. Some drugs lead to addictions and side effects, and more problems rather than solutions. Most drugs only mask the real problem.So why does it seem younger people are more active, vital, and interested in life? What happens to us?As we go through life we compound stress, one stressor added to another. Dysfunctional family life, maybe the break up in high school, unplanned pregnancy, marriage, raising a family, divorce, the death of family and friends. All those things build up stress and create reactions in the body.No wonder when we look at our aging population we see numerous ailments: emotional distress, grief, depression, and in many cases just overwhelmed by life. Old life traumas built up over time and create havoc in our lives.If you were to look back on your life, whether young or old, and identify the stressors in your life, that will give you a great measuring tool for your current state of health. Take action to clear old and current stress so that you can live life to the fullest!Editors Note: This article was written by Jodie MacTavish, CBP, ATC, who is a Certified Biofeedback & Auricular Therapist with Healthful Transformations. In the Grand Valley area she may be reached at 360-624-3332 (c) or by email at: Jodie.MacTavish@gmail.com

To learn more aboutSolstice Senior Living at Sandy, CLICK HERE.Every move comes with the opportunity to personalize a new space and build a place that feels like home, and moving to a senior living community is no different. (With the added bonus that your new home comes with great amenities and a built-in community!) When making the move to senior living, many residents go from a full-size house to a smaller apartment. We previously offered tips onhow to downsize your things without downsizing your life, but now we want to focus on the fun part: making your new apartment feel like home.Find a style you love.Whether its minimalism, mid-century modern, farmhouse or something totally unique, find a style you love and design your home around it. Moving is the perfect time to explore a new style and switch things up, so get creative with it and embrace this opportunity to reinvent the wheel. It doesnt mean you have to completely start over, but maybe you want to upgrade certain items in your home. It can even help to note your favorite pieces of furniture that you already own and use that as a jumping-off point to design the rest of your space.Show off your personality.Your home should reflect who you are. Whether that means choosing wall art that has sentimental value, displaying items that relate to your hobbies and interests, or filling your home with photos of your family and friends, this will bring the feeling of home with you wherever you go. Some ideas to get you started are displaying things like instruments, handmade items such as blankets youve crocheted or knitted, framed collections of art or a personal collection, and dcor or pieces that are tied to fond memories.Use bright colors.Unless you simply prefer dark colors, bright colors are the way to go, especially in a smaller space. You may not have control over how much natural light your apartment gets; but sheer, white curtains can do a lot to brighten a smaller room. Use bright accent colors in decor such as wall art, throw pillows, bedding, fresh flowers, tableware and anything else you want. Its your home, so have fun with it!Make it home for your pets, too.If youre not a pet person, you can skip this one; but if you are, then you know how much love and warmth pets bring to a home. All of our communities are pet-friendly, and we encourage residents to make their furry friends feel at home. You can even use pet accessories as decoration for things like pet beds, food bowls, toy bins and blankets. Its just one more thing to make your home feel even more personal. And we know your pets will love it, too!Invite people in.Nothing makes a place feel like home more than filling it with people you love. While visitors may have to be virtual right now, you can still host virtual housewarming get-togethers. When safety precautions allow in-person visitors, having family members over and hosting things such as game nights can be a great way to bring warmth and laughter to your new home.We hope this makes you excited about all the different ways you can make your apartment feel like home. Once youve settled in, dont forget to tag us on social media if you share photos of your cozy new home!

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

A Reverse Mortgage is a great way to address deferred maintenance and safety issues needed for you or your parents home. Most homeowners may not consider the safety issues caused by deferred maintenance to ones home as a concern or long-term objective, as the concept of home safety is normally seen as establishing your home safe from immediate danger, risk, and injury. Moreover, it is equally important to maintain a safe environment that comes with a necessary standard of living to avoid unnecessary injury and enjoy greater health and longevity.The trend in deferred maintenance with our senior citizens is concerning. The greater issue with deferred maintenance is that it only grows in scopeand costthe longer it is prolonged as it is not uncommon for a repair to turn into a replacement because in the process of being deferred, it becomes completely broken.As homeowners, you may have heard of reverse mortgages from any number of sources. Reverse mortgage loans, the government-insured version called Home Equity Conversion Mortgages (HECMs), are home loans that enable seniors to access a portion of their home equity without having to pay a monthly mortgage principal and interest payment. A reverse mortgage can bea safeplan that can give older Americans greater financial security when making decisions on necessary home repair. Many seniors use it to supplement fixed income, meet unexpected medical expenses, make home improvements, and more.However, the important question is what are the features of this loanand are they right for you?How can a reverse mortgage help me with retirement planning?Here are just a few ways a reverse mortgage loan can help.Eliminate monthly mortgage principal and interest paymentsYou remain as the homeowner and stay in your homehow you spend the proceeds of the loan is up to youHow do I qualify for a reverse mortgage loan?There are just a few eligibility requirements to qualify for a reverse mortgage.Borrower must be aged 62 or olderThe borrower must own the homeThe home must be and remain the borrower's primary residenceWhat are my obligations as a borrower?A reverse mortgage loan is a loan like any other, and there are terms that must be met by borrowers. For instance, you are responsible for paying your property taxes, homeowner's insurance, and the home must be well maintained at all times. The loan only becomes due and payable when the borrower moves away, passes away, sells the home or defaults under these terms.The concept of home safety although should cover the immediate dangers, risks, and injury, should also include a safety and stability for the future.For more information and to see if a reverse mortgage is right for you, feel free to contact me.Loan OriginationIf you are curious about how to purchase or refinance your home with a Reverse Mortgage, I would be happy to talk to you personally about meeting your financing needs at no cost or obligation to you. If you have any questions regarding this information, please call me at your convenience.Mark E. Ary, MBASenior Licensed Loan OriginatorNMLS License # 499320NAR License # 258006473FAR License # 3078731Notary Public"Experience and Integrity... It Matters""What sets me apart from my competition is that myrates and fees are among the best in the nation."Trust Mortgage Inc.1222 SE 47th Street Cape Coral, FL 33904(239) 549-1997 Direct(239) 215-8436 E-FaxFinancing@TrustMortgageInc.comwww.TrustMortgageInc.com

Back pain is a common problem that affects at least 75 to 85 percent of Americans at some point in their lifetime. The causes of back pain vary, but are most often due to muscle strains, accidents, or injuries; other causes are related to lifestyle factors. If you are suffering from chronic back pain, these helpful tips may provide some relief.Get a good nights sleep.Did you know a lack of quality sleep can worsen back pain? To help keep your back in alignment, invest in a comfortably firm mattress. You may also want to try different sleeping positions, such as lying on your side or placing a pillow under or between your knees.Exercise regularly.When suffering from back pain, exercise has been found to effectively reduce or alleviate symptoms. In addition, strengthening your back muscles helps support your spine. Get moving with slow, gentle exercises - such as swimming, walking, or yoga - and increase your pace or intensity if possible.Maintain a healthy weight.One of the best ways to avoid back pain is to keep off those extra pounds and maintain a healthy weight. In addition to regular exercise, eat a healthy diet full of fruits and vegetables, and low on sugar and processed foods.Stretch to improve flexibility.Regular stretching - such as before bed, exercising, playing sports, or heaving lifting - is key to staying flexible and avoiding back pain. Simple stretches, such as bending side to side or bending forward, can improve blood circulation to the back muscles and reduce injury.Practice good posture.Poor posture, especially if you sit for long periods of time, can cause back pain or make it worse. Avoid slouching or slumping over your keyboard. Instead, remind yourself to sit up straight and keep your shoulders relaxed. If you dont have an ergonomic chair for the office, try putting a pillow behind your lower back for extra support.Apply heat or cold.If you suffer from muscle spasms, cramps, or back strain, heat therapy (such as with a heating pad) can help provide some relief. Additionally, regular applications of cold therapy (using ice packs) can help reduce swelling and inflammation. Try either therapy several times a day for about 20 minutes.In the majority of cases, back pain gets better with non-surgical methods. However, back pain can be a symptom of other underlying issues that may require medication, physical therapy, or even surgery.If you suffer from persistent back pain, Coastal Orthopedics is here to help. Our orthopedic specialists are committed to developing the right treatment options best suited for each patient so that they can get back to living life.Written & Submitted By: Coastal Orthopedics- Click here for more information*

Respite is a period of rest or relief for those who give constant care to an ill person. Many senior living communities offer this service. Please refer to our housing grids. RespiteAssistance Funds-Providing financial assistance for respiteservices to family caregivers of older adults in Boulder County. Call your local Resource Specialist.#listing_mgr{1 basic_search}#

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

There are simple ways to protect your joints, reduce strain, and improve how you function each day as you age. Here are nine tips that could make a big difference: Replace energy drinks and soda with water Water makes up about 80 percent of your bodys cartilage. If you dont stay well-hydrated, your body pulls water from cartilage and other areas, which can wreak havoc on your joints. Hang out at the salad barPopular salad bar veggies such as romaine and Bibb lettuce, broccoli, spinach, kale and parsley can slow cartilage destruction and reduce bone loss that occurs with age. Move aroundAlternate between sitting and standing to prevent stiffness and strain and make time for simple stretches throughout the day. Kick buttPeople who smoke have a greater risk of fracture than nonsmokers. In fact, smoking can reduce bone mass, which can lead to osteoporosis.Resolve to reduceEach extra pound you gain puts four times the stress on your knees. The flip side is that even a small amount of weight loss will give your knees relief. Losing as little as 11 pounds can improve joint health and cut your risk of knee osteoarthritis by 50 percent.Build strong bonesA diet rich in calcium helps keep your bones sturdy and can lower your risk of osteoporosis. Try these non-milk sources: yogurt, broccoli, kale, figs, salmon and calcium supplements. Cut back on caffeineWhile you may like that extra burst of energy in the morning, resist those extra cups of coffee. Extra caffeine can weaken your bones.Take your vitaminsTaking a multivitamin is a good way to get the nutrients you may lack in your diet. Strong joints benefit from bone-building calcium and vitamin K, tissue-repairing vitamin C, pain-relieving vitamin E, folic acid and more.Try low-impact exerciseLow-impact exercise can offer the same calorie-burning benefits without the painful pounding. Golfing, swimming, yoga, Tai Chi, and cycling are easier on the joints.Editors Note: This article was submitted by Elise Itano, MD. Dr. Itano is a physical medicine and rehabilitation specialist (also known as a physiatrist) with Boulder Medical Center. She may be reached at 303-666-2651. Learn more about Dr. Itano at www.bouldermedicalcenter.com.

Its the midnight call that can strike terror in the hearts of so many local family caregivers.Mom has suffered a stroke, or Dad accidentally overdosed on his medications.Resources are available for those adult children who live in fear of getting the call that tells them their senior loved one is in trouble. Research conducted for the Home Instead Senior Care network has revealed that many grown children dont know all they should about their older adults medical histories.*Weve seen the turmoil that such an emergency creates and weve also witnessed how much smoother it can go when families are prepared, said Mike Levine, owner of the Home Instead Senior Care office in South Sarasota County. This resource will provide family caregivers with the tools they need to be ready for the unexpected.The Caring for Your Parents: Senior Emergency KitSM, an informationmanagement tool, can help family caregivers keep important information at their fingertips such as their seniors doctors, pharmacy and insurance company, medications and dosage details as well as allergies.Editors Note: For more information, go towww.SeniorEmergencyKit.com or call yourlocal Home Instead Senior Care office for a FREE Senior Emergency Kit of your own at 941.234-0213.

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

Infusion therapy services are planned before a patient leaves the hospital or doctors office in conjunction with a nurse liaison. The ordered drug is prepared at a specialized pharmacy and shipped directly to the patients home. A plan for administering intravenous treatments includes diagnosis, type and length of therapy, severity of the illness, and the home infusion responsibilities for the patient, their family, and professional caregiver. Home infusion calls for time commitment, patience, and collaborative teamwork, but the time will vary depending on the illness.Infusion therapies provided in a home setting by a registered nurse may include the following:Antibiotic Treatment often given over 30 to 60 minutes using an IV dripSteroid Treatment usually a 2 hour infusionIntramuscular Injections (IM) Vitamin B 12 or Bicillin injections typically for the treatment of Lyme DiseaseWith the assistance of a registered nurse experienced in infusion therapy, patients can be assured that they will be cared for by a qualified professional who will recognize their unique requirements and attend to them resourcefully.One to one personal care allows time for the patient to be able to understand their diagnosis more clearly, ask questions freely without time constraint, get to know and feel comfortable with their nurse. Continuity of care builds a trusting relationship and a solid understanding of what home infusion is all about. It enables opportunities to engage/teach patients about their own health while looking at the whole picture and educate when and where it's needed. The ability to communicate with pharmacies and doctors to inform them of how their patients are doing first hand and if a problem were to arise is important so it can be handled in an appropriate time frame. Communication between patient, nurse and doctor is vital for a successful outcome.For a more detailed plan you can call/text Kimberly direct at (203) 515.3293 or Email any questions to:kimberlykares3293@gmail.com and/or go online to read and get more information at: kimberlykares4u.comThis article was submitted by Kimberly Cossuto, RN, BSN, owner of Kimberly Kares LLC, an experienced infusion therapy service working with families throughout Fairfield and Eastern Westchester Counties.

Care for your feet so they can care for youDid you know that by age 50 the average adult has walked 75,000 miles? And with life expectancy going up each year, that is many more miles that we should expect to walk.No foot pain is normal, even as we age. Many of our older loved ones may chalk up foot pain to the aging process and ignore it. Worse yet, they often cut back on activities to try to prevent pain, causing other health risks. Our feet often provide early indications of conditions such as diabetes, arthritis, or circulatory disease. All pain should be referred to a podiatrist for diagnosis and treatment.According to the US National Center for Health Statistics, impairment of the lower extremities is a leading cause of activity limitation in older people. The NCHS also reports that one-fourth of all nursing home patients cannot walk at all, while another one-sixth can walk only with assistance. Poor foot care can contribute to these statistics. However, there are solutions.The most important solution is daily foot care.Often, care beyond the daily bath or shower is difficult for older adults due to challenges bending down or seeing their feet, so its important that we help out weekly, if not daily.Some things to pay attention to include:Toenail length. Toenails should be trimmed straight across and kept short enough so they do not press on neighboring toes.Blisters, cuts or scratches. These can lead to infection if ignored. Thinner, aging skin can make it easier to bump or bruise our feet, allowing for the entry of bacteria.Dryness. Cracks in the toes or heels can also allow bacteria to enter. Moisturize regularly with a moisturizer made specifically for feet.Callouses or corns. These are often signs that perhaps shoes are not the right fit.New moles or discolorations. Check for any new moles or discolorations, including between the toes and on the bottom of the feet. Immediately bring these to a dermatologists attention.Swelling. Many health risks, including diabetes, injury to the leg, or circulatory issues, will show up as swelling in the feet.Sensitivity or lack of sensitivity. Either one of these can signal nerve damage and should be investigated right away.Sources: American Podiatric Medical Association and Australian Podiatry Association SourceChoosing a PodiatristFeet are complex anatomical structures that require expert care. Be sure your loved one is seeing the most qualified healthcare professional to treat their feet by looking for DPM (Doctor of Podiatric Medicine) after his or her name. This means a physician has completed years of rigorous foot and ankle training in podiatric medical school and hospital-based residency training, making him or her uniquely qualified to care for this part of the body.Source: American Podiatric Medical AssociationTime for New Shoes?A properly fitted shoe should have the following characteristics:At least one inch (a thumbs width) between the end of the shoe and the longest toeRoom to pinch some material at the sides or top of the shoe for widthA shape that matches the shape of and conforms to the foot (No human has a foot shaped like the point that many dress shoes have. Flip flops and unsupported sandals can lead to falls.)A firm heel area (Press on both sides of the heel area to ensure that the heel is stiff and wont collapse.)A flexible shoe box to allow for a natural heel to toe walking patternA firm sole (Try to twist the shoe from side to side. It shouldnt twist in the middle.)A shoe with a firm sole and soft upper that can be laced, buckled, or strapped to the foot is best for daily activities. Measure both feet late in the day and buy the shoe that fits the larger foot. If your podiatrist has prescribed orthotics, take them with you and try them out in the shoes youre considering.Sources: Advanced Foot and Ankle Care Centers, Australian Podiatry Association, American Podiatric Medical Association and US Department of Health and Human ServicesTesting the Shape of a Shoe for FitRemove the insert of the shoe and trace it on a piece of paper. Have your loved one stand on the tracing and trace their foot. Their foot should fit within the boundaries of the insert tracing.Written & Submitted By: Gulfshore Home Care- click here for more information*

For more information on the author Just Like Family Home Care, CLICK HERE.Its easy for those with hectic lifestyles to forget that isolation is a powerful thing. As you go about your day to day life, you probably long for a quiet moment here and there.For those forced to deal with long term isolation, the pattern flips. When it comes to senior isolation, activity, care, and a bit of noise are welcome distractions.In the recent past, studies have demonstratednumerous health impacts from isolation. With the ongoing ravages of the COVID-19 pandemic, you hardly need a study to tell you that restrictions on access to the external world causes problems.How can you make sure your seniors are coping and being cared for in this dire time? Read on for a rundown of options and services.Isolation PermeatesIt sounds contradictory but the issue of isolation spreads. If you feel cooped up and unable to get out, the people you normally spend time with have one more reason to feel likewise.For reach link in the chain, the next link is missing a similar connection. For those with only a scant few links to begin with, the loss of a connection hits much harder.In the US more than 27% of adultsover 60 live alone. This number increases every year (of age) and women are 20% more likely to live alone than men towards the end of life.These figures are a problem in and of themselves, currently, they carry a more dire weight. Isolation directly affects the immune system and especially reduces defense against viruses. Reaching out to those at higher risk of feeling isolated and those who suffer from the many risks of isolation is crucial.Senior Isolation RisksIsolation comes with a set of direct risks and indirect risks.Direct RisksIn addition to the risk of lower viral resistance cited above, other direct mental and physical health effects impact isolated seniors more.Those left alone often find it difficult to stay motivated or stick to a schedule. These lapses being to mount and produce greater weaknesses. Once a person feels incapable of performing simple tasks due to physical or mental infirmity, they avoid the tasks and, worse, often retreat from situations that might involve those tasks.This spiral of self-imposed isolation on top of the situational isolation makes it hard to speak out about problems or for those on the periphery to identify issues. Symptoms of progressive but low-grade problems, such as depression, may go unnoticed well beyond the stage where aide can be offered.Indirect RisksOne of the reasons that seniors are often relegated to homes and assisted living facilities is because they require extra care.Seniors that go for too long on their own are more prone to accidents and injuries. These injuries may be minor but without proper care, they can become infected or increase in scope.Typical forms of self-care in adults are problematic enough, in seniors the entrenched reasoning associated with minor poor decisions is worse. Where an adult might overindulge in ice cream after a bad day, a senior is likely to overindulge and then forget about the frequency.Without anyone watching out for their diet they are more prone to diabetes and high blood pressure from dietary choices on top of the increased risks that present with age.Senior Isolation SolutionsPreventing issues with senior isolation come in two varieties as well: intervention and coping mechanisms.Intervention CareFor those with even a single elderly parent to look in on, the time can seem to evaporate, leaving to dos spilling over from one list to another. With the extra time sinks of children at home and remote work, this time feels more crunched.Looking into senior home care servicesis a solid first step in creating more time.Senior home care provides a bevy of options to meet a need and the training necessaryto ensure safety for your senior.Senior home assistance puts an extra player on your team to help cover all the things that you need to get done. They also work to provide the following benefits.Community InvolvementBeing involved with a community (and family) requires more of a remote approach now but is still important. Phone conversations have become impersonal and distant forms of communication. Many families are using facetime and remote viewing technology to keep a firmer presence in each others lives.For seniors, this technology can be difficult to access and maintain. Home care providers or a dedicated setup day both help to make this connection possible.Keeping seniors working and occupied in some sense also helps. Volunteer activities in your area always need hands and time. Pick up and drop off of bulk materials in need of processing can be rewarding and lowkey for seniors.TransportationThe biggest factor in feeling isolated is often feeling trapped. Even if you have nowhere to go, the ability to go provides comfort.Taking a drive to see the country or to a quiet place for a light walk can feel like a relief after days at home. Even being in a vehicle for the purpose of running errands gives a senior a chance to experience a change of scenery and feel the wider world at work.Medical VisitsPreventative health and frequent checkups are both needed to give a senior in peak shape for longer. However, both of these types of visits are extra frustrating right now.They often take extra time from backlogs in offices or are being conducted remotely through apps. In either case, in-home assistance for the elderly makes a difference in keeping these appointments flowing. Whether this is setting up a computer for the purposes of a remote visit or sitting with them in a safe environment while waiting for a test, having someone there has a big impact.Mealscooking for one is already difficult. Having the energy to cook is an added issue. Finding the wherewithal to cook for one when bored and annoyed tends to lead to poor meal decisions and high levels of snacking.Meal preparation is a rewarding way to spend time with a senior and to provide them with assistance that isnt overbearing.Get them in on the planning of meals and prep the difficult pars so that they can complete meals on their own.IncontinenceIssues with incontinence are some of the most embarrassing and frequently cited reasons that seniors self-isolate.Nobody likes to need help in general, but its especially tough for the more intimate issues. Having a frank discussion with a senior and planning for ways to deal with incontinence helps provide autonomy.Just Like Family services offers experience in broaching this topic, enabling a senior to engage in social situations with confidence.InterestsEngaging in a pastime that feels reward is difficult when there is nobody to share it with. Many pastimes are social in nature and those that dont have social components.Art projects and crafts need a reveal and an audience to not feel like busywork.Engaging with a senior periodically gives them a reason to work in the time between visits. Its important to both generate an interest and to support that interest by being interested yourself.Coping MechanismsSenior home care services and direct intervention in senior lives are important. Its much more difficult to feel isolated and to fall into the damages therein when theyre not isolated.But nobody has infinite time and there are instances when seniors will be left alone. To stave off the problems its important to develop coping mechanisms and systems with your senior.Remember that you also need to learn to deal with isolation for coping with current events and your own future.PetsA pet is a constant companion that fills the void with noise. Pets provide a lot to humans, its why theyre so prolific.However, a pet also takes time and effort to care for. Dont select a pet that will be a big burden. Avoid breeds and animals that are fragile or high-strung.ExerciseExercise sharpens the mind and the body. Exercise also feels like an enormous chore that nobody wants to do.Building an exercise routine for the whole family is a great way to keep yourself and seniors interested. Start a competition (friendly, of course) to encourage everyone.When people move they feel better. Just Like Family knows how to keep it positive and about the doing, not the results.PurposeFinally, remind seniors that they have a purpose. Its far easier to put in the effort today if it is part of a whole. People need to know that they matter and that the things they do matter.Even the hardships you face must count for something (especially the hardships). Talk about your hopes and dreams and suss out what is next on the list of accomplishments for your loved ones.Dont focus too much on the now of survival but the tomorrow of doing and being more.Be MoreSenior loneliness is a problem that has needed to be addressed for years. Too often senior isolation is a product of a world too busy to care. Right now, with so much happening, taking the extra time to let a senior know that you care and are working with them makes all the difference.

The Baby-Boomers emerging Age Wave makes looking into Long-Term Care insurance protection a must. Chances are much better that we will outlive our parents, and being able to afford the quality and duration of care makes out-of-pocket pricing impossible without planning.Designing a policy requires answering several important questions:- How much benefit will you need?- How long would you like the policy to pay a benefit?- What type of inflation rider should be added?- Your age, current health, and choices you make, will make up a policy premium.But arriving at the answers requires meeting with an experienced professional who specializes in these products so that a proper comparison can be made. Certain health conditions are insurable, but not with every carrier. There are plans that can be shared and there are plans that return your premiums if you somehow manage not to use the plan. It is much more complicated than you think, but with help, a successful and valuable solution can be found AND..it is more affordable than most people think.To arrange for an educational meeting to learn all you can about these valuable products, it just takes a phone call. I offer a complimentary first meeting with no obligation.Editors Note: Contact Rosemarie Hurley, Long-Term Care Insurance Specialist, at 239-274-6678 or at www.longtermcareinsurance-online.com

With aging comes many changes that affect health and how health is managed.Seniors are more likely to have one or more chronic health issues such as diabetes or heart disease. With more illness comes the need for more medication.The average senior will take more than four medications daily either to treat or to prevent disease.The more medication one takes the more potential there is for the medications to interact with each other or to cause an adverse effect on the person taking them. Seniors are more likely to be hospitalized for adverse medication effects such as falls, fractured bones and confusion.Polypharmacy, too many pills, occurs when a senior is taking four or more medications.The best way to minimize polypharmacy is to regularly review medications with your primary care provider by bringing in all your medication bottles as well as any nonprescription medications you take to each regularly scheduled appointment.It is important to work with your primary care provider to reduce medications whenever possible.A senior should not stop taking a medication unless the decision is made in collaboration with their primary care provider.The time of day a medication is taken can affect how well it will work. Some medications, like thyroid pills, need to be taken on an empty stomach while others, such as pain medications, should be taken with food.Some medications, like cholesterol lowering drugs, work best at night.A primary care provider or the pharmacist can help determine the best time for you to take a medication.Remembering when to take medications is best achieved when medications are taken no more than once or twice a day.Medications have a place in helping to keep a senior healthy and free from disability but they must be managed appropriately. To do this effectively, a partnership must exist between the senior and the primary care provider that takes the seniors health goals into account.Editors Note: This article was submitted by Karyn P. Leible, MD, FACP. Dr. Leible is a board-certified geriatrician with Centura Health Physician Group Church Ranch Senior Health and may be reached at 303-925-4040 or by email at KarynLeible@Centura.org

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

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

Many elderly people struggle over time with long-term and short-term memories. There are different ways to help avoid a rapid decrease of memory skills according to various studies. Below are 6 ways which might help you strengthen your memory.1. Meditate To Improve Working MemoryMeditation helps you to become mindful and gain control over thoughts. It strengthens the ability to focus and sharpens the mind. You can use the app CALM to help you guide through meditation or just follow these easy steps: The first step is committing to a regular, daily practice at a convenient time Find a quiet place to relax and sit comfortably Breathe deeply Take a few moments to settle into your body. Gently observe your surrounding with your senses (excluding your vision) Start focusing solely on breathing and the sensations around it. How the oxygen moves through your nose into your lungs and out again. Thoughts will come and go. Acknowledge them and let them go.2. Drink Coffee To Improve Your Memory Consolidation.Michael Yassa, an assistant professor of psychological and brain sciences at Johns Hopkins, and his team of scientists found that caffeine has a positive effect on our long-term memory. Their research, published by the journal Nature Neuroscience, shows that caffeine enhances certain memories at least up to 24 hours after it is consumed.Weve always known that caffeine has cognitive-enhancing effects, but its particular effects on strengthening memories and making them resistant to forgetting have never been examined in detail in humans, said Yassa, senior author of the paper. We report for the first time a specific effect of caffeine on reducing forgetting over 24 hours.3. Eat Berries For Better Long-Term Memory.In a study published in the Annals of Neurology in April 2012, researchers analyzed blueberry and strawberry intake and memory capabilities of 122,000 nurses ages 30 to 55. Data had been collected for 25 years. Participants who ate the most blueberries and strawberries showed less memory decline in later adulthood, by up to 2.5 years than non-berry eaters. A smaller study featured in the Journal of Agricultural and Food Chemistry in 2010 showed that drinking blueberry juice daily for 12 weeks improved older adults learning and memory skills by 20 percent.4. Exercise To Improve Your Memory RecallIn a study done at the University of British Columbia, researchers found that regular aerobic exercise, the kind that gets your heart and your sweat glands pumping, appears to boost the size of the hippocampus, the brain area involved in verbal memory and learning. Resistance training, balance and muscle toning exercises did not have the same results.The finding comes at a critical time. Researchers say one new case of dementia is detected every four seconds globally. They estimate that by the year 2050, more than 115 million people will have dementia worldwide.5. Chew Gum To Make Stronger MemoriesThere are three main potential explanations, says Scholey. In March 2000, Japanese researchers showed that brain activity in the hippocampus, an area important for memory, increases while people chew but it is not clear why.Recent research has also found that insulin receptors in the hippocampus may be involved in memory. Insulin mops up glucose in the bloodstream and chewing causes the release of insulin because the body is expecting food. If insulin receptors in the brain are involved in memory, we may have an insulin-mediated mechanism explaining our findings but that is very, very speculative, Scholey says.But there could be a simpler answer. One interesting thing we saw in our study was that chewing increased heart rate. Anything that improves delivery of things like oxygen in the brain, such as an increased heart rate, is a potential cognitive enhancer to some degree, he says.But a thorough explanation for the findings will have to account for why some aspects of memory improved but others did not, Graham says. She points out that gum-chewers ability to quickly decide whether complex images matched images they had previously been shown was no better than the controls.6. Sleep More To Consolidate Your Memories.Researchers have tested this process by teaching people new skills and then scanning their brains after a period with or without sleep. When people have a chance to sleep, for example, after practicing a skill similar to piano scales, the centers of the brain that control speed and accuracy are more active than those regions in people who havent slept. Scientists think that while we sleep, memories and skills are shifted to more efficient and permanent brain regions, making for higher proficiency the next day. In fact, sleeping shortly after learning new information has been shown to help retention. Some research indicates that when people learn before going to sleep (or even before taking a nap), they remember the information better in the long term.Keep in mind that our home health care professionals can always assist with activities to improve your wellbeing. Benefit from Just Like Familys yearlong experience as a home health care provider here in Naples, FL and call us for a free consultation under (239)431-6661Submitted and Written By: Just Like Family Home Care - click here for more information

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

March 14, 2020Ifyou're related to a loved one in the hospital, rehab or living in a retirement community, you may have received a message by now that they're limiting non-essential visits. In some cases, they're limiting almost all visits apart from in-house medical staff. This is for the best, as we now know the most affected population of the coronavirus is the elderly and immune compromised.Should you move them from their community, or otherwise, to bring them home?It really depends. In any type of care facility, hygiene considerations are already a priority which is a reason to leave well enough alone. However, there is is still concern over the spread of germs just by virtue of the amount of ill people being concentrated to one area. That may be true for a rehab or hospital, but an assisted living is not a high concentration of sick people, just elderly people. Each individual or couple also has their own room where they can easily separate from others.My inbox is flooded right now with updates on how each community and facility is handling the coronavirus.If you're concerned, read these types of communications thoroughly and call with any questions that are specific to your loved ones situations. Hopefully you'll be able to make the determination of whether your loved one should stay or come home.Should you move them from their community, or otherwise, to bring them home?It really depends. In any type of care facility, hygiene considerations are already a priority which is a reason to leave well enough alone. However, there is is still concern over the spread of germs just by virtue of the amount of ill people being concentrated to one area. That may be true for a rehab or hospital, but an assisted living is not a high concentration of sick people, just elderly people. Each individual or couple also has their own room where they can easily separate from others.My inbox is flooded right now with updates on how each community and facility is handling the coronavirus.If you're concerned, read these types of communications thoroughly and call with any questions that are specific to your loved ones situations. Hopefully you'll be able to make the determination of whether your loved one should stay or come home.If your elderly relative or friend is already home, there are no shortage of questions about how to continue supporting them:Should they keep scheduled appointments?If it's something preventative and easily rescheduled, put it off. Why take the risk? If the appointment is hard to come by or required (ie - dialysis) then yes, it would make sense to go. It wouldn't hurt to call the location to concur or see if they can offer other options.Should seniors be traveling?They saw cruises were cheap right now:Airports, cruises, tourist attractions, etc go against the precaution of keeping social distance. With that said, all these locations right now are fairly vacant, but that's because everyone is doing their part to help stop the spread of coronavirus. The elderly and immune compromised should seriously consider if a cruise is worth the risk of landing in the hospital. (As tempting as it is.)I visit my aging parents daily to help keep the house running and for check-ins, should I still do that?Caregivers should practice extra precaution regarding hand washing, social distancing from others, and being mindful about their own health symptoms (ie - don't justify a cough as allergies). Family should have a backup plan to care for their loved one in case the caregiver gets sick. Planning also helps reduce panic and anxiety, so communicate a care plan among family members. There should also be something in place that allows the elderly to receive ongoing food and medication. Most people are hoarding right now, so that's easier said than done, but if you're not able to supply them with food or medicine, have a contingency in mind for a delivery service.How can I stay connected with my elderly family if I can't visit?If you've read my blogs before, you knowI'm a big fan of leaning on technology to help the Sandwich Generation manage the responsibilities of aging parents.If you've followed my advice, start calling them on the phone or use Alexa, Facetime, etc. If staying connected is more a concern of just keeping your loved one engaged,make sure they're set up with other activities for the next couple of weeks. Install an app for backgammon, drop off everything needed for a knitting project, or get them started on a new Netflix series.Author:Quentara Costa helps the sandwich generation prioritize kids, self, and aging parents. For years Quentara was the primary caregiver for her father who was diagnosed with Alzheimer's at the age of 70. Since his passing, shes become a mother of three. Professionally she received a masters degree in Personal Financial Planning from Bentley University and has held the CFP designation since 2010. Community involvement includes hosting the Merrimack Valley Senior and Caregiver Group and volunteering for Budget Buddies.

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.

There is a place where more people live longer and healthier lives than anywhere else on Earth: Okinawa, Japan. Okinawans are 3 to 7 times more likely to live to 100 than Americans. Even more remarkably, heart disease, cancer, dementia and other conditions are rare. Gerontologists assert that up to two-thirds of our lifespan is in our control, not attributable to genetic make up with some basic lifestyle changes we Westerners can also increase our lifespans and health spans. Based on these studies, The Balanced Care Method is a revolutionary approach to senior care.A steady diet of mackerel, tempeh, seaweed, sweet potatoes, and green tea is probably not realistic for most Westerners. Neither is walking daily between villages, yet there are many ways to implement the principles of the Okinawan lifestyle within a Western framework: Dietary Factors: The Okinawan diet is plant-based, low in protein and high in fiber, omega-3 fatty acids and flavonoids. It includes plenty of fruits and vegetables and very low levels of saturated fat and sodium. Exercise Factors: Okinawan elders have life-long routines of moderate exercise and physical activity. They walk most places they go, keep up daily tasks like housework, gardening and working well past the age of retirement in North America and practice the soft martial art of tai chi. Sense of Purpose and Active Social Ties: Okinawans inner calm and desire to remain productive into older age offers Okinawan elders substantial stress relief, a sense of social connection and purpose, and a respected, important role in their community.The Balanced Care Method is a way of viewing aging as a rich and meaningful part of life. Each element fostering independence, encouraging the maintenance of social ties, remaining active supports and reinforces the others. The best lesson we can learn from the elders of Okinawa is to embrace and celebrate aging and approach it with a sense of balance and reverence.Editors note: This article was submitted by Mark Bowman, President of Home Care Assistance of Utah. Home Care Assistance provides high quality in-home care for seniors in line with its proprietary Balanced Care MethodTM across the US, Canada and Puerto Rico. To speak with Mark or another Home Care Assistance of Utah employee call 801.733.6100

The Palliative & Hospice Series: Kathleen Warshawsky, BSN, RN, welcomes Sarah Miles, RN, BSN Director of Quality at Visiting Nurses Association Texas to present on "Providing Options at the End of Life". The presentation will serve to inform you on the differences between different Palliative Care programs and Hospice Care. Additionally, focus will be on conversations with those facing end of life to help them with making informed care decisions. Finally, tools are presented to aid families on choosing the right providers for their loved one.Watch a video of the program by clicking HERE.

Continuing educationprograms generally refer to any post-secondary learning or programs that adults pursue after formaleducation. This can vary from seminars or one-time classes to online courses and entire degree programs.Continuing educationcoursesareoffered to adults in the community by local school boards, colleges and universities.#listing_mgr{7 basic_search}#

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

Theres nothing like the relief of cool water, a warm bed, unexpected help or reuniting with someone you love. Sometimes people cant define what they need, but when relief comes, they know it. Thats how it is with hospice.People who qualify for hospice likely have been on a difficult road, perhaps with a long illness, moving in and out of treatment, the hospital or the ER. Families walk this road along with them, often carrying burdens of fear and uncertainty.Accessing hospice does mean acknowledging that most diseases in their advanced stage cannot be cured, but it does not signal the end of good medical care, meaningful living or hope. The first step beyond a physician referral is a meeting with the hospice admissions team, typically a nurse and a social worker. Through open conversation, the team determines the patients immediate needs and goals for care.The patient, family and care team co-create a specific care plan. Once complete, the hospice team springs into action: Physicians and nurses address pain and symptoms quickly, providing attentive monitoring, review and change when needed. Certified nursing assistants provide gentle care and enhanced services to promote comfort and quality of life. Social workers and chaplains help navigate practical, emotional and spiritual aspects of this journey. Volunteers provide special services, support and companionship.With this symphony of care, patients feel better. Some even improve. With pain and discomfort at bay, people have energy to take part in their own lives. They can say whats important, accomplish tasks and have meaningful time with friends and family. If you or someone you know may be eligible for hospice care, please dont hesitate to call a provider. The sooner patients receive care, the more hospice can help, providing relief for the journey.Hospice care is covered by Medicare, Medicaid and most private insurance. People receive hospice care in their private residences, nursing or assisted living facilities or hospice in-patient facilities. For more information visit: www.agape-healthcare.comEditors Note: This article was submitted by Kelly Bastian, FNP-C, Managing Director of Agape Hospice & Palliative Care. She can be reached at 720-482-1988.

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

Senior Move Managers assist adults to remain in their current homes, or to move to new ones. Good Moves, Inc. specializes in the emotional and physical aspects of sorting through a lifetime of memories.You may not need to move. With time, homes often become cluttered and unsafe. To avoid an unneeded move, Good Moves, Inc. helps downsize, de-clutter, and organize.SAFETY is always first, and moving when you want to move is much better than when you must.Develop a floor plan for what your home will look like when youre done. If you are moving from a 1,500-square-foot home now, its not all going to fit in a 900-square-foot apartment. DO NOT wait until you get there to decide what will fit.Enlist friends and family members who are energetic and physically able to get boxes down from the top shelves.Start in an area that is used the least, such as a back closet or a spare bedroom. Box up what you want the kids to have and send it to them. Now.If you get started on your own and it becomes too much, call Good Moves, Inc.Editors Note: We offer FREE in-home estimates. Get yours now by calling 239.682.3742.

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.

The Regional Transportation Districts (RTDs) bus and light rail system provides wheelchair-accessible public transit at discounted fares for seniors. In addition, RTD offers the following services:call-n-Ride is a curb-to-curb transportation service available in select locations. By calling at least one hour in advance, you can be transported in a small bus that is easy to board and wheelchair accessible. SeniorRide provides bus service for groups of 10 or more to cultural, educational and entertainment events. Monthly activities are scheduled by RTD. Passengers need to make reservations in advance. Midday Shopper provides prearranged weekday trips to area shopping centers, with Saturday Shopper offering service to any preferred shopping destination when reserved five days in advance. access-a-Ride is a service for those who are unable to ride, board or exit a regular accessible fixed-route bus and/or have a specific impairment-related condition that makes it impossible to travel to and from a bus stop. Discount one-way Local cash fares for all RTD regular bus and light services are 85. For more information, log on to RTD-Denver.com or call RTDs Telephone Information Center at 303.299.6000 (TDD 303.299.6089).

Most of us have planned for major life events: education, work, vacation, retirement. Yet many of us delay making end-of-life plans.Its natural that thinking about our mortality seems unpleasant or depressing.But there are important reasons to overcome hesitation about planning final arrangements and have the conversationwith loved ones about your wishes:You have the opportunity to consider how you want to be memorialized; and talk about it with the people most important to you.By including your loved ones in the process, you can help prevent confusion, disagreement, and hurt feelings. Speaking honestly about an emotional issue can make your family bonds stronger.Your loved ones can be a valuable support system in your decision-making.In a survey byThe Conversation Project, 90% of those interviewed said that talking with their loved ones about end-of-life care is important but only 27% had actually done it.The more organized you are, the less emotionally driven youll be, says professor and consumer issues author Kit Yarrow.Although your family may initially be uncomfortable, making your wishes known will ultimately save them the anxiety of making decisions at an already overwhelming time. And finding a trustworthy, affordable provider protects your loved ones financially. Many of us called on to make final arrangements for a loved one are doing it for the first time; the combination of inexperience and emotion can result in overspending, and possibly buying services and products we dont need.Family members often describe the peace of mind in knowing final arrangements have been taken care of as the greatest gift their loved one could leave.Editors Note - This article was submitted by Marsha McCarthy, Sales Director for Neptune Cremation Services. Neptune also offers a free, comprehensive guide on cremation planning, along with many other useful resources, including how to store important documents, advance directives, designating power of attorney, wills and trusts, veterans benefits, and becoming an organ donor.

Jane Silverstain is enjoying the caressing rays of the morning sun. Her husband, Benjamin is seated next to her helping to hold her favorite coffee cup and steady her tremulous hands. Jane has Parkinsons disease as well as dementia. Benjamin, also in his late 80s had a recent heart attack and his chronic diabetes has decreased the sensation in his feet.A knock at the door by Mary, their caregiver, is a welcome interruption to their morning quiet time. It is time for their medications, assisting Jane with bathing and dressing the wounds from the ulcers on Benjamins feet.Oh Mary, good to see you! Mrs. Silverstain responds, acknowledging her with a big smile and recognizing Mary who has been her care giver for the last year. Jane will now accept assistance with activities of daily living and is cooperative. Benjamin can go grocery shopping after Mary dresses his wounds.Dementia is a subject that most people try to avoid but as the fastest growing disease worldwide each of us will be confronted by it directly or indirectly. In the United States there are already an estimated five million suffering from Alzheimers, the seventh leading cause of death.Home Health Agencies in their efforts to provide comprehensive skilled nursing care must also be well versed in addressing dementia cases. The fundamental principle is to set daily routines. In the case of Jane small details such as a favorite cup, while it may not matter to the caregiver, may be crucial for the assisted person.Routines provide maximum independence with minimal assistance while maintaining the dignity of the individual by:Maintaining functionality though daily exercise (mental and physical)Reducing anxiety for the caregiver and the person with dementiaGiving the person with dementia the comfort needed to accomplish their daily tasksOrganizing the delivery of care by the caregiverDecreasing the chance of challenging behaviorsFostering independenceIncreasing self-esteem and confidenceAdjusting routines as dementia progresses by simplifying complexAs dementia cases are expected to increase, competency in caring for the individual with dementia is a big challenge. Family members and Home Health Agencies need to place emphasis on understanding the complex nature of dementia. It is easy to dress a wound or administer medications, but behind these needs is a person whose dignity and independence should be valued and upheld.By Moses Wananu, MD, Medical Director Golden Age Home Health LLC.

As a busy caregiver, it can be all too easy to let your own well-being take a backseat to your loved ones needs. Here are five caregiving resolutions I encourage you to adopt and keep in 2018 and beyond:1. I will ask for help.Caregiver burnout is real. When you find yourself overwhelmed, sad or isolated, ask family members to cover for you while you run errands, meet a friend for lunch or enjoy some me-time. If negative feelings persist, ask a medical professional for help.2. I will add self-care to our daily routine.Self-care lifts you physically, mentally and emotionally. If you enjoy cooking, add fresh fruits, whole grains and lean meats to your recipes. If you dont, ask a family member to take this chore off your plate while you take your loved one outside for fresh air and exercise. When your loved one is resting, use that time to relax, pursue a hobby or catch up with a friend.3. I will socialize with people who support us.Joining a caregiver support group and connecting with people on a similar journey can help you to better understand your role and your loved ones needs, provide useful caregiving tips and tricks, and make your job less stressful.4. I will continue to look for ways to connect with my loved one.People with dementia often enjoy nostalgic moments. Flip through family photos, old postcards and other mementos, tell stories, listen to favorite songs or cook a favorite meal together. If your loved one is able, visit a park, museum or restaurant that interests them.5. I will explore appropriate options for my loved one as necessary.Recognize when your loved ones needs become too much for you. If you need a break, consider visiting home care services or a respite stay at a memory care community. If your loved one can no longer live at home, consider a residential community designed specifically to support and care for people with dementia. While this new reality can be difficult, its important to remember that securing the right accommodations and care can greatly increase your loved ones quality of life.----------------------------This article was written by Alicia Seaver, Director of Memory Care at Bridges by EPOCH communities in Trumbull and Norwalk. She may be reached directly by email at aseaver@bridgesbyepoch.com.

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

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

The decision to move a loved one into an assisted living community is challenging, to say the least. On top of dealing with the range of emotions connected with the decision, finding a community that meets your parent or spouses needs requires a fair amount of due diligence. You want a community that will treat your loved one with dignity and respect, but you also want one with plenty of amenities, classy accommodations, and a premium on residents well-beingin other words, someplace that will feel like home.Fortunately, in Naples, Florida, assisted living communitiesare available that cater to your loved ones every need and more. Finding the perfect community could take a little bit of work, however. You want to learn everything about an assisted living community in Naples if you can. You want to tour potential communities for your loved one, talking to residents and staffers. You should include your loved one in the process: After all, he or she will be doing the living in whichever community you choose. And you should ask questionsmany, many questions.Sometimes you will complete your due diligence with multiple assisted living communities in Naples, and the one you select just feels righta good fit for your loved one and for your familyand something you knew from the start. That doesnt mean you shouldnt ask questions along the way. Here are seven things to ask about when searching for assisted living in Naples:1. What dining options does your community provide?Moving to a senior living community shouldnt mean taking a step back in quality of life, including dining and nutrition. Ask about a communitys meal options. The best communities offer restaurant-style dining and three meals a day prepared by outstanding chefs. Some assisted living residents may have trouble eating, which is why The Arbor Company developedDining with Dignity. Through this program, chefs are trained to prepare nutritious, delicious meals that can be eaten with just seniors hands and are easy to chew and swallow. Residents are able to enjoy the full dining experience without embarrassment.2. Are your apartments cozy?Ask to see floor plans and pictures of the apartments an assisted living community offers. Residents shouldnt feel crammed, and even studios should have space for seniors to sit and relax somewhere other than the bed. Also, apartments should not feel like dorm rooms but, rather, like home; residents should have the ability to decorate and furnish apartments as they wish.3. What does Naples offer seniors?Florida already is a haven for retirees, but Naples is truly a special city for seniors. Shopping, restaurants, cultural opportunities, a robust senior sceneNaples has it all. Moreover, Naples offers plenty of activities seniors can enjoy with their families, such as the Naples Botanical Gardenand Naples Pier. And of course, the weather here is wonderful, to be enjoyed 12 months of the year.4. How will you attend to my loved ones unique needs?Seniors in an assisted living communityusually require some sort of individualized attention, ranging from help with laundry to assistance with activities of daily living (ADLs)or anything in between. The answer to this question will go a long way to determining whether a senior living community is right for your loved one. If a community isnt ready to bend over backward for its residents, it might not be the best choice for your family.5. What social activities and events do you host?Quality senior living is about making the mostor as much as a resident wantsof every day. Assisted living communities should be vibrant, welcoming places where residents are engaged, enjoying life, and anything but bored. Ask about social activities a community hosts, the types of events and clubs it offers, and what opportunities are available for residents to get out and about Naples.6. How can my loved one alert you if theres a problem?Many residents in assisted living are there because they need some level of monitoring and care they wouldnt be able to receive at home. Therefore, if they experience a problem when a staffer isnt around, they need to be able to contact someone for help. Proactive communities provide both wearable alert pendants and in-room call buttons so that no matter where a resident is, he or she can call for help when necessary.You likely have plenty of additional questions on your mind as you search for assisted living communities in Naples. We at Barrington Terracecan answer those questions. Contact us today to learn more about our outstanding assisted living community and to schedule a tour.Written and Submitted By: Barrington Terrace - click here for more information

Depression, anxiety, and loneliness are not a normal part of aging and should not be considered as such. Healthy IDEAS (Identifying Depression & Empowering Activities for Seniors) is an evidence-based program that integrates depression awareness and management into existing services provided to older adults in-person or virtually/telephonically in their own homes by local Area Agencies on Aging. The program promotes social connections for older adults experiencing isolation or loneliness that often occur with chronic illness and other losses later in life. Healthy IDEAS improves the quality of life for older adults by: Screening for symptoms of depression and assessing their severityEducating older adults and caregivers about depressionLinking older adults to primary care and mental health providersEmpowering older adults to manage their depression through a behavioral activation approach that encourages involvement in meaningful activitiesOlder adults who participate in Healthy IDEAS may experience the following benefits:Fewer symptoms of depressionDecreased physical painBetter ability to recognize and self-treat symptomsImproved well-being through achievement of personal goalsHealthy IDEAS ensures older adults get the help they need to manage symptoms of depression and live full lives. Click to visit the Allegheny County Area of Aging. Last year, the 988 Suicide and Crisis Lifeline officially launched nationwide, streamlining call and text access to the national lifeline that provides no-cost crisis response support 24 hours a day, 365 days a year. Pennsylvanias 12 lifeline call centers provide support for individuals considering suicide or self-harm, those experiencing a mental health crisis or emotional distress, and people looking for help for a loved one. Callers to 988 can also connect with the Veterans Crisis Line or assistance in Spanish. Help is available via call, text, or chat. In addition to 988, many other resources are available to Pennsylvanians in need of support, including: Crisis Text Line: Text PA to 741-741  Veteran Crisis Line: 1-800-273-TALK (8255)  Disaster Distress Helpline: 1-800-985-5990  Get Help Now Hotline (for substance use disorders): 1-800-662-4357  Pennsylvania Sexual Assault Helpline: 1-888-772-7227 or https://pcar.org/help-in-pa  National Domestic Violence Helpline: 1-800-799-7233 or www.PCADV.org  AgriStress Helpline: 833-897-2474  Article reprinted from Pennsylvania Department of Aging. 

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

Turn to ADCO Hearing for hearing devices for deaf sourced from some of the best-selling brands in the market. We have an extensive selection of assistive devices, amplified phones, hearing aid supplies, and more for all your hearing needs. ADCO Hearing has been changing lives since the 1950s and today, we can provide the hearing support YOU need. We strive to provide products, expertise, and service to those living with hearing loss so you get to live more comfortably. Take a look at our collection and go with ADCO today!Check out the assistive listening devices, amplified cordless phones, ear care and hearing supplies, and other professional supplies from diagnostic supplies, earlights, pocket lights, tinnitus maskers, to otoscopes on our website.

Moving is incredibly stressful. It can be quite emotional as well. Here are 5 area of focus that may help you.DeclutteringSaying Goodbye to the HomeFinding the Right Place to LiveWorking with a RealtorKeeping the Family InformedDecluttering Just because you have a lot of stuff, doesnt mean it does not have value. Decluttering should be done in an organized and purposeful manner.Say Goodbye to your Home A home more than brick and mortar. Families were raised in the home, memories were made, it was a sanctuary for a long time. The home should be celebrated.Find the Right New Place to Live If you are looking for a new home, a Realtor can help you find the home that fits your need. If it is a different type of housing situation, Senior Blue Book has many incredible resources to help you determine what your right fit is.Work with a Realtor Not all real estate agents are created equally. First consider working with a Realtor. A Realtor has a fiduciary relationship with their client. They must put the clients needs above all else.Next, find a Realtor that has a Senior Real Estate Specialist designation and a Probate Real Estate Specialist designation. This shows that they have taken additional training to understand the specific needs of seniors in housing solutions.Keep Your Family Informed Prepare for the unexpected. If you are suddenly not able to care for yourself, do you have someone to help you? Consider having a detailed discussion with your family members so they know their role in supporting you and that they have the information to make informed decisions for you. A book such as The Record can give you the important information your loved ones would need to know. It is available by sending an email to KandRHomeTransitions@gmail.com and asking for your complimentary copy.Change in life is inevitable. Stressful change is not. There are great resources out there to help you. Take advantage of them they are there for you.Editors Note: This article was submitted by Robyn Lewis-Oglesby of K & R Home Transitions. She may be reached at 720-233-5178 or by email at: KandRHomeTransitions@gmail.com

Healthcare professionals often agree it is necessary to treat the whole patient and not just symptoms. This is especially true in senior care. State regulations mandate an individualized plan of care for each resident. We believe this means looking at seniors as individuals, planning care that is appropriate for their needs, and discovering what is important to them.When changing the environment for seniors, the more the schedule can stay the same, the better. This is why mimicking their activities at home is critical for success. When you think about it, our seniors have often followed a daily routine for a lifetime. Simple things like having a cup of coffee and reading the paper before doing anything else, or showering and making the bed first thing. Having the day as close to what they are accustomed, helps to make the transition to a new home smoother. This is personalized care.Activities have a place in senior living, yet they need to be more than bingo or arts and crafts. Having a feeling of value improves the quality of life for seniors and gives them purpose. For example, one of our residents, a navy veteran, was very antsy and needed to be active all day. Due to his dementia, he was non-verbal and yet quite mobile. We developed a plan for him to have his own Swiffer with his name on it. He would walk back and forth throughout the day cleaning the floors. When anyone commented that the floors looked great, he would beam with pride. This is personalized care.We have a great responsibility to continue supporting our seniors and to provide lives filled with purpose. Our senior population is resilient, resourceful, and wants to contribute to making their communities better. By looking at the people they are and planning their days with meaningful activities, based on their personal lifestyle, should be a primary focus in senior care. Editors Note: This article was submitted by Marlena Hemmenway, CFO of the Geneva Suites, 12207 Wood Lake Drive, Burnsville, MN 55337. Phone: 612-208-8888

To learn more aboutChancellor Gardens at Clearfield - MBK, CLICK HERE.Moving in to Senior LivingWe understand the unique challenges that seniors and their families face as they weigh the pros and cons of moving into a senior living community. We also understand that there is so much more to senior living than what most people perceive and see in the news which, if were being honest, isnt evenabout senior living communities.What we do know is that older adults find independence and thrive in senior living environments. Isolation, the burden of home maintenance, the lack of connection during COVID-19 and more weighs heavy on seniors and their families. Inour communities, you or your loved one wont be alone. Youll find friendship, convenience, comradery and care.Here are some of the reasons why Chancellor Gardens is a great place to call home right now:Resident enrichment We are continuing to maintain a calendar full of events for our residents to partake in. Plus, we are creative when it comes to staying connected. Socially distanced events and games, outdoor activities, virtual activities all are enjoyed at our communities!Culinary experience Our residents get to choose from a menu of wonderful meal options that are prepared fresh for them, three times a day. What could be better than chef-prepared meals, delivered right to your door?Care The peace of mind and the security of knowing someone is available 24/7 to attend to the needs of your loved ones. While they enjoy the privacy of their own home, theyre never truly alone with 24/7 staffing and of course, neighbors to keep you company!Service-enriched lifestyle We are continuing to offer housekeeping/laundry services, maintenance requests, and can even accommodate special concierge requests for our residents so they can truly enjoy a maintenance-free lifestyle.Heightened protocols Our communities have more than 20 protocols in place to keep our residents and team members safe. To read a detailed list of these protocols, please visit ourCoronavirus information page.

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}#

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

Infusion therapy services are planned before a patient leaves the hospital or doctors office in conjunction with a nurse liaison. The ordered drug is prepared at a specialized pharmacy and shipped directly to the patients home. A plan for administering intravenous treatments includes diagnosis, type and length of therapy, severity of the illness, and the home infusion responsibilities for the patient, their family, and professional caregiver. Home infusion calls for time commitment, patience, and collaborative teamwork, but the time will vary depending on the illness.Infusion therapies provided in a home setting by a registered nurse may include the following:Antibiotic Treatment often given over 30 to 60 minutes using an IV dripSteroid Treatment usually a 2 hour infusionIntramuscular Injections (IM) Vitamin B 12 or Bicillin injections typically for the treatment of Lyme Disease With the assistance of a registered nurse experienced in infusion therapy, patients can be assured that they will be cared for by a qualified professional who will recognize their unique requirements and attend to them resourcefully.One to one personal care allows time for the patient to be able to understand their diagnosis more clearly, ask questions freely without time constraint, get to know and feel comfortable with their nurse. Continuity of care builds a trusting relationship and a solid understanding of what home infusion is all about. It enables opportunities to engage/teach patients about their own health while looking at the whole picture and educate when and where it's needed. The ability to communicate with pharmacies and doctors to inform them of how their patients are doing first hand and if a problem were to arise is important so it can be handled in an appropriate time frame. Communication between patient, nurse and doctor is vital for a successful outcome.For a more detailed plan you can call/text Kimberly direct at (203) 515.3293 or Email any questions to: kimberlykares3293@gmail.com and/or go online to read and get more information at: kimberlykares4u.comThis article was submitted by Kimberly Cossuto, RN, BSN, owner of Kimberly Kares LLC, an experienced infusion therapy service working with families throughout Fairfield and Eastern Westchester Counties.

Below is a guideline on choosing the best Caregivers at any agency. Simply ask the below questions to any agency, then record and compare your answers!Does your agency have a drug testing policy? Most agencies: dont have a drug testing policy because its currently not mandatory from the state health department (Colorado), plus it increases costs. These types of agencies could be considered dangerous by allowing themselves to be open for possible issues, law suites, etc. Also, you may find some agencies that do one 5-panel drug test upon hire and to be frank, thats not enough! Instead: try and find an agency that conducts a 14-panel drug test that includes some major pain medications on the panel. Also, ask if they do it upon hire, annually & at random. This will ensure you have a clean Caregiver within your home as long as they are providing care. What kind of background checks does your agency provide? This can be tricky, because not all background check companies are created equal! If the agency: simply conducts a BG check online with any company, you may not be getting the full report. Why you ask? because depending on where the data was pulled, it may be stagnant and outdated, thus your critical results may be tainted. Instead: try and find an agency that conducts at least a 150 point checks that include DMV reports (including DWI and DUI), Social Security trace, county and state-wide searches for felonies and misdemeanors but most importantly freshly updated data! Also, try and use an agency that does the BG check upon hire, annually and at random. This will ensure you have solid, historically clean Caregivers within your presence for the entire time they work in your home. The first visit, do the Caregivers just show up? Most agencies: will do this; they will assign a Caregiver without an introduction. This can be awkward and unnatural because both parties are unfamiliar with each other, their role, duties, etc. Instead: try and find an agency that has an Area Manager that will set up a meeting between the Client and Caregiver for a warm introduction. This is a huge ice-breaker and allows a friendly, comfortable introduction between both parties. Editors Note: This article was submitted by Steve Lee, Founder & Co-Owner of Veterans Aide at Home, a non-skilled home care agency dedicated to Veterans, Spouses and their Widows/ers.He can be reached at 970-415-8030 or by email at Steve@VeteransAideAH.com to learn more.

retirement planning. Many of todays retirees simply do not have theemployer-sponsored plans their parents did, and therefore need to rely more closely on personalsavings and other assets to close the gap and meet their financial needs. Additionally, with increasedlongevity and medical expenses, planning for the unknown is difficult. Thats why Home EquityConversion Mortgages (HECMs) are growing in popularity.If youre 62 or older, a HECM can help you tap into the equity of your existing home and turn it intocash that can be used today, or a line of credit that will be there when you need it. It also can help topreserve invested assets, leaving them intact to continue earning for you.In short, a HECM can give you more power to live better. Do you want to make some needed ordesired home improvements? Get additional funds to help cover unexpected medical expenses, orsupplement your income? A HECM can help by eliminating your existing mortgage payment andfreeing up cash to use for those purposes and others as well. (As the homeowner, youd remainresponsible for property taxes, homeowners insurance, and property maintenance. A HECM is ahome-secured debt payable upon default or a maturity event.)You can receive your loan funds as a lump sum, a line of credit, a monthly payment, or anycombination of these. (If you elect a fixed-rate loan, you will receive a single disbursement lump sumpayment. Other payment options are available only for adjustable rate mortgages.)The HECM loan program was created by the Federal Housing Administration specifically forhomeowners age 62 and older, and has been growing in popularity. Today, many consumers andtheir financial advisors view HECMs, in the right circumstances, as a smart solution to help qualifiedhomeowners achieve their retirement goals.Remember, this is not your parents retirement planning! Its yours. You owe it to yourself to exploreall of your available financial options, including a HECM loan.If you think a HECM may be right for you, contact me at Reverse Mortgage Funding LLC at508.282.6329.Stephen R. Pepe, JD is an experienced HECM specialist with Reverse Mortgage Funding LLC (NMLS# 485943). Pepe, JD is available at 508.282.6329 or spepe@reversefunding.com to help educateprospective borrowers and their families. Branch address: 57 Jefferson St., Milford, MA 01757. BranchNMLS # 1111233. Massachusetts Mortgage Lender License, License No. ML1019941.

Nothing is harder than to take a loved one who is aging and whose capacities are diminishing and to help them make the tough decisions that will ensure their safety. How do you balance your parents need for independence and your need that they and others around them are secure? Below is a list of four steps that will show you how to communicate with your aging parents and to better show them how much you C.A.R.E..Choose The Spirit of Working With Them, Not Against ThemRemember when it comes to creating healthy results with others, your best tool is the spirit you choose to approach the other person with. Whether you bring a spirit of competition or cooperation is the best determinant of the options, choices, and ability you will have to resolve the problems you're facing. Remember that before you try to convince your parents of what is best for them, you must first convince them that you really understand them and the problems they're facing. Make sure that you don't allow the problem, whether it is bringing in extra help around the house, moving them into senior living or restricting driving privileges to become something that comes between you two. Love them unconditionally and show them that you will be there for support no matter what. The simple spirit that you care will go a long way to creating the change that is necessary. Attend to the Emotional Needs First, and the Logical Needs SecondI know that the idea of waiting to deal with the logical issues until after the emotional issues sounds crazy . . . because sometimes the decisions we are making with our aging parents could be about life and death, right? In the end however, I've found that the fastest way to get to healthier solutions with your parents will usually be with them, instead of against them. So you're going to have to go through their emotion anyway. Remember that you cant meet a need you don't understand from their frame of reference. So if you cant find a way to show you care about their emotion, you'll never get access to change their way of thinking about the issue. The rule for this section is simply: I don't care how much you know, until I know how much you care. The more urgent the situation, then, the more necessary it is to get very active in addressing the highly emotional feelings that lie deep down inside the person. In the end its important to realize that you are not going to solve the logical problems of your parents lives without effectively validating and handling the emotional issues first. No matter how logical the issues are, people are still emotional beings.Relax & Recognize that Slower, Usually is FasterSometimes it takes each of us time to be willing to let the obvious changes in our lives to take place. Have you ever needed to get your tooth fixed, and still delayed a while just to avoid the obvious procedure and its accompanying pain? Inherently people want to do things on their terms, their way and on their timeframe. That human need echoes back to the deep inner sense that we are actors in our lives who are to act, and not be acted upon. The problem arises when our parents mental or physical abilities start to diminish and their actions have the potential to either harm others or themselves. This pressure to protect our parents and others drives us to feel even more and more compelled to act quickly and decisively. Most of these difficult decisions are very hard to do quickly so start anticipating the changes your parents will need over the next year or two and begin laying the ground work for those changes. Try to create buy-in, not by talking about what we are going to change today with your parents, but by discussing what will need to take place down the road. This slower approach may allow the ideas of change to drip slowly into their system and will feel more like its in their control.Explore Outside Experts to Communicate For You.Who you are speaks so loudly, people cant hear what you're saying. That little quote perfectly summarizes the reality that many times you are not the best person to tell your parents anything. Many times you are not the best person to communicate the cold hard truths about your parents need for help simply because in their eyes you are still just a child. Perhaps it would be better to have you be the supportive hand that is sitting next to your parent as their doctor, the police department or Drivers License division takes their license away. As a professional, I have seen on countless occasions where people are more inclined to believe what I have to say than the person closest to them. Sometimes it is my credentials, my approach or the fact that they are paying to hear it that makes it all more legitimate. Don't be afraid to call in other experts. Talk to their doctors, or other experts to get advice and support in how to proceed, and whenever possible, let the professionals deliver the news and you just sit there and love and support them through it.Editors Note: This article was submitted by Matt Townsend, M.A. founder of Townsend Relationship Center, a communication skill building company, www.townsendrelationshipcenter.com or call at 801-747-2121

Often times people who have loved ones in need of care, such as at an assisted living facility or a skilled nursing facility, are faced with the very real problem of having to pay for this necessary, but costly care. Medicaid is a government benefit that helps the largest number of people with paying for the costly care. Protecting the assets of a loved one for the remainder of their life is a primary concern. Another important issue to remember is that a healthy spouse may need the income of the sick spouse to continue to live in the community and at home. There are multiple options for protecting or maximizing the retention of income for a healthy spouse living at home. If your loved one is able to return home after a recent hospitalization, now is the time to review their estate plan, including a Durable Power of Attorney and a Last Will & Testament, to verify that adequate authority has been granted to the advocates so that the cost of obtaining Medicaid can be minimized and not face the delays of guardianship court. Act now while you or your loved one is competent to make the necessary changes to their plans. If your loved one is not capable of putting a plan in place, there are still solutions. Contact an elder law attorney specializing in these areas.Editors Note: This article was submitted by Lance M. McKinney, Elder Law Attorney, of Osterhout & McKinney, P.A., 239-939-4888.

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

As a nurse in the assisted living industry, one of the top questions I get from families is How do I know if my parent is doing OK at home alone? It is such an important question and one that often gets overlooked until there is a medical event or emergency that prompts families to make a quick decision. Recognizing the early signs that your loved one may need more help can help to preserve their independence for as long as possible. If you are concerned about the well being of an elderly parent or loved one, look for these signs on your next visit to determine whether its time to suggest a more supportive living arrangement:1. Signs of isolation or depression. Find out if they are spending time with friends, getting out of the house enough, still finding hobbies and activities to hold their interest.2. Noticeable weight loss, increased frailty, changes in appearance3. Expired, discontinued or duplicate medications and prescription bottles4. Expired food, signs of a kitchen fire, a freezer full of microwavable dinners, multiples of the same item, broken or unused appliances5. Excess clutter, grubby bathrooms, dried spills and other signs that housekeeping is becoming too much6. Lots of unopened mail, past due bills, letters from creditors, or evidence of donations to charities.7. Dashboard warning lights, dents in their car or signs of impaired drivingMost often, seniors and families feel the time is right for assisted living when there are signs of isolation or loneliness, if safety is an issue such as the potential for a medication error or a high risk of falling, or if proper nutrition becomes a concern.Assisted Living communities offer healthful homemade meals, medication management, daily entertainment, learning opportunities and events, 24-hour personal care assistance, an independent apartment, plus no more shoveling snow, no yard maintenance, no plumbers, electricians, or roofers. The safe, secure and social environment of assisted living can preserve a seniors independence and provide family members peace of mind.If you have questions about assisted living, Senior Living Residences offers a family resource guide that can aid in your research process, help sort out financial issues, and provide the information you need so that you can make the best decision for your family.________________________________________This article was written by Nancy Crowley, RN, BS, Director of Quality Improvement and Education at Senior Living Residences and former executive director at Concord Park Senior Living.

Recommendation Regarding the Use of Cloth Face Coverings, Especially in Areas of Significant Community-Based Transmission.CDC continues to study the spread and effects of the novel coronavirus across the United States. We now know from recent studies that a significant portion of individuals with coronavirus lack symptoms (asymptomatic) and that even those who eventually develop symptoms (pre-symptomatic) can transmit the virus to others before showing symptoms. This means that the virus can spread between people interacting in close proximityfor example, speaking, coughing, or sneezingeven if those people are not exhibiting symptoms. In light of this new evidence, CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies)especiallyin areas of significant community-based transmission.It is critical to emphasize that maintaining 6-feet social distancing remains important to slowing the spread of the virus. CDC is additionally advising the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materialsat low cost can be used as an additional, voluntary public health measure.The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders, as recommended by current CDC guidance.This recommendation complements and does not replace thePresidents Coronavirus Guidelines for America, 30 Days to Slow the Spreadexternal icon,which remains the cornerstone of our national effort to slow the spread of the coronavirus. CDC will make additional recommendations as the evidence regarding appropriate public health measures continues to develop.Page last reviewed:April 3, 2020Content source:National Center for Immunization and Respiratory Diseases (NCIRD),Division of Viral Diseases#sbbdfw #kareworks #makeyourownmask #diymask #covid19 #sbbcovid19 #clothmask #fabricmask #coronavirus

To learn more aboutApple Tree Assisted Living,CLICK HERE.Like with many other important life decisions, those who are thinking about a move to a senior living community and their caregivers should be carefully considering their options. There are a number of quality such communities available in your area, and you should be completing detailed research for multiple options rather than simply choosing the first that you see.At Cozy Retire, we strongly encourage prospective residents of ourassisted living, memory care and other retirement communities to compare us to other communities in the area both because we want the very best care for all seniors, and because were supremely confident were the ones best suited to provide it. While youre doing your research, whether as a senior yourself or a caregiver assisting a loved one, what are some of the top variables you should be considering? This two-part blog series will go over several important areas.Lay Out Your PrioritiesWhile some of thebasic elements of senior carewill be similar in most communities, there will be a number of specific features, amenities or programs youre looking to prioritize. These themes can be wide-ranging, including everything from basic aesthetics and decoration to the programs offered, qualifications of staff or many others.As you get started with the search process here, its important to lay these out and prioritize them. Which features of a givenassisted livingcommunity are must-haves for your situation, and which are simply strong desires? Making a tiered list is often a good way to keep all your top priorities in order and ensure nothing is missed.Making Basic ComparisonsThis is also a good time to begin identifying some of the top options in your area, then comparing them in basic ways. Here are some simple themes to inquire about:Which services, programs and amenities are included in care for the basic monthly price? Are there additional services that can be obtained for extra fees?Are there currently rooms available in the community within your desired time frame? If not, are openings expected in the near future, and is there a waiting list? If such a waiting list exists, does it require a commitment?How does the community youre considering fit in terms of your listed priorities from our section above, and would you be forced to sacrifice in any must-have areas?Reviews and ReputationLike with any other service business, one great way to narrow down your research is to use various tools at your disposal to learn about a senior living communitys reputation and historical quality. There are several resources you can use here, from compliance with state regulations (this information can be found online) to Google reviews and other forms of online assessment.In addition,senior careis often a realm where word-of-mouth is very powerful. If you have other family members who have had a great experience in a given community, or if other friends recommend it based on quality experiences, this is a good sign and on the flip side, if someone you trust strongly recommends against a given community, learn more about why before considering that community.

FOR IMMEDIATE RELEASENovember 17, 2020For More Information:Cynthia Gartman, Publisher717-344-5580, ext. 720cynthia.gartman@seniorsbluebook.comSeniors BlueBook and Fizika Group Introduce Fizikaflex Wellness JournalInteractive publication promotes healthy aging for seniorsLANCASTER, PA Together, Seniors BlueBook and Fizika Group announce the publication of the Premier Edition of the Fizikaflex Wellness Journal, titled Feel the Freedom: A Guide to Putting Health into Your Own Hands. The publication is a result of a creative partnership between the two organizations and HDC MidAtlantic, which is distributing Feel the Freedom to residents in several of its local affordable housing communities.Both Seniors BlueBook, an educational resource for seniors, caregivers, adult children and senior professionals in Central Pennsylvania, and Fizika Group, a Lancaster-based health and wellness technology company that develops digital health solutions and provides quality professional development to help at risk communities thrive, share the goal of supporting Central Pennsylvania seniors successfully age in place and stay healthy.HDC MidAtlantic, a non-profit developer and manager of affordable housing in Central PA, partnered with Fizika in July to pilot the app with two dozen seniors residents living at HDCs Duke Manor Apartments and King Theatre Apartments in Lancaster City. The goals of Seniors BlueBook and Fizika Group align closely with HDCs holistic approach to affordable housing which includes a strong focus on supporting health and wellness for residents.The Wellness Journal is an extension of Fizikaflex, Fizikas smart wellness app that helps seniors living in affordable housing communities improve their health by monitoring daily activities like eating, sleeping and exercising. Users can document their progress in an online journal and share results with their peers.The idea for a print journal emerged from working with HDC staff and residents on the pilot program as a solution for residents who lack technology to fully utilize the app. In response to resident needs, Seniors BlueBook and Fizika also opted to make the journal fully bilingual, and each page features an outlined box with Spanish translation for all activities. The easy to read twelve-page workbook includes ideas to help seniors begin their wellness journeys, including recipes for healthy eating, creative approaches to mindfulness and engaging activities like word searches and word scrambles.In working with HDC MidAtlantic, it became evident that residents needed a resource they could access without the Internet to help them begin their wellness journeys. We are grateful for the partnership with Seniors Bluebook which enables this new bilingual publication to be printed and distributed at no cost to affordable housing communities. Were hopeful that this easy to use, fun and engaging guide to wellness will help thousands of people gain control of their health, which is especially important during this global pandemic. noted Martha Lester Harris, Founder and CEO of Fizika Group, LLC.The partnership with Fizikaflex encourages our residents to take a whole-person approach to fitness while promoting self-care. Not only does it encourage participants to capture their steps and nutrition, but it also encourages participants to capture their socialization, said Jennifer Santiago, an HDC Resident Services Coordinator who works with residents at King Theatre Apartments. The printed Journals are a really valuable piece, and will allow us to engage more residents in our senior housing communities. Wellness Journals will be distributed to 1300 residents living with affordable housing providers in Lancaster and York Counties, including senior residents at 27 HDC MidAtlantic affordable housing communities in Dauphin, Lancaster and York Counties. Distribution is planned for this month.For more information on the Fizikaflex Wellness Journal, please contact Martha Lester Harris at martha@fizikagroup.com. (Editors Note - the publication is available for download from Fizikas website: www.fizikagroup.com/wellness-journal.)About Fizika GroupFizika Group is a health and wellness technology company based in downtown Lancaster. Established as a Pennsylvania Benefit Company in 2018, Fizika develops digital health solutions and provides quality professional development to help at risk communities thrive. www.fizikagroup.comAbout Seniors BlueBookThe Seniors BlueBook of South Central PA provides seniors, caregivers, adult children and senior professionals a comprehensive source of educational information on available services, senior housing options, resources and information that enrich the lives of our older population.Our guide covers Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry and York counties as well as some information for Chester and Berks counties. We offer free guides, a free referral line, free seniors activity calendar, free professionals activity and CEUs calendars, and free job boards. Each guide comes with many educational articles of interest to seniors, their caregivers, and the professionals that serve them. For guide requests, email cynthia.gartman@seniorsbluebook.com.About HDCHDC MidAtlantic envisions a world where a safe, welcoming, affordable place to call home is open to everyone. We believe home shouldnt be an impossible dream, it should be an attainable reality: we believe housing is a human right. We are resident advocates, trusted developers, property managers, community partners, and collaborators. We are part of the fabric of our towns and cities and have been working with our neighbors since 1971 to create real change and meaningful connections.As champions of the greater good, we are committed to advancing equity, we open the door to opportunities, and we build homes that we can all be proud of.HDC owns and/or manages over 2,900 apartments, providing housing that is safe and affordable to those with lower incomes, focusing on seniors, families, and individuals living with disabilities. Serving over 3,900 residents in 54 communities located in urban, suburban and rural areas across Pennsylvania, Delaware and Maryland, HDC builds hope and opportunity for all residents to reach their full potential by creating, preserving, and strengthening affordable housing communities.##

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

The 1965 hit by the Bryds, Turn, Turn, Turn - could not have said it better There is a season and a time to every purposeAlthough this folksy song was during a time of war - it was about inner peace and reflection. It poetically speaks to all of us at some point in our lives. Perhaps none more so then when we are approaching retirement and we decide where we should live as we age. This is not an easy decision for any of us as we do not have a crystal ball. Hence we are plagued by hesitation, and blocked by the questions of should I move, how can I move, can I afford to move and will I be happy if I move? All these unanswered question lead to analysis paralysis.SHOULD I MOVE? Create a 3, 5 and 10 year plan As adults, you have probably exercised the art of planning throughout your life. Why do we stop planning ahead as we reach our senior years? Everybodys plan and what they need to consider can be different. Brainstorm for an inclusive list and do your due diligence.HOW CAN I MOVE? When it comes to moving you must consider both the physical and emotional setbacks to moving. Physical The physical challenge of moving is easier to deal with than emotional. Start the sorting and packing yourself if able - if you are planning early enough start to siftthrough your items. Enlist Family Members to help - this is a good idea especially if family members are attached to the home or family items. Give them the opportunity to cherish the items and make collaborative decisions. Moving and Organizing Services - Organizing services are more than just how to organize your kitchen! In fact, a good organizer can help the senior with the physical aspects of moving as well as the emotional setbacks to moving. Emotional Emotional decisions can hold everyone back. Sometimes things happen to us that throws our plan out the window and we feel out of control. Feeling out of control can lead to hoarding behaviors, depression, seclusion or even risky behaviors. It is important to recognize when these things happen and seek the proper support. Know that there are social services, support groups, grief coaches, doctors and religious counseling services who are all trained and able to help.CAN WE AFFORD TO MOVE? Whether you have made your decision or you are defining your long term goals, check in with a qualified CSHP certified Realtor (Certified Senior Housing Professional). Realtors who choose to participate in this special education commit themselves to better serve, protect and address the issues of senior citizens - holding their best interest as paramount. ACSHP is prepared to do the following: Communicate effectively with their personal, professional, and public platforms about matters affecting seniors and the senior housing market. Use their unique zone of genius to grow a rewarding senior housing division. Assist older adults and families with the physical and emotional aspects of late-in-life moves. Assemble and leverage an extensive and powerful professional resource team. Modify, adjust, and create senior specific systems and procedures culminating in a highly sought after value proposition. Partner with senior living communities to better serve seniors and create lasting and mutually beneficial referral partnerships. Implement community education, seminars, and trainings as a means of expanding their reach. Differentiate themselves by committing to always working for the best interest of their client, by becoming an Advocate for them, even if it means they dont get paid. It is about doing the right thing, not a paycheck.WILL I BE HAPPY IF I MOVE? That is the Million Dollar question isnt it? Life is a Journey not a Destination. The sooner you consider your options and create a plan, the more choices you have.Editors Note: Article Provided by: Helen Morgan CSHP, SRES Resource 55. Author: Tonya Regiro.

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

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

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

Nobody wants to acquire an ongoing or chronic health condition that interfere with their normal activities and requires multiple medications and doctor visits. As we age, however, this happens to many of us. So what can we do to preserve our health and independence as long as possible? And how can we help our family members and loved ones to do the same? One part of the answer, of course, is to live a healthy lifestyle; the other is to find comprehensive coordinated healthcare and a support system that meets your increasing needs, care that is surprisingly rare today.Fortunately, Saint Alphonsus is committed to helping people who have serious chronic health conditions to enjoy the best possible quality of life. To accomplish this goal, Saint Alphonsus has recently hired 12 highly-trained professionals and launched its "Enhancing Care Initiative," which includes nine innovative services in Ada County so far:1. A geriatrics clinic for older people with several chronic conditions2. A palliative care clinic for adults with serious, potentially life-threatening conditions, such as cancer, heart failure or dementia3. A house calls program for patients with chronic conditions who have difficulty traveling to clinical locations to obtain care for their conditions4. A hospital-based palliative care service for hospitalized adults with serious, potentially life-threatening conditions, such as cancer, heart failure or dementia5. A "Proactive Invitation" program to identify people who are at risk for experiencing negative health events in the coming year and to offer them extra care6. A "Self-Management Education" program to help people modify their life style and use healthcare professionals to manage their chronic health conditions7. Partnership with "Honoring Choices Idaho" a program in which trained "facilitators" help patients (and their families) to discuss and clarify their goals, values and preferences for receiving (or not receiving) "heroic" care if they became unable to communicate their wishes8. The "Age-Friendly Healthcare System" program a pilot project within a national initiative designed to ensure that older patients' special needs are met across all sites of care9. A Professional Education Conference program a series of monthly conferences to bring the latest guidelines for managing chronic conditions to all Saint Alphonsus health care providersPatients, families and providers who have experienced these new programs have given glowing reports of their experiencesThe Geriatrics and Palliative Care Clinics are located at 5966 West Curtisian Avenue. Providers can refer you to the Saint Alphonsus Geriatrics Clinic, Palliative Care Clinic or House Calls program through their electronic medical records, by FAX at 208-302-5455, or by phone at 208-302-5470. You can also request an appointment for yourself or for a loved one by calling 208-302-5470.This article was written by Chad Boult, MD, Medical Director Geriatrics and Palliative Care Clinics and House Calls Program Saint Alphonsus Medical GroupSee article on page 10-11

The best way to eliminate elder abuse is to prevent it from ever happening. Yet, when it does occur, the cycle can be difficult to break as the elderly are often silent in their suffering. Seniors may be physically unable to respond to abuse or afraid of the consequences if they speak up and our society often turns a deaf ear to such cries for help. Thus, preventing abuse and neglect becomes even more difficult, but no less imperative.How can a family member, friend, or neighbor identify such neglect? After all, how can you tell that someone is threatening to chastise or deprive someone unless you see it happen? Without seeing it happen, how can you tell that someone is inflicting mental pain, anguish, or distress on an elder person through verbal or nonverbal acts, e.g. humiliating, intimidating, or threatening?Not attending to the elder; ignoring verbal/nonverbal calls for helpLack of attention to the elder's need for affectionFailure to provide necessary psychological care to the senior, such as therapy or medications for depressionElders can:Plan their financial future with trusted family members, thus helping to eliminate unwanted theft and fraud.Avoid social isolation which can make you vulnerable to abuse.Speak your mind if you think you are not receiving proper care, either in a facility or at home.Know who you can contact if you think you have been abused.Family Members can:Pay attention to warning signs of possible abuse.Review bank accounts for irregular activity.Call and visit frequently. Make sure your loved one feels comfortable enough to contact you in case of an emergency.Make certain your loved one is eating and sleeping properly and is properly medicated.Caregivers can:Stay healthy and get regular medical care.Seek counseling or spiritual guidance for signs of depressions stress, or burnout.Know your local resources for elder abuse, and contact them.Become familiar with the procedures for reported and acting on an elder abuse situation.Find support groups to help with the stress and to assist with education of other caregivers.All-in-all, communicating with our elders is the solution to almost all potential issues mental or physical. Calling mom, dad, auntie, and uncle to say hello and I love you not only lets our loved ones know they are loved, but it reminds them that they are not forgotten. It opens the door for communicating their needs and thoughts.Editors Note: Deb Harrison and Judson Haims are owners of Visiting Angels locations in Grand Junction, Garfield, and Eagle Counties. They may be contacted at: Grand Junction (970) 254-8888 and Eagle/Garfield County (970)328-5526.

People are living longer and healthier lives and it is not uncommon for people to reach 85, 90, or even older ages.Many however, loose their teeth over time due to decay or gum disease and end up with partial or full dentures. The dentures become loose, gum tissue becomes sore, and eating becomes very difficult. Seniors love to stay social, eat good, and share great times with family and friends without the embarrassment and difficulties that come with denture use. The quality of life is especially important at this stage and we need to do everything we can to improve it.Dental Implants dramatically improve life quality for many older individuals by letting them eat better, get better nutrition, stay more social, and lead active and vital lives. The advantage of Mini Dental Implants is the minimally invasive, single stage placement procedure. The insertion of the mini implants does not require the more invasive surgery involved with regular implants. The healing time is minimal and the best part is the denture can attach to the mini implants on the same visit!Dental Mini Implants allow patients to eat any food they want comfortable and get the necessary nutrition. Mini Implants effectively support the overlying dentures and help prevent movement and accidental dislodging. Mini Dental Implants also preserve the jaw bone and loss that occurs from conventional dentures. As a bonus, Mini Dental Implants are very reasonably priced. Its time to start enjoying eating and conversation again!Editors Note: This article was submitted by Donald E. Couchman, D.D.S. of Couchman Center for Complete Dentistry. He may be reached at 719-593-0263 or by email at info@couchmandental.com . Call our office today for a complimentary consultation; our friendly staff will be happy to assist you with an appointment

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

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

Why choose hospice? The word hospice often brings negative emotions like fear and failure and worries about the cost.Many families are not ready to let their family member go or they are angry that they do not have more time. I experienced these emotions as my mother-in-law, Barbara, was struggling to breathe with her chronic condition of heart failure. Her son was very adamant that if she got up and walked around with the assistance of a physical therapist or stopped taking her medications she would get better and live a long time. I could see the signs of her decline and realized she needed additional help with basic activities like bathing, dressing and transfers. After several family conferences, the family agreed to place her on hospice.The hospice services provided a nurse on a regular basis to help manage her pain and other health conditions that come with living with a chronic illness. A physician trained in palliative care directed the management of her care. Hospice aides helped in keeping her clean and well groomed. Additional emotional support came from an involved Medical Social Worker. Barbara enjoyed having the opportunity to unpack her life with a Chaplin and resolving past issues with her spirituality. An added bonus was the music therapist, who played songs of her youth and often would ease her breathing by the type of music which he played. Barbara became very close to those who served her at this critical time of her life.The biggest miracle of hospice was mending of family relationships which had become strained. Forgiveness was given for mistakes of the past and the family was able to heal. When Barbara passed there was a sweet peace that filled the room.Hospice is a way of caring that brings comfort to persons living with a terminal illness, and gives support to them as well as to their families. As a family member, I am grateful for the hospice services which are available. What is so helpful to families in this situation, Medicare pays 100% of all of these necessary services.Editors Note: This article was submitted by Kris Carter. Kris Carter is the Executive Director of Aspire Home Health and Hospice and may be reached at 801-292-0296 or by email at kcarter@aspireutah.com.

If the unexpected happens, you need the best care as quickly as possible.Good Samaritan Medical Center (GSMC) provides community members with convenient access to resources and specialized care without having to transfer to another facility.The leading cause of trauma at GSMC and in Boulder County is older adult falls. In 2016, the hospital saw over 300 patients admitted due to a fall, with approximately 65 percent of these patients aged 65 years and older. As a Level II Trauma Center, the hospital is charged with addressing the most common mechanisms of injury by empowering community members with injury prevention strategies and education.One such resource available to all Boulder County residents is the Matter of Balance class. Taught in conjunction with the Boulder County Area Agency on Aging, the Matter of Balance class is an eight-week course held in the fall and spring, and runs for two hours once a week. Focusing on strategies for remaining active and independent, the course teaches exercises to improve balance skills, flexibility, strength, coordination and overall health condition. In addition to exploring and discussing their own beliefs about falling, participants learn about nutrition, how medications can increase the risk for falls, ways to talk with a doctor about falls, and methods for improving home safety.To register or learn more about the Matter of Balance class, call the Boulder County Area Agency on Aging at 303-441-3599.Motor vehicle accidents are the second leading cause of traumatic injuries treated at GSMC. To help facilitate improved driving safety, the hospital hosts a CarFit event once a quarter. Developed by AAA, AARP and the American Occupational Therapy Association, CarFit utilizes professional technicians to properly fit a drivers seat, safety belt, mirrors and more to ensure the driver is as safe as possible. Occupational Therapists are also involved to help recommend adaptive features to address unique physical needs.To make an appointment or learn more about CarFit events, call the GSMC Trauma Outreach & Injury Prevention Coordinator at 303-689-4623.The GSMC injury prevention team is also available to speak at schools, community events and housing communities. To learn more or schedule a speaking event, call 303-689-4623.Editors Note: This article was submitted by Rachel Hamasaki, Communications Manager at Good Samaritan Medical Center and may be reached at 303-689-5278 or by email at Rachel.Hamasaki@sclhs.net

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

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

There are 24 million people in the U.S. who are morbidly obese; 72.5 million people meet the criteria for obesity.With bariatric surgery, a single intervention can change the lives of many of thesepeople. Cape Coral resident Bill Reese was one of them (shown on cover). He had high blood pressure, took 16 pills a day and was about to need daily shots to keep his Type 2 diabetes in check.Obesity is an epidemic, and not enough is being done nationwide to eliminate it. The condition is tied to a host of metabolic disorders. Like Bill, obese people can suffer from issues such as Type 2 diabetes, urinary disorders, high blood pressure, heart failure, digestive disorders, gallbladder disease, gastroesophageal reflux disease (GERD), sleep apnea, liver problems, depression and a shortened life expectancy. Bariatric surgery can help alleviate or reverse many of these problems. A pleasant side effect is an improved appearance, although it should not be confused with cosmetic surgery.Bill was always active and loved deep sea fishing, but when his diabetes began to get out of hand, enough was enough. When Bill was ready to make a healthy lifestyle change, he went to Venice Regional Bayfront Health because of its excellent reputation. The doctors and nurses are by your side all the way, he said.Joseph Chebli, M.D. has personally performed more than 1,000 bariatric surgeries. All procedures are performed laparoscopically and include the Roux-en-Y gastric bypass, sleeve gastrectomy, adjustable gastric banding and revision procedures. Dr. Chebli focuses on his patients complete picture of health, specifically improvements in Type 2 diabetes, high blood pressure, sleep apnea and lipid disorders.He is the only Surgeon of Excellence and Venice Regional Bayfront Health is the only designated Center of Excellence in Metabolic and Bariatric Surgery by Surgical Review Corporation (SRC) and the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program in Sarasota, Charlotte and Manatee County.Today, Bill is 180 pounds lighter and his only pill is a vitamin. Weight is still a concernbut not his ownhes looking to catch 20-30 pound grouper.

For the senior who is staying in their own home to enjoy the comforts of familiar surroundings and people, making some changes or additions to increase safety in the home is a marvelous idea. This article will explain the best additions to make. You may find other things that can also be changed for the better. Someone from Midas Creek Home Health can help you assess your parents home for necessary changes that should be made for safety reasons.Some of the problem areas in the home include:The kitchen slippery or worn-down flooring.The bathroom the riskiest place in the house for seniors to fall; much effort should be spent on making this room safer.The stairway inadequate lighting, steep staircases and loose carpet on stairs all pose risks.Doorways in the home the threshold should be flush on both sides.Its easier than you think to enhance the safety of a seniors home. Sometimes all it takes is a little change in a few areas to make a big difference.Here are the top 5 additions to improve safety in your seniors home:Non-skid floors within the home and non-slip decals placed in the bottom of the bathtub and on the edges of stairs.Walk-in tubs or showers. This eliminates the necessity of your elderly loved one having to step over the wall of the tub, possibly causing a fall. Also, it can be very difficult to get back out of the tub after bathing. With a walk-in tub, these problems are avoided. A comfortable bath chair within the tub makes it easier to complete the entire bathing process independently.Grab bars and hand rails placed in necessary locations, such as around the tub and toilet. Some kitchens also use grab bars. They can be installed close to a bed as well for extra stability getting in and out of bed.Stair lifts for those with multi-level homes who want to continue using all levels of their home.New fixtures that are easier for arthritic hands to use, such as rocker switches for lights and lever handles instead of round doorknobs on the doors.Editors Note: This article was submitted by Leisa Sanchez. Leisa may be reached at 385-235-7711 or by email, leisa@midascreek.com

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

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.

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

Elder Abuse - Would You Recognize It If You Saw It?Helen is 83 years young and is proud to still be living on her own; so far she manages pretty well with most things except driving. She gave that up for fear of having an accident that would hurt someone else. Helen's granddaughter Jesse lives a few blocks away and offered to take her places when she needed to go, it seemed like a good deal and worked well for a few months. Things changed when the granddaughters car broke down and she asked Helen if she could just borrow her car for a while; of course she would still help grandma whenever she needed a ride.Flash forward five weeks, granddaughter still has the car and has stopped calling Helen. Helen does not want to cause any problems in the family or make her granddaughter feel bad so she keeps quiet, but she is very upset about the situation. She has a Dr. Appointment so she calls Jesse to ask for a ride; Jesse is busy that day and suggests that grandma call her neighbor for a ride. Over the next few months the situation worsens when Jesse insists that Helen give her the car, since it is no good to Helen anyway. Helen's health has deteriorated, she no longer gets out for groceries, medical appoints or her weekly trips to the beauty shop. Her friends are worried but she has not shared her problem for fear of looking like a foolish old woman, who never should have let this happen. Scenarios like this are occurring everyday right under our noses.Each year hundreds of thousands of older persons are abused, exploited and neglected. Many victims are older, frail and vulnerable and depend on others to assist them. Abusers of older adults are both men and women, and may be family members, friends, or trusted others.Region 10 Community Living Services and our community partners are dedicated to curtailing Elder Abuse & Exploitation. The group will offer community education, and resources on this topic. If you would like to get involved, post resource links on your website or host a presentation please contact Madison Fowler at Region 10, 970-765-3125 or by email at Madison@region10.netEditors Note:This article was submitted by Eva Veitch, Community Living Services Director for Region 10, ADRC; she may be reached at 970-765-3127 or email at eveitch@region10.net

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

Vax-D is The Gentle Alternate Therapy (Non-Surgical) Your Best SolutionBack Pain has become a chronic problem for 80% of Americans at some point in their lives. Often times these problems are due to excessive physical strain on the body, being overweight and a result of getting older. As life happens we tend to let these problems linger and that is when they get worse. Many people allow it to get so bad to the no point of no return and are faced with the inevitable, surgery.There are other options that individuals should consider. We here at the Back Pain Institute of Fort Myers having treated patients from all over the world with Vertebral Axial Decompression (VAX-D). Our clinic was founded in 2002 and has helped to heal thousands of patients since we opened our doors. VAX-D is a non-surgical treatment that has been proven to be successful in patients with back pain caused by herniated, bulging and degenerative discs. This treatment has received FDA approval to heal a disc which allows peace of mind for most people. A lot of patients prefer avoiding going under the knife if possible. This treatment doesn't use any drugs or injections but rather utilizes a natural approach.VAX-D is a table like device that applies a distractive force to the lumbar or cervical spine, controlling the procedure via computer technology. The technology is designed to avoid stimulation of the proprioceptors that can cause muscle guarding.In a 2005 Landmark Study, VAX-D was confirmed to be one of the most effective treatments for lower back pain. More specifically, the study showed that the treatment was 88.8% successful in the 430 patients that were studied.Moreover, general chiropractic care has significant health benefits for most people. Most people seek out the care of chiropractors after they've been in an accident or a fall that causes back or neck pain but it is important to see a chiropractor for preventative measures. More and more individuals are realizing that chiropractic medicine has many other applications such as alleviating headaches, sinuses and arthritic pain. Our physicians have over 50 years experience. For full evaluation and exam call us today 239-936-2225 at Back Pain Inst. Of Fort Myers, Inc. 12631 World Plaza Lane., Bldg. 54 Fort Myers, FL 33907.

In recent years, pet therapy has gained increased attention, particularly for the elderly. Pets can have a calming effect on humans and benefit mental well-being. Animals can make patients more relaxed, calm, and thus more receptive to medical treatment. Research shows that people who have pets live longer.Colorado Seniors Resource Connection, a locally owned and operated free referral service for seniors, wanted to create a memorable moment for a few nursing home residents. In early September, we stopped by Life Care center of Littleton and brought two rather unlikely pet therapists. One year old alpacas Rosemary and Blossom made the trip to this lovely long-term care and rehabilitative nursing center to spread their love to a variety of willing participants.These cute and extremely soft animals were received with a warm welcome as many of the residents enjoyed petting and even feeding the cuddly creatures. A resident, normally of few words, seemed to greatly enjoy the alpacas as he wore a wide grin during the visit. A wonderful connection was established between the usually head shy Blossom as she warmed right up to the residents. Alpacas are extremely gentle creatures.First introduced to the United States from the dense South American Andes Mountain Range in 1984, alpacas have become very popular. They are easy to care for and for a life time they produce a valuable soft fleece that can be used to make high quality apparel. After the average animal lover spends a few minutes with one, they too quickly grow a strong appreciation for this loving and adorable animal.Pet-assisted therapy professionals find that in addition to cats and dogs, fish, pot-bellied pigs, birds, reptiles, rabbits, guinea pigs, goats, horses and alpacas are also valuable healers. They have found pets to reduce stress levels, give the patient a reason to interact, encourage exercise, offer a sense of intimacy, allow communications, and offer continuity in life. The innocence of animals and their capability to love makes them extraordinary. Human beings want to be part of their world, to connect with them in a mystifying and powerful way that will strengthen and nurture both humans and animals.Author:Brian W. Troccoli

Millions of Americans take care of a friends or family members as informal caregivers unpaid support helping with daily living activities, managing chronic health conditions and/or disabilities, ensuring insurance information and critical long-term planning is up-to-date as well as many other tasks.These informal supports are spouses, partners, family members, friends, or neighbors who do not self-identify as caregivers. These individuals simply consider the care they provide as what you do for someone you care about to help older adults live independently and with dignity.Caregivers Are Growing Older and Suffering Emotional & Physical StrainThe National Alliance for Caregiving and AARP (2015) reports that 34% of caregivers are 65+ years old and the average duration of a caregivers role is four years. And, regardless of employment status, these unpaid caregivers find that positive activities in their respective daily lives are reduced by 27.2% as a result of their caregiving responsibilities. [Coughlin, J. (2010). Estimating the Impact of Caregiving and Employment on Well-Being: Outcomes & Insights in Health Management.] That is because, although being a caregiver can be a labor of love, the stress and responsibilities of being a caregiver can be overwhelming. So, taking care of yourself is one of the most important things you can do as a caregiver. Resources & Services Available From Local Leaders in Aging PLOWS Council on Aging, Southwest Suburban Cook Countys premier leader and connection to aging information and resources, has extensive experience supporting caregivers of older adults in 20 communities within the suburban Cook County Townships of Palos, Lemont, Orland and Worth. One of our most requested services is our respite program which provides temporary companionship of an older adult over 60 years old so informal caregivers can get much needed breaks. Respite is a federally funded program under the Older Americans Act. Donations are suggested for the respite program, however, service is not denied due to an inability to make a donation.The respite program is available seven days a week and can be arranged for just an afternoon or for several days or weeks. As part of this service, trained homemakers visit your home to provide supervision, companion care, meal preparation, and/or personal care assistance. No medical care is provided and medications cannot be administered. Respite can be provided in the home, at an adult day service facility, or in a long-term care facility.Editors Note: This article was submitted by Catherine Stowers, Program Manager for Caregiver Support with PLOWS Council on Aging. For appointments and information on services, please call 708-361-0219.

As we consider our responsibility to provide exceptional care for the aging and vulnerable population in Utah, I think it is important to remember that we are all part of the same team! We have all committed to assisting elders in their quest for quality of life, safety, access to health care, comfortable & affordable housing, and companionship!As we reflect upon the following habits of geese, lets re-commit to working collaboratively to ensure that we minimize gaps in services, provide access to benefits, and remember that everyone deserves to be treated with dignity and respect no matter what their circumstances.Geese fly together in the same V formation that means they all agree on where they're headed! (shared goals and cooperation)When the lead goose gets tires, it rotates to the back of the formation and another goose flies at point. (teamwork and support) As each bird flaps its wings, it creates uplift for the bird just behind it. By flying in a V, the whole flock has 71% greater efficiency than flying alone. (share the workload)When a goose falls out of formation he feels the drag of resistance and quickly gets back in line. (Its hard to do it alone trust and delegate)The geese in formation honk from behind to encourage those in front to keep up their speed. (Celebrate accomplishments and be positive)When a goose gets sick or wounded, two geese drop out of formation and follow it down to protect it. They stay until it can fly again or dies. (Support teammates in good times & bad)Editors Note: Article by Diedra Kearney, Eden Educator, Director for Community Education at Dignity Home Health & Hospice. For more information or request for speaking opportunities, please call 801-860-3801.

Palliative care is a medical specialty focused on caring for patients with life limiting illnesses and helping them to live life fully. It is often delivered by a team of health care professionals including physicians, nurses, social workers and chaplains that have expertise in managing physical and emotional symptoms. The goal of palliative care is to optimize comfort, provide support for patients and their families, and help patients make ongoing decisions about their treatment preferences. Palliative care can be offered alongside curative and life-prolonging treatments. It is NOT one or the other.While palliative care is often confused with hospice, it is different. Hospice is a specialized type of palliative care for people whose life expectancy is 6 months or less.Palliative Care specialists help patients make decisions that align with their hopes and values. The decisions that you make today may be different than those decisions you make for your future. It is important to discuss things that are often difficult for most people to talk about such as advance directives, what if my health worsens?, and what are my hopes for the future?It is never too early to discuss what you want if you ever get too ill to express your wishes. Advances in supportive care (such as breathing machines and artificial nutrition) can keep people alive even when recovery is very unlikely in some circumstances. This is why it is so important to know what people would want their health care providers to do. These conversations are often difficult to have during a crisis situation for example if a person gets very sick without warning. By having these discussions early with your health care provider or a palliative care specialist you have a chance to express what you would want, or potentially not want, in your care. It is also important to have these discussions with your family members so they understand your wishes if you should develop a life-limiting illness.It is important that you understand your medical condition(s) and help others understand your top priority, hopes, and preferences. Palliative care specialists can help you with these ongoing discussions. They can answer your questions about your condition and help avoid misunderstandings.Editors Note: This article was submitted by Kathy J Selvaggi MS MD FAAHPM, Director, Division of Palliative Care at Butler Health System. They may be reached at 724-968-5330, option 3. See their ad on page 92.

Seniors wanting to downsize or right size their lives can find it a daunting endeavor. The large multi-level home that was once ideal for raising the kids is too spacious and mostly unused. Many of the bedrooms, the garage and basement are full of possessions that haven't been touched or needed in years. Who would want to buy a home that looks like a time capsule stuck in the 70s? Selling your family home and letting go of useless possessions can be the most liberating experience of your retirement years! Rightsizing to another home that better suits your current lifestyle can often free you from on-going home maintenance, lawn care, snow removal, and you know about those high heating and cooling bills. Maybe you'd like to give senior community living a try. This gives you the opportunity to experience a relaxed life of prepared meals, planned excursions and activities, weekly house cleaning services and the potential for meeting new people with common interests. Community living makes the concept of "aging-in-place" a reality. So, don't get overwhelmed and become a prisoner in your old home. Get professional help with a real estate company that understands seniors and their special relocation needs. Chose a company that is a one-stop shop that makes selling your home and rightsizing easier than ever! Seek out a company that has an established, reputable company that has successfully helped seniors in the community for years. One that will do more than just list your home for sale, but rather, assist in sifting through your belongings, get you moved and settled into your new home. Then strategically improve your old home for sale, market and sell your home to an effort to achieve top value for the largest asset you own!This article was written by Mimi Tugaoen, Realtor, Senior Real Estate Specialist for Project Relo: Senior Real Estate & Relocation, (303) 931-2977.

Those things which we do not understand are most often the things that cause the most stress. In school for example, some students dread the walk to their algebra class. A feeling of stress and imminent doom overwhelm them as they ponder the question, what does X really equal anyway? Whereas for some, Algebra comes easy and stress is not a part of their journey to mathematical wizardry. The difference the level of knowledge and understanding.Much more significant than algebraic equations, are issues related to health. What treatments are needed? How will I pay for my care? Who will take care of me? Will it hurt? Will I be alone?You arent expected to understand everything; no one does. However when it comes to your health understanding is crucial. Hospice is a specialized form of health care which functions through an interdisciplinary team of experts who do understand all of the unique needs of end-of-life care. With social workers, chaplains, physicians, nurses, physical therapists and more; a hospice team is built specifically to meet all of the needs of both the patient and their family.Harrisons Hope is a hospice that prides itself on an unwavering commitment to care, community, counsel and communication. Built around the philosophy of doing whatever it takes when it matters most, Harrisons Hope has developed a patient first focus for everyone in need of this dedicated care.Our commitment is to provide a level of patient care that is second to none. Our commitment is to provide patients and families with a superior level of communication that ensures questions are answered, care is provided quickly and understanding is achieved. Our commitment is to become an integral part of our communities through patient care, faith and education. Our commitment is to counsel our patients to ensure that the benefits of hospice are fully understood and received.Live your life without fear as the complete Harrisons Hope team works to meet each need that you and your loved ones have during this critical time.Life is all about the choices you make. When it comes to your health it is important that you make the best choice possible. Hospice empowers you with the opportunity of spending quality time the way you choose, in the place you decide. No matter what you may be facing, take control of your health and find a redefined hope for a better quality of life.

We live in a world where driving and independence seem to go hand in hand. Yet for most indi-viduals, there comes a time when driving may no longer be safe. York County has seen a re-cent increase in the percentage of motor vehicle accidents where the driver is an older adult.Our physical abilities, reaction times, vision and hearing change as we age. That doesnt mean that we cant continue to do things that are important to us and remain actively connected to our community.The York County Center for Traffic Safety and rabbittransit have partnered to launch a new safety campaign focused on transitioning York County residents age 50+ from driving their own vehicles to using rabbittransit services and other alternative transportation options. The goal is to provide tools for older adults to transition so they can stay active in their community and Live Fully, Travel Safely.Funded in part through a grant from the York County Community Foundations Hahn Home Fund for Embracing Aging, the two organizations will be implementing a public awareness campaign and expanding rabbittransits Travel Training program to include volunteers.For seniors who are not comfortable or who do not know how to ride public transporta-tion, the Travel Training program helps make the connection. Travel Trainers are available to work with individuals to register and even go along on the first ride. The Travel Training is also available for groups; board a bus, go for a ride, help with registration, and provide information on all available transportation options in our community. Interested in becoming a Volunteer Travel Trainer? Contact Sherry Welsh at 717-849-0731.In Pennsylvania, we are fortunate that transportation for those age 65+ is supported by the PA Lottery. Adults 65+ ride free of charge on rabbittransit buses, and pay only a small co-pay to use the door to door shared ride system. Living well in our community should not depend on owning a car. When it is time to give up the keys, it doesnt mean giving up our independ-ence. More than 8,000 people depend on rabbittransit each day to get to work, medical facili-ties, school and other life-sustaining activities you can too!Editors Note: This article was submitted by Richard Farr, the Executive Director of rabbittransit in York, PA. Rabbittransit provides transportation in Adams, Cumberland, Franklin, Perry and York counties. For more information, please visit www.3p-ride.com.

MEDMODERN is a Family Medicine clinic specializing in the care of Medicare Advantage patients.Dr. Coleman Pratt is Board Certified in both Family Medicine and Integrative and Holistic Medicine and has focused many years of his career on the care of older patients.MEDMODERN limits enrollment size in order to offer concierge medical services, including house calls, at no additional cost to qualifying patients. Nobody should feel rushed when they visit their doctor.Dr. Pratt has spent his entire career taking care of patients and their families, while also serving as a faculty member at Tulane School of Medicine and overseeing a large network of community health centers. He has worked to perfect his approach to care which is patient centered, evidence based, and quality focused. MEDMODERN understands that patients should receive cutting edge healthcare that emphasizes a personalized relationship with their Family Physician, and puts that principle into practice.Editors Note: Article submitted by MedModern Healthcare. They can be reached at (941) 251-4612 for more information.

As people get close to retirement age, many face questions about where they are going to live as they get older. According to AARP, nearly 90 percent of seniors want to stay in their own homes as they age. Even if they need day-to-day assistance or ongoing healthcare, most (82 percent) would prefer to age in place.With that in mind, if you want to age in place, planning for the future is key. Making decisions about remodeling the home to accommodate health-related changes and clearly assigning caregiving responsibilities are important steps. Such planning should include directives about your healthcare wishes, especially for tough situationssuch as near the end of life, when you may need hospice care.Hospice focuses on maintaining the patients comfort level and quality of life during their last six months of life by treating physical symptoms, providing pain management, and addressing emotional and spiritual concerns.As the nations leading provider of end-of-life care, VITAS Healthcare brings hospice services to you or your loved one, in the place they call home. An interdisciplinary hospice teamphysician, nurse, hospice aide, chaplain, social worker, volunteerbrings clinical, compassionate hospice care to patients wherever they live, whether a private residence, assisted living facility or a nursing home.When the patient is in a private residence, the team comes to the home to provide pain management and symptom control as well as personal care. For patients who live in an assisted living community or nursing home, the hospice team provides care that complements the care the patient is already receiving.If a patients symptoms worsen or become difficult to control, VITAS helps the patient remain at home, wherever they call home, by providing shifts of care at the bedside for up to 24 hours a day. Called Intensive Comfort Care, it keeps patients out of the hospital, emergency room and ICU. It helps patients stay home.With more than 35 years of experience in improving the quality of life for terminally ill people, VITAS is dedicated to helping patients stay in their preferred setting during the end of life.Article Submitted by: Cathy Carlson, RN, VITAS Healthcare General Manager For more information about VITAS, please visit VITAS.com or call 708-781-4400.

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.

Osteoporosis Prevention and TreatmentOsteoporosis is a painful, disfiguring disease that weakens bones making them more likely to fracture. One of every two women and one of every five men will havean osteoporosis-related fracture in their lifetime. Spinal fractures cause stooped posture, loss of height and chronic back pain. Hip fractures are the most serious consequence and can threaten ones independence and life. Other common osteoporotic fractures occur in the wrist and ribs, although the disease can affect any bone in the body.Women most commonly suffer from osteoporosis. However, this disease strikes both men and women. Without treatment, osteoporosis can silently advance until a bone breaks. By diagnosing osteoporosis in the early stages, your healthcare provider can start treatment that can prevent broken bones.Osteoporosis is diagnosed through bone density scanning, also called bone densitometry or DEXAscan, an enhanced form of x-ray technology that is used to measure bone loss. DEXA is most often performed on the lower spine and hips. The most accurate test is a dual-energy x-ray absorptiometry (DEXA or DXA) test of the spine and hip. This test can predict even a one percent bone loss and radiation exposure is only 1/10th the radiation of a routine chest x-ray and 1/100th the radiation of a CT bone density test.Be proactive. The key to prevention is finding out how strong your bones are before abone breaks. With information obtained from consultation and testing, your doctor can predict the likelihood of fracture and determine the most appropriate treatment for you.There are now medications available which can slow bone loss and prevent osteoporotic fractures. Other preventive measures include weight-bearing exercise, a balanced diet rich in calcium and simple lifestyle changesEditors note: This article was submitted by St. Mary-Corwin Medical Center. For further information on osteoporosis, or to schedule a DEXAscan, call (719) 557-4444. For more information about St. Mary-Corwin, call (719) 557-4000-4000

It always seems too early, until its too late.Its an all-too-common refrain from loved ones who waited too long to have conversations about end-of-life care preferences.I, myself, live with regret of a decision made with my husband as he neared the end of his life.We followed the expert recommendations of his care team to move him from home to inpatient hospice care, but he and I both knew he wished to die at home. When the decision had to be made, he was so close to death that we couldnt have the conversation with his family.Eleven years later, I still wonder: What if?Today not tomorrow we all should consider if our wishes are known by those who will speak for us when we near death.Advance care planning is not just about old age. At any age, a medical crisis could leave you too ill to make your own health care decisions.Even if you are not sick now, making health care plans for the future is an important step toward making sure you get the medical care you would want. It guides doctors and family members in making the decisions for you.Have the conversation today with your loved ones. At the end of any advance care planning conversation, you should have these five wishes clearly understood by your family:1. Who do you want to represent you when you cant make health care decisions for yourself due to your medical or mental condition?2. What extreme measures do you wish to have taken to prolong your life if death seems imminent? This includes CPR, life support and pain management.3. How comfortable do you wish to be when you are near death?4. How do you want people to treat you? Do you wish to die at home?5. How you will share your stories with those you love, and what do you want your family to do for arrangements once you die?Here is what you can do today to plan for your health horizon:? Gather resources. Find conversation starters, issues to consider and instructions for completing advance directives at WellSpan.org/HorizonPlanning.? Start with yourself: What are your own health care decisions? Consider what will be important as you near death.? Involve loved ones: Mutually share your wishes. Have many conversations as life and health changes.? Readiness: Give your advance care plans to your physician/hospital so your wishes can be known and honored.Everyone has a health horizon. You should plan for it. You and your family will be glad you did.To learn more about WellSpans Horizon Planning, visit WellSpan.org/HorizonPlanning._______________________________Editors Note: This article was submitted by Roberta Geidner, Horizon Planning Coordinator at WellSpan Health.

As a home health care company with over 12 years of experience in Naples and Southwest Florida, we have seen many incidents were seniors fall due to dangerous conditions or lack of balance. It is one of the biggest threats to seniors health. In old age, a seniors ability to keep balanced decreases.To Avoid Those Incidents We Have Some Tips To Improve Balance:Vibration platformsVibration platforms are exercise machines with a vibrating plate that the user stands, sits, or lies on while performing specific movements. Due to the consistent vibration, the body naturally tries to stay in balance which causes multiple muscle contractions especially in the core and along the vertebral column. Most of those machines have stabilizing bars which allow seniors to train their balance while holding on to the machine. This secure position reduces the chance of falling off the platform. This exercising method is very popular among seniors due to the low impact on joints, core strengthening and the improvement in balance which helps reduce the risk of falling and Osteoporosis. It is highly recommended to have a certified trainer showcase the different exercises and have a physicians approval to do such a workout.YogaThis training method combines different postures and movements in order to keep the body in balance. Similar to the previous method, Yoga training movements can have a very low impact on joints that are preferred by seniors. Depending on the range of movement, seniors will be guided through different poses that combine stretching and static strengthening exercises with the goal of increased balance and core strength. Like with any other physical training, it is recommended to consult a physician and have a certified trainer/Yogi guide one through a routine.Eliminate risks in your householdMany risks of falling can be avoided by eliminating obstacles in the home. Make sure that living areas are not cluttered with objects that might cause seniors to trip or stumble.Clean and clear paths to any part of a living area are important. Make sure that lighting is appropriate in all rooms and that the switches are easy to reach and use backlights so they can easily be seen. Slippery surfaces like in bathtubs should have non-slip stickers or a matt if possible. Wearing non-skid, rubber-soled, low-heeled shoes, or lace-up shoes with non-skid soles can also tremendously decrease the chance of falling. Utilizing assistive devices like a cane or walker and having them on hand is definitely helpful as well.Consistent check-upsMake sure to visit a physician regularly to check for visual, hearing and balance impairment. Any decrease in audiovisual senses can increase the threat of falling tremendously. Making sure that seniors have the right glasses or hearing aid is essential.Hire a care provider to assist with daily activitiesHaving someone to look out for seniors can greatly reduce the risk of injury due to falling. Our licensed, knowledgeable caregivers will help make sure seniors are safe in their own home and around town. Caregivers can help ease the stress of day to day activities like grocery shopping, bathing, housekeeping and meal preparation that seniors may find difficult if they have balance or stability issues.Just Like Family is a home health care provider in Naples always focused on the well-being of clients, trying to help them stay independent in their own home.Disclaimer: The blog entry above has been created utilizing different online sources. The blog entry has not been verified by a doctor. Please note that conducting the above-mentioned activities is at the individuals own risk and responsibility. Please always consult a doctor before exercising or doing any physical activity, especially to avoid injuries or harm due to unknown preconditions. Just Like Family is not responsible for any injuries while conducting the above activities.Submitted and Written By: Just Like Family Home Care - click here for more information

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.

Did you know that cannabis can be appreciated in more ways than combusting or vaporizing? In fact edible and topical use can provide consumers with optimal therapeutic value. Many patients and customers find comfort from day to day pain as well as relief from their daily pharmaceutical regimen using some of the innovative cannabis products on the market.Apothecanna specializes in cannabis infused lotions, salves, and lip-balm. The regular strength Pain Cream is a reasonably priced introductory product for the first time cannabis consumer. The Extra Strength Pain Cream is recommended for experienced cannabis users; it is described as soothing and comforting. The Lip Buzz lip balm, while not intoxicating to the lips, has a wonderful healing effect for those have been too exposed to sometimes intense Colorado wind, frigid and dry temperatures, and sun. Topicals are advantageous in alleviating a wide spectrum of physical ailments including arthritis, joint pain, aching muscles, painful muscle tensions, and a variety of skin conditions.Mary's Medicinals, has developed a wide variety of products promoting the therapeutic benefits of cannabinoids like CBC, CBD, THC, and CBN as well as many different delivery mediums with scalable dosage options. These cannabinoids are linked to relief from pain, cramps, spasms, and nausea with anti-inflammatory properties. Mary's Transdermal Patches have gained a reputation for long lasting relief. The dosing of the 10mg and 20mg patches can be scaled down by tailoring the patches to varying shapes and sizes. Mary's Transdermal Pens are dispensed in 2mg doses of cream. Pens are easily applied and stored and the effects match the qualities of the patches. Thus, this product is great for patients or customers who need a targeted dosage greater than the patches can provide. Mary's also packages their CBD and CBN extracts into 5mg capsules. Capsules are an excellent low dose, yet scalable, with similar effects as the patches and pens. Capsules can have a more immediate effect that transdermal application. Mary's Medicinal has great customer outreach through their webpage, customer surveys, and a toll-free 1-800 number that connects you to a registered nurse for guidance.Edible products are carried for a wide variety of ailments. The Dixie Elixir company markets elixirs, tinctures, mints, capsules, and chocolates. Their 50/50 CBD:THC Synergy Tincture has been a hit for customers who are seeking a controllable high CBD edible option. Many patients use a few doses of the Dixie Tinctures for sleep aid and pain relief. Dixie 10mg Mints are an excellent scalable option for customers who need a quick, discreet, and controllable product. Mints come in two varieties: Relaxing Mint, for pain relief and sleep aid and Awakening Mint, for pain relief.Editors Note: This article was written by Rich Fordham of Choice Organics and may be reached at 970-472-6337.

As we grow older, keeping our minds active is crucial to healthy aging. In addition to learning new hobbies, attending community classes, or playing card, board, or video games, consider this new way of online learning through active interaction with others.Smart Strategies for Successful Living: Your Link to Quality Aging is a community-based website designed for older adults. It provides a venue for people to exchange ideas on how to actively understand, embrace, and enhance their aging process. It includes articles and shared tips by community members and professionals on a variety of enjoyable and relevant subjects that focus on the personal growth and development of the older adult. In addition, the website connects individuals to lifelong learning opportunities, upcoming events, and ways to support the community.Become a member of our Community of Online Learners!It is easy and FREE to access the many opportunities available to you through Smart Strategies for Successful Living. With a computer, IPad, or other mobile device, you can begin your online learning experience from the comfort of your own home. Discover: Explore the many learning tips and community insights on our website at: agegracefullyamerica.com Join: Subscribe to our FREE online newsletter to receive our bimonthly updates on how to improve your health and well-being. Register on the website or at this site: http://conta.cc/2q6F7Wy Get involved: Share your tips with us on recommended books, articles, and quotes that promote the care and well-being of older adults. Contribute: Write and submit targeted articles to be posted on the website. Possible categories include: General Interest, Health & Wellness, Happiness, Brain Health, Financial Security, and Technology. You and your organization will receive full credit for your articles. Inform: Keep us posted on community events specific to healthy aging and well-being. All learning opportunities for older adults will be included on our website under Community Events. Learn: Access our online classes and face-to-face classes as posted on the website under Lifelong Learning.Note: Send your contributions to Dr. Patricia K. Flanigan via email at: info@agegracefullyamerica.comAs you engage in Smart Strategies for Successful Living, be passionate about learning. Exercise your mind, interact with new people, and have fun!

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

Today there are so many choices for older adults when they reach the age of retirement. For that matter, what is the age of retirement? The answer is there is no set age. It is a personal choice of when one chooses to retire or if they want to retire or can retire. So, maybe we need to look at this as not retirement, but when does it feel right to change your lifestyle? And that is a very personal choice.For the person who has lived in the suburbs and commuted their entire life for a job, the attraction of living in a large urban area such as Denver may be appealing. If you love the theater and concerts, then you have that within easy reach if you live in downtown Denver. If you love sports, you have the major sports arenas close by. Life in downtown Denver is also about the amazing restaurants large and small, brew pubs and more. But there is more to Denver than the theater scene, concerts, sports and fine dining.In Denver we have access to major art museums, from the Denver Art Museum to Museum of Contemporary Art Denver, American Museum of Western Art, Clyfford Still Museum, Mizel Museum, Museo de las Americas and others. Then add in the Denver Botanic Gardens with their wonderful concerts and the amazing events at Denver Museum of Nature & Science. When you live in downtown Denver you are also near the Colorado State Capitol. Maybe politics is your second career?With the Denver urban lifestyle all the above are a walk or close ride away, whether it be public transportation, ride hailing service or car sharing. Do you even need to own a car if you live in downtown Denver?Have we piqued your interest in a lifestyle change? Use this resource and look at the section called Active Adult Communities and plan some visits to the communities located in urban Denver. You may find that you want to immerse yourself in the Denver lifestyle.Editors Note: This article was submitted by the Staff at 16 Penn Apartments located in Uptown Denver. They can be reached at 720-269-4380 or by email at leasing@burgwynmgmt.com

Reasons for choosing a personal Board and Care HomeMost people prefer to stay at home as they age but that's not always possible. They typically provide awake staff 24/7 so you have peace of mind that there is always someone there to assist if needed. It's like living in your own home with a family that you can spend time with and decorate the way you would in your own home. Typically, board and care homes have 8-16 residents in a home and at times may have multiple small homes on the same property to accommodate more residents. Small board and care homes can provide similar services as larger communities including shower assistance, personal care, medication management, cooking, laundry and individual dietary needs on a case-by-case basis.Personalized CareA smaller community gives the staff the chance to spend more time with each resident. The'll become familiar with every individual's personal preference, personality, and needs. This will translate into individualized, higher-quality care, keeping each resident comfortable and healthy. Staff to resident ratios are typically higher allowing for more one-to-one time.Home-Like FeelThe greatest benefit of a small, assisted living community is the intimate, home-like atmosphere. Residents are encouraged to mingle in the common areas with each other, the staff, and family members. They can also relax and watch television with their friends just like they would in their own home. Providing home cooked meals, also feels more like home and residents have more flexibility over the meals that are served.Opportunity to Build Relationships with Other ResidentsWith fewer residents, there is more time for them to get to know each other. The'll all eat together, participate in daily activities, and talk with each other daily. There is more opportunity to play chess, cards and games with the other residents or staff during both day and night as well. This environment creates a tight-knit community which helps residents establish friendships that will grow stronger every day.Written By: Deb Hickel

Villa resident Bob Boehlow is many things Best. Best husband. Best father. Best friend. Best teacher. Best person. Best baseball player! Just ask his youngest son, Jason.Dad has always been about being the best and doing the right thing, he attested. Baseball was his passion and even when he had a chance to play with the big leagues, he did the right thing.At Normandy High School in St. Louis, Bob excelled in academics and athletics. He loved football, wrestling and baseball. As pitcher, he was passionate about baseball. But WWII would engender another passion: Patriotism. Upon graduation, Bob enlisted in the US Marines. Marines Supreme! he proudly trumpets. He became an M-1 Rifle Sharpshooter, earning the rank of Corporal prior to his honorable discharge. This would compel his confidence to make good on the GI Bill and he enrolled at the University of Missouri Columbia where he became the star pitcher for the Tigers.His son tells the story that when the Yankees recruited his father after college graduation, Bob heeded the counsel of his own father regarding a conflict he faced. He was engaged to a girl who had just been diagnosed with Lou Gehrigs disease. He knew it just wouldnt be right to leave her, Jason said, citing the rigors of continuous travel that characterize the life of a professional ball player. And Jason Jay Boehlow knows first-hand that life on the road can be tough having played First Baseman for the Chicago Cubs.Bob went on to teach and coach baseball at Riverview Gardens High School in St. Louis where he would eventually meet the art teacher who became the love of his life, Majorie Selindh. (I majored in kissing, Bob interjects with an enormous grin.) As was typical in the day, if you coached a sport, you also taught Drivers Ed. However, Bob was no ordinary instructor. His wheels were always turning, Jason said of his fathers entrepreneurial inclinations.In response to instructing the anticipatory dangers of driving, Bob designed and marketed the first simulator, allowing for student mastery without actually getting behind the wheel. He also built the first solar house in St. Louis from the ground up, Jason added. Perhaps Bobs finest hour occurred in 1985 when he was inducted into the Greater St. Louis Amateur Baseball Hallof Fame.By 2008, Bob and his wife were eager to embark on their retirement and the sunshine of Naples. But recently, when he began experiencing mini-strokes and a shift in his attentive personality, the family grew increasingly concerned. Mom was taking care of him and becoming exhausted, Jason said. We knew we needed to explore alternatives. It wasnt until they discovered Villa, the state-of-the-art facility for memory-care located on the campus of Terracina Grand that they could relax in knowing that Bob was in an environment enriched by care, stimuli, interaction and love.Dads been like a different person at Villa, Jason asserted. He seems pretty happy but he still talks about wanting to get a job!One person Jason holds in especially high esteem at Villa is Life Enrichment Director Julie Badour. Her enthusiasm, initiative and ongoing interaction with family members means everything to the Boehlows. Last fall, Badour (also a veteran Marine) quietly began envisioning the idea of being Bobs guardian on an upcoming Collier County Honor Flight. It would become a pinnacle moment for father and son.Dubbed the Lucky Sevens, the final flight of 2015 was resplendent with relevance: Mission 7 would be flying on the 7th of November, escorting 70 WWII heroes on the 70th Anniversary year marking the end of WWII(1945 - 2015).Badour knew her dream was going to require luck lots of it. To date, no veteran with Alzheimers from a memory care facility had qualified for the requisite Medical Clearance. Undaunted, she fashioned what just might become a Best Practice in preparing eligibility. In the weeks preceding, she began using films and photographs as a means of conditioning Bobs emotional reaction to memories of WWII. Much to her satisfaction, all of his responses were appropriate.News of Bobs acceptance was a day Badour will never forget. It was thrilling! she said. I knew Jason would want to be a part of this historic day.And for Jason, flying in from St. Louis for the rendezvous was indeed historic. Despite the rain and cold, accompanying his father throughout the tour was a day he, too, will never forget. My father really is the Greatest Generation, he said. It makes me proud.Editors Note: Bernadette La Paglia BSN, M.Ed. serves as Community Liaison for Hodges Funeral Home, a Dignity Memorial provider.

According to the study, Aging in Place in America, more people over the age of 65 are afraid of moving into a nursing home than are afraid of death. Ignoring the possible need for nursing home care means that you miss out on the valuable chance to plan ahead. Planning ahead gives you time to find alternatives for paying for care.Medicaid is a joint federal-state program that pays certain healthcare costs. The program is needs-based, meaning that it is available to those who meet certain financial criteria. After you have demonstrated that you need nursing home care, two things matter: your income and your assets. Currently, to qualify for Medicaid, you as a nursing home resident are allowed to have no more than $2,000 in countable assets. What happens if the time comes for nursing home care, and you don't meet the Medicaid income and asset tests? For too many people, the answer is to enter the nursing home and pay for care out of pocket each month until they have spent enough assets to qualify for coverage.With the right planning in place, there is often no need to spend all, or even most, of your assets on nursing home care before you can qualify for Medicaid coverage. It is never too late to get help with Medicaid planning, even if you or your loved one is already in a nursing home. However, the sooner you begin to plan, the better. Medicaid planning falls under estate and elder law planning. Attorneys who focus their practice in these areas help their clients with a variety of issues. Before you pick an attorney, it's important that you do research. Carefully investigate the attorneys background and credentials, and make sure you choose a lawyer with plenty of experience with Medicaid planning in particular. Remember, this is someone you'll be trusting to guide you through some pretty complex areas of law, so before you settle on your own Estate Planning and Elder Law attorney, make sure that you are comfortable talking to each other.Editor's Note: This article was submitted by Fred Haiman. Fred is an elder law and estate planning attorney licensed in the State of Texas and can be reached at 469-893-5337.

Everyone grieves differently.Grieving is a very personal and highly individual experience. How you grieve depends on many factors, including your personality and coping style, your life experience, your faith and the nature of the loss. The grieving process takes time. Healing happens gradually; it cant be forced or hurried. There is no normal timetable for grieving. Some people start to feel better in weeks or months while others it takes years. Whatever your grief experience, its important to be patient with yourself and allow the process to naturally unfold.The following misconceptions and beliefs are prevalent in our culture and reflect a misunderstanding of the grief process. Absolute statements mistakenly attempt to provide information for how grief is experienced and result in hindering rather than helping people through their grief.Time takes care of everythingThe pain will go away faster if you ignore itIts important to be strong in the face of lossIf you dont cry, it means you arent sorry about the lossGrief lasts six months to a yearGrief always brings family togetherYou can grieve too muchThe five grief responses are:Denial: This cant be happening to me.Anger: Why is this happening to me? Who is to blame?Bargaining: Make this not happen and in return I willDepression: Im too sad to do anything.Acceptance: Im at peace with what happened.If you are experiencing any of these emotions following a loss, know that your reaction is natural and keep in mind that not everyone who grieves goes through all of these stages. These are not stops on some linear timeline. Some people resolve their grief without going through any of these stages. Contrary to popular belief you do not have to go through every stage to heal. Dont worry about what you should be feeling or which stage youre supposed to be in at any particular time.The grieving process is as individual as our lives. Whatever your grief experience, its important to be patient with yourself and allow the process to unfold naturally. Editors Note: This article based on content from the CNS bereavement program and was submitted by Kimberly Dansie, HFA, MBA. She serves as Vice President of Business Development with Community Nursing Services (CNS) & may be reached at (801) 639-5433 or by e-mail at kimberly.dansie@cnscares.org

To learn more about A Call To Order, CLICK HERE.Most everyone these days spends a goodly amount of time in their car, their ride, their mode of transportation. If its not commuting to the office, it might be dropping the kids to school or the next practice in the endless schedule. Americans have made their windshield a part of the daily routine. How much scenery do you view through it everyday? And how much more enjoyable is that scenery afterorganizing your vehicle?Along with the over clutter that we have in our homes it has spilled into errand running chariots. Here are 4 areas to help in organizing your vehicle.The Glove Compartment. Here is a quick cheat sheet of things to keep in the glove compartment of any vehicle. Current registration, current insurance information, owners manual, tire information, roadside assistance, a pen, paper and flashlight. This space should clear and important information easily found when those unexpected incidents happen.The Center Console. The proverbial catch-all of stuff. From loose change to straw wrappers, it has become a hidden hole of despair. A couple of easy fixes are silicone cupcake liners in cup holders. When they get dirty just put them in the dishwasher for a cycle. Zip top plastic bags also for different categories: first-aid, change, candy/gum, etc. A small accordion pocket is great for coupons, receipts, and mileage.The Trunk. Cargo areas are always a challenge. This is where anyone and everyone can be the most creative. It could be as simple as a plastic tote or box to hold things from running around. Nets have become more popular with odd shaped sporting equipment. Hooks and canvas bags on the backs of headrests could be another solution or a combination of several options.Containing the Kids. Corralling children in general is interesting. Experience and many trials with errors. The back of the seat is great if the child is older and can reach the items. However, makeup a bin of goods and activities that will go on the seat. Make it a game to see how fast putting things back into place when you get to your destination. Picture labels work well for non-readers.Everyone is different in how live, play and utilize their individual vehicle. Plan your space for your lifestyle and the items which will serve you best. If you need more suggestions or struggle in areas A Call to Order Professional Organizers is a tremendous resource for living a more simple and rewarding life.

Palliative care is specialized medical care for people with serious illness. This type of care is focused on providing relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.It is provided by an interdisciplinary team which can include physicians, nurses, occupational and physical therapists, psychologists, social workers, chaplains, and dietitians. Palliative care can be provided in a variety of contexts including hospitals, outpatient, skilled-nursing, and home settings.#listing_mgr{8 basic_search}#

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

An easy to understand chart reviewing the 2020 Medicare Plans.

More seniors are choosing to remain independent in their own homes and age in place. When faced with healthcare challenges, many are opting for Home Care and the flexibility it provides.Supports safe, independent living. Home Care can help reduce the risk for falls. Transferring from a chair, bed or wheelchair can be a particularly dangerous moment. Caregivers can aid with this supervision and support to help promote safety while encouraging independence. Home Care can assist with the clients personal hygiene such as bathing, grooming, dressing and other personal tasks. While all falls cannot be prevented, in the event a fall occurs, knowing the clients caregiver is nearby, provides security and offers prompt attention when the client needs it most.Supports physical activity. When a near-fall or fall occurs, the senior adult can develop a fear. They may feel safer just sitting in their favorite lounge chair. Their fear promotes inactivity. Inactivity can lead to loss of muscle tone and balance. Many times it can also lead to depression. Caregivers encourage activity. They can transport clients to therapy, to indoor pool programs, to exercise classes, to Yoga, to their favorite Senior Activity Center, or to their local Senior Sneakers program at the YMCA. This encourages friendships and social interaction as well as offers a level of confidence by having a caregiver close at hand. Caregivers also encourage home exercise programs or other activities prescribed by their healthcare provider.Supports safety. The CDC confirms each year that more senior adults fall at home than anywhere else. By conducting a Falls Risk Assessment as well as a Home Safety Assessment Checklist, ongoing education, and support, Home Care can help reduce the risk for falls in the home environment.Support medication safety. Caregivers can take the client to the physician, to the pharmacy to pick up prescriptions, and remind the client to take their medications at the time and in the manner prescribed by their healthcare provider.These are just a few reasons why Home Care might be a good option for those that want to Age in Place with Dignity and Grace.Editors Note: Written by John Kemp, Owner, HomeWell Senior Care of Northern Colorado. John can be reached by calling 970-461-4799 or by email, jkemp@homewellseniorcare.com. John Developed CSUs Comprehensive Wellness Program back in 1987 and has spent the last 25+ years in the Health and Wellness industry.

The latest findings on the connection between Hearing Loss and Cognitive Function! Does your loved one forget items that you know you've discussed with them, or is it possible that they didn't actually hear the message correctly? New research shows that hearing loss contributes to cognitive problems!Johns Hopkins and the National Institute on Aging that finds that Men and Women with Hearing Loss are much more likely to develop Dementia and Alzheimer's Disease! The report states that Even mild Hearing Loss DOUBLED the Dementia risk and severe hearing loss, the study reports, makes people five times more likely to develop dementia than those with normal hearing.If you are over the age of fifty you should have a Baseline Hearing Test, especially if you have noticed ANY signs of forgetfulness, states John Hoglund BC-HIS, ACA of Hoglund Family Hearing and Audiology Center. These tests are provided as a FREE public service by our Practice to increasing knowledge and awareness of hearing related issues. We can also arrange for FREE MEMORY SCREENINGS for those who wish more in depth testing. Please call our Practice to arrange a complimentary consultation to learn more about the research findings. All it will COST is a little of your TIME but the KNOWLEDGE you receive may be PRICELESS! www.HoglundFamilyHearing.com

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

THE most common infectious disease in dogs and cats is periodontal disease, which is a progressive inflammatory infection of the ligament of the tooth root and gingiva. Periodontal disease causes pain, infections, and tooth loss in our pets. 80-85% of ALL pets over the age of 3 are affected.As modern medicine and dentistry has advanced for us as pet owners, the veterinary community recognizes how serious dental disease can be for our furry companions. Just like in humans, periodontal disease is a chronic source of both moderate and severe pain for pets. Periodontal disease can be the underlying cause of certain kinds of heart disease. It causes heart valve infections from the blood stream being constantly showered with bacteria from the mouth. Additionally, chronic inflammation from the mouth puts stress on the kidneys and infections in the mouth can make the liver work harder to clear toxins. Please talk to your veterinarian if you are concerned about tartar or dental disease in your pet. Editors Note: This article was submitted by Robyn Murray, DVM.Dr. Murray is the Lead Veterinarian with Complete Companion Care and may be reached at 303-518-5687 or by email at info@cccpets.com

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

Refers to any medical treatments/medications that need to be introduced into the body via a patient's veins. Numerous IV Therapies can be provided in a patient's home under supervision of a MD. Some of these include: inter-infective/antibiotic therapies, hydration therapy, pain management, chemotherapy and central line care and maintenance.#listing_mgr{8 basic_search}#

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.

Getting older should af-ford you more respect, not less. No one at any age should be subjected to physical or mental abuse. If you are a senior and believe that you are in an abusive situation, it is important for you to know that you have rights and realize that elder abuse is a crime. As Americans, we all have the right to live our lives free from abuse, neglect and exploitation.The Department of Elder Affairs is committed to working with the network of social services and law enforcement agencies throughout the state to protect Floridas elders from abusive situations and environments. The Adult Protective Services Act (Chapter 415 of Florida Law) requires the state to have specific procedures for reporting and investigating instances of suspected abuse, neglect or exploitation of disabled adults and the elderly. The Department of Children and Families Adult Protective Services Office serves as the lead agency for handling reports and investigations of abuse.How do you know if you have been abused? There are many forms of abuse. Any willful act or threat that causes (or is likely to cause) you significant physical, mental or emotional harm is considered an act of abuse. Common forms of abuse include: hitting, pushing, shaking, beating, yelling, verbal harassment, coercive behavior, intimidation and other acts that cause harm. Un-fortunately, many seniors know their abusers well. Sadly, reports of abuse conducted by adult children, grandchildren, friends and neighbors, or in-home health care providers have become commonplace.Neglect occurs when caregivers fail to provide elders with the essentials needed to maintain their physical and mental health.Your parent could be a victim of neglect anytime, someone in charge of their care deprives them of food, clothing or medical care. In most cases, neglectful behavior is repeated over a period of time.Exploitation involves the un-authorized handling or usage of an elderly persons money, property or other valuable resources. Un-fortunately, there are many ways in which unsuspecting elders can be exploited. Those who misuse their power of attorney or their guardianship status in a way that results in the unauthorized appropriation, sale, or transfer of property or personal assets is guilty of exploitation.For additional information on elder abuse, neglect and exploitation, contact the Senior Choices Helpline toll-free at 1-866-413-5337. If you suspect elder abuse, neglect or exploitation, call the Abuse Hotline at (800) 96-ABUSE (2873).Author:Senior Choices Helpline

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

My uncle is 83 and still drives. My grandma is 90 and still goes out dancing.My step-father is approaching 74 and still runs a mile each day.Do you see anything wrong with the language above? Its the word still. For many of us, using still this way in a sentence is automatic. We dont even think about it. Its like when you pass someone you know on the street and robotically say Hi, how are you as you continue to walk by without listening for their response.Although meant as a compliment, the word still suggests seniors have worth only to the degree in which their actions resemble those of younger people. Dr. Bill Thomas, an author and geriatrician who is helping the world redefine aging, says the word still describes the subculture of Realists. He recently came to York at the invitation of York County Community Foundations Embracing Aging initiative. His message is a great fit for our work because Embracing Aging is a long-term initiative that focuses on culture change and how people experience aging in York County. Specifically, were working to make York County a great place to age by expanding understanding and caring about the needs and perspectives of older adults and reducing barriers to aging well. The outcomes we strive for are to improve attitudes around ones own aging and senior adults as a group, resulting in creating a community that is a safe, welcoming, appropriate, and adaptable place to age and increase high quality and forward thinking options to help seniors live as they choose in their community. Dr. Thomas thinks Baby Boomers fall into one of three categories: 1) Denialists, who loudly reject changes that come with age; 2) Realists, who view aging as bad and actively resist aging changes; and 3) Enthusiasts, who find aging interesting and they cant wait to explore it. He believes still fits Realists because they cannot see the value of life beyond adulthood, which traps them in a desperate and ultimately doomed effort to continue living as they did when they were younger. Realists think older people are worthy only for what they offer, which is wrong. At age 53, I cannot run as quickly as I did at 15, nor perform backbends and cartwheels across the grass as I did at age 8. My worth isnt measured on what I can still do. I believe people of all ages are valuable no matter what. This is especially true for older adults, as they have life lessons and experiences that are far more important than abilities. Someone once asked me about people who are no longer able to communicate due to advanced diseases, such as Alzheimers. I echo Dr. Thomass thoughts on this. These people have the greatest value because they teach the rest of us about compassion. When should we stop using the word still? Every time its used to diminish older adults.Editors Note: This article was submitted by Cathy Bollinger. Cathy Bollinger is the managing director of Embracing Aging with York County Community Foundation. Contact her to learn more about strategies to embrace your age and a presentation available to businesses and organizations. To learn more about Embracing Aging, visit www.embracingaging.org.

Neighborhood House Adult Day Services are open Monday Friday, 7:30 AM- 5:30 PM, and centers are located near downtown Salt Lake and Cottonwood Heights.Neighborhood House enriches, empowers and educates children and adults through quality affordable day care and support services. A sliding fee scale based on families ability to pay and door-to-door transportation service offer convenience and affordability for family caregivers.Programming focuses on the specific needs of aging and/or disabled adults. Engaging activities, consistent staff interaction, and regular meals can help older and disabled adults maintain their physical and cognitive health, while simultaneously providing valuable respite for their caregivers. Therapeutic recreation activities are designed to address social, emotional, physical, and cognitive domains, and experienced staff are supported by student interns from local universities and colleges. Other program features include field trips, music therapy, monthly service projects, and intergenerational activities. Individualized therapy plans are implemented upon enrollment and client progress is regularly evaluated. Additionally, we provide medication management, nutritious meals, and are the only adult day service program in Salt Lake County that contracts with Veterans Affairs for daytime supervised care.The average client at Neighborhood House is 80 years old, with age-related cognitive impairment, dementia, and/or other chronic conditions. Younger adult clients are cognitively challenged or physically disabled and benefit from supervised care on a temporary or permanent basis. Collectively, our clients are offered 11 daily activities - all of which are designed to promote independence, feelings of usefulness, social interaction, cognitive stimulation, and physical exercise. Intergenerational activities with Childrens Center students integrate Neighborhood House adult clients into a larger population, further reducing social isolation and offering young children an opportunity to better understand aging or disabled adults in their surrounding community. To learn more about Neighborhood House, or to schedule a tour, visit www.nhutah.orgContact Information:Riverside Adult Day Center423 South 1100 WestSalt Lake City, Utah 84104(801) 363-4593Email: sdcfront@nhutah.orgCottonwood Adult Day Center1580 East Vine Street (6100 South)Salt Lake City, Utah 84121(801) 277-3264Email: cottonadmin@nhutah.orgEditors Note: This article was submitted by Sarah Scott, MS, MBA. She is the Adult Day Services Director at Neighborhood House and may be reached at 801-363-4593, or by email at adsdirector@nhutah.org

Would you believe that HealthCare in Retirement is the second largest expense in retirement?Married couples retiring at Age 65 will average $260,000.00 in healthcare cost*. You may need even more if Chronic Illness Care is require!What reasons matter in determining your HealthCare cost? For starters, your age and health at retirement matters; seems we don't get healthier as we age! Your health today and at retirement is always a significant factor in life! Many of us may have to deal with a chronic illness or disability in life such as Alzheimer's, serious stokes or crippling arthritis. What would you do?How long you live after retirement is a huge factor. It seems we all are living longer than ever before, which requires us to plan for the cost of care over a longer life span, which will have a major impact on your healthcare expense! The level of HealthCare coverage adds up, including Medicare and Long Term Care, and it can be challenging to understand your options! Since Medicare/Medicaid is the primary HealthCare Plan for retirees, it is important to take time to understand it completely, but it may be confusing!How we used to die and how we die now are very different and which way you choose very well may be the most important decision you make in your life. Many people decide they want their end-of-life care in their home rather than at the hospital or nursing home as in days of old! But the cost may deplete one's savings and assets to a point you have nothing left to pass on in your legacy planning! Knowing your options and planning for the long and short terms is critical to your HealthCare in Retirement. Healthcare in Retirement doesn't need be a time in life where you sit in the living room and worry. Get off the couch and exercise, walk with friends, join Silver Sneakers, find a hobby, go hiking or biking, travel to places you dream of as a kid, eat smart and think positive. Who knows, maybe you are a potential member of the Century Club?Editors Note: This article was submitted by Ron Cornell of Healthcare in Retirement, a health care educator and financial advisor. He may reached at 719-266-6733 or rcornell@woodburyfinancial.net* Fidelity Investments Health Care Costs for Couples in Retirement Rise, August 16, 2016. Healthcare and nursing home costs may vary by state

Confused about Medicare? Crystal Manning removes the fear, uncertainty and costly mistakes from the Medicare enrollment process - making it crystal clear.

Aging presents a new set of challenges for many as they experience physical and cognitive changes. There are a myriad of options available to meet ones changing needs; however, trying to navigate and make the best decisions can be an overwhelming task. This, coupled with the fact that time and resources may be limited, can make a challenging situation even worse.Although some older adults have family nearby, many do not. Its not uncommon for the nearest relative to live hundreds of miles away making active support difficult. Many families are reaching out and hiring a Geriatric Care Manager.A Geriatric Care Manager wears many hats by serving as a consultant, navigator, coordinator, liaison, and expert advocate. They have the knowledge, experience and professional partnerships necessary to effectively navigate the complexities of aging. Their past education or experience often relates to nursing, social work, gerontology or other health services. They follow a professional code of conduct and ethics, which are designed to ensure their aging clients remain at the center of their unbiased guidance.A Geriatric Care Manager offers a holistic perspective by not only considering a clients physical needs, but their cognitive, emotional, spiritual, financial, and social needs as well. They can provide an assessment of the current situation; establish a care plan; offer recommendations; make referrals, coordinate care services and schedule appointments; monitor care; attend medical appointments and care team meetings; assist with selecting a facility for short-term or long-term care needs; provide family mediation; review financial entitlement options; and much more.The right GCM is one who serves as an extension of family. They serve as the eyes, ears and voice for older adults. You can find a local Geriatric Care Manager by going to www.caremanager.org.______________________________________Editors Note: This article was contributed by Melinda R. Bixler, a Geriatric Care Manager and founder of Elder Healthcare Solutions, LLC.

If you have ever had to walk into a funeral home, it probably wasnt the most pleasant task assigned to you. Thats why prearrangements are offered before you leave your family to interpret what you really wanted. By making these decisions in advance, you can bring peace of mind to yourself and your loved ones. Youll know that the arrangements you want are complete and the costs wont burden your family.Prearranging and pre-financing your funeral is a simple and secure way to provide for your final arrangements. It is a valuable and protected investment and is one of the kindest gifts you can give your family.By making these decisions in advance, you can bring tranquility, definition and closure to yourself and your loved ones. Youll know that the arrangements you want are complete and that the costs wont burden your family. Everyone should be encouraged to give these decisions a great deal of initial thought and consideration.You choose the extent, kind and cost of service right down to the smallest detail. Youre assured that your funeral and disposition will be consistent with your individual standards and lifestyle. You and your family can share in planning together. After all, it is the story of your life. You should be the one who gets to write the last chapter.This is an economical decision because you are setting money aside, it will be there when you need it. You can also use prearrangements as an asset management tool for spend downs for Medicare purposes or other methods in preparation for alternative health care needs such as short or long term nursing care. Once you pay for the service, it will always be there for you.Take the opportunity to sit down with your family and explain what you want in terms of a service for your last chapter. Put it in writing and feel secure that you have had a hand in your final arrangements.

For more information on the author Paul Andrews - ERA Advantage Reality, Inc., CLICK HERETitle Insurance: As a homebuyer, the term is probably familiar - but is it understood? What is your dollar actually paying for when you purchase a title policy?Title Insurers, unlike property or casualty insurance companies, operate under the theory of risk elimination. Title companies spend a high percentage of their operating income each year collecting, storing, maintaining and analyzing official records for information that affects title to real property. Their technical experts are trained to identify the rights others may have in your property, such as recorded liens, legal actions, disputed interests, rights of way or other encumbrances on your title. Before closing your transaction, the title company will proceed to clear those encumbrances which you do not wish to assume.This theory is different from that of most other insurance where, for example, rates and anticipated losses are based on actuarial studies and premiums are pooled on the assumption that a certain number of claims will be made. The distinction is important: title insurance premiums are paid to identify and eliminate potential risks and claims before they happen. Medical and casualty insurance premiums, for example, are paid to insure against an unpredictable future event, knowing that risks exist and claims will occur. Furthermore, title insurance involves a one-time premium, paid when you close the real estate transaction, while property, casualty and medical insurance require regular renewal premiums.The goal of title companies is to conduct such a thorough search and evaluation of public records that no claims will ever arise. Of course, this is impossible -- we live in an imperfect world, where human error and changing legal interpretations make 100% risk elimination impossible. When claims arise, professional claims personnel are assigned to handle them according to the terms of the title insurance policy.As in all competitive business environments, rates vary from company to company, so you should make comparisons before deciding on a particular title company. Your real estate professional can help you do this. In addition, there are many helpful customer services provided by title companies which you and your real estate professional may find helpful to your transaction.The issuance of a title insurance policy is highly labor-intensive. It is based upon the maintenance of a title plant, or library of title records, in many cases dating back over a hundred years. Each day, recorded documents affecting real property and property owners are posted to these title plants so that when a title search on a particular parcel is requested, the information is already organized for rapid and accurate retrieval. This investment in skilled personnel and advanced data processing represents a major part of the title insurance premium dollar.

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

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

As your loved one ages, they may begin to be impacted by complex medical conditions, dementia or Alzheimers Disease and other conditions that result in their needing help with their daily care.Many adult children become caregivers of their aging parents and become sandwiched between caring for aging parent, caring for children and still trying to work to provide for those they care for. Spouses also frequently become caregivers and often neglect their own self-care as they provide loving care to their spouse.There are options that many people are aware of including nursing home placement and in-home services. But many people are not aware of a third optionadult day services.Adult day services provide care in a community-based facility. In Illinois, transportation to and from the facility is offered as are meals and activities throughout the day. Nurses are present to administer medications and monitor health outcomes like blood pressure and blood sugar. Advantages of adult day services include: Adult day services are the most financially affordable option for care; Coming out of the home to the center provides much needed socialization; Adult children can continue to work full-time; Caregivers receive some much-needed respite; Family members can age in place, remaining in their own home longer; Reduced hospital readmissions and emergency room visits.In the State of Illinois Adult Day Services are payed for through a Medicaid waiver, meaning that if a person qualifies for Medicaid and they are determined to be in need of services, the State of Illinois may pay for the services. Unfortunately, most insurances do not yet cover adult day services.Many families combine in-home services and adult day services to meet all the needs of a family. While a person may enjoy services in their own home, attending adult day services a few days a week helps to prevent social isolation and provides respite for family caregivers in the home.In the stressful time of having to find solutions for your family member, knowing the alternatives available helps you better meet the needs of your loved one, the caregiver and the entire family.Editors Note: This article was submitted by Ellen Harrington-Kane, Senior Manager for Among Friend Adult Day Care Centers. Ms. Harrington-Kane can be reached at ellen@afadc.com or 708-396-2345.

If youre like many of the downsizing folks I work with each year, youve been in your home for 20 or more years. It may be the first home you ever owned, or a dream home you saved for and built. Regardless, you know the day is coming when youll list your home but you wonder how to value the home.The first question I hear is Do we need an appraisal?. Generally, the answer is no, you dont. For the hundreds of homes Ive listed, I can only recall two instances where Ive suggested an appraisal both were very unique homes. Additionally, some Sellers think having an appraisal now will save a step for the buyer later. It doesnt. Any Buyer who is borrowing money to purchase your home will be required by their Lender to get a new appraisal ordered by the Lender.So how is value established? Most typically, it is through the work of a Realtor. A Realtor will perform (at no cost) a comparative market analysis (CMA). A good CMA will look at homes of similar size, style, condition and location as your home. The CMA will typically look at sales from the past 6 months and select 3-5 sales that most closely match your home. This allows you to set a standard for the historic interest/response to a home like yours. The CMA also should include 3-5 homes currently on the market that closely match your home. This allows you to understand how the market is trendingup, down, flat.It sounds like its simple and straight forward. It can be, butnot all homes are the same. Some Sellers choose to sell as-is and finding comps for a home that might be dated requires a finer approach from an experienced Realtor. Other homes, as mentioned earlier, are unique in style, amenities or floor plan. An experienced Realtor should be able to talk you through how the specific points of your home affect not just its value but also the marketing impression your home will make with Buyers.A gentle word of warning: many Sellers particularly for those who have lived in their home a long time attach value to their home based on sentiment. Its not uncommon for those warm, familiar thoughts and attributes to cloud your ability to hear a Realtor suggest your home value is X.If you can clear your mind and listen to the suggestions of your Realtor that is a great first step.With an open heart and mind, and the thorough research done by an experienced Realtor, youll be right on target to get that home SOLD!_________________________________This article was written by Mike Julian. He is an agent with Realty One Group Unlimited and is a Director of theCertain SaleRetirementLiving Program.

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

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

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Q: What are my risks of acquiring colon cancer?A: There are approximately 140,000 new cases of colorectal cancer diagnosed in United States annually. About 50,000 American deaths occur due to colon cancer every year. The lifetime risk of colorectal cancer for an average American is about 5% with 90% of those cases occurring after age 50.Q: How should I be screened for colorectal cancer?A: Colorectal cancer is a cancer that develops in large intestine or rectum. The major goal of screening is to prevent deaths from this type of cancer. Most colon cancers develop from precancerous polyps which are visible during colonoscopy. Removal of these polyps can reduce the risk of developing colorectal cancer by 90%.People with no family history of colon cancer should undergo colonoscopy every 10 years starting at age 50. People who have one 1st degree relative with colorectal cancer should start screening 10 years younger than the earliest diagnosis in the family.People with genetic risk should start screening with colonoscopy as early as age 20 to 25.Q: Besides regular screening what else can I do to lower my risk of developing colorectal cancer?A: Multiple studies have shown an almost 25% lower risk of developing colon cancer in people who exercise on regular basis. A diet that is low in red meat and high in fruits, fiber and vegetables maybe protective against colorectal cancer. There is also data to suggest that calcium either in dietary or supplemental form lowers the risk of developing colon cancer. Studies mainly out of Europe suggest that daily aspirin also reduces the risk of colon cancer. You should always discuss with your physician before starting aspirin since it can increase your risk of gastrointestinal bleeding.Q: How is colon cancer treated?A: It is primarily treated with surgery. Due to advances in surgical techniques, surgeons can perform a lot of these surgeries in a laparoscopic manner lowering the hospitalization and recovery time.Q: If all the cancer is removed by the surgeon then why do I need chemotherapy?A: If the cancer has spread to the lymph nodes then the risk is very high for cancer coming back in another part of the body which will make it incurable. Chemotherapy after the surgery is called adjuvant treatment. The goal of adjuvant treatment is to kill microscopic cancer cells and to keep them from seeding another organ.Q: What happens after the chemotherapy is over?A: The patient then undergoes surveillance with periodic blood work, colonoscopy and CT scans.Submitted by: Nuruddin Jooma, M.D. MPHPremiere Oncology, 955 10th Avenue North, Naples, FL 34102, 239-325-1440

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.

Exploring options for an assisted living facility can be daunting. Potential residents and families often become overwhelmed with all the options that are becoming available. One may wonder what the differences are between a retirement community, an assisted living community, enriched housing, a memory care community and a skilled nursing facility. What do they all mean?A Continuum of Care community is one that partners with levels of care on their campus as people age or become more compromised. It often begins, but not exclusively, with a retirement community. Within the community will be an Assisted Living component and a skilled nursing component. As the resident needs more help, they are moving within the community with the support of a comprehensive healthcare team that knows them well. This has become the trend in long term health care.The advantage to living in such a community is the promise of caring for your loved one through their elder years. The care team is always available to provide help and support not only to the family and the resident, but to one another, so as to offer the best possible person centered care. Another advantage is that the residents care community remains the same. This is convenient for them as well as their family members.Many assisted living facilities that are not a part of a continuum or campus of care refer to particular skilled nursing facilities. Be sure to ask what their policies are in terms of criteria for discharge and support during the process. Do not be afraid to ask these questions as they pertain to the care and well being of your loved one. Most facilities arevery helpful and have staff that specifically help with transitioning.A Campus of Care or a Continuum of Care Community is the most convenient and often the best option when looking for a residence for your loved one. As people are living longer and healthier into their elder years, this safety net may be just what most offers the security families need.This article was submitted by Maria Scaros-Mercado, Executive Director at The Greens at Greenwich, 203-531-5500 and Ship Hajdari, Community Outreach Nurse Liaison at Greenwich Woods Rehabilitation & Health Center, 203-531-1335.

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.

Urinary Incontinence is a common medial condition that affects over 40 million Americans. It often goes untreated or unrecognized. The reason for this trend is multifactorial; some patients are uncomfortable about discussing these issues.Nevertheless, it is a treatable condition that frequently affects quality of life. Incontinence is classified as stress, urge, mixed and overflow. In these notes we will discuss issues about urge incontinence.Urinary urge incontinence (UUI) is defined as a sudden uncontrollable urge to urinate with or without frequent urination and associated leakage of urine. With urge incontinence, the bladder contracts and squeezes out urine involuntarily.Patients with overactive bladder symptoms, such as urinary urgency, frequency and nocturia, may have associated incontinence over 60% of the time. Though more common in women than men overall, after the age of 70 the prevalence in both sexes is about equal.There are two bladder abnormalities that are associated to UUI: neurogenic overactivity (nerve related as in Parkinson's, Alzheimer's or strokes) and detrusor overactivity (DO) (related to bladder surgeries, infections, bladder polyps, and prostate problems).Dietary habits may lead to significant voiding symptoms. Caffeine (e.g., in coffee, tea, chocolate), carbonated beverages, spicy foods and tomato-based foods can irritate the bladder and cause detrusor instability, resulting in urge incontinence.The treatment and management of urge incontinence includes nonsurgical and surgical modalities. An important factor, however, is identifying the potentially morbid or life-threatening conditions that may lead to incontinence, such as bladder cancer, recurrent UTI or neurogenic disorders.Anticholinergics have been shown to be very effective in the treatment of both neurogenic and idiopathic cause of UUI. As a class, side effects include confusion, dry mouth, constipation, dizziness, visual changes and urinary retention to name a few. Beyond medications there are simple yet effective treatments.Advanced treatment modalities for unresponsive patients to conservative therapy and anticholinergics are available in the urologic armamentarium. Urological evaluation of these patients most likely will include a cystoscopy, urine cultures and urine cytology to rule out bladder pathology and bladder malignancies.Urinary incontinence is a common but overlooked problem. Urologic evaluation is warranted in patients to rule out underlying bladder pathology or anatomical problems. Intervention beyond medications will significantly improve the quality of life of these patients.Editors Note: This article was submitted by Rolando Rivera, Board Certified M.D., Specialists in Urology 239-434-6300. www.specialistsinurology.com

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

In addition to providing one on one consultations, The Livingston Foundation educates through classes, events and media, continuing the cannabis conversation without stigma.Our mission is to increase health, hope and happiness through cannabis education. The Livingston Foundation provides free, confidential help to those wanting to learn more about how to access and use medical cannabis. As a cannabis patient myself, I know how overwhelming it can be to learn about this complex plant that is regulated by complex legislation. The Livingston Foundation empowers patients and families with the knowledge attained from conferences, symposiums, case studies, classes, physicians, patients, travel and experience.I know what its like to battle with your health, sort through information and go through frustrating trial and error treatments. Thats why I started the patient focused non-profit The Livingston Foundation, to provide education and support through your entire process from qualifying for your recommendation to finding your best method of ingestion. I have been inspired by witnessing the improvement in quality of life in patients that choose medical cannabis for their conditions such as Alzheimers, Arthritis, Cancer, Crohns, Epilepsy, Fibromyalgia, Multiple Sclerosis, PTSD, Parkinsons and Stroke. While cannabis may not be a singular solution for everyone, it is a powerful tool toward living your healthiest, happiest life.The Foundation is a 5013 charitable organization that relies on donations and grant funding to make cannabis education accessible to everyone. If you would like to learn more about cannabis, how to get involved with The Livingston Foundation or how to make a much appreciated donation, contact me at Shannon@TheLivingstonFoundation.org or 239-682-1812.

Choosing the right funeral or cremation service can be an emotional and challenging task. Lee County has two funeral homes that have been providing cremation and burial services to the community for nearly a century. Harvey-Engelhardt began serving the Ft. Myers and surrounding Lee County area in the early 1900s, while Fuller Metz, in Cape Coral, began in the mid 60s.Thousands of families have placed their trust with them to handle one of life's most emotional and personal matters.As the premier funeral homes in Lee County, they provide the resources to Celebrate, Remember, and Honor a life lived. With spacious facilities, professionally licensed staff and state of the art equipment, they continue to be a leader in the funeral & cremation profession. Harvey-Engelhardt and Fuller Metz operate a private crematory for individual cremations and they are a provider of Life Tributes, a unique program designed to personalize memories with printing, video and website services. Most importantly, the staff understand the people of Lee County are their neighbors and their responsibility as a community resource goes beyond just the time services are performed. Harvey-Engelhardt and Fuller Metz Funeral Homes are available 24 hours a day to respond, consult and advise with honesty, integrity and quality.

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

Services include realtors specializing in the senior housing and relocation market. Some may have the Senior Real Estate Specialist (SRES) designation. They are familiar with the current real estate market and can offer assistance to seniors wishing to downsize and move to senior-oriented housing.#listing_mgr{7 basic_search}#

Here are some signs to look for when assessing whether or not your parent might be having a significant decline in their memory.If your mom and dad are advancing in years, chances are youve noticed some changes in their memory, like not remembering where they parked or forgetting to grab eggs at the grocery store. But wheres the line between this is a normal part of aging and dad may need help? Here are some signs to look for when assessing whether or not your parent might be having a significant decline in their memory. Repetitive short-term memory lossA lot of times, seniors with memory loss can recall the name of every friend they had 30 years ago, but they cant remember what they ate for breakfast. Checking your parents short-term memory is easy: ask them questions about their day. If they have a hard time with their responses, that might be a red flag. Difficulty following storylinesIf your mom has a puzzled look on her face every time you explain why you had a rough day at work or try to catch her up on your favorite TV show, you might want to look into other symptoms of memory loss. Why? Because memory loss impairs our abilities to recognize words, both visually and audibly. So, if your mom cant follow your stories, it may be because she doesnt recognize some of the words youre using. Failing sense of directionDid your dad always have an impeccable sense of direction that guided your family through every summer vacation, but now he needs to pull out a map? Chances are, thats a normal part of aging. But what if your dad gets lost on his way to the same grocery store hes gone to for 15 years? Or takes the wrong turn on his routine morning walk around the block? If your mom or dad has multiple episodes of being disoriented in familiar places, that may be a sign of more significant memory loss. Skipping parts of their daily routineWe all have days where we put less effort into our appearance (messy hair and sweat pants, anyone?) but if your mom goes days without brushing her teeth or changing her clothes, or if she appears to be avoiding bathing altogether, that might be a cause for concern. If you cant see your mom every day, some things to look for when you visit are unkempt hair, uncommonly bad breath or stained clothes. Losing things a lot.Have you ever been in a panic over misplacing something important and thought to yourself where is the last place I had it? People with memory loss have a really hard time answering that question, so a lot of their stuff, important, mundane, or anywhere in between, gets lost and stays lost. Also, people with memory loss sometimes stash things away in safe places and forget where they are, compounding the lost-and-cant-be-found conundrum.If care at home is not working well, it could be time for a transition to senior living.Editors Note: This article was submitted by Northglenn Heights. They can be reached at 303-452-0501 or at marketing@northglennheights.com

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

It has always been my belief that in order to fully take care of a patient, a comprehensive plan and resources need to be in place.While there are many aspects of good patient care, access to services is vitally important along with those resources communicating with each other to coordinate that care. Having medical services, such as a pharmacy, a medical clinic, and a home health and hospice working jointly together provides a higher level of care rather than have a patient go to several different locations that are unconnected. Amphex Medical has seen this trend coming and has taken steps to provide this level of care. For example, the services of, Adult Care Clinic, specializing in pain and addiction management. Amphex Pharmacy, a locally owned and operated compounding pharmacy with home delivery, and Creekside Home Health and Hospice provide an exceptional level of service. Having this integration, not only, allows the patient to benefit by having these resources at their disposal, but also allows for a better understanding of the patients medical needs and to respond appropriately to changes in their condition. A fully integrated staff of medical doctors, nurses and pharmacists review patients needs weekly, and care is tailored to provide safe and effective therapy. Many patients unfortunately fall through the cracks, or care is below average resulting in increased hospital visits, which causes undue stress on patients and family members. Having this integrated level of care allows us to set up goals to reduce hospital admissions and help family members become less burdened knowing that several areas of services can work closely together to best manage care. Integrated care also allows for a more holistic approach to getting better. Not only managing the symptoms but finding the root cause of problems and working together to fix, heal and prevent them from happening or getting worse. An increased quality of life for our patients and their families is a goal we all strive for. We do not rest until we feel as caregivers have made a significant contribution to family wellness and health.Editors Note: This article was submitted by Rajiv R. Sharma, Pharm.D., a Clinical Pharmacist owner/CEO of Amphex Pharmacy and Amphex Medical, he may be reached at his Creekside Home Health and Hospice office at 801-810-2122 or by email at rajivrx@gmail.com

To learn more aboutBristol Village Apartments, CLICK HERE.Discover the difference in quality senior living atBristol Village. Our welcoming staff is excited to make our community your new home. We offer one and two bedroom apartments inTaylorsvillefor those 62 and better, and pets 25 pounds and under are welcome to move in with you. You'll love the convenience of our great location. Just one mile away is a shopping center, and we're also on a bus route and close to freeway access. AtBristol Village, you can experience the relaxed retirement lifestyle you deserve. Never worry about maintenance or upkeep. Just enjoy meeting up with your new neighbors at our planned resident activities, or go for a refreshing swim in the pool. You can exercise in the fitness center, then unwind with a soothing soak in the spa. Designed with seniors in mind, our community offers controlled access and elevators to all floor levels. Inside your one or two bedroom apartment, you will have convenient features like central air conditioning. Some units come with roll-in showers, and all have a kitchen equipped with a dishwasher, microwave, and more. Our homes also offer a peaceful terrace with storage. Our dedication to your quality living experience is the top priority atBristol Village. Call our staff to learn more about what else we can offer you. We'd love to have you as our newest resident.

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

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

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

In life, we plan for many thingsvacations, retirement, our childrens education. Yet many people dont realize the importance of planning for the inevitable time when they will all need funeral arrangements.While it can be difficult to talk about, making funeral or cremation arrangements in advance can be a gift to those you love and bring you true peace of mind in knowing that youve taken care of an important family responsibility.Planning a lifes celebration By making your arrangements in advance, you can plan a service or memorial that truly reflects your special life. From location to music to food and special mementosthe choices and details are up to you. A thoughtful, well-planned final event can provide friends and family a meaningful and memorable opportunity to gather and celebrate all the things that make you, you.Whether youre at traditionalist or a person who marches to the beat of a different drum, your life is unique, and your lifes celebration can be planned exactly as you wish. It can include special touches, large or small, to reflect your personality, passions and memorable times. From location to music to food and special mementosthe choices and details are up to you.Choosing the right provider Many who decide to prearrange turn to a member of the Dignity Memorial network of providers to guide them. As North Americas largest provider of funeral, cremation and cemetery services,the Dignity Memorial brand is known for quality, value, caring service and exceptional customer satisfaction when delivering compassionate and professional final arrangements.Your local Dignity Memorial providersResthaven Funeral Home & Memory Gardens in Ft. Collins and Allnutt Funeral Service in Loveland, Ft. Collins and Greeleyhave served our community for more than 130 years, assisting client families of all backgrounds and cultures with care, integrity, respect and service excellence. Our professionals are honored to help families make decisions and honor the memory of a loved one during difficult times, working to personalize every service and detail to honor each unique life.Editors Note: This article was submitted by Rick Allnutt. Rick is a former owner and consultant with Resthaven Funeral Home & Memory Gardens and may be reached at 970-667-0202.

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.

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.

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

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

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

To learn more aboutNeil O'Donnell Funeral Home, CLICK HERE.When a death occurs, the order in which things need to be done often depends on where the death occurred. But, one thing should always be remembered: your heightened emotional state upon the death of a loved one. That's why we suggest that you ask a friend for help - someone who is more able to think clearly, and give you the support you need.At Home or at WorkWhen a death occurs at home or in the workplace, a family member or co-worker should contact emergency personnel and the person's physician if he or she was under a doctor's care. If the death occurs at home with family or friends present, and the person is under a physician's care, the family will want to call us directly.However, if the death occurs in a residence and no one is there at the time of death, the police will need to be notified and respond to the residence before the deceased is removed from their home.If in any case you are not sure of who to notify or what to do, you may call (801) 363-6641, and we'll assist you in notifying the proper agencies.While Under Supervised CareWhen a death occurs in a care facility, such as a hospital or nursing home, the professional staff will notify you and the necessary authorities. If the name of the funeral home has been left with them, the institution will notify the funeral home at the time of the death. The funeral director will contact you immediately following their notification to help you proceed. (However, we suggest you contact the funeral home immediately, so you've got the reassurance you need that all is taken care of properly.)If a loved one was in the care of a hospice program, a hospice representative will give family members instructions and procedures to follow. The coroner/medical examiner will be notified by hospice. Following their release the hospice will contact the funeral home. It is always a good idea for the family to contact us immediately so that we will be aware of the pending call from hospice.Widening the CircleOur staff members are experienced professionals who can provide much of the information you need, emotional support and compassionate guidance.While you may ask the director any questions at this time, you will be able to discuss the arrangements in detail later when you meet in person. During this initial call, the funeral director will gather information to be able to transport your loved one to the funeral home.The funeral director may ask you several questions, including whether your loved one made any pre-arrangements. The director will also schedule a date and time for you to meet at the funeral home and will let you know what you should bring with you. Others you will need to call are:- Family members and friends- Clergy or other spiritual advisorsThose Important QuestionsIf there is no pre-plan in place, there are several other questions that you may have to have answered in regards to the death of your loved one:- Do I have to have embalming?- Do I need to purchase a casket?- What about cemetery arrangements?- Does the family have to engage the services of a minister?- What type of service should we have?By contacting our staff, we'll be able to help answer your questions and assist in making the appropriate plans. You can reach us at (801) 363-6641.However, as weve said before, one of the best ways to make sure that all of your questions and desires are taken care of is to make pre-arrangements. This is as simple as outlining your wishes to having all of the details written down and the financial arrangements prepaid. Please contact one of our staff at (801) 363-6641 to learn more about pre-arrangement.What to Expect When You Arrive at the Funeral HomeOne of the first things the funeral arranger will do is to provide you with our general price list. He or she will then guide you through the entire arrangement process, explaining how you can create a memorable personal celebration of your loved one's life. This is not a one-way conversation; we want to hear your ideas and desires, and use them as the foundation for the arrangement process.This process may include:- Preparing and filing the official death certificate- Scheduling the location, date and time of services or events- Selecting a casket, urn or other items- Preparing an obituary notice- Scheduling vehicles- Selecting pallbearersYou may also sign necessary authorizations or make arrangements to have them signed by the appropriate family members.Wed like you to bring any photos, a favorite song, or memorabilia so that you and your funeral arranger can better discuss how you would like your loved one to be remembered. Having these things, and knowing their favorite song or favorite gathering place even their favorite activity will help us create a truly fitting memorial service.Our funeral arrangers will assist you in planning a loving tribute that captures the spirit of the person whose life you wish to honor. To learn more about personalizing the service, please read the Honoring Life section of this Web site. The funeral arranger will discuss personalization with you during your arrangement conference.The following checklist will help you remember what information about the decedent and items will be needed when meeting with a funeral arranger.- Full legal name- Home address- Social Security number- Date of birth- Place of birth- Father's name- Mother's maiden name- Veteran's discharge papers (DD-214)- Recent Photograph- Highest education- Occupation- Place of burial (if applicable)- Clothing- Clergy name and phone number- Survivors (name and relationship)- Insurance policies (if applicable)A staff member of Neil O'Donnell Funeral Home will be honored to explain all of the options available to you.

To learn more about,Accessible Systems of Colorado Springs CLICK HERE.Because home accessibility is so important to healthy living, many states provide a sales tax exemption for durable medical equipment including stair lifts, wheelchair ramps, wheelchair lifts, overhead ceiling lifts and many other useful equipment. This can save you money if you understand how it works.Sales tax for many states is between 5% and 12% based on where you live. In order to qualify for a sales tax exemption and save this money, you typically need to get a prescription or a letter of medical necessity from a doctor or therapist. Some states have a specific form to fill out in order to qualify.The concept behind this tax savings is that Mobility Enhancing Equipment, Home Accessibility Equipment, and Durable Medical Equipment are medically necessary for safe and healthy living and therefore tax deductible. Since staying in your home is much less expensive than moving to an assisted living facility or a nursing home, exploring a sales tax exemption can actually put money back in a persons pocket. In context totax exemptionsfor medical equipment, its important to understand the definitions between the three type of accessibility equipment as are referenced by the forms used in each state.Mobility Enhancing EquipmentEquipment, including repair and replacement parts for such equipment, that is primarily used to provide or increase the ability to move from one place to another within a home or a motor vehicle. This equipment is not generally used by persons with normal mobility.Examples of mobility enhancing equipment includes canes, crutches, motorized scooters,stair lifts, walkers, wheelchairs,wheelchair ramps,wheelchair lifts,vertical platform lifts, overheadceiling lifts, in addition to door widening and bathroom remodeling for accessibility.Home Accessibility EquipmentEquipment installed in a home to help move between spaces and levels. Examples include stairlifts, ramps, custom built stairs (likeeasy steps), body lifts, wheelchair lifts and elevators.Durable Medical EquipmentAny medical equipment used in the home to aid in a better quality of living. Examples of durable medical equipment include manual and electric wheelchairs, hospital beds, canes, crutches, walkers, bath & shower chairs, commode chairs, and grab bars.Is a Prescription Required?A prescription order is required that includes the name and address of the person in need of mobility equipment, and it must be signed by a practitioner who can prescribe any drug or device, much like a doctor does medications. An occupational therapist or physical therapist are also authorized to write up a prescription order. Below are links to specific states resources and are a good place to start.Colorado Sales Tax Exemption for Medical Equipment >>Utah State Sales Tax Exemption for Mobility Enhancing Equipment and Durable Medical Equipment >>Texas Sales Tax Exemption for Home Medical Equipment >>Other States with Sales Tax Exemptions for Mobility Enhancing Equipment and Durable Medical Equipment >>ArkansasNorth DakotaGeorgiaOhioIndianaOklahomaIowaRhode IslandKansasSouth DakotaKentuckyTennesseeMichiganUtahMinnesotaVermontNebraskaWashingtonNevadaWest VirginiaNew JerseyWisconsinNorth CarolinaWyomingRequest a ConsultationFor professional health workers and consumers in Colorado, Utah and the Dallas, TX areas,request an evaluationby an Accessible Systems certified home accessibility specialist near you. Qualifying for sales tax exemptions for medical equipment is confusing, so let us help!

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

Original Medicare is a government health insurance program primarily for people age 65 and older. It has four main parts: A, B, C & D. The chart below is an example of how Parts A & B, C & D. The chart below is an example of how Parts A & B work together with a traditional Medicare supplement also known as a "Medigap Plan."There is no additional cost to use the services of a full time insurance professional. Please call us or a broker in your local area for additional assistance.This article was written by Craig N. Anderson, President of Anderson Benefits, Inc. located in Salt Lake City, Utah. To contact call: 877-363-9575 or craig@andersonbenefits.com

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

Comfort Cove is a two-story, 44,000 sq. ft. assisted living community that provides 24 hour care and is known for its focus on specialty cares such as Alzheimers, Dementia, Parkinsons and Respite needs in a professionally managed and carefully designed environment.Comfort Cove provides an on-call Doctor and onsite services such as: Podiatry Psychiatric/Therapy Dermatology Dentistry Radiology Laboratory Mobile X-ray Other servicesCaregivers and staff are located throughout all areas to provide a cozy, safe and comfortable setting.Comfort Cove is a modern vision with an exceptional design that encompasses the comforts of home. The building is developed and designed with the Residents needs in mind making each of our buildings functional and intimate with Private Suites while providing all the Residents daily living requirements. Our concept is a natural serene environment furnished with warm wood elements from around the world.The community has four Resident areas; Long Boat Key, Siesta Key, Anna Maria andManatee Bay with caregiver stations, private dining and healthy home cooked meals. Residents and their families are encouraged to decorate their new suites with their personal belongings. Along with home like suites one will find many open sitting areas for socializing with family and friends. Some of the amenities at the community are: Rehabilitation Center Consultation Rooms Enclosed Sunrooms Serenity Hair Salon Cove Library Dining Areas Media Lounges Life EnrichmentWith an extra emphasis placed on care delivery and a unique facility design, Comfort Cove is proud that our Caregivers have quickly become the top choice for High Acuity Senior Care and our community is a wonderful place to live. We are thrilled to be part of the Manatee/Sarasota & Charlotte communities.

COVID19 capitulated telemedicine into the must-have solution for virtual care that only a global calamity can drive. Telemedicine, already a successful, though marginally utilized innovation in care delivery, was bumping along a slow but steady path when COVID19 put a halt to much of in-person consultations, especially those of a less urgent variety. Telemedicine was there to fill the need for care in a safe manner.Most experts agree that telemedicine as a viable, reimbursable option for care, is here to stay. As seniors have been thrust into the world of online family meetings, online grocery delivery, and online appointments for things like taxes, financial planning and social clubs or hobbies, it has been a logical jump to using virtual care visits to address ongoing disease management concerns, mental health, and common ailments. In addition to supporting safe visits during the CORONA virus outbreak, telemedicine offers some unique benefits to seniors.Mobility Challenges are no longer an issue. Individuals with restricted mobility gain ease of access with consultations on any web enabled device. Telemedicine puts the House Call back in rotation. Doctor On Demand (https://www.doctorondemand.com/ ) ; Amwell (https://amwell.com ) ; Teladoc (www.teladoc.com ); and MDLIVE (www.mdlive.com ) are popular solutions. In addition to being offered by many insurance providers or through health systems, Telemedicine apps also offer virtual on-demand visits direct to patients at a flat rate. Some offer $10 monthly subscriptions and others up to $75 pert visit out of pocket. Visits covered by insurance can be as low as $0.Access to Care is now global Live in a rural area where your hospital has been shut down? Or COVID concerns are keeping you at home? Virtual care is supplying much needed care to homebound and less accessible communities. Tap into networks (and Specialists) across the county or around the globe. Need a second opinion? No problem. And insurance providers are on board with reimbursements. Covered Telehealth services were limited before COVID19, CMS expanded covered telehealth services to include 135 different services. Emergency department visits, primary care visits, initial inpatient and nursing facility visits, and discharge day management services are now covered. CMS also added flexibilities that eased telehealth care delivery. It is not guaranteed that these covered reimbursements will remain covered once the pandemic subsides, but it is the goal of a pending executive order that they stay in place.Daily or weekly appointments are easier than ever to keep. Disease management programs with required appointments of a high frequency are easier to manage through telemedicine visits. Conditions such a diabetes, COPD, and cardiovascular health are managed with check-in around specific symptoms, adherence to care plans and medications, and discussions with care providers around improvement or change in conditions. These high touch point care plans can be managed through virtual visits and save seniors the time and coordination required to meet appointments regularly. Combined with a disease specific app designed to help patients adhere to their management plans, Disease management is greatly supported by telehealth solutions. And dont be afraid that the technology could be a challenge for you or your senior as most platforms have been fully vetted for ease of use and intuitive interfaces.Mental Health is a breeze, with increased privacy and greater accessibility. We know seniors suffer from depression and anxiety caused by co-morbidity disease management, isolation, dementia, and other causes that come more frequently with old age. It is easier now more than ever to make mental health a top priority. There are even targeted telemedicine platforms that specialize in behavioral health. Yep theres an app for that.Headspace,Lemonaid,TalkspaceandBetterHelpare just a handful of examples.If you havent given telemedicine a try, its worth a go, and theres a lot of options to choose from. Its safe to say that once you try it you wont be able to imagine a world without it. 1 mHealth Intelligence, xtelligent Healthcare Media, CMS Proposes Expanding Telehealth Reimbursement After COVID-19, Emily Sokol, MPHWritten & Submitted By: Care Patrol- click for more information*Click here for original blog post*

Most people are unaware that there is a branch of medicine specifically dedicated to the diagnosis and treatment of temporary and/or chronic physical disability. Physiatry (pronounced Fizz-Eye-A-Tree) is the area of medicine wherein physicians specializes in Physical Medicine& Rehabilitation. (PM&R). Physiatrists are trained to focus on the patient as a whole person and to put the medical management of a disabling event within the context of that individuals life and environment. The roots of the specialty can be traced back to the 1930s. Demand for, prominence of , and national interest in the role of these specialists rose during WWII and again during the Vietnam war when young veterans returned home with a range of injuries that necessitated rehabilitation. Today there are over 7000 Board Certified physiatrists in the U.S.Helping to Keep the Golden Years GoldenPhysiatrists, focus on the patient as a whole person, young or old. Most specialties deal primarily with illness and possible threats to life. The physiatrist deals with these as well as addressing threats to living life fully. Attention is directed to restoring quality function in activities of daily life. These Rehab Medicine specialists often collaborate with a team of health professionals and other physicians in developing and carrying out a care plan that extends beyond hospital or clinic walls out into the family and community. This team may include physical therapists, occupational therapists, speech pathologists, prosthetists, and social workers.By partnering with a physiatrist, a persons primary care physician, neurologist, orthopedic surgeon,or neurosurgeon can enhance the ultimate chance of an individual doing well after or with conditions such as stroke; rheumatoid arthritis; total hip or knee replacement; sports-related injuries; musculoskeletal sprains and pain; neurological diagnoses such as multiple sclerosis, spinal cord injury, traumatic brain injury and ALS; as well as debility that can develop after prolonged critical illness. Asking for a referral to a physiatrist can be a priceless form of self-advocacy, since, even today, there remain many physicians, care managers, and home health care providers who are not familiar with the expertise available in the field of PM&R.Editors Note: This article was written by Indira S. Lanig MD, a physiatrist and Associate Medical Director at Northern Colorado Rehabilitation Hospital, Johnstown CO. The NCRH team of professionals can be reached at 970-619-3454

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

Click here to begin your FREE search!You may be eligible for programs that can providehealth insurancethat pays for your medical costs and other medical expenses. You can also get health care assistance through chore services, home care, nursing home care, and waiver benefits.Learn more about the program that can help you save money. Benefit programs include:MedicationsHealth CareIncome AssistanceFood & NutritionHousing & UtilitiesTax ReliefVeteranEmploymentCounseling AssistanceVision Loss ServicesRespite Care ServicesPension AssistancePark & Recreational DiscountsEducation ProgramsTransportation Assistance& More!HowBenefitsCheckUpWorks:Answer some questions. Review your initials results or enter more details to personize your report.Get your report. Provide more information to get a customized report of benefits youre most likely to qualify for.See how to apply. Review your custom report, learn more about benefits, and start enrolling in programs.Click here to begin your FREE search!

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.

In a world of fast-paced developments in technology, its important for industries to stay informed of new capabilities to remain on the forefront of progress -- especially when it comes to health care.HealthSouth Rehabilitation Hospital of Colorado Springs is no stranger to the benefits technology can bring to patients and their families. Aggressive therapy with the addition of advanced technology can make all the difference in how successfully a patient returns to independence.To maintain its lead in offering the latest technology, HealthSouth has contributed its own revolutionary breakthrough with the engineering and development of the AutoAmbulator. HealthSouth Rehabilitation Hospital of Colorado Springs is home to the only AutoAmbulator in the state of Colorado.Patients who have experienced a stroke, spinal cord injury, Parkinsons disease, Multiple Sclerosis, and other diagnosis resulting in gait deficits can benefit from the AutoAmbulator when its added to their rehabilitation program. Even patients with spinal cord injuries from years ago may see amazing results from treatment.Designed by HealthSouth, the AutoAmbulator is a sophisticated technology unparalleled in its ability to help people replicate normal walking patterns.Equipped with numerous safety features, the AutoAmbulator supports the patient while robotics assist the patient's legs as they walk over a treadmill. Sophisticated programs power the AutoAmbulator through its integrated computer system, while sensors track numerous functions, continuously monitoring and adjusting power and speed according to each patient's physical requirements.While using the AutoAmbulator, patients can walk because the device holds their body upright while mechanized braces help guide their legs across the treadmill. The system was designed to allow therapists to safely adjust the amount of weight bearing to each patient's individual rehabilitation plan. Speed of walking can be varied to each patient's tolerance and gradually increased to reproduce gait patterns that simulate normal walking. To eliminate risk of injury, safety features automatically stop the machine when an adverse event occurs, such as a severe spasm, or if the patient's foot improperly strikes the treadmill. Some patients use this technology as an inpatient, while others are noticing an improvement in their walking abilities after adding the AutoAmbulator training to their outpatient rehabilitation therapy.Editors Note: To learn more about the AutoAmbulator and if could be of benefit to you or someone you know, call HealthSouth Rehabilitation Hospital of Colorado Springs at 719-630-2308

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

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.

COVID-19 Resources for the DFW area:Testing the Efficacy of Homemade Masks: Would They Protect in an Influenza Pandemic?Dallas CountyDallas Emergency Help COVID-19Dallas COVID-19 Resources for residents

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

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 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.

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

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

The Regional Transportation Districts (RTDs) bus and light rail system provides wheelchair-accessible public transit at discounted fares for seniors. In addition, RTD offers the following services:call-n-Ride is a curb-to-curb transportation service available in select locations. By calling at least one hour in advance, you can be transported in a small bus that is easy to board and wheelchair accessible.seniorRide provides bus service for groups of 10 or more to cultural, educational and entertainment events. Monthly activities are scheduled by RTD. Passengers need to make reservations in advance.Midday Shopper provides prearranged weekday trips to area shopping centers, with Saturday Shopper offering service to any preferred shopping destination when reserved five days in advance.access-a-Ride is a service for those who are unable to ride, board or exit a regular accessible fixed-route bus and/or have a specific impairment-related condition that makes it impossible to travel to and from a bus stop.Discount one-way Local cash fares for all RTD regular bus and light services are 85. For more information, log on to RTD-Denver.com or call RTDs Telephone Information Center at 303.299.6000 (TDD 303.299.6089).Author:RTD regular bus

Talking to your loved one about moving into an assisted living community may seem like an impossible task.Its common to feel uncomfortable when suggesting to someone that they may need assistance with daily tasks or activities. Brookdale Senior Living talks to families and future residents everyday about how to get the conversation started. With more than 100,000 residents in 46 states calling Brookdale home, the team at Brookdale has learned a few things about what works and what doesnt work. Here are some tips to help approach the conversation in a way thats both beneficial to you and your loved one:Start the conversation early:You dont want your loved one to feel as if you are forcing them to move tomorrow. Begin talking about the possibility of moving into an assisted living community while it is still off in the distance. This will help them feel like its less of an ambush, as well as give them some time to come to terms with the idea.Do research:Having the information and facts about a few localassisted living facilitiescan help you explain what your loved one will gain if they moved. You can list the positives, as well as the negatives, of each facility. By relaying the facts, you can help dispel the negative connotations your loved one mightassociate with assisted living.Keep it private:Your initial conversation should be held in a comfortable, private setting. Try to minimize the number of people present. You do not want your loved one to feel embarrassed or threatened in any way. By keeping the conversation private, they may feel more open to hearing more.Focus on the positives:When your loved one hears the phrase assisted living community, it may conjure up negative imagery. This is why its important to focus on the positive aspects this lifestyle change. Talk about the services, social opportunities, and security. Explain to them how the move will impact their life in a positive way.Brookdale understands this decision is important, and its not easy to make the choice. But its a process the company will gladly go through with you answering any questions that you may have. The more you gather information, the better decision youll be able to make in the future.Editoris Note: For more information about Brookdale, visit brookdale.com or call 855350-3800 to speak with a national senior living advisor.

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

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

In the past few years, scams of senior adults utilizing social media have skyrocketed according to law enforcement and social service agencies resulting in significant amounts of much needed financial assets being lost with little or no chance of recovery.It is an epidemic targeting the most vulnerable, who also happen to control 70% of the nations wealth, says Julie Krawczyk, Director of the Elder Financial Safety Center, a collaboration of The Senior Source, Dallas County District Attorneys office, and the Probate Courts. Many seniors have embraced social media to keep in touch with friends and family, and it has become a popular tool utilized to combat isolation and loneliness. However, scammers, primarily located overseas, have found this to be an easy, fertile ground for financial exploitation, particularly of seniors. According to the FBIs Internet Crime Complaint Center, online romance scams account for higher financial losses than any other internet-based crime. Its not uncommon for victims to lose tens of thousands of dollars, even reaching six figures in some cases. Here are a few recommendations to address the issues and risks: Never, ever accept a Facebook friend request from someone you dont know! This is currently the most active social media portal scammers are using to worm their way into the lives of lonely seniors, particularly women, eventually evolving into a one on one texting relationship.Never deposit a check into your bank or credit union account from someone you have never met face to face, or is not a known service provider you utilize. There is absolutely no reason for you to be an intermediary depository for someone asking you to then send funds elsewhere. The deposit eventually bounces and the money or cards you passed on are gone forever, and you are on the hook for the deficit caused in your account.A spouse or trusted offspring should monitor closely internet activity of an aging senior.For more information and resources, contact the Elder Financial Safety Center at 214.823.5700. See article on page 46

To learn more about Pathlights, CLICK HEREMission, Ethos, and Commitment to Serviceand Excellence Remains the Same.PLOWS Council on Aging has officially become Pathlights, a name developed in partnership with the community, to better reflect the organization today and respond to the future.Pathlights helps guide adults 60 years of age and over, adults with disabilities, their caregivers, families, and friends along their best path to aging providing resources, advocacy, programs, and services needed to live with independence and dignity in the community. To make the transition smooth, the nonprofit will continue to reference formerly known as PLOWS Council on Aging in its communications for the next several months.The launch of our new brand is a clear indication that the community is ready to evolve, even during the most challenging of times, said Kenneth Grunke, Executive Director at Pathlights. We are very proud that even under a new name, our critical programs and services continue without interruption during the pandemic and our team of professional staff and dedicated volunteers remain steadfast providing essential care and attention that is needed now more than ever. We also take great pride in working with our partners to help empower individuals to take the steps that can enhance their lives, while shedding light on the many options and multiple paths to aging.Grunke said the nonprofit committed to the name change more than a year ago. Over time, we learned that the name PLOWS was confusing and misleading. While an acronym for some of the Townships served, it focused on our geographic area, but failed to speak to our mission and ability to provide critical comprehensive programs and services. Furthermore, Council on Aging gave the impression of being government run or owned. So, we began a thoughtful and comprehensive process involving significant and diverse community feedback to help us identify this new brand name, tagline, logo, and visual identity. Editors Note: This article was submitted by Jennifer Petterson, Marketing and Communications, at Pathlights. For information, call 708/361-0219 or visit www.pathlights.org and follow us at https://www.facebook.com/PATHLIGHTSIL/

Remaining independent doesnt mean you have to be totally self-sufficient or do everything yourself. Knowing when to accept or ask for help is often the key to retaining your quality of life and even preventing injury.In fact, many adults need only a small number of services, such as light housekeeping, laundry, a ride to the doctors, or meal preparation to keep functioning independently as they age. Assistance with these daily routines, and with such activities as bathing, dressing, and grooming, can help them maintain independence and remain at home.But such assistance is not always easy to find and manage. Thats where home care comes in. Experienced caregivers provided by solid home care companies offer the helping hands needed to make continued independence possible for many seniors.I saw this when my father was caring for my mother, said FirstLight HomeCare owner, John Richards. My Dads health suffered because he was trying to do too much. When he accepted a little help from a caregiver at home, his heath improved and best of all, so did the quality of time he spent with Mom.FirstLight HomeCare owner Pat Risko agrees: Seniors deserve to live independent lives and to receive the very best care available. Home care helps make both possible.When selecting caregivers Risko and Richards agree that it is important to ensure that caregivers are direct employees of their company, that they are insured, and that the company has conducted pre-employment screening. Some companies, such as FirstLight, even use personality tests to better match caregivers to the needs of their clients, and then they closely monitor client satisfaction after care begins.One misconception that many people have regarding home care is the price. We committed to delivering compassionate, experienced caregivers at the best value, making caregivers more affordable than many first believe, especially versus alternatives that often involve leaving home, Richards said.Home care can be the key to aging independently. Asking for assistance can be hard to do. It takes a lot of courage and wisdom to take this step, but as millions of seniors and their families have discovered, it can be a step well worth taking.Editors Note: This article submitted by John Richards, Owner, FirstLight HomeCare Of Fairfield County, 203-636-0991 and Patrick Risko, Owner, FirstLight HomeCare Of Shoreline East, 203-449-7514

So often today, we are reminded of the importance to take care of ourselves and plan me time each day to refresh and recharge. However, many people caring for a senior loved one feel unable to find much alone time and risk feeling emotionally burned out from caregiving. Combine that with the heavy strain on their physical and financial well-being, and its easy to see why caregivers often struggle. Research has shown that caregivers frequently deal with feelings of anger, guilt and isolation from family and friends. They also may experience physical symptoms, including exhaustion, loss of appetite, weight loss/gain, heartburn, suppressed immune system and more. Numerous studies have shown that increased levels of stress can lead to high blood pressure, which could ultimately lead to a stroke or heart attack."Caregiving is one of the most difficult challenges that families will face. It affects a family physically, emotionally, and spiritually. It is important to notify your healthcare provider of any caregiver challenges that you face," said Dr. R. Scott DeLong, Geriatrician with LGHP Geriatrics and the Medical Director at Spang Crest, a Luthercare community.The good news is that there are ways to combat the stress of caregiving. Knowing youre not alone is very important. Joining a local support group and becoming part of a community of people going through shared experiences can offer you encouragement, information and optimism and combat feelings of isolation. Many senior living communities, including Spang Crest, hold monthly support groups. Look for one near you.Its OK to ask for help from other family members and friends. They may not realize the responsibilities you are carrying. By scheduling caregiving assistance from others, you can run errands, socialize or simply take a walk around the neighborhood to return feeling renewed and better able to care for your loved one. Additionally, reaching out to a trusted friend, neighbor, relative, or clergy member for emotional support can be a much-needed resource. Finally, reach out to a local senior living community or a senior advisor for suggestions on where to turn for additional help.Editors Note: This article was contributed by Nicole Lithgow, Admissions & Marketing Coordinator at Spang Crest, a Luthercare senior living community in Lebanon, PA and Amy Kenn, Luthercares Communications Director.

Diamond Oaks Village is a brand new apartment community for active and independent adults 55 and older.Located at 24110 S. Tamiami Train in Bonita Springs, where the former landmark The Ship once stood, Diamond Oaks Village will offer residents the luxurious, maintenance-free, and care-free lifestyle theyve been seeking.The neighborhood will be comprised of two residential buildings built over covered parking, plus a 12,000 square foot, amenity-rich clubhouse. Diamond Oaks Village offers a variety of upscale, 1- and 2-bedroom apartments, in addition to a luxurious penthouse level. The apartments will include a fully-applianced kitchen with state-of-the-art appliances, a private washer and dryer, and a balcony. The community will offer lush amenities, including a fenced dog park, putting green, modern fitness center, bocce court, a relaxing outdoor pool and spa, deluxe hair salon, solarium with bistro bar, and more.In addition, Diamond Oaks Village will offer its residents an array of services and a full calendar of events and social activities through its unique, award-winning SUN (Senior Umbrella Network) Program. The SUN Program is a signature seven-prong model that provides residents an array of services and activities designed to foster and support independent living and to enhance the active-senior lifestyle. Activities and services are created to feature topics such as health and wellness, education and lifelong learning, safety and security, and more.The SUN Program won gold for Best 55+ Lifestyle Program in the nationally-recognized National Association of Home Builders (NAHB) Best of 55+ Housing Awards this past January. Diamond Oaks Village also took home the gold for Best 55+ Clubhouse on the Boards at the NAHB International Builders Show.Diamond Oaks Village is currently under construction. A planned opening for phase 1 is scheduled for late 2016, early 2017. To learn more about the community, visit www.diamondoaksvillage.com or call us at (239) 204-2307.

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 Alzheimer's 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.com

An estate plan is more than just a will. Think of it this way: a will is like just having a bicycle as your only means of transportation in a big city. You shouldnt depend only on your Schwinn or Huffy to pedal you around town. You have other options.A will is a good start, but theres much more to estate planning that drafting and signing a will. A will wont necessarily preserve your assets for your loved ones after you pass, nor will it protect your assets for you and your family during your lifetime. There are several other tools that an experienced estate planning attorney will use. For example, there are various types of trusts that let you detail your wishes and preserve your assets for your spouse, children, and grandchildren.Many people lose their homes to nursing care facilities. There are ways to avoid this. There are numerous rules and exceptions that make it difficult to lose a house if your stay in a long-term care facility is intended to be temporary. But the state may pursue a persons assets after death to be reimbursed for the costs of your stay. When this happens, the decedents estate is depleted, leaving little or nothing to the heirs.You dont have to give assets away to have them protected. Actually, transferring your assets to your children or others may actually expose your assets to risk and subject them to the claims of their creditors. In addition, a transfer of assets may disqualify you and the recipient from certain government benefits.Even if you move to a nursing home within less than five years after you implemented your estate plan, you typically can still protect a substantial part of your assets. Not everyone knows that making a transfer of assets within that period doesnt necessarily disqualify you from Medicaid. It may merely result in a penalty.Protect your assets before something happens. Take the steps necessary to protect your estate for your loved ones to ensure that they are cared for in the future if you are not here. Act today!Attorney Advertising. The information provided in this post is for informational purposes only and should not be construed as a legal advice. It is not intended to create an attorney-client relationship with a reader and should not be relied upon without first seeking professional legal counsel. The choice of a lawyer is an important decision and should not be based solely upon advertisements.Editors Note: This article was submitted by Milvidskiy Willis LLP, an elder law and estate planning firm. Their services cover Wills and Trusts, Asset Protection, Special Needs, Medicaid and VA Benefits, Guardianship, Probate and Trust Administration. With offices in Jersey City, Paramus, Morristown, Princeton, and Red Bank, they help clients in Northern and Central New Jersey. They can be reached at (201) 616-7667.

With the Aging of America the number of people spending substantial amounts of time in nursing homes, assisted living facilities or in their home with paid home health care assistance is at an all time high and will only increase.Nursing home costs are now averaging 12,000 per month. Many families make no advanced preparation for this and these costs are driving many families into poverty.Every aging American should take the following three steps:First, make sure you have the proper will, financial power of attorney and living will and your children know where to find them. My advice is dont cut corners, hire an elder law attorney. Only a few lawyers are true elder law attorneys. They should be a member of the National Academy of Elder Law Attorneys. There are only 4,000 members in the United States. If he is not a member, look elsewhere.Second, make sure your children are thoroughly familiar with all of your assets, liabilities and medical experts.Finally, discuss your wishes should you become disabled. Do you want to stay at home with in home care takers, or take up residence in an assisted living facility or nursing home if appropriate. Consider hiring a geriatric care manager who can assess your needs and coordinate your long term care. Make sure you understand the different levels of care you may need, and which alternatives will fulfill that need. Also, consider whether you can afford these alternatives. Consider entering into an asset protection plan designed by a well qualified elder law attorney, so that your assets can be preserved and government programs can be tapped to pay some or all of these expenses.Knowledge is power. Advanced planning can literally save you tens of thousands of dollars. So don/t let the approaching storm catch you by surprise.Editors Note: Michael A. Manna, Esq. is a Ridgewood elder law attorney, a member of the National Academy of Elder Law Attorneys and can assist you in avoiding the booby traps that can devour a lifetime of savings. There is no charge for the initial consultation. He can be reached at 201-447-2800.

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

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

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

Shelly Tatistcheff lives around the corner from MorningStar of Boise. She always knew the community would be a great place for her parents: Chester and Betty Ellyson. Shelly even went so far as filling out the paperwork with Director of Community Relations, Lesley Jacobson. I knew it was time for a transition. Food was spoiling in the fridge. They werent eating. But I wanted them to make the ultimate decision.One day, Lesley called to announce, Your mom is here right now, getting a tour! The next week, Chester and Betty were moved in. That was four years ago.While determined to stay independent long as able, the Ellysons were pleased to know (with MorningStars assisted living care) theyd never have to move again. That shift did become necessary with Bettys increased memory impairment. Yet Chet could continue helping his wife with a little extra help from MorningStar.Shelly recalls the day MorningStar assumed management (December 2013). Suddenly, wonderfully, Life Enrichment took a big upswing. We didnt know how underwhelming it was until it all got so much better! Chester, the extrovert, was in his element, engaged in everything the calendar had to offer. And the MorningStar bus began going to every major event in town.In July 2016, Shelly by his side, Chet passed away peacefully in his suite (Betty had passed in August 2014). But not before a steady stream of MorningStar friends filed in to tenderly say good-bye. You could tell how much they really caredthat this wasnt just their job.What an honor for MorningStar to have welcomed into the family Chester, the beloved schoolteacher, and Betty, the vibrant realtor, who together for 12 years served as missionaries, setting up libraries in impoverished areas of Europe. We are truly privileged to serve such heroes of society.

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

Continuing Care Retirement Communities offer all levels of care on one campus (independent living, assisted living and skilled nursing). An endowment fee may be required that entitles residents to use assisted or skilled services when needed throughout their lifetime. Each community offers varied buy-in and payment plan options.#listing_mgr{1 basic_search}#

To learn more aboutThe Mezzanine at Golden West,CLICK HERE.Thanks in part to generous donations from our community, Golden West residents have been enjoying the results of a major upgrade to our therapy gym and wellness center.We recently purchased several new pieces of gym equipment with age-appropriate features: one treadmill, two bikes for cardiovascular exercise, one cable pull weight machine for strength training, and one mat table for stretching, paid for in part with the fundraising proceeds of our non-profit arm, the Golden West Foundation. Other equipment in the updated wellness center includes a sitting elliptical machine, and handheld equipment like dumbbells and TheraBands.In addition to new gym equipment, our wellness center has also undergone significant physical updates as part of Golden WestsLow-Income Housing Tax Credit and Renovation Project. These substantial updates to both our equipment and the space itself will benefit not only the residents who currently use Legacys physical and occupational therapy services, but residents who want to come in and exercise on their own during open gym hours.One person who was highly involved in planning the update was LeoraGarcia, Rehab Director at Legacy Healthcare Services, a long-time partner of Golden West that provides outpatient, occupational, physical and speech therapy services for our residents through Medicare part B.Therapists from Legacy, which also supports Golden Wests overall wellness programming, have been conducting sessions out of Golden Wests therapy gym for years, and they were among those given a chance to offer suggestions for the new gym, said Leora.[Golden West CEO] John McCarthy highly involved us in the process of selecting and getting the equipment that we thought would serve the whole population of Golden West the best but that would also align with what we do with our residents for therapy, said Leora. We spent quite a bit of time going through different equipment options and trying to figure out the most user-friendly, which were easiest to get on and off of, and making sure the interfaces werent too complicated.One major improvement in the wellness room that arose is a large window that connects the therapy office to the actual gym, which will allow additional therapists to monitor residents. Other improvements include a new water bottle filling station, a redesigned layout that makes the space feel larger, and another large window so residents can view the outdoors as they work out.Quality wellness centers like Golden Wests are beneficial for many reasons, said Leora. They serve as spaces for impromptu social interactions, which are especially important after a year of pandemic restrictions; a well-equipped gym also allows residents to exercise safely when the weather is bad.Exercise is medicine and helps seniors to age successfully in place at Golden West, so this equipment will be a huge asset to the community, Leora said. The population here is very vibrant, and residents value staying active physically and cognitively. Having these upgraded resources helps keep people healthy so they dont have hospital visits, so they dont start down the path of needing more and more help, and they can stay as independent and active as possible throughout their senior years.

If you have been the primary caregiver for a family member or friend, you have probably been given a lot of information, with numerous choices. You have more than likely met the primary physician, with referrals to a specialist, perhaps with numerous hospital visits. Perhaps your loved one has been in rehab, or has received Medicare home health services. Maybe you have moved him or her to assisted living or to a nursing facility. With each change, you had to meet a new group of healthcare professionals, and made the necessary adjustments to new routines.Even though you have been through lots of transition, now you are faced with more decisions. Your loved one is declining. Treatments intended to improve his life are no longer effective, possibly causing more pain and suffering. You are now having to make an even more difficult decisionis it time for hospice care? Hospice can be such a scary word for the patient and family member. One can feel a tremendous responsibility when making these difficult decisions.When is it right to begin hospice care? Optimally, when there are no more curative treatment options, and the focus becomes comfort and quality of life. Sometime curative treatment causes more suffering than benefit, with the patient and family member electing to stop aggressive measures. However, Hospice patients can often continue to receive additional services to help improve their quality of life.What is palliative care? Palliative Care is a specialized form of medical care that helps patients feel relief from pain, symptoms, and emotional distress caused by a serious illness or its treatment. Unlike Hospice, it is much more than just comfort care. The goal of palliative care is to improve a patients quality of life throughout the course of a serious illness. Palliative Care can be used along with treatments meant to cure.Palliative Care can be helpful at any time during a persons illness. Most palliative care services are given in the hospital, and sometimes in outpatient clinics. Talk with your physician if you feel that palliative care might be helpful. There are palliative nursing services that can provide weekly home visits at a private pay basis. 'Editors Note: This article was submitted by Jo Alch, R.N, founder of Acappella in Home Care and Palliative Nursing Partners. She may be reached at joalch@acappellainhomecare.com.

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

If you or your spouse are still working and covered under your employer's group health plan (EGHP), you don't need to enroll in Part B and you can avoid the Part B late enrollment penalty (LEP). When you finally do enroll in Medicare Part B, the LEP will be waved if you've been continuously covered by your employer since turning 65. This is also true of the Medicare Part D LEP.Social Security will attempt to automatically enroll you in Medicare if you are currently drawing any Social Security benefits (retirement, disability, survivors). If you aren't drawing Social Security benefits, you will need to initiate the enrollment process yourself, which you're allowed to begin up to three months prior to the month of your 65th birthday.Sometimes you can shift drug coverage from Part D to Part B. If you are using certain inhalers (which can be pricy even under Part D), the same active ingredients may be available for use in nebulizers. Nebulizers are considered Durable Medicare Equipment (DME); therefore, the equipment, as well as the medications administered through the equipment, are covered under Part B, which in many cases will result in substantially lower out of pocket costs for the beneficiary. Talk to your doctor to see if this is an option for you.Medicare Supplement (Medigap) carriers are still allowed to deny coverage due to pre-existing conditions,even with the ACA becoming law. This is one of the most misunderstood aspects of the ACA (Obamacare). When you apply for a Medigap policy outside of being new to Medicare (or recently turning 65), the insurance company in most cases can review your health history and deny coverage if you're health history or current condition doesn't meet their underwriting criteria. This hasn't change under the ACA. Note: There are numerous exceptions to this rule. Consult with a qualified Medicare advisor to learn more.You are allowed to change your Medicare Supplement (Medigap) policy any time throughout the year, not just at open enrollment. If you encounter a large rate increase at anytime, you may apply for a Medigap from a different carrier. There are no calendar restrictions. Once approved, you can make the switch. Consult with your qualified Medicare advisor to learn more.Editors Note: This article was submitted by Bill Gundelfinger- Mr. Medicare of Senior Benefit Advisors, Medicare Experts. Helping Medicare Beneficiaries get the most out of their health insurance. He can be reached at 720-675-8032 or 800-376-5450

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

There is a basic human feeling when planting seeds or bulbs a sense of accomplishment and a state of deep peace. However, gardening not only feels good, but it is also good for you. In addition to growing nutritious fruits and vegetables, here are some of the other health benefits of gardening.Stress-RelieverGardening is a great way to relax. When asked to either garden or read for 30 minutes after doing a stressful task, those who gardened were in abetter mood and less stressed. Those who read were also less stressed, but their mood got worse.Good ExerciseDid you know gardening activities, such as digging and weeding, could count toward yourrecommended weekly exercise? In astudyon aging, gardeners reported better balance and speed, though moreresearchneeds to be done to see what exact benefits gardening brings.Social ButterfliesGardens have a seemingly magical power to bring people together, whether for planting, weeding, watering or just relaxing under the trees. You and your loved one could go to your local government to start a community garden. There are garden societies that you can join, as well. Garden societies hold meetings, share knowledge, create events to promote gardening (including plant sales) and volunteer to beautify their communities.Gardening and AgingAging and the repetitive movements involved in gardening can make it difficult to enjoy all of the benefits. However, there are numerous ways to remain active in gardening without pain or discomfort.Take breaks.It may be tempting to check off all the tasks on your garden to-do list, but overtaxing yourself could lead to injuries. Dont try to do everything in one day.Build raised garden beds.Hardware stores and garden centers sell kits that can bring your garden up from the ground, so you dont need to kneel. You can customize the height of raised beds for your comfort.Get some garden gadgets.There is an array of assistive devices for gardeners, such as a kneeler with grab bars, long-handled or extendable tools, and arthritis-friendly hand tools. Specialized garden tools lessen physical strain.Provided by Treasure Valley ComForCare, Steve Kalina

For more information on the author, Starkey Hearing, CLICK HERE!Hearing loss is one of the most common health issues in the world. In the United States, 12 percent of the population, or 38 million people, have a significant hearing loss. Yet, only one out of every five people who could benefit from hearing aids actually wears them. Difficulties with your hearing can have an effect not only on your relationships but also on your mental health.There have been several hearing loss studies that show an increase in anxiety and depression, accelerated brain tissue loss, and dementia. People with hearing loss are 2-5 times more likely to experience cognitive decline than someone withnormal hearing. A study performed by Johns Hopkins Medicine tested volunteers with hearing loss over a six-year period and found their cognitive abilities declined 30-40 percent faster than peers with normal hearing. The researcher, Dr. Frank Lin, states that,If you want to address hearing loss well, do it sooner rather than later before brain structural changes take place.Hearing loss is not just an ear issue its a quality of life and health issue. To take the proactive step and verify your hearing health today, call (888) 806-4515.

In 2020, Americans gave a record $471 billion to charities. While the 2021 numbers are still being tallied, experts expect that record to be shattered. Despite ongoing reports of a divided nation, political and pandemic unrest, and rising inflation, people wide and far keep on giving. It begs the question, why? The fact of the matter is that giving makes you feel good, strengthens personal values and community connections, provides a purpose, and impacts the world around you. Now really, who wouldn't want that?At MBK senior living communities, residents find purpose and positively impact their local communities through our Yoi Shigoto Gives Back program. Residents and team members are encouraged to share which worthwhile causes and organizations they'd like to support. For some, its charities they've long been a part of; for others, its supporting a new community need. Through collaborative efforts, they have helped veterans, at-risk youth, the homeless, foster children, animal shelters, first responders, individuals and families living with cancer, Alzheimer's and Parkinson's, and so much more.Take, for example, the most recent Giving Day holiday. MBK communities supported Meals on Wheels, All Kids Win, Arizona Animal Welfare, Bishop Gallegos Maternity Home, and Dallas Ranch Middle School. From collecting monetary donations to canned food to school supplies to clothing items, residents and team members worked together to make a difference and do good.Beyond Giving Day, residents and team members seek unique opportunities to support their local communities. At Chancellor Gardens, an MBK community in Utah, they hold bake sales to raise funds to support worthwhile goals. Theyve raised monies for bulletproof vests for police and K9 dogs families in need and even purchased a tri-bike for memory care residents.At Hacienda Del Rey in Litchfield, Arizona, our Director of Sale was recently honored by Litchfield Elementary and Wigwam Creek Middle School for ongoing contributions and promoting students academic achievements.What an honor and privilege to be recognized by my community partners and the school board members, said Eric Martinez. It was a pleasure representing the Hacienda Del Rey team and MBK Senior Living and being known for our commitment to excellence and good work in our local community. Residents at The Commons at Elk Grove enjoy a symbiotic relationship through their ongoing partnership with Musical Mayhem, a local nonprofit Children's musical theater group. According to Executive Director Meggin Cortez, The Commons has sold spaghetti and meatball dinners to local families to raise over $4,000.00 for the theater when the pandemic nearly caused them to close for good. The giving goes both ways. Every Christmas Party, the kids from the group come and sing to the residents. Musical Mayhem and The Commons joined together during the pandemic to adopt a grandparent. The residents and the children would send letters and pictures back and forth. Plus, Anne Marie, the CEO of Musical Mayhem, also sewed over 100 face masks at the beginning of the pandemic for our residents to make sure they were safe.To learn more about MBK Senior Livings Yoi Shigoto Give Back program, reach out to an MBK community near you to learn about their latest Yoi Shigoto endeavor!

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

We visited with Jeff Bellomo of Bellomo & Associates and explored what happens when a Loved One needs to go into the Nursing Home. How do you not loose everything? How do we plan for best outcomes? Jeff Bellomo, Bellomo & Associates, 717-845-5390, www.bellomoassociates.com. More questions? Ask Chris Gartman, Publisher, Seniors Blue Book of South Central PA - pa-info@seniorsbluebook.com #Money #Savings #NursingHomes #Safety #Finances #ElderLaw #BellomoAssociates #SeniorsBlueBook

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

Agencies that help evaluate, coordinate, or provide crisis intervention for seniors. They are familiar with senior care issues and can assist families in determing the best care options or facility.#listing_mgr{7 basic_search}#

Hearing Services And Resources include private, non-profit and government organizations providing resources and hearing services. There are many programs available that are on a sliding scale and income qualifying.#listing_mgr{7 basic_search}#

"This is how my journey of home care started"...It was June 23, 2005, on my 39th birthday and we were in the office of A.A.C Adoption & Family Network in Berthoud, Colorado with my two boys ages 6 and 7 and my husband. We were looking into adopting a girl when I got a call from my sister: Mom has had a massive stroke and she is in the intensive care unit. She had an occipital stroke, meaning her short-term memory and vision were badly affected. This is how my journey of home care started.I was devastated, afraid and helpless. What was I going to do? I knew that she would not be able to live on her own anymore. Mom stayed in the hospital and after a month and half she would have to be released either to a nursing home or a place that provided 24/7 care. My brother and I signed up to take that journey together: we brought mom home.The first 6 months were devastating. We could not find quality caregivers or the right agency. We did not have anyone to learn about their experiences. There were no classes, manual or training on taking care of your elderly parents. There were not enough resources available back then. But we did not give up! Taking care of our mom taught us how to be patient, how to be strong, and how to believe in ourselves. Our mom lived a fabulous life in the comfort of our home and with the help of wonderful caregivers that we ended up finding on our own for the next nine and half years. Our mom passed away on January 16, 2014, living the best quality of life and loving care that she could have after her stroke.Ever Since mom passed away I have been thinking about helping others by sharing my experience and passion. That is why I joined Amber Personal Care. It has been my mission to bring the same quality of care to Amber Personal Care. I am here to share with you my experience, love and passion for taking care of your loved ones. Visit our website at: www.amberpersonal care.comEditors Note; This article was submitted by Sophia Sarvestani Akrami, with Amber Personal Care. She may be reached at 303- 332-3841 or by email at: amberpersonalcare@gmail.com

Dental implants are artificial tooth roots used to support a restoration for a missing tooth or teeth, helping to stop or prevent jaw bone loss. The dental implant procedure is categorized as a form of prosthetic (artificial replacement) dentistry, but also is considered a form of cosmetic dentistry.People who have lost teeth might feel too self-conscious to smile or talk. Additionally, biting irregularities caused by tooth loss can have a negative effect on eating habits, leading to secondary health problems like malnutrition.By replacing missing teeth, dental implants provide people with the strength and stability required to eat all the foods they love, without struggling to chew. Additionally, dental implants stimulate and maintain jaw bone, preventing bone loss and helping to maintain facial features.There are many advantages to dental implants, including:Improved appearance. Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.Improved speech. With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.Improved comfort. Because they become part of you, implants eliminate the discomfort of removable dentures.Easier eating. Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without painImproved self-esteem. Dental implants can give you back your smile and help you feel better about yourself.Improved oral health. Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.Durability. Implants are very durable and will last many years. With good care, many implants last a lifetime.Convenience. Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.Editors note: Article submitted by Dr. V. H. Bashi a dentist in Colorado Springs who places implants. He may be contacted at vhbashi@qwestoffice.net or 719-528-8292

Ingredients 2 large avocados chilled 1/2 cup full fat coconut milk 1/3 cup raw cacao powder 1/3 cup maple syrup 2 tsp vanilla extract Optional Toppings hazelnuts roughly chopped sea salt Instructions1. Slice avocados in half and remove the pit.2. Scoop out the flesh into a food processor.3. Add the remaining ingredients.4. Blend until smooth and creamy, scraping down the sides as needed.5. Test and see if youd like to add any additional sweetener.6. Divide the chocolate avocado pudding into four serving bowls.7. Serve with your favorite toppings such as hazelnuts or sea salt. The HASS Avocado Board supports nutrient research suggesting one avocado a day increases lutein levels. Lutein is one of two major carotenoids found in the human eye, the macula & the retina. Higher lutein levels improve the macula, retina, cognitive performance, skin, joint, and cellular health in older adults. Editors Note:  This recipe was submitted by Marla Turnbull, Master Certified Health & Wellness Coach and Owner of Natures Divine Healing.  She can be reached at 412-302-4638 or at Marla@NaturesDivineHealing.com. 

Reading Books WatertonThe Perkins Library in Watertown is the free public library for people who have difficulty reading regular sized print. This includes people who are blind, visually impaired, physically unable to hold a book or reading disabled. People often associate Perkins exclusively with vision loss but it is important to know that many more people may qualify for this service. If a person has arthritis, paralysis, or any other condition which makes it difficult to hold a book or turn the pages, they are eligible. Perhaps they have 20/20 vision but the book is not accessible.Eligible people apply to become a member of the Perkins Library by completing an application. The application needs to be signed by a certifying authority such as a doctor, social worker, an activities director, or professionals in the medical and human service arena. Patrons can then choose to have books sent to them automatically based on their reading interests or call to request a specific title. Some patrons get one book a month; others get ten books a week. The choice is theirs.Everything is free.Perkins audio books and magazines are delivered by mail via a door to door service -- no postage needed.Easy-to-use playback equipment is loaned to the patron, free-of-charge.The Library has access to over 17,000 books in Large Print.Newspapers can be read by phone.The television schedule is even available.Thousands of books can be downloaded at any time of the day or night.Like many public libraries, Perkins loans movies on DVDs, but Perkins books are special. DVDs from Perkins have a separate sound track where a narrator describes key visual elements of the film so that a person with vision loss is not left guessing. The sound track never interferes with the dialogue.A loyal patron reflecting on almost fifty years of using these services offered the following, Talking Books have probably been the single most important influence on my entire life. Some people say we are what we eat; I think we are what we read.To become a member of the Library or for more information about our services, Please contact Debby King at 617-972-7376 or email debby.king@perkins.org.This article was submitted by Debby King, Library Outreach Coordinatorat The Perkins Library.

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.

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

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.

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

To learn more about Salt Lake Behavioral Health, CLICK HERE.Seniors and abuse of substances;we know what it looks like; thewarning signs, the dangers. But whydo we hesitate to act? Do we struggle seeing an older adult as someone who needs addiction treatment?I have worked in acute seniorbehavioral health for over 20 years.My position involved screening olderadults referred for acute behavioralhealth behaviors that put themselves and others at risk includingsubstance abuse. In meeting withthousands of seniors and theirfamilies a pattern immerged wherebyuse of substances was often vieweddifferently than when it occurredwith younger adults and also treateddifferently. Abuse of substances wasoften viewed as a social or medicalproblem, not addiction, just gettingforgetful and taking too many painpills, social drinking or needingsleeping pills for sleep issues. If anaddiction was diagnosed a typicalresponse was to refer to a medicalhospital for a medical detox instead of a specialized addiction medicineprogram for comprehensive assessment and treatment.Symptoms:1 Feeling that you have to use thedrug regularly and frequently2 Hiding yourdrug use.3 Taking increasing larger amountsof the drug4 Spending money on the drug youcant afford5 Not meeting obligations/cuttingback on activities becauseof drug use6 Continuing to use the drug, despite it causing relationship issues, physical or psychological harm7 Doing illegal, dangerous or unethical things to get the drug8 Driving or doing other riskyactivities when youre under theinfluence 9 Spending a good deal of time getting the drug or recovering fromthe effects 10 Failing in attemptsto stop 11 Experiencing withdrawalsymptoms when you attemptto stopPotential causes/contributing factors:Addiction is a complex matter andis usually much more than a medical issue. With older adults thereare medical, social and financialchallenges that while not unique to seniors, are often a significant contributing factor. Impaired reasoningcan also be at play with dementiaand medications. It is important toconsider if a person is self-medicated Seniors and Sing untreated mental health issuesand trauma. All of these factorsshould be comprehensively assessedand treated. A medical detox is onlythe first step, the underlying mental health and behavioral aspects of addiction also need to be addressed.There are many different typesand levels of specialized addictiontreatment that can help. Medicareand most private insurances coveraddiction treatment. 'Editors Note: This article was submittedby Nina Ferrell of Salt Lake Behavioral Health. She can be reached at 801-264-6000 or nina.ferrell@uhsinc.com

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

Exploring the relationship between what you eat and how you feel can have a huge impact on your health. Forgetting the importance of nourishing your body with nutrient-dense foods can alter your brain chemistry and lead to a host of mood-related issues, such as depression, anxiety, brain fog and zapped energy levels. Improving your diet can help give you positive feelings, clearer thinking, more energy and a calmer mood something I am sure we all would benefit from! So what can you do to improve your mood through food? Here are some simple tips. 1.Eat Regular Meals If you are a meal skipper, your blood sugar will tend to drop, leaving you feeling tired, irritable and depressed. Eat regularly and choose foods that release energy slowly. Focusing on high fiber carbohydrates, protein and healthy fats for breakfast rather quickly digested carbohydrates like sugar and white flours (think doughnuts), will make a huge difference in how you feel and your hunger levels throughout the rest of the day. 2.Increase Your Fruit and Vegetable Intake Vegetables and fruit contain natural protection against cognitive decline. Choose fruits and vegetable from all parts of the color spectrum, especially berries, tomatoes, orange and yellow fruits and dark leafy greens. 3.Eat the Right Fats Focus on getting more omega-3 fatty acids from foods like oily fish, flaxseeds, walnuts and pumpkin seeds. Consume oily fish about twice per week and get a variety of plant-based omega-3 fat sources on a daily basis. Try roasting pumpkin seeds for a crunchy snack or sprinkling ground flaxseed on your morning oatmeal. Avoid excessive amounts of saturated fat, especially from meats and highly-processed foods. Strictly avoid all products made with partially hydrogenated oils, as these are a significant source of trans fat. 4.Stay Hydrated If you dont drink enough fluids, you may find it hard to concentrate or think clearly. Go for beverages like water or herbal and green teas. Teas such as green tea contain a variety of antioxidants that can help fight depression. 5.Feed Your Gut Your state of mind is closely connected to how healthy your gut is. When the beneficial bacteria in your digestive tract is out of balance, this can lead to a variety of symptoms. These symptoms are not always digestive (e.g., bloating, constipation) and can impact behavior. Eat more high-fiber plant foods as well as probiotic-containing foods such as yogurt to help keep those beneficial bugs happy! Editors Note: This article was submitted by Malorie Blake, MS, RDN, LDN, CLT. Malorie is a Registered Dietitian Nutritionist and Certified LEAP Therapist with Hanover Hospital.

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

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.

Click here to begin your FREE search!You may be eligible for programs thatsave money on medications and other health care costs(such as copays and deductibles). People who have applied for these benefits can save, on average, $4,900 annually in assistance.Learn more about programs that can help you save money. Benefit programs include:MedicationsHealth CareIncome AssistanceFood & NutritionHousing & UtilitiesTax ReliefVeteranEmploymentCounseling AssistanceVision Loss ServicesRespite Care ServicesPension AssistancePark & Recreational DiscountsEducation ProgramsTransportation Assistance& More!HowBenefitsCheckUpWorks:Answer some questions. Review your initials results or enter more details to personize your report.Get your report. Provide more information to get a customized report of benefits youre most likely to qualify for.See how to apply. Review your custom report, learn more about benefits, and start enrolling in programs.Click here to begin your FREE search!

Im sure that youre asking how can any ONE thing help everyone? In this age where there are a multitude of different solutions for everyone, its hard to think that everyone taking the same action would be good. Well, lets suppose that you were so hurt or ill that you couldnt speak. What would your loved ones do? How would they know what treatment options and medical decisions to make for you? For that matter of fact, who would you want making those decisions? What personal values or beliefs do you have that you would want considered when making these types of decisions? Wouldnt you need them to know what you would want? Of course, you would!This process that Ive begun to outline is called Advanced Care Planning or ACP for short. ACP involves several issues and is for all adults over the age of 18. It means that you think about and plan for future healthcare decisions if you had sudden health event, such as above. While everyone should document their healthcare decisions, the decisions that each of us would make will be different! There are many distinct types of individuals that help you to identify and document your decisions such as Social Workers, Care Managers and Advanced Care Planning Facilitators.Why should you plan for yourself and your family members? If your loved one was hurt or ill, wouldnt you want to know what their wishes are? For you, if you care about the burden your family and/or loved ones would be under or if you care about your wishes being heard, then please look at the Advanced Care Planning process. Both Chris and I at Seniors Blue Book are Advanced Care Planning Facilitators thanks to the partnership between Lancaster General Health and Gundersen Lutheran Medical Foundation so you can ask us to help! Alternatively ask a Social Worker or Care Manager at any hospital that is close to you. If youd rather, you can go to www.yourlifeyourwishes.com or www.lghealth.org/advancecareplanning/ to learn more.Contact Chris or Cynthia for help with Advance Care Planning at pa-info@seniorsbluebook.com.Cynthia Gartman, PublisherFirst Steps ACP Certified FacilitatorCertified Senior Advisor (CSA)

To Learn more about Western Slope Memory Care, CLLICK HERE.Does Alzheimers disease lead to anxiety symptoms, or do anxiety symptoms lead to cognitive decline? The answer may be both. Experts studying Alzheimers disease have released an intriguing study related to the diseases relationship with anxiety. The Radiological Society of North America studied a group of more than 300 seniors experiencing mild cognitive decline and found a link between anxiety symptoms and a faster progression from mild cognitive decline to Alzheimers disease. The researchers said that more study on the subject could help with the screening for Alzheimers and management of patients with mild cognitive decline.We need to better understand the association between anxiety disorders and cognitive decline, said Dr. Maria Vittoria Spampinato of Medical University of South Carolina. We dont know yet if the anxiety is a symptomin other words, their memory is getting worse and they become anxiousor if anxiety contributes to cognitive decline. If we were able in the future to find that anxiety is actually causing progression, then we should more aggressively screen for anxiety disorders in the elderly.See our website to learn more about Western Slope Memory Cares complete-person approach to care through health, nutrition, fitness, mental stimulation, social engagement, creative expression, and relaxation.

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

As we navigate the financial landscape in our golden years, it's essential to stay informed about potential opportunities that can positively impact our families' future. One such option that has gained popularity among seniors is the concept of "living inheritance" through reverse mortgages. Here we provide insight into this practice, empowering you to make informed decisions for your family's financial well-being.*Building Home Wealth and Equity*Over the years, many of us have witnessed the value of our homes grow, accumulating home wealth and equity. This is often an unexpected but valuable outcome of homeownership. Now, you may be wondering how this equity can be utilized to benefit your family.*Supporting the Next Generation*As caring grandparents and parents, we want the best for our children and grandchildren. However, we also understand the challenges they face in today's housing market. Rising home prices and increasing down payment requirements have made it difficult for younger generations to enter the real estate market.*The Role of Reverse Mortgages*Enter reverse mortgages, a financial tool that allows seniors to access a portion of their home equity while still residing in their homes. With a reverse mortgage, you can receive funds in the form of a loan, a line of credit, or a lump sum, and the best part is, you won't need to make monthly mortgage payments.*Unlocking "Living Inheritance"*The concept of "living inheritance" involves using a reverse mortgage to tap into your home's equity and gift it to your children or grandchildren to assist with a down payment for their own homes. By providing this support, you can empower the younger generation to achieve homeownership and build a more secure financial future.*Benefits of "Living Inheritance"*1. **Immediate Impact**: Unlike traditional inheritance, "living inheritance" allows you to see your loved ones benefit from your support while you're still alive.2. **Financial Independence**: Assisting your family in homeownership can help them achieve greater financial stability and independence.3. **Legacy of Love**: By providing practical support, you leave a lasting legacy of love and support for generations to come.*Important Considerations*Before considering a reverse mortgage, it's crucial to gather comprehensive information and consult with a qualified financial advisor. Reverse mortgages come with specific eligibility requirements and terms, and understanding them thoroughly will enable you to make an informed decision that aligns with your unique situation."Living inheritance" through reverse mortgages offers an opportunity to positively impact your family's future. By exploring this option and understanding the financial implications, you can make a well-informed choice that aligns with your values and goals. Remember to seek guidance from trusted financial advisors to ensure you embark on the right path for your family's financial security.

The world of health insurance coverage can be quite complicated especially if youre struggling to find insurance that you can afford and that can cover your medical needs. As a senior citizen over the age of 65, or with certain disabilities, youre provided federal health insurance called Medicare.Within Medicare, there are different sections that cover different services that you may request. The first two are by far the most important, Part A and Part B. In order to prevent unnecessary hospital visits, youll want to understand Part B Medicare. In Texas and across the country, seniors are getting the help and coverage they need to live healthier and safer lives.Parts of Medicare CoverageAs described above, Part A and Part B are the two most focused parts of Medicare. But Medicare is made up of four parts. Part A through D and each covers a different area of services for seniors.What is the difference between the two? What services do each cover?What does Part A Cover?Part A is considered your hospital coverage. When you apply for Medicare, youre automatically enrolled in the Part A plan. Covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. You most likely wont have to pay monthly premiums with Medicare Part A.What does Part B Cover?Part B focuses on your medical coverage. This part pays a portion of your doctor's visits, some home health care, doctors services, outpatient care, medical supplies and preventative services.This part of Medicare is optional to you when you sign-up. Many seniors opt out of Part B Medicare if theyre still covered by other health insurance through an employer, union, or spouse.Part B requires that you pay a monthly premium to Medicare and theres also a deductible that must be achieved before Part B begins paying for services. Rates for monthly premiums as of 2011 averaged around while the deductible needed to be met averaged around $160.The importance of knowing what areas Medicare covers for you is important. Many doctors opt out of accepting Medicare and are able to charge you what they want for their services. Many seniors have chosen to keep their current insurance while also applying for Medicare coverage.Finding a Healthcare Insurance Specialist in TexasAs you begin to assess your medical and financial situation, taking insurance coverage into account may mean youll decide to sign-up sooner than later. If youre in need of insurance counselors to walk you through the fine details of Medicare coverage, visit Seniors Blue Book for a list of recommended professionals who can help you.

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.

Personal Care Home (PCH) Typically apartment-style with private baths. Personal assistance with ADLs is provided. Rates vary from all-inclusive to base rates with levels of care. Amenities vary for each home. In PA there is a licensure distinction between Personal Care Homes and Assisted living Residences.#listing_mgr{1 basic_search}#

Being a family caregiver is not an easy task.There are numerous physical, emotional, spiritual and financial challenges in caring for an older family member. Family caregivers will spend on average 4 to 5 years of their life caring for their loved one.Its a long, hard, tough job caring for a family member. Many family caregivers report their health has gotten worse since they became a caregiver. Elderly caregivers have a 63% higher mortality rate than their non-caregiving peers. Thirty five percent of family caregivers are depressed which is twice the national average.Why is this important to know? Because non-caregiving peers say things that sound helpful but are really hurtful. Comments like, Youre so lucky to be able to care for your mom/dad. Itll get better once they get used to living in your house. Just give it some time. I dont know how you do it.They dont feel blessed or lucky because mom is always screaming at them. Dad is constantly fighting the help the caregiver is trying to provide. Many caregivers are in survival mode constantly going from one appointment to another. Many are hanging on by their fingertips struggling to figure out how to keep from getting fired at work or carving out time for their own kids.In a recent focus group here in Colorado Springs family caregivers were asked what they wanted non-caregivers to know about caregiving. One caregiver said; Having to drop what youre doing in order to care for your loved one is frequent and very frustrating. Another said; People dont understand how much it takes to care for a family member. A 3rd caregiver said; What about me? Everyone asks about the care receiver. No one asks about me!Many caregivers feel invisible, isolated and alone. What they need is your support. Not your verbal support but concrete physical help. Ask what kind of physical help they need and then offer your valuable time to complete that task for them. It may not seem like much but it may be the difference between life and death for that caregiver.Editors Note: This article was submitted by Kent Mathews MSW. Kent is the Care Manager for the Family Caregiver Support Center at the Pikes Peak Area Council of Governments-Area Agency on Aging. He may be reached at 719-471-2096 ext. 115 or by email at kmathews@ppacg.org.

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.

An adult daycare center is typically a non-residential facility that supports the health, nutritional, social, and daily living needs of adults in a professionally staffed, group setting.Adult day programs are for elders who need a place to stay during daytime hours because they have difficulty functioning alone.#listing_mgr{7 basic_search}#

Nebraska has several different Medicaid waivers that supports individuals who meet a "nursing home level of care." The waivers allow the state to waive traditional Medicaid services to provide services and supports in community settings (as opposed to nursing homes or institutional settings). Waivers can pay for nursing services, Personal Assistance Service (PAS), home and vehicle modifications, employment supports and habilitation, as examples.If an individual has nursing facility level of care needs and wants to live at home rather than a nursing facility, this waiver will provide Medicaid funding for an array of services. For example, this waiver allows for a family to obtain nursing services, childcare and respite services, and it provides funds for specialized formulas. It also can help cover the cost of home/vehicle modifications. This program also provides service coordinationGo to the link below for a booklet that provides a general overview of Nebraskas Medicaid waivers and compares the services offed under each or contact Akkase Home Health Care at 402-359-1265 for an evaluation to see if you or your loved one qualifies for Medicaid Waiver services.http://dhhs.ne.gov/DD%20Documents/Participant%20Handbook%20DD-PUB-8.pdfThis article was submitted by Jerry Vokracka, Regional Director of Akkase Home Health. He can be reached at jvokracka@akkaseomaha.com or 402-359-1265

With families having two wage earners, and facing tough decisions as to how to care for their aging parents, its important to understand the choices and the costs. Globally, according to a recent MetLife survey, some 10 million children providing care for their aging parents will lose some $3 Trillion dollars in lost wages, social security benefits, and pension funds. Thats a lot of money. Now lets look closer at the issue.For those individuals 75+, the remaining mortgage amount as a percentage of the value of the home is low, usually less than 10%. In other words, if their house is valued at $100,000, they typically will owe less than $10,000 on it and have a 90% equity in it. That translates as $90,000 saved in their house. (Source: Capital Research Associates analysis of 1995 Survey of Income and Program Participation data) How long might that $90,000 last in a care community like assisted living or a nursing home?According to a most recent survey by Genworth, the average licensed Homemaker Service Provider makes $18/hour, which translates to $4,860 per month for a nine hour day while the children are at work. Home Health Aides are slightly higher at $19/hour. Adult Day Care averages $60/day or $1800/month, then theres the drop off, pick up and caring for the parent at home. The average assisted living rate is $3200/month, with the added benefit of being 24/7 care with a full complement of services such as meals, activities, assistance with bathing, dressing and security. Nursing homes, typically end of life care, in a semi-private setting cost nearly $6000, and a private room averages about $6400 (Source: CareScout has conducted the Genworth Cost of Care Survey annually since 2004. Located in Waltham, Massachusetts, CareScout has specialized in helping families find long term care providers nationwide since 1997.)So, lets look at the $90,000 that might be available to meet these costs. Under the Homemaker and Home Health scenarios, factoring in there will be income to supplement the home equity, the parents money will last two years. In the Adult Day Care scenario, the money will last about four years. In assisted living the money would last approximately three years. In the nursing home the money would last about one and a half years.In all instances, spend downs do happen, and the care security that comes from Medicaid becomes very important. As a society, it is important that we support Medicaid funding to address those situations when our parents outlive their money.Editors Note: This article was submitted by Robin Avery.Mr. Avery is a Colorado operator of with The Retreat Communities and may be reached at 303-847-2233 or by email at ravy2003@msn.com. For more information visit The Retreat Communities on the web at: www.theretreatcommunities.com.

The Granny Starr Foundation (non-profit) was created to honor photographer, Rachael Collins grandmother, Evelyn Starr Cutler (Granny Starr). Evelyn was born in 1923, spoke seven languages and was ahead of her time. She lived in Indiana for many years and then finally moved to Utah. In 2007, she resided at the Sarah Daft Assisted Living in Salt Lake City. Rachael thought it would be fun to do a free photo shoot for the residents there. The experience wound up being heart-warming and an idea was sparked. Rachael could see the value in bringing this opportunity to a nursing home. The residents could feel loved and special while being photographed, and the families would forever have a photo of their loved one.Evelyn Starr Cutler passed away in December of 2009. A year later, the foundation was born and over a hundred facilities in Utah have had their residents photographed. For some it was the last portrait ever taken. The foundation visits nursing homes, assisted living homes, senior centers and retirement communities to take professional photographs. The residents are then provided with a 5x7 photo. The part its all FREE.Granny Starr has been featured numerous times in the paper and was featured on KSL Studio 5 morning show in 2011. It is Rachaels hope to eventually expand the foundation outside of Utah and reach as many seniors as possible.Later in life as people age, it is less likely for one to go out and get photos taken, especially professionally. Granny Starr Foundation takes pride in being the first and only non-profit professional photography option for seniors. Capture the Wisdom.For more information go to www.grannystarr.org. or 801-645-5790

If you are like most Americans, your goal is to remain living in your home as long as possible. As a caregiver, keeping your loved one at home may be the greatest gift youll ever give.Adult children of aging parents often worry about the challenges their loved ones face. Whether it be trip hazards around the house, laundry located in the basement, or a potential fall in the shower, the home can seem more like an obstacle course than a safe haven.Northern Colorado is home to several companies that can help people of all ages adapt and modify their homes. Some offer construction services to install grab bars, widen doorways, and create barrier-free bathrooms. Others install equipment such as stair lifts, ramps, wheelchairs lifts, and ceiling-mounted lifts. Be sure to ask about complimentary home evaluations. The company will visit your home to discuss potential challenges that exist now and possibly in the future, providing ideas of modifications as well as associated costs.Editors Note: This article was submitted by Lyndsey Burmeister. Lyndsey is a community educator with Accessible Systems and may be reached at 970-475-1880 or by email at: Lyndsey@AccessibleMed.com

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

The Fountains of Hope is an all-new senior living community dedicated to offering Assisted Living and innovative Memory Care services to the residents of its eight-acre campus.Managed by Life Care Services, The Fountains of Hope is Sarasotas Source of Vibrant Senior Living, offering seniors supportive services combined with inspiring programming for a carefree, fulfilling lifestyle.Our vibrant community designs its programming with an emphasis on total wellness of mind, body and spirit, creating activities that inspire our residents to fill their days with purpose and satisfaction. All-day dining is available so residents are free to choose how they spend each day. Our social amenity spaces offer plenty of room for enriching leisure or group activities and programs.Residents and their families experience peace of mind knowing that their physical, emotional and social needs are always met. While seniors enjoy the privacy and security of their own apartments, personal attention and assistance is available whenever its needed. We provide 24-hour care by licensed nurses and CNAs who treat each resident with the compassion and dignity they deserve. Enriching the lives of our residents through exceptional care is at the heart of The Fountains of Hope. Through the nationally recognized Heartfelt CONNECTIONS Memory Care Program, our devoted team of specially trained staff dedicates each day to enriching the lives of those with Alzheimers disease and other forms of dementia. We understand that when living with a memory impairing illness, what remains is far more important than what is lost, which is why we focus on our residents remaining abilities and celebrate every small victory.The Fountains of Hope offers a lifestyle inspired by its faith-based affinity with The Church of Hope, which is within easy walking distance from our community. Residents can enjoy the convenience of an on-site chapel and the comfort of our resident chaplain. The Fountains of Hope is a non-denominational community and is open to all seniors, regardless of religious affiliation.With a vision of gracious senior living that enhances our residents lives every day, The Fountains of Hope is honored to soon open its doors to the seniors and families of Sarasota.Editors Note: The Fountains of Hope is located east of I-75 off FruitvIle Rd., on the campus of The Church of Hope at 2250 Jesus Way in Sarasota. Contact them today at941-417-8024 for more information.

For more information about The Carillon at Boulder Creek, CLICK HERETheres no question that the last few months have changed the way we live. At Leisure Care, we are constantly seeing creative ways to engage with potential new residents and their families. One way of doing that is by offering virtual tours for families considering senior living.CHOOSING SENIOR LIVINGMoving to senior living is a big decision and while it may be tempting to put off a move until things return to normal, the truth is that many seniors are finding a move to senior living is bringing peace of mind and confidence. Leisure Care recently found that the positive rates for Covid-19 in our communities arenearly 7 times lower than the national averages through August 2020.Senior living communities are able to conduct widespread testing and implement comprehensive protocols for cleanliness and infection control that contribute to better health and wellness. And, our nearly 50 years of experience serving seniors doesnt hurt either.STARTING YOUR SEARCHLife looks different now, so it only makes sense that your search for senior living will look different too. As our communities welcome new residents, we are doing what it takes to protect our current residents. We have implemented protocols that will give you an accurate representation of our communities while also respecting social distancing guidelines that protect you, your family, current residents, and our staff.We encourage you to call your local Leisure Care community to get more details on these protocols and request a virtual consultation. One of our compassionate experts can walk you through a day in the life of our residents virtually, giving you a realistic experience, and giving you the chance to get important questions answered.5 QUESTIONS TO ASK ON A VIRTUAL TOURWe know that it can be difficult to get a comprehensive feel for a senior living community during quarantine or from behind a computer screen. One way to understand the unique culture of the community is by digging deeper and knowing the right questions to ask.With most things, preparation is key. Our senior living experts have compiled a list of important questions to ask during a virtual tour that will help you more fully understand the community culture and lifestyle.1. CAN I TRY THE FOOD?We highly recommend you try a meal at every community you tour! Whether you schedule a private in-house tour or are viewing from behind a computer, know that there are options for taste-testing. While on a private tour, the dining room may be limited but you can request a to-go option to be offered before you leave. If you were given a virtual consultation, then meal delivery or pick up is a safe and delicious choice when requested ahead of time.2. CAN I SPEAK TO OTHER RESIDENTS VIRTUALLY?This is a great way to understand more about life in the community and even make a new friend before you move-in! The community should be able to organize a phone conversation with current residents and their family members or even a virtual happy hour with multiple residents that will give you more insight into the community culture.3. HOW ARE RESIDENTS STAYING ENGAGED MENTALLY AND PHYSICALLY?Ask about the creative ways the community has adapted fun activities while following social distancing protocols. You should expect to learn about how the community is striving to meet the social, emotional, physical, and mental needs of their residents year-round. Request an activity calendar to get a more comprehensive list of activities and events.4. CAN I MEET THE LEADERSHIP TEAM?Most communities should give you time with their leadership team virtually to help you understand the different services and amenities that will be offered and to meet the people who will be involved in your life in the community.For those seeking care services, ask to speak with the communitys Health and Wellness leader to discuss care needs and get a better understanding of the services available upon move-in.5. WHAT ARE THE CURRENT PROTOCOLS FOR THE COMMUNITY AND WHAT IS IT LIKE TO MOVE-IN?The community should be able to provide you with clear and well-established guidelines that put you and your loved ones at ease. If you require moving services, ask for a recommendation. The community should have a trusted partnership with an experienced moving company that can facilitate your move.FINDING THE COMMUNITY THATS RIGHT FOR YOUWhen it comes to senior living, there is no one-size-fits-all solution. As you take your tour, think through what is important to you in a senior living community. Every person will have different priorities and different needs. Let your potential new community know what is important to you to find your new home and start living better than ever.

Aging in place is defined as the ability to live in one's own home and community safely, independently, and comfortably, regardless of age, income, or ability level."For many elderly individuals, the ability to continue living at home as they age is essential to their emotional health and well-being. Unfortunately, as we age, it often becomes increasing difficult to remain in the homes we love. How we can we help our elderly family members to age in place?For both the individual and their family, aging in place is often the preferred solution. While aging in place can offer cost savings and flexibility over nursing homes or retirement centers, beyond that it offers emotional benefits that are truly priceless. Helping our family members to age in place should be a top priority. There are many ways to assist your loved one so they can remain comfortable, safe and independent in the home they love.One of the most common ways families make it possible to age in place is to make modifications to the home itself. As we age, we often require assistance to get around and accomplish once easy tasks. The addition of such things as grab bars in the bathroom and stair lifts can eliminate obstacles from the home. There are many companies that specialize in installing equipment that makes the home safe and more accessible for the elderly. Ramps, elimination of thresholds, widening doorways, installing rocker switches, and bright lighting can all make it easier for your loved one to continue living at home.If your elderly relative wants to continue living at home, but needs assistance with daily tasks, non-medical homecare agencies can provide the help they need. These services provide the assistance many individuals need to make independent living possible. These agencies can assist with a variety of tasks ranging from light housekeeping, meal preparation, and hygiene assistance to medication reminders and help running errands.Our caregivers work closely with families making it possible for elderly individuals to continue living independently. We provide the additional assistance individuals require so they can enjoy a full and robust life. Living at home and keeping a regular schedule of activities keeps you happy and healthy. Our elderly companion care services make aging in place possible, says Larry Meigs, President and CEO of Visiting Angels.The key to successfully aging in place is to have honest and open discussions among family members. What are your parents goals? Do they want to remain at home? Do they want to move to a smaller home? Do they want to move to a senior center where activities are provided? If they remain at home, will you be able to meet their additional needs? Will they benefit from the assistance of a non-medical homecare agency?Having an honest discussion about your family members goals, dreams and desires makes it possible to map out a plan for the future. For additional information on aging in place, the National Aging in Place Council can provide a variety of resources for your family.Editors Note: This article was submitted by Tandi Dawson. Tandi is the Owner and Director of Visiting Angels, Living Assistance Services of Windsor and may be reached at 970-292-5668 or tdawson@visitingangels.com

I hear it every day while I am showing people around our Assisted Living building, Wow, this is nothing like I thought it would be. What they are referring to is that they expected to see Nurses stations, people in scrubs, people with sad expressions that look like they have been sitting in the same wheel chair and position for days with no attention, and last but not least they expect to smell a strong odor that reminds them of years gone by when they were forced to go visit an Aunt, Uncle or Grandparent in an Old Folks Home. The memories haunt them to the point where they cannot even fathom suggesting moving Mom and Dad into a place like that. Fortunately, those places are few and far between. There has been a tremendous improvement to what you remember as the Old Folks Home. Many dont understand what Assisted Living actually is.An Assisted Living Community is the perfect option for many people of different care level needs. We have people in our community that drive and are still independent. They may have moved in when they had a spouse whose health was declining and they needed help caring for them. Then after their spouse passed, they chose to stay because it felt like home. We have some residents that did not want to burden their children later in their life, so they made the decision to go ahead and move in now. Others have become tired of doing yard work and keeping up a house, cooking for themselves, or are lonely and want more interaction with people in a similar situation. Many dont want to move twice therefore they go ahead and move into an Assisted Living Community before they need a lot of help.There are those who have reached the point in their lives where they are becoming a bit confused with their medicines, they may have trouble keeping up with what time, day, or year it is, or they may have begun to have frequent falls and trips to their doctors office or ER.We have residents who need more help such as someone with a dementia diagnoses. Yes, they too may remain in an Assisted Living Community as long as they arent a wanderer, or combative towards other residents and staff. Residents can even have outpatient rehabilitation, hospice or palliative care within their own apartment.So as you can see, Assisted Living covers a very broad range of living situations and care needs. Please consider an Assisted Living Community when you are searching for that perfect fit for yourself or a loved one, as you too may be surprised when you discover what Assisted Living actually is. 'Editors Note: This article was written by Kristi Vance, Sales and Marketing Director at Bethesda Gardens Frisco. She may be reached at 469-766-4101/903-821-3780.

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

The feisty generation of the 50s and 60s is now carrying AARP Creds. They have raised children and taken care of their moms and dads. Many of these new seniors have one thing in common with the greatest generation before them; they want to remain independent and living safely in their own homes. More open minded than earlier generations, they are exploring todays technologies to help them age comfortably in the homes they have enjoyed for so many years. This group has the internet at their fingertips to search for the latest products and ideas. No longer do they adapt to their homes, this group is adapting their home to them. It is no surprise that marketing has caught up to these seniors, with the size of the boomer generation, it was only a matter of time. Modifications can range from color coordinated grab bars to European style walk in showers. Ramps no longer have to have the bare wood look, they can be incorporated into the landscape. Not every modification needs to be large or expensive. A level door handle can work for anyone, but it is also a valuable aid to the arthritic hand. The choices are becoming endless to assist specific needs.Help and advice for current or future needs are also available now more than ever in the past. Many businesses and agencies offer help to seniors trying to remain at home. Solving a current situation or planning for the future can be done with the help of Certified Aging-in-Place Specialists, also known as CAPS. This certification is a cooperative effort by the AARP and National Association of Home Builders to certify specialists in the area of home modifications to help seniors make informed decisions. These people have the expertise to help seniors adapt their homes to meet their specific needs with design and build ideas. Creating a first floor living environment in your existing home or building an addition to include a bedroom and bathroom before you retire is forward thinking. Perhaps you already have a first floor bathroom but want a larger, barrier free one to make life easier as you age. Moving a laundry room from the basement to the first floor is always a great idea. Whatever you needs will be, it is not a bad time to become a senior.This article was submitted by Bruce Lawler, Lawler & Sons Design & Construction for Independent Living; a Certified Aging-in-Place Specialist. 203-985-8121

Death is an inevitable part of life. We must all die. But how we die matters.Some believe in an afterlife, some believe in reincarnation and many believe that when we die that is the end. Whatever your belief, dying does not mean suffering. Hospice is not a place, it is an idea that dying from something other than an accident or sudden death should be peaceful no matter where you live or what the cause.The word hospice comes from the Latin root hospitium, which referred to a place where guests were received with hospitality and lodging. These concepts are