You dont have to be a Cubs fan to understand the value of being safe at home. According to the AARP nearly 90% of older adults want to age-in-place and maintain independence. But heres the problem: 85% have done nothing to prepare their homes for aging. Approximately one-third of adults age 65 years or older fall each year; the majority of these falls occur in and around the home. Falls are the most common cause of traumatic brain injuries and fractures for older adults. Falls often result in seniors being institutionalized, losing their functional dependence, and/or developing a paralyzing fear of falling. The good news is that Age Safe America exists to help educate families and professionals on the serious issues of home safety, fall prevention, financial exploitation and personal safety. Many seniors who are still relatively active, lucid, and spry, tend to ignore the possibility that they could become a victim of an accident (at home, no less!). Family members tend to be more realistic about the need and benefits of accident-proofing a parents home. By having a caring and candid conversation about the likelihood of a fall, a son or daughter can demonstrate their concern as well as help arrange a comprehensive home safety assessment. There is truly no better time than NOW to consider home safety initiatives. Safety is a perpetual challenge that needs periodic management because of the dynamic nature of the home environment bulbs burn out, floor spills happen, throw rugs become disheveled, etc. The elimination of identifiable threats is relatively inexpensive. Solutions range from grab bars to non-slip surfaces, from motion detector lights to fire escape ladders, from security systems to monitoring devices and personal emergency response systems, and from easy-entry bathtubs to temporary ramps or simple threshold entry mats. The seniors in our community deserve to enjoy their golden years by safely aging-in-place, in their own homes. Risk reduction can keep them safe while delivering on their desire for independence.By John Burke, Senior Home Safety Specialist, contractor and Age Safe America Advisor Member. To learn more about Senior Home Safety visit: www.AgeSafeAmerica.com

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

In todays climate, home is more important than ever. Many active older adults have chosen The Winslow in West St Paul as their place to call home, their refuge during uncertain times to shelter in place and create a community of new friends, all while living in a resort-style community. We asked a few of our residents to share why they love living at The Winslow. We think you will too!I get such a smile on my face when I think of it, when I tell people its where I live. I look around and realize I am not dreaming, I am really here. I never thought Id have something this wonderful for myself, all of these marvelous amenities! I feel so special!! The staff, you couldnt ask for better peopleeven before I moved in they were so kind and caring. I love my brand new home. Its elegant. I feel so safe. Its so nice to be able to wait inside when winter comes for your ride. We will live longer and happier here. All your greatness here at the Winslow shines. Sometimes you have to wait, my my how worth it, it can be. I am so grateful. Edna B.The apartment was well designed and constructed. All the appliances were well chosen and made me, a bachelor, learn how to cook. There is an outside patio where we all started gathering in the warm sun. Sometimes we light up the grill and cook things for all to enjoy. Or we get the urge to order a pizza to share and continue our friendship. -James W.My apartment is a very spacious 2-bedroom corner apartment. I get natural light throughout the day. Everything at the Winslow is new and clean, I love that! The floor plan is great for entertaining. The center Island is large so you can seat several people but also functional because it has storage. The closets are great and the washer and dryer are in the unit. I also have a designated underground parking place. -Linda K. Editors Note: this article was submitted by Stefanie Sokup, VP of Marketing with Real Estate Equities. For more information visit www.winslowweststpaul.com or call 651.228.7665.

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

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

As a young boy in the mid 80s, I remember making home visits to my then 85 year old, great-grandmother, Mrs. Tennie Frass, also known as Ninny to us kids. Today, over 30 years later it chokes me up knowing that she could have received 46 hours per month of FREE home care services through this unique program, mostly because she was a widow of a WWII Veteran! However, the care was never introduced because no one knew about it.Question: Have you heard of a not-so-popular benefit called the Aid & Attendance through the VA? In 1952, Congress passed Title 38 of the US Code creating the Department of Veterans Affair which authorized benefits for Veterans. One of these benefits was the Aid & Attendance, (a.k.a. the A & A) in which the funds could be used to provide non-medical care for those eligible. An incredibly powerful benefit that covers non-medical expenses of light house cleaning, bathing, meal prep, laundry, transportation, medication reminders, companionship and much more again, if youre eligible.So, whos eligible you might ask? over 65 years old Veteran served 90 days of active duty, one day during a major wartime (i.e. WWII, Korean, Vietnam) honorably discharged have a medical condition causing them to need assistance with ADLs (Activities of Daily Living) have limited income and assets (excluding home and car)Fact: Traditional methods of getting entitled or paid through the A&A takes an estimated 6-15 months before care starts why so long you ask? Because most family members dont understand the precision and articulation of the estimated 16-18 VA required forms. When these items are submitted to the VA, in most cases, theyre sent incorrectly. So what is our estimated start of care? It ranges from 2-4 weeks! Its not voodoo or black magic but it does include an experienced staff that includes Case Managers and VA Accredited Agents on our team. Moreover, there are never any hidden fees or upfront costs. Plus, once youre entitled, the benefit can remain in effect for the rest of your life!I can only imagine how good life would have been for my Ninny had we known about this program so many years ago. My goal today is to NOT allow other Ninnys to go through life without the awareness of such an awesome program. Plus, its only available through Veterans Aide at Home!Editors Note: This article was submitted by Steve Lee, Founder & Co-Owner of Veterans Aide at Home- a non-medical home care agency dedicated to Veterans, Spouses and their Widows/ers. He can be reached at 720.326.0319 or by email at: Steve@VeteransAideAH.com to learn more.

Shortly after the start of 2019, I noticed a new trend emerging on Facebook. Titled the HowHard Did Aging Hit You challenge, users were encouraged to post side-by-side photos of them now and from 10 years ago as physical evidence of how they are holding up as they age.While I believe people on Facebook intended this to be a harmless, even a fun way to reminisce, it perpetuates a negative narrative about aging. When users share their side-by-side pictures, they, along with their social media friends, comment about the difference of appearance. An array of responses followed. Some meant as positive, like wow, you didnt age a bit, youre looking good, not too shabby, or still stylish. Many meant as good-natured ribbing about receding hair lines, wrinkles, added weight, crepy skin, gray hair, or tired eyes. Either way, the problem with this trend is that it starts from a negative point, simply based on how the question itself is asked, How Hard Did Aging Hit You? Why is it assumed that aging hits someone hard?Ageism, systematic stereotyping and discrimination based on age, is ever-present, largely automatic, and deeply rooted. Its the one ism that goes unchallenged and is not recognized as an issue by the general public.Whether browsing through magazines, noticing pop up ads on social media, watching make-over shows, or walking through cosmetic and skin care store aisles, we are inundated with anti-aging messages. In a time when more people are living longer lives and there are larger proportions of people age 65 and older, aging is something to celebrate! It is also a natural process that is unavoidable. The gift of these extra years far outweighs changes in how one looks.Aging isnt all rosy. Changes in appearance and abilities as we age can be hard to accept, especially living in a society that favors youth over age. With each birthday I celebrate, there are days I want to scream that aging stinks! And after I do, I remind myself that aging beats the alternative (death) and that my worth isnt measured on what I look like (or can do) compared to a younger version of me.Where do we go from here? Is there a description of what any age looks like, should look like? If our appearance doesnt keep up with what society tells us is acceptable aging, do we stop having pictures taken of us or only post ones that weve altered to look different than our true image?Research shows that negative attitudes about aging can damage our sense of self, diminish our opportunities and prospects, and even segregate us from others in the community. This is one of the reasons York County Community Foundations Embracing Aging works to improve attitudes on aging. One of the ways we are doing this is by working to change the narrative around attitudes on aging. This is important because people with positive self-perceptions of aging live, on average, 7.5 years longer than those with neutral or negative ones, which brings me back to the Facebook challenge.I believe people on Facebook missed the mark. Instead of approaching this from a lens of aging is bad, what if the question was posed differently, such as how are you getting better with age? or how are you embracing your age? Think about the wisdom, lessons learned, and fun stories that could have been shared in the thread versus the jokes about decline in one's appearance.If you were one of the many Facebook users who joined in on this trend, I encourage you to do it again, however this time, frame it differently and add context. Share a story or something that has happened to you over the course of time that can be a benefit to others. Remember, your worth and value is the culmination of wisdom, perspectives, talents, and relationships youve experienced over time, not how you look. York County Community Foundations Embracing Aging is a long-term initiative that focuses on improving how people experience aging in York County by disrupting negative views on aging and working towards creating an age-friendly community. York County Community Foundation creates a vibrant York County be engaging donors, proving community leadership, and investing in high-impact initiatives while building endowments for future generations. To learn more about us, visit www.yccf.org. ________________________________Editors Note: This article was submitted by Cathy Bollinger. Cathy Bollinger is the managing director of Embracing Aging with York County Community Foundation and may be reached at cbollinger@yccf.org. To learn more about Embracing Aging, visit www.embracingaging.org.

If your retirement plans include downsizing and moving, a Continuing Care Retirement Community (CCRC) may be the perfect fit for you. But do you know what a CCRC is? Lets take a closer look.What is a Continuing Care Retirement Community?A CCRC is a residential community for older adults (typically age 65 and older) that provides a variety of housing options along with services, amenities and a continuum of care designed to address the changing needs of residents as they age. One advantage of a CCRC is that residents are able to remain in the same community as their needs change. This alleviates the stress of moving multiple times and enables residents to maintain existing relationships in a familiar environment.How does one choose a CCRC?Structure, services and fees vary greatly among CCRCs, so its good to ask questions. For example:What types of contracts are available?Is there an entrance fee? Is it refundable?What types of care are available? Do they offer Assisted Living, Skilled Nursing Care, Memory Support or other levels of care?What services and amenities are included? Which ones are available for an additional fee?Is the CCRC financially stable?Can I evaluate a CCRCs finances?When you choose a CCRC, you're planning to be there for the long term. So its important to know the community is actively planning for that, too. Some questions to ask include:1. Is the organizations most recent audit or annual financial report available for review? Are statements of financial position, operation and cash flow included?2. Does the organization have a positive net worth? If not, how is its long-term financial health affected?3. In the past few years, have operating revenues exceeded expenses?4. To what degree does the organization rely on non-operating income from donations, endowments and investments?5. Do the organizations financial ratios indicate it has the resources to ensure its ability to provide services now and in the future?6. Does the organization have an endowment? If so, what size? How is it used and managed?7. Is there a resident assistance fund? How can residents qualify?8. Does the organization have a formal risk management program?9. What type of insurance does the organization have?10. How are residents involved in strategic and financial planning and decision making?Source: Consumer Guide to Understanding Financial Performance and Reporting in Continuing Care Retirement CommunitiesEditors Note: This article was submitted by The Arlington of Naples, a new CCRC coming to Naples, Florida. For more information, call 239-206-2646 or visit www.ArlingtonNaples.org.

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

Years ago Charles Kuralt had a news segment called On the Road, which aired on CBS Evening News. Charles would stop in a city, grab a phone book from a telephone booth, and let his finger randomly stop at a name. He would then meet said person and conduct a life interview with them, and my recall is that in every interview he uncovered a fascinating person with a fascinating story.It is with this approach that the staff at the Upper Arkansas Area Agency on Aging endeavor to work with our clients and their stories. Sometimes it is difficult, as time constraints, many tasks at hand, and client representation all need to be balanced. But when people leave our office and they carry themselves in a manner which reflects theyve been heard, we really feel we are doing a good job.By the time an individual has experienced enough years to be considered elderly, they have gone through an incredible array of circumstances that have formed their being and who among us cannot take the time to learn something from every single person elderly or not -- we are fortunate enough to encounter?Editors note: This article was submitted by Upper Arkansas Area Agency on Aging in Salida, CO. They may be reached at 719-539-3341 (or toll free at 877-610-3341) or by email at aaareg13@uaacog.com

To learn more aboutSYNERGY HomeCare,CLICK HERE.Care for EveryoneWhen seniors return home from a hospital stay, they are confronted with many new and unexpected challenges. If they struggle to read fine print, it can be difficult to decipher prescriptions and manage new medications. Even if they suffer frommemory loss, their health depends on remembering and following discharge instructions while making and keeping follow-up doctors appointments. It can also be a struggle to obtain the physical assistance and in-home support they require while they recuperate. Is it any wonder that nearly one-fifth of seniors are re-hospitalized within 30 days of being discharged from the hospital, usually with a different condition than they were originally admitted for?The good news is thatSYNERGY HomeCarecan provide the help your senior loved one needs to fully recover at a time when patients are leaving the hospital sicker and quicker than ever before.

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

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

Organizing comes naturally to us. We want to sharewhat we know to help others.There were few services available to help us downsizeour parents or transition them to assisted living. We know how difficult thisis and we can offer insight, support, and practical help.

Whether your estate is small or large, planning is essential to maintaining control of your health and assets, ensuring your loved ones are provided for, protecting your hard-earned dollars, and preserving your legacy.There are several issues you may want to consider. First, have you planned for the possibility that you might have long-term healthcare needs, either in your home or in a nursing facility? Do you have savings or long-term care insurance to cover the costs? If not, have you sat down with an Elder Law attorney to discuss Medicaid planning?What legal documents do you have in place, and how recently have you had them reviewed? Most people need either a Will or a Revocable Living Trust as the foundation of their estate plan, depending on their goals, the size of their estate, and the types of assets they own. If you own any real estate or at least $50,000 in other property and want to avoid probate, a Living Trust should be considered. Many people falsely believe that a Will avoids probate and are surprised to discover that their families will endure a process typically taking between 9-24 months and costing an average of 3-4% of the gross value of their estate that's $15,000-$20,000 on a $500,000 estate!Not only will a properly drafted Living Trust avoid death probate, but it also keeps your family out of the legal process that might otherwise be required if you become disabled. The other documents you need in case of incapacity, either temporary or permanent, are financial and healthcare Powers of Attorney, Living Will, and a Universal HIPAA Release that will enable your family members to communicate with your medical providers in the event of an emergency.A qualified estate planning attorney can help you put your plans into place, giving you and your loved ones a sense of peace don't put it off!Editors Note: This article was submitted by Catherine Shell, founder of Hammond Law Group, LLC. and an estate planning lawyer in Colorado Springs. For further information she can be reached at 719.520.1474

We understand that budget is a primary consideration when you are making arrangements for home care and it is our expectation that you will shop around to find the best provider at a manageable cost. As you do, please consider the following points in order to ensure that you and your loved ones are protected and receive the best care possible.Do your homework.Before you make your first phone call, thoroughly consider what your care needs are. Make sure that you paint an accurate picture of the patients needs so that the right caregiver match can be made. *Do you a need a companion, or someone who can provide hands-on care? *Do you need assistance with cooking and light housework? *Do you need skilled medical assistance for things like blood pressure, blood sugar testing? Medication administration, wound care, tube maintenance? *Do you need a caregiver who can drive you to social events or appointments? *Is a memory loss diagnoses a factor or is the patient becoming confused? *Do you need a caregiver trained in a specialization such as hospice care or mobility needs? *Do you need a caregiver that speaks a particular language or is versed in sign language?Interview the agency.-In order to protect yourself and your loved ones from potential liability, be sure to consider the following when selecting a home care agency: *What levels of care are available? Are you licensed for medical care or only companion care? *Are your caregivers supervised by an RN? *Are all caregivers employees that are licensed, bonded, and insured? What happens if a Worker is injured in my home? *If there is a personality conflict or other problems, can a change be made? *What are your rates? Is there a minimum number of hours that I have to commit to each day/week/month? *What happens if my caregiver calls out sick or has an emergency? Will you send another caregiver of equal skill and experience? *Can I interview the caregiver before I commit to using your agency? Do you check references and can I get details of the caregivers experience and background? Can I get someone that has worked on similar cases? *What happens in case of an emergency? Can your caregiver provide hands-on help or do they need to wait for emergency services?Helpful Hints.*Before a new caregiver starts, write out a basic daily and weekly schedule. Include a list of likes and dislikes for food and activities. *Remember that you are the customer, do not hesitate to express your needs and give feedback, especially if you are dissatisfied or concerned. Caroline Moore, owner BrightStar of Boise.

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

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.

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

Seniors Blue Book ArticleFall 2015 EditionKelle Sweeney, Education Coordinator, Friends in ActionAs a caregiver, you are doing everything in your power to make sure your loved one is well cared for, and youre probably feeling the strain of your efforts: increased frustration, shortened fuse, poor sleep, exhaustion, feeling overwhelmed, high blood-pressure, etc. Respite can help you bring your life back into balance.Respite is a temporary break from your caregiving responsibilities. Respite can take place in your home or in a facility. Respite can be provided by a family member, friend, paid provider, or volunteer. Friends in Action, a nonprofit dedicated to helping family caregivers, recruits and trains volunteers as part of their Legacy Corps program to provide companionship respite for veterans and military families. Legacy Corps volunteers commit to one full year of service (Nov Oct) and deliver compassionate, consistent support to caregivers on a weekly basis, allowing stressed out wives, husbands, daughters, sons, neighbors, and friends to rest and recharge. Entering the 4th year in Idaho, Legacy Corps volunteers have provided a total of 14,000 hours of relief to 191 family caregivers in the Gem State a value of over $250,000.The Idaho Caregiver Alliance (ICA) is another organization focused on providing access to respite for caregivers across the lifespan. The ICA was formed with grant funding from National Lifespan Respite Coalition and is making great strides to ensure that family caregivers in Idaho have the tools and resources they need starting with respite. In 2015 the ICA successfully worked with state law makers to pass House Concurrent Resolution 24 which officially recognizes family caregivers as an integral part of our health system. The ICA is also testing the implementation of an Emergency Respite Program designed to offer support to caregivers when unplanned events or emergencies occur. To learn more about the Emergency Respite program please visit the Idaho Federation of Families for Childrens Mental Health website (www.idahofederation.org) or call (208) 433-8845.You can learn more about respite, caregiver resources, the Legacy Corps program, and the Idaho Caregiver Alliance at the 5th Annual Family Caregiver Conference on February 20, 2016. The Annual Family Caregiver Conference is a partnership with Boise State University to provide caregivers of adults and children with disabilities the resources they need to provide good care for their loved one while taking good care of themselves too.For information on respite, or to learn how you can become a Legacy Corps volunteer and be a hero to a family caregiver, contact Friends in Action at (208) 333-1363.

Older Individuals with Blindness (OIB) services for the blind and visually impaired (for individuals that are 55 and above) are available through the Colorado Springs Independence Center and are partially funded by a Federal grant. The Center provides services in the area of advocacy, peer counseling/ leadership training, information and referral, assistive equipment access and technology rental (through Silver Key), support groups and independent living skills. Their Outreach programs serve El Paso and Teller counties. The Center opened an Accessibility Store in mid-October, 2010 for visually impaired, blind, hearing impaired, deaf and mobility products.For more information please call The Colorado Springs Independence Center 719-471-8181Author:The Colorado Springs Independence Center

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

Did you know Idaho Power has programs for our income-qualified customers, including seniors, to receive FREE whole-house energy efficiency upgrades?To help improve comfort and lower electricity use, our weatherization programs provide energy efficiency improvements for customers with electrically-heated homes, apartments and manufactured homes. The improvements will also improve your homes air quality, health and safety. The programs are available for both owners and renters.FREE upgrades may include:New and additional insulation in attics, walls and under floorsNew furnace or furnace tune-upsNew vinyl windows and exterior doorsAir leaks, duct and ventilation sealingThese upgrades help keep your home warm in the winter and cool in the summer. They may also help reduce your energy bill!Benefits Youll LoveWhen we weatherize a home, we do as much as we can to save energy and provide a healthy and comfortable living environment for those who need it most.Through these weatherization programs, our customers will also learn how to use energy wisely, identify additional ways to help reduce heating and cooling costs, and learn how to use new equipment in their home, such as a programmable thermostat.With a Little Help from Our FriendsIdaho Powers weatherization programs are brought to our customers through valued partnerships with local Community Action Partnership (CAP) agencies in Idaho and Oregon. The CAP agencies have trained and certified weatherization auditors and crews to ensure energy efficiency improvements meet standards set by the Department of Energy.To see if you qualify for this program, please review the income qualifications below, and contact your local CAP agency. We hope you take advantage of these no-cost programs. We know youll be glad you did!Income Qualifications:Family SizeIdaho Customers Who Earn Less Than (Monthly):Oregon Customers Who Earn Less Than (Monthly):1$2603.00$2,023.332$3523.00$2,743.333$4445.00$3,463.334$5365.00$4,183.335$6285.00$4,903.33CAP Agencies:El Ada Community Action PartnershipElmore, Ada and Owyhee counties 208-322-1242Metro Community ServicesCanyon, Gem, Payette, Boise, Washington, Valley and Adams counties208-459-0065Community in ActionMalheur County541-889-9555Editors Note: This article was submitted by Idaho Powers Customer Care Team. Questions? Reach them at 1-800-632-6605.

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}#

For more information on the author, Paul Andrews, ERA Advantage Realty, CLICK HERE!Have you received an advertisement offering to save you thousands of dollars on your thirty-year mortgage and cut years off your payments? With email spam becoming more pervasive as everyone tries to get rich quick on the Internet, these ads are popping up with troublesome regularity.The ads promote a Biweekly Mortgage and for the most part, do not come from a mortgage lender. Exclamation points punctuate practically every claim:No closing costs!No refinancing!No points!No credit check!No appraisal!Save thousands!Cut years off your mortgage!To achieve these wonderful savings all you have to do is allow half of your mortgage payment to be deducted from your checking account every two weeks. Its easy. Of course, there is a small set-up fee and usually a transaction fee with every automatic deduction.Essentially, the ads are truthful in almost every respect.They just want to charge you money for something you can do on your own for free.The Basics:Normally, you make twelve mortgage payments a year. Since there are fifty-two weeks in a year, a biweekly mortgage equals 26 half-payments a year. The equivalent would be making thirteen mortgage payments a year instead of twelve. By applying that extra payment directly to the loan balance as a principal reduction, your loan amortizes more quickly, requiring fewer payments.You save money. The ads are true.How it Actually Works:You cannot simply mail in half a payment every two weeks to your mortgage lender. Since they do not accept partial payments for legal and accounting reasons, the mortgage company would just mail your half-payment back to you.Instead, the biweekly mortgage company is an intermediary between you and your mortgage lender. They automatically debit your checking account every two weeks for half of your mortgage payment then place your funds into a trust account. Basically, this is just a holding account for your money. In another two weeks, there is another automatic deduction from your checking account, and so on. When your mortgage payment is due, your funds are withdrawn from the trust account and forwarded to your mortgage lender.Since you are placing funds into the trust account faster than your mortgage payments are due, you eventually accumulate enough money to make an extra payment. The way the cycle works, this occurs once a year. he extra payment is applied directly to your principal balance, which causes your loan to amortize faster, pay off more quickly and save you thousands of dollars.Potential Problems with the Trust AccountBecause your funds are held in the trust account until your mortgage payment is due, there are potential dangers. Not only are your funds held in this account, but so are the funds of everyone else enrolled in the biweekly program. That is a lot of money.Most likely, there will be no problems.However, if there are accounting errors, mismanagement, or even fraud, your mortgage payment might not get made. The first hint of a problem will probably be a phone call or letter from your mortgage lender, but not until after your payment is already late. Since responsibility for making the payment rests with you and not the biweekly payment company, you may find yourself digging into your personal savings to make the payment directly -- even though the biweekly payment company has already collected your funds.Later you can work out the trust account problem with your biweekly payment company.The Cost of the Biweekly MortgageThere is usually a set-up fee that runs between $195 and $350, depending on how much sales commission is paid to the individual or company setting up the account for you. You also pay a transaction fee each time there is an automatic deduction from your checking account and sometimes also when the payment is made to your mortgage lender. There may also be a periodic maintenance fee.Meanwhile, whoever controls the trust account is earning interest on your money.Savings of the Biweekly MortgageBy making principal reductions using the biweekly mortgage program, your mortgage will amortize more quickly, saving you money. How quickly your loan pays off depends on your interest rate and when you begin making the biweekly payments.On a $100,000 loan at an interest rate of eight percent, your first principal reduction would probably be a year from now. Assuming the principal reduction is equal to one monthly payment ($733.76), you would save $43,852 over the life of the loan and pay it off almost seven years early.However, you have to deduct from those savings any amounts you paid in set-up, transaction, and maintenance fees.No-Cost Alternatives to the Biweekly MortgageInstead of hiring a company to manage your biweekly payment, you could accomplish essentially the same thing on your own for free. Just take your monthly payment, divide it by twelve, and add that amount to your monthly mortgage payment. Be sure to earmark it as a principal reduction.The first way you save is that you do not have to pay any fees to anyone. Its free.In addition to not paying fees -- using the same example as above -- your total savings on the mortgage would be $45,904. Plus the loan would be paid off three months quicker than with the biweekly mortgage. The reason you save more is because you are making a principal reduction each month, instead of waiting for funds to accumulate so that you can make one principal reduction a year.Self-Discipline?The biweekly mortgage companies claim that homeowners are not disciplined enough to follow through with principal reduction plans on their own. They suggest the reason for setting up the biweekly mortgage enforces discipline upon you, and by doing so, they save you money.However, in this technologically advanced age, banking online and automatic deductions are readily available. You can set up your own automatic deductions including the additional principal reduction and have it go directly to your mortgage lender. Since the deduction occurs automatically, just like with the biweekly mortgages, self-discipline is not a problem. Once again, you dont have to pay anyone to do it for you and you save even more money.ConclusionThe biweekly mortgage plans do not really do anything except move your money around and charge you for it. Plus, even though the danger is negligible, you must trust someone else to hold your money for you. If you can do the very same thing for free, plus save yourself even more money by doing it on your own, why pay someone else?The biweekly mortgage plan - who needs it?If your goal is principal reduction and saving money, then it is a good plan. If you do it on your own instead of paying someone else to do it for you, then it is a great plan.

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

For the past several years professionals in the senior healthcare field across the Nation have been focused on improving quality of life in long term care settings. This movement to de-institutionalize the way this care is delivered and instead focus on individualized, patient-centered called is called Culture Change.The Eden Alternative, one of the leading Culture Change authorities, shows how companionship, the opportunity to give meaningful care to other living things, and the variety and spontaneity that mark an enlivened environment, can succeed where pills and therapies often fail. Places that have adopted the Eden Alternative typically are filled with plants, animals, and are regularly visited by children. Culture Change focuses on all aspects of meaningful life, not just the medical or clinical components. The Eden Alternative promotes changing the culture of long-term care organizations through education and advocacy, and through hands-on implementation. The departmentalized, task-orientation of the current institutional model has created a culture that is characterized by pessimism, cynicism and stinginess. By moving away from the top-down bureaucratic approach to management and moving decision making closer to the Elders, where it has truly always belonged.The Mission:To improve the well-being of Elders and those who care for them by transforming the communities in which they live and work.The Vision:To eliminate loneliness, helplessness, and boredom.In addition, Eden Alternative is now poised to bring the principles and practices that are transforming long-term care to the larger community of Elders and their care partners living outside of institutions. For even a home can feel like an institution when an Elder requires assistance with daily living and the entire focus is placed upon the needs of the human body, and not the human spirit. With this in mind, the Eden Alternative now has a new initiative called Eden At Home, designed to touch the lives of Elders living at home and their care partners. Eden at Home aspires to transform the culture of care in our larger communities.Editors Note: This article was submitted by Diedra Kearny, Director of Community Education at Dignity Home Health & Hospice, and President of the Utah Elder Abuse Prevention Coalition. To learn more about Culture Change and The Eden Alternative, please contact Diedra at dkearney@dignityhlth.com or call 801-860-3801.

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}#

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

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

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

WHEN DEBILITATING PAIN AND STIFFNESS IN YOUR HIPlimit your daily activities, you may need a total hip replacement. The development of total hip replacement began over 40 years ago. In 2007, more than 270,000 people in the United States underwent traditional hip replacement surgery. Today, there are more options in hip replacement surgery.The most frequent cause of discomfort and chronic hip pain is arthritis. Arthritis is the leading cause of disability in the United States. In fact, 1 in 5 people have been diagnosed with arthritis and two thirds of them are under the age of 65.When medication and other conservative treatments have failed, total hip replacement may be recommended. Total hip replacements help relieve pain and allow patients to perform activities that may be limited due to hip pain.Traditional hip replacement is the surgical replacement of the ball and socket of the hip joint with implants. There are three major components used in hip replacement. The shell replaces the socket and the femoral stem and ball replaces the top of the femur. In traditional hip replacement, an incision is made on the side on the hip, cutting muscle to access the hip joint and replacing the damaged anatomy.The anterior approach provides the potential for less pain, faster recovery and improved mobility. The technique allows for the implant to be placed by working between the muscles and tissues without detaching them from either the hip or the thigh bone. This allows for fewer restrictions, reduced scarring from the smaller incision and equal leg lengths.The direct anterior approach takes advantage of a specially designed surgical table and instruments that allow for easier access and less disruption of muscle and soft tissues. This allows for better alignment of patient and implant.The anterior technique also allows for the potential of a shorter hospital stay where many patients go home after an overnight stay. They return to the office two weeks after surgery, many using only a cane for ambulation. Some patients are not using any assistive devices at all.New techniques have provided improved functional recovery and exciting options for treatment for the hip arthritis patient. The important part is for the patient to recognize their symptoms and seek advice from trained professionals to make the correct diagnosis and appropriate treatment plan.This article was submitted by Dr. Kurtis Biggs, Orthopedic Surgeon at The Joint Replacement Institute in Naples, Fl. He can be reached at 239-261-2663 (BONE) or visit his website at www.JointInstituteFL.com for further information

In June 2010 a profound and impactful meeting was held to discuss the problem of and prevention of elder abuse in Utah. Community leaders and government met to make a difference. As a result of the 2010 Utah Elder Abuse Prevention Coalition, Utahs Governor Gary R. Herbert made the following declaration:Whereas, nearly one-quarter of a million Utahns are over 65 the age of sixty-five;Whereas, Utah Adult Protective Services received 3117 reports of elder abuse, neglect and exploitation in 2009, an increase of more than twenty percent from the previous year;Whereas, elder abuse occurs in families and communities of all social, economic, and racial backgrounds; andWhereas, civic organizations and government plays a critical role in providing education, support through training, assistance to those at risk, and treatment for victims;Whereas, Elder Abuse Prevention Month affords all Utahns the opportunity to remember victims of elder abuse and their families, promote the programs and organizations that serve them, and participate in community efforts to improve the safety and well-being of all people in Utah.Now, Therefore, I Gary R. Herbert, Governor of the State of Utah, do declare June 2010 as ELDER ABUSE PREVENTION MONTHIn addition to the above declaration, the following sponsors were recognized for the provision of education and resources for seniors in their communities:Seniors Blue BookLegacy Retirement CommunitiesDignity Home Health & HospiceLaw Office of Calvin CurtisHeritage Park Care CenterComfort KeepersPetersen MedicalThe distinguished list of presenters included Lt. Governor Greg Bell, Director of Division of Aging, Nels Holmgren, Director of the Medicaid Fraud Unit at the Utah Attorney Generals Office, Robert Steed, Salt Lake County Sherriff, Jim Winder, and Director of Outreach for the Senior Behavioral Unit at Salt Lake Regional Medical Center, Nina Ferrell. Furthermore Legacy Retirement Communities was honored with the Caring Communities Award and Audrey Collman was celebrated with the Life Celebration Award.There was a common message from each of these outstanding speakers; It will take a collaborative effort from Government, Civic Organizations, the Private Sector, and Individuals to stomp out abuse and neglect!To report Elder Abuse: in Salt Lake call (801) 264-7669; Statewide call (800) 371-7897.Please watch www.SeniorsBlueBook.com for information on the 2011 Elder Abuse Prevention Summit. If you are interested in helping, please contact The Utah Elder Abuse Prevention Coalition at 801-860-3801.

Written By: Joshua WallsSubmitted By: Inspired Living, For more information CLICK BELOW on the location nearest you!Hidden Lakes (Bradenton)Lakewood RanchSarasotaThe Centers for Disease Control (CDC) reports that 54.4 million adults in the United States suffer from arthritis. If you are one of those people, you know how living with arthritis can make even the simplest tasks difficult. Opening a jar, buttoning a shirt or walking downstairs can become challenging when joint pain and stiffness slow you down. Fortunately, there are actions you can take to minimize the effects of arthritis.Keep MovingYou may not feel like moving around when you are experiencing joint pain and stiffness but moving may actually help keep your arthritis from getting worse. Harvard Medical recommends those with arthritis take small stretch breaks throughout the day. Ask your doctor to recommend appropriate exercises. You may be surprised at how even small amounts of exercise can be beneficial. For example, if you have arthritis in your hands, simple hand stretches, like touching each fingertip to your thumb, can be helpful.Perfect Your Morning RoutineIf you wake up feeling stiffness in your joints, the Arthritis Foundation recommends prepping the night before to make morning tasks easier. Layout your clothing, pre-pack belongings you will need for the day and have meals prepared if possible. Taking a nice extra-warm shower is one of the best ways to treat pain and stiffness from arthritis, as the heat can loosen inflammatory chemicals in your joints. Stretching joints that tightened during the night is a good idea too, so spend take a few minutes before getting out of bed, doing gentle stretching exercises. Listen to your body though if it hurts, stop. A physical therapist can teach you the best exercises for your body, and show you how to do them properly. For dressing, since fastening buttons may be an issue, consider purchasing a buttonhook, or clothing with magnetic buttons. When putting on shoes, a long-handled shoehorn may be helpful.Practice Self CareYou may have to acknowledge some limitations, but by taking good care of yourself, you can enjoy a very full and rich life, despite your arthritis. The Mayo Clinic suggests identifying your strongest joints and muscles and avoiding using your inflamed joints if possible. So, for example, if arthritis in your hands is flaring up, carry items using a purse, satchel, or backpack over your shoulder to avoid aggravating the joints in your hands. Also, schedule regular exercise into your days. Yoga, Tai Chi, and dance are excellent for improving posture, enhancing flexibility, and reducing joint pain.Modify Your DietSome foods aggravate the pain and inflammation caused by arthritis. Its best to steer clear of refined carbohydrates, such as white bread and pastries, as well as fried foods, soda and other sugar-sweetened beverages, red meat, and processed meats like hot dogs and sausage. A diet that is full of fruits, vegetables and lean proteins can help you feel your best and stay healthy. Also, consider adding fatty fish like salmon to your diet. Nuts and healthy oils such as extra-virgin olive oil, may be especially beneficial. The Mediterranean Diet includes many of these foods. Eating in moderation, and limiting salt also helps to decrease inflammation, and being at a healthy weight decreases stress on your joints. Lastly, try adding turmeric when cooking. Turmeric has proven anti-inflammatory properties.Adapt Your Home & RoutineSimple tricks, like adding padded grips to utensils and pots can be life-changing. Vive.com and SpecialSupplies.com are just two of many online suppliers of adaptive tools. Touch lamps and levered door handles also helpful, as are electric can openers, lighter cookware, and precut produce. Other home safety modifications to consider include grab rails and level access to the shower. If you struggle with stairs, rearrange your living space so that you only use the ground floor.Living with arthritis can be challenging and carrying out everyday tasks may become difficult. However, support is available and there are many things you can do to help you to live a fulfilling life. At Inspired Living and Superior Residences, we provide a safe and supportive environment, with a variety of living options, including Independent Living, Assisted Living, Memory Care, and Respite Care. If you or someone you love is dealing with progressive arthritis, we offer a home with 24/7 care, making life enjoyable and stress-free. To receive more information or schedule an appointment for a tour, contact a community near you.

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

Health Clinics usually provide more comprehensive health and related services than a traditional medical practice. Services may include physicians who specialize in Geriatrics, a nurse practitioner, a masters level social worker (MSW), and, in many cases, financial discounts may be available.#listing_mgr{7 basic_search}#

The transition home after a health care stay can be exciting but also overwhelming and intimidating.When a person is at a health care facility, hospital, nursing home or rehab hospital, for rehabilitation or other skilled services, they have the security of knowing caregivers are there as are many other medical supports.The goal of most people is to go home!In order to do that it is helpful to have transition services in place. Going home on its own is a transition. There are obstacles that are unexpected and challenging. Beyond the physical challenges of readjusting to ones home environment, there is also the emotional side. Many people feel anxious at the thought of being home alone after a stay at a health care facility.There are services available for those first few days home. Some of the transition tasks that can be done by a caregiver are: picking up prescriptions, cleaning out the refrigerator, changing the bed, showering, toileting, doing laundry, preparing meals, providing medication reminders, transporting to follow up appointments and much more. Those are the physical tasks. The emotional security of having a caregiver available during the first few days at home can bring piece of mind and confidence. Having those supports decreases your risk for re-hospitalization.There is also technology available in the home. Telehealth is available by many providers. Telehealth allows for 7 days a week monitoring by a nurse. The telehealth monitors most commonly used offer: blood pressure, pulse oximetry, and weight readings. The vital signs are remotely transmitted daily to a nurse for review. Having the oversight of a nurse 7 days a week can be what makes the difference for a patient being able to stay in their home.Be informed about what services are available to help you go home and stay home successfully.Submitted by Brooke Erickson-Mignogna, VP of Strategic Development and Marketing at Care Solutions.

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

Loneliness among seniors has become an epidemic. Feelings of depression and isolation are also commonly reported among our elders.Heres some good news: At the University of California they have found that cultivating gratitude can have amazing benefits to a persons health and well-being. The study showed cultivating gratitude on a regular basis resulted in higher levels of alertness, enthusiasm, determination, optimism and energy. It was also found that the people who practiced gratitude have less depression and stress, and are more likely to help others and exercise more. According to the science, people who feel grateful were also more likely to feel loved. Gratitude can be an easy thing to add to your activity calendar. You could easily start a Gratitude Club that meets every Friday over coffee to discuss the week in a positive light. Start with asking everyone in you group who their hero was this week. Ask them to discuss why they are thankful for their friends and/ or family. Brainstorm a way to make a positive impact in the home or their community. The great thing about gratitude is that its not just for seniors, but caregivers, staff and you will get a positive boost from it as well! Change up your programming, your seniors will thank you. Make it easy to add to your activity calendar. Visit artyourservice.orgfor cultivating Gratitude program in-abox. Editors Note: This article was submitted by Jen Tindall from Art Your Service and may be reached at 416-500-3435 or by email at jen@artyourservice.org

Have you ever considered a residential care home? This question is being asked more often in the Denver Metro area as these smaller facilities are carving out a very successful niche in the long-term care field. Many people, like the ones below, are unaware that these options of care even exist.A husband caring for his wife with Alzheimer's, after months of barely sleeping, is exhausted and not able to provide the care his wife needs. A daughter is seeking a new placement for her father diagnosed with dementia because she cannot continue to work full-time, raise her kids and try to oversee his care every day in a facility which seems ill-equipped to deal with his active and curious behavior. A wife seeks help for her disabled husband who has short term memory loss due to a neurological condition requiring full time monitoring, while she works as a teacher to help support the family and pay for his care.Often when families are deciding what to do for a loved one or family member who can no longer care for themselves, they are in crisis mode. There is often a progression where the family unit attempts to provide the care. Many lack the training, time, resources or living space to do an effective job. Often an event occurs (the patient has a fall or a major decline or the caregiver is unable to continue) and more help is needed. Many who seek help providing care don't know what help is available or the options to possibly consider.The residential care home can provide care environment that is totally different than staying home or living in a large care facility like an assisted living. The home-like setting with regular rooms and furnishings paired with an outdoor space for walking and gardens remind residents of their own home. Caregivers are there to offer personalized help with activities of daily living such as walking, bathing, toileting, medication management, and eating as well as the activities of the day. The aromas of the meals cooked in the kitchen help to bring people to the dining room. The small group of people living there become like family. It can be a wonderful, happy place that can relieve a great deal of the anxious feeling that many people face when the time comes that they cannot stay at home any more.Editors Note: This article was submitted by Russ Udelhofen, Adminstrator of Jaxpointe Assisted Living Memory Care Homes and may be reached at 303-420-5590 or by email at info@jaxpointe.com

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

According to the Alzheimers Association, dementia is actually not a specific disease. Rather, its an overall term to describe a decline in memory capabilities. Alzheimers disease accounts for about 60-80% of dementia cases.There are some 50 million people worldwide who have dementia, and there are nearly 10 million new cases every year. Its one of the biggest, if not the biggest, causes of disability and dependency among older adults worldwide. The diseases associated with dementia have numerous physical, social, psychological, and emotional impacts, not only for the people with memory loss, but also their friends, family, and society as a whole.This raises two questions:For those unaffected by dementia, how can you lower your risk of developing a condition like Alzheimers? For those already affected by dementia, what treatment options are available?We at Chefs For Seniors are certainly not qualified to discuss the current treatment options available to those affected by dementia, for more information on that visit https://www.alz.org/alzheimers-dementia/what-is-dementia.Instead, what were going to address in this article is a list of brain-healthy foods that some studies have shown can reduce the risk of memory loss associated with aging, and may even help people with dementia manage their symptoms.BerriesBerries are known for their anti-inflammatory and antioxidant properties. Eating a high amount of antioxidants has been shown to help protect against cell damage in the brain. Some early research has even shown that blueberries can help activate a part of the brain associated with memory. According to the principles laid out in the MIND diet, a new diet that promotes eating brain-healthy foods, you should eat at least 2 servings of berries each week.Leafy Green VegetablesLike berries, leafy green vegetables like kale, spinach, and swiss chard are high in antioxidants. These foods are also loaded with vitamin K and vitamin A. Research has found that 5 or 6 servings of leafy green vegetables each week yield the greatest benefits to brain health.Orange VegetablesIn addition to being a colorful addition to your plate, orange vegetables like carrots and sweet potatoes are high in an antioxidant called beta-carotene, which some scientists believe can boost memory.Whole GrainsWhole grains like barley, oats, whole wheat, and brown rice are rich in many of the B vitamins that work to reduce inflammation in the brain potentially preserving your memory. The MIND diet recommends 3 servings of whole grains each day.Olive OilResearchers have found that people who use olive oil as their primary oil at home showed greater protection against memory loss. Extra virgin olive oil is higher than most other oils in antioxidants and omega-3 fatty acids.PoultryLean meats like chicken and turkey are a key component of the Mediterranean diet, which is very similar to the MIND diet. Like whole grains, poultry is a great source of B vitamins that can play a role in healthy cognition. Try eating 2 or more servings of lean poultry each week.FishEating fatty fish like salmon, tuna, and sardines is great for brain health because theyre high in omega-3 fatty acids. Try eating fish at least once a week, although 3x per week is even better!Written and Submitted By: Chefs For Seniors- click for more information**

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

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

For more information on ERA Advantage - Paul Andrews, Click here.If youre planning to buy a home, anappraisalis an importantstepin the process. Its a professional evaluation of the market value of the home youd like to buy. In most cases, an appraisal is ordered by the lender to confirm or verify the value of the home prior to lending a buyer money for the purchase. Its also a different step in the process from ahome inspection, which assesses the condition of the home before you finalize the transaction. Heres the breakdown of each one and why theyre both important when buying a home.Home AppraisalTheNational Association of Realtors(NAR)explains:A home purchase is typically the largest investment someone will make. Protect yourself by getting your investment appraised!An appraiser will observe the property, analyze the data, and report their findings to their client. For the typical home purchase transaction, the lender usually orders the appraisal to assist in the lenders decision to provide funds for a mortgage.When you apply for a mortgage, an unbiased appraisal (which is required by the lender) is the best way to confirm the value of the home based on the sale price. Regardless of what youre willing to pay for a house, if youll be using a mortgage to fund your purchase, the appraisal will help make sure the bank doesnt loan you more than what the home is worth.This is especially critical in todayssellers marketwhere lowinventoryis driving an increase inbidding wars, which can push homepricesupward. When sellers are in a strong position like this, they tend to believe they can set whatever price they want for their house under the assumption that competing buyers will be willing to pay more.However, the lender will only allow the buyer to borrow based on the value of the home. This is what helps keep home prices in check. If theres ever any confusion or discrepancy between the appraisal and the sale price, your trusted real estate professional will help you navigate any additional negotiations in the buying process.Home InspectionHeres the key difference between an appraisal and an inspection.MSNexplains:In simplest terms, a home appraisal determines the value of a home, while a home inspection determines the condition of a home.The homeinspectionis a way to determine the current state, safety, and condition of the home before you finalize the sale. If anything is questionable in the inspection process like the age of the roof, the state of the HVAC system, or just about anything else you as a buyer have the option to discuss and negotiate any potential issues or repairs with the seller before the transaction is final. Your real estate agent is a key expert to help you through this part of the process.Bottom LineThe appraisal and the inspection are critical steps when buying a home, and you dont need to manage them by yourself. Lets connect today so you have the expert guidance you need to navigate through the entire homebuying process.

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

Hospice care affirms the belief that it is important to make every moment of life as meaningful as possible, from the first days of a life-limiting illness to the last. Hospice care seeks to validate the quality of life rather than the quantity. It also provides compassion and dignity for both the patient and family members. Hospice focuses on relieving the symptoms of the illness, as well as managing pain, and providing emotional and spiritual support. Many consider hospice to be comfort care because hospice is designed to keep the patient as pain free as possible while they enjoy their remaining time with family and loved ones.Hospice is often misunderstood. A common belief is patients are giving up or choosing to end their life. Quite the contrary, hospice patients are electing to live every minute to its fullest, maintaining as much independence and access to family and friends as possible. Helping people understand the philosophy of hospice is part of the changing culture in long-term care. These services are intended to promote a purposeful life and dignity in death.Hospice care is for people who have a life expectancy of six months or less and have chosen to focus on palliative care, comfort, and relief from pain symptoms. Diagnoses commonly associated with hospice care may include, but are not limited to: Cancer, Cardiovascular Disease, Alzheimers, Respiratory Disease, Liver/Renal Disease, and Neurological Disease. Also common are AIDS/HIV, Adult failure to thrive, Stroke and Coma.Services provided by Hospice vary depending on patient needs, but may include nursing care, medications, medical supplies and equipment related to the diagnosis, assistance with personal care, and 24 hour access to a Physician, Nurses and a Chaplain. In addition services include bereavement services and spiritual counseling. These services are fully covered by Medicare and Medicaid, and coverage is unlimited in length, and may be covered by many private insurances with no out-of-pocket expenses to the patient.Editors Note: Please call for additional information, volunteer opportunities, or to get involved with Culture Change in your community: Kimberly Ware, Administrator with Dignity Home Health & Hospice who may be reached at 801-934-6279 or by email at kware@dignityhlth.comAuthor:Kimberly Ware

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

If you are entering your senior years, you probably hope to stay active and independent for a long time! Unfortunately, your quality of life could be altered at any time due to illness or injury. For instance, each year one in every three adults aged 65 and older suffers a fall (Source: Centers for Disease Control and Prevention). Illness or injury can make simple tasks such as bathing, dressing, cooking meals, laundry, shopping, and walking difficult or impossible.How can you help speed up your recovery and increase the possibility that you will be able to return to your previous level of independence when illness or injury strikes? Physical and/or occupational therapists can become your real-life heroes by teaching you ways to help quicken your recovery. Physicians often make referrals to these therapists following an illness or injury, or if they notice a physical problem in its initial stages. Working with a therapist at the first sign of a problem can help prevent falls, decrease illness, and prevent injury.After careful screening of your current condition, the therapist will design an individualized program for you to help restore mobility, reduce pain, improve balance, and increase overall fitness. For example, if you have suffered a fall, therapists have many types of interventions and methods to assist you in your recovery. Or, if you are at risk for falling, they can help you prevent falls by working on your balance, strength, and endurance.Working with a Physical and/or Occupational Therapist is a proven way for seniors to restore confidence, improve balance and coordination, gain strength, decrease pain, increase range of motion in limbs, and relearn the skills necessary to stay active. You will find the therapy gym a safe and supportive environment in which to work on your recovery.In addition, Occupational and/or Physical Therapists can help you maintain or increase your level of independence with daily living tasks at home. They are able to make recommendations for home modifications, as well as accessibility and safety adjustments for your home. They can also help you select assistive devices that will be useful to you in your daily living tasks.Editors Note: This article was submitted by Mandy Molnar, MOTR/L, Director of Therapy Services at Bethany Rehabilitation Center in Lakewood, CO. Bethany Rehabilitation Center specializes in helping seniors recover following hospitalizations due to illness or injury. For more information, call Mandy at 303-238-8333

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

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

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

The therapeutic qualities of interacting with horses has long been known.Horses have an un-canny ability to reduce anxieties, restore a sense of calmness and bring great joy to those around them. This is especially true for those who are challenged by Alzheimers disease, as well as other forms of dementia. The act of petting, feeding and engaging with these gentle, intelligent creatures establishes an organic connection that many other methods are not able to achieve.Creating opportunities for individuals living with dementia to experience high-sensory activi-ties, such as interacting with horses, is important in memory care communities. Families want to know that their loved ones are engaging in surroundings that are stimulating and meaning-ful to them. And, since so many families have long enjoyed having pets in their households, ac-tivities that involve animals in memory care communities are particularly well regarded.Therapy that involves multiple sensory stimulation activities often leads to a reconnection to past experiences for those with dementia. Animals are a great example of creating this kind of connection. Many might consider a visit to a stable simply as a fun activity, which it certainly is. However, there is a deeper therapeutic value that can prove transformational, especially for memory care residents. When Porter Place Memory Care, in Tinley Park, IL, recently introduced full-size horse therapy at their community, six of their residents saddled up and rode through the courtyards. It was fun, but the experience also helped them connect, both to the animals and those around them.Families should seek opportunities to engage their loved ones with memory loss with animals. Whether it is a majestic horse or a small puppy, the experience can bring beautiful moments of joy to all.Editors Note: Article submitted by Bobbi Kelley, Community Relations Director for Porter Place Memory Care, Tinley Park, Illinois. Bobbi may be contacted at 708-781-1050.

Todays Skilled Nursing Facility (SNF) can take many different shapes and forms.As recent as ten years ago, when people referenced SNFs, they were generally talking about a traditional long term care nursing home. In recent years, the SNF model has evolved to include specialized short term rehabilitation centers, geared towards helping people return home after a serious illness, injury or operation. These centers are staffed with a team of licensed therapists, compassionate nurses and doctors.Admission eligibility depends on a few factors. First, are you in need of long term care or short term rehabilitation services? If you are in need of short term rehabilitation and you have Medicare or private insurance, both will help pay for these services. Prior to entering a SNF, Medicare beneficiaries must have been hospitalized for a minimum of three consecutive nights. Medicare covers the first 20 SNF days paid in full. Days 21-100, the Medicare beneficiary either pays a daily co-insurance rate or may have opted for a secondary insurance that picks up these co-payments. Medicaid traditionally pays for long term care services.What should you do if youre discharged home but dont feel strong enough to be home? Medicare allows a 30-day window for people who return home to be admitted into a SNF, as long as the patient was in the hospital for at least three consecutive midnights. There is no need to readmit to the hospital, as you can be directly admitted to a SNF.There are multiple skilled nursing facilities in your area, how should you choose where to go? www.Medicare.gov/nursinghomecompare offers a reliable rating system based on staffing, quality measures and health inspection outcomes. Understanding the 5-star rating system is crucial to ensuring that you receive exceptional clinical care from a reputable facility. New SNFs will not obtain their 5-star rating until after one year of operation. As with rated facilities, it is incredibly beneficial to schedule a tour for yourself or a loved one to gain understanding about your SNF of choice. While on a tour of the SNF be sure to observe the staff friendliness, building cleanliness, amenities and overall feel of the facility. Its our privilege to guide you through this process and be your personal resource on the path to optimal wellness.Editors Note: This article was submitted by Chad James, N.H.A. Chad James is the Executive Director for The Center at Lowry and may be reached at 303-676-4000.

There are more than 3.4 million unpaid family caregivers in Texas. It is with pride that we extend our thanks to each one of them. Family caregivers are the meal givers, the medicine givers, and the compassion givers. They help their loved ones bathe and dress, prepare meals, drive to medical appointments, assist with finances and much more. Some perform complex medical tasks like giving injections, managing complicated medications or cleaning wounds often with little or no training. Many provide this 24/7 care while working full-time without a break.Caregivers often sacrifice their time, money, and even well being to ensure that their family member is given the ability to live comfortably in their home and out of costly institutions. But in the process, caregivers can sometimes lose sight of the importance of taking care of their own needs and are often taken for granted, despite the high value of care they maintain.The cost of care unpaid family caregivers provide in Texas alone is estimated to be $35 billion a year; and its $470 billion worth of care provided nationally. That amount is more than the annual sales ($469 billion) of the four largest U.S. tech companies combined (Apple, Hewlett Packard, IBM, and Microsoft).Family caregivers arent recognized nearly enough; they not only deserve our thanks, but they deserve our support. Caregiving is a labor of love, but its also often an incredibly time-intensive one. We extend our deep gratitude for the many things that they do.Editors Note: This article was submitted by AARP State Director Bob Jackson.

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.

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

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

For more information on the author Paul Andrews, CLICK HERE!If spending more time at home over the past year is making you really think hard aboutbuyinga home instead of renting one, youre not alone. You may be wondering, however, if the dollars and cents add up in your favor as home prices continue torise. According to the experts, in many cases,its still more affordable to buy a home than rent one. Heres why.ATTOM Data Solutionsrecently released the2021 Rental Affordability Report, which states:Owninga median-priced three-bedroom homeis more affordable than rentinga three-bedroom property in 572, or63 percent of the 915 U.S. counties analyzed for the report.That has happened even though median home prices have increased more than average rents over the past year in 83 percent of those counties and have risen more than wages in almost two-thirds of the nation.How is this possible?The answer: historically low mortgage interestrates. Todd Teta,Chief Product OfficerwithATTOM Data Solutions, explains:Home-prices are rising faster than rents and wages in a majority of the country. Yet,home ownership is still more affordable, as amazinglylow mortgage ratesthat dropped below 3 percentare helping to keep the cost of rising home prices in check.In 2020, mortgage rates reached all-time lows16 times, and so far, theyre continuing to hover in low territory thisyear. These low rates are a big factor in driving affordability. Teta also notes:Its startling to see that kind of trend. Butit shows how both the cost of renting has been relatively high compared to the cost of ownership and how declining interest rates are having a notable impact on the housing market and home ownership.The coming year is totally uncertain, amid so many questions connected to the Coronavirus pandemic and the broader economy. But right now, owning a home still appears to be a financially-sound choice for those who can afford it.Bottom LineIf youre considering buying a home this year, lets connect today to discuss the options that match your budget while affordability is in your favor.

Are you one of the67%of Americans without an estate plan? If so, you may be wondering what happens to your estate when you die. Many people think that if you die without a will or other estate plan in place, the government will inherit all of your assets. While that may not actually be the case, there may be a variety of reasons why it can be wise to implement a customized estate plan so that you can have much more control over the distribution of your assets.When someone dies without a will, he or she is considered to have died intestate and his or her assets pass according to the states intestacy laws. This can be a fairly simple process if there are minimal assets and no reason for creditors or beneficiaries to fight. However, it can also be a complicated process if there are substantial assets, complicated relationships between beneficiaries, significant creditors, or assets in multiple states with conflicting laws. Depending on the size of the estate and the applicable state laws, there may be significant estate or inheritance taxes at play as well. Furthermore, when the assets of an estate are distributed according to state intestacy laws, the assets may be distributed much differently from how a person may have wanted them to be.Our office can discuss your options and develop a customized estate plan that meets the unique goals you have for yourself and your family. There may be many estate planning vehicles that can allow you to avoid or minimize some of the negative aspects that would otherwise result from having no estate plan in place.The firm of Britton G. Swank, P.A. is skilled at providing legal assistance to older adults and people of all ages preparing for the future. For more guidance on estate planning, pleasecontact our officeto schedule a time to meet.

As an active older adult, your retirement lifestyle should be defined by choice. Independent living is for seniors who are able to live on their own, but want the convenience of life enrichment activities, social programs, restaurant-style dining, home maintenance and housekeeping, transportation, security, and the option of additional care if needed down the road. Older adults who are seeking this lifestyle often find independent living communities to be an ideal solution.In contrast to assisted living and similar senior care optionswhich provide daily assistance to those who can no longer live on their ownindependent living is suited for those who are able to live at home on their own, but dont have family nearby or want to be surrounded by a group of like-minded individuals in the same stage of life. In addition to the amenities that come with a social and active retirement, these communities also offer private apartments and safe and secure living. This lifestyle is made enjoyable by caring, compassionate staff, from groundskeepers and housekeepers, professional culinary staff, security and maintenance workers to personal care and medical professionals.You may be trying to choose between independent or assisted living. Both options are appealing as they provide friendly social environments and conveniences. If you are physically or cognitively unable to live on your own, assisted living may be more appropriate for you. If you are mostly independent and do not need assistance, an independent living community may be the best choice. Many independent living communities offer private duty home care services, so this can provide extra value if you do need some extra support later on. We encourage you to research your options and gain an understanding of which one may be best for you. Identify some senior living communities near you and take some tours in person. The staff at these communities will be happy to help educate you and guide you toward a choice that will best serve you and your loved ones.Editors Note: This article was submitted by Embark at Niles by Eclipse Senior Living.

Did you know that only 50% of people with Alzheimers disease are diagnosed and of those, only half are told of their diagnosis by their primary care provider? Here at the Alzheimers Association, we are aiming to change the way dementia care is practiced by bridging the gap between services for families and care providers with our Direct Referral Initiative. This initiative establishes a relationship with primary care providers to ensure that people with dementia and their caregivers are provided with support and resources earlier in the disease process starting with a primary care physician sending a direct referral to the Alzheimers Association after having received consent. The goal of this initiative is to have an impact on overall increased satisfaction with care, caregiver education; less perceived caregiver stress and burn out, amongst many other positive outcomes. Talk to your primary care physician about collaborating with us today!The Alzheimers Association works on a global, national, and local level to enhance care and support for all those affected by Alzheimers and other dementia's. We provide education to families, communities, and professionals, we provide information on various topics surrounding dementia, and we have various support groups around our two-state Chapter, amongst many other services we are here to provide. Our mission is to eliminate Alzheimers disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. We are here to help. Contact us today to learn more about our programs.The Alzheimers Association Helpline is available 24/7 to provide reliable information and support to all those who need assistance. Call us toll-free anytime day or night at 1.800.272.3900. Our 24/7 Helpline serves people with memory loss, caregivers, health care professionals, and the public. To meet the increasing demands for service and support, we have expanded programs, and have five offices around Massachusetts and New Hampshire: Watertown, Raynham, Springfield and Worcester, MA and Bedford, NH.Submitted by Russell Martin, Public Relations and Marketing Manager Alzheimers Association, Massachusetts and New Hampshire Chapter.

To learn more about Highland Glen - MBK,CLICK HERE.As more and more Baby Boomers enter the geriatric ranks, interest in alternative health treatment options has skyrocketed. Leading the list of possible substitutes for traditional medicine is acupuncture, though there are still misconceptions and misunderstandings floating around. For many, just the incorporation of the term puncture in its name is enough to eliminate this therapy option from their vocabulary. Acupuncture is so much more than just pointy needles and may be a viable treatment option for sufferers of a variety of ailments.Known as a traditional Chinese medical option now practiced throughout the world, the theory behind this method is to encourage the body to promote natural healing and improve function. As explained by Dr. G. Darryl Wieland, the Research Director for Geriatric Services and Palmetto Health Richland Hospital, The bodys life energy, Qi (pronouncedchee), flows through the body on channels known as meridians. These meridians connect all major organs. When this energy is stuck, people feel pain and other symptoms of illness. Acupunctures goal is to restore balance and make the bodys energy flow normally again. The mild discomfort that the acupuncture needles cause (though most patients report no awareness of discomfort from the needles) stimulates the release of endorphins and other naturally occurring pain-relieving chemicals from the brain.While pain alleviation is one of the most frequently cited reasons for treatment, acupuncture can be used to treat many other ailments. Including sinus problems, tonsillitis, colds, asthma, bronchitis, certain eye disorders, fibromyalgia, toothaches, and other mouth problems. Also tennis elbow, sciatica, low back pain, rheumatoid arthritis, hiccups, diarrhea, constipation, irritable bowel syndrome, and other gastrointestinal problems along with headaches and other neurologic conditions.Acupuncture does not cure these ailments, but it can help relieve the pain and discomfort caused by these conditions.A study published nearly a decade ago focused on assessing the effects of acupuncture as an adjunct to medical and physical rehabilitation specifically in geriatric patients (referencehttps://www.sciencedirect.com/science/article/pii/S200529010960008X). The study focused on several key elements of illness including pain control, restoration of bowel function, good sleep quality, appetite, generalwell-beingand returned to pre-illness physical capabilities. The study concluded that acupuncture had beneficial effects on elderly patients during their post-acute illness rehabilitation.One of the most frequently asked questions by people considering acupuncture is whether the therapy is safe. According to Dr. Wieland acupuncture is very safe in the hands of a trained specialist. Overall, older adults experience far fewer side effects with acupuncture than with most medications. Those individuals who are afraid of needles may feel lightheaded or faint when first undergoing treatment and patients taking blood thinners may develop bruising. Further, patients with a pacemaker or heart rhythm problems should let the acupuncturist know before treatments beginning. So, is acupuncture right for you? As with everything health related, you need to have this discussion with your doctor. Most physicians are familiar with the pros and cons of this treatment option and can help you understand how it may be beneficial for your unique medical situation. What might be a great option for one person may be may not be for another? Always check with your doctor.

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

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

To learn more about Tracy Aviary, CLICK HERE.Within months of each other, Tracy Aviary and The Road Home, an organization dedicated to helping people out of homelessness, moved into the same neighborhood in South Salt Lake. The Road Home began operating a new Mens Resource Center, which provides shelter and services, in the fall of 2019. Right next door, Tracy Aviary opened its new Jordan River Nature Center, our second campus, focused on a local urban riparian habitat. From early planning stages, Tracy Aviary has been invested in making the Nature Center a place for all of its neighbors, including guests of the Resource Center. While our two organizations have very unique missions, we saw boundless opportunities to collaborate and quickly formed a partnership to explore how the Nature Center could support the guests of the Resource Center.We initially considered bringing a nature-focused lecture series to the Resource Center, but when the pandemic hit, it became apparent that we should pursue the safer option of outdoor activities. At the same time, Tracy Aviary was planning habitat restoration efforts to support birds, butterflies, and bees. In spring of 2020, through funding from the Association of Zoos and Aquariums, Tracy Aviary staff planted five native plant gardens along the Jordan River Parkway south of the Nature Center. While these plants are drought-tolerant, we wanted to help them get established by watering and weeding for at least their first year.When asked if the guests of the Resource Center might be interested in helping care for the plants, The Road Home staff thought it was worth a try. We set up a weekly schedule in which anyone at the Resource Center that morning could join us, masked and socially distanced.Our expectations have been greatly exceeded! With consistent support from Resource Center guests, the plants are thriving and theyre not the only ones. The Road Home sends staff along each week, and walking the trail together affords them an opportunity to have individual conversations with the guests, getting to know them better, making them aware of the resources available, and offering words of encouragement. The walks make the guests aware of the Parkway as a place of respite and give them a dedicated time to experience some of the mental and physical health benefits of time spent outside with supportive people. We also seek to build connections between guests of the Resource Center and other community members, so signs on the gardens proudly announce who cares for them. We see something as simple as a trail user taking the time to thank them while theyre caring for the plants as a big win.This is just the beginning. Tracy Aviary is excited to continue our partnership with The Road Home and to build more community partnerships like this one. Learn more about the Jordan River Nature Center atwww.jordanrivernaturecenter.org.-Anne Terry, Director of Education

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

Hospice is not a place, but a philosophy of end-of-life care. Hospice does not hasten nor prolong death but uses symptom management such as pain control to allow for the highest quality of life possible. The goal of hospice is to maintain dignity and peace for the patient and family for as long as life continues. Hospice treats the person rather than the disease or illness.Hospice is ordered by the patients physician when cure is no longer possible but there continues to be a need for comfort care. Comfort care is also known as palliative care.. The hospice team can care for a patient anywhere they call home; i.e.: private home, skilled nursing facility, assisted living, or independent living. The hospice team consists of the Medical Director, RNs, LPNs, Certified Nurses Aides, Social workers, Spiritual care coordinators, volunteers and bereavement counselors as well as the complimentary services such as massage, music, pet, and aroma therapies .The hospice bereavement counselor will offer support to the survivors for up to 13 months after the death,All hospices that are Medicare and Medicaid certified must operate using the same regulations. There is no difference between for- profit and not-for-profit hospices as far as following the Medicare/Medicaid guidelines and caring for the patient/ family. Medicare, Medicaid and most insurance will pay for the hospice benefits which include medication, equipment, supplies, nursing and other services that are used for the comfort of the patient.All hospice care is developed around the physicians orders, patient needs, family involvement and the living environment. The patient is qualified for hospice with a physicians certification of life expectancy of 6 months or less. The RN will prepare a plan of care with the patient, family/caregiver, physician, hospice team and the Medical Director of Hospice. This plan will determine the needed pain control, symptom management, personal care (bathing, linen change, skin care, meal preparation when needed. Hospice care also includes medication management, medical equipment, nursing visits, counseling, spiritual care and social worker as requested. Volunteers are trained to sit with patients, provide comfort and companionship as desired by the patient and family/caregivers. Other services such as the music and massage therapy are offered to the patients through out their care.Hospice staff members are available 24/7 for questions, problem solving and crisis management. Hospice can assist your family/caregiver with the sometimes daunting challenges of your loved ones final passage.Editors Note: This article was written by Pamela Farrell RN, PHN, BSN, MSHA, Administrator of Mountain Valley HealthCare and Hospice, an AccentCare company serving northern Colorado to northern DenverFor questions concerning Home Health or Hospice, please call 970-346-9700

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

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

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

Medicare Advantage plans (Part C) are not the same as Medicare Supplement (Medigap) plans. Even though most people don't understand the differences, they are very different kinds of insurance. As such, the rules that the beneficiary must follow to receive health care are also very different. Make sure you understand these differences before enrolling.If original Medicare (Parts A & B) is your primary insurance, you are not restricted by HMO or PPO networks for your medical care. Without referrals, you may see any doctor or provider within the U.S. that agrees to see you. Sometimes you can shift drug coverage from Part D to Part B. If you are using insulin, pain medication, or certain inhalers (which can all be pricy, even under Part D), the same active ingredients may be available for use in insulin pumps, pain pumps or nebulizers. These devices 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 any time, 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 Total Retirement Alliance, 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

Health deterioration is an almost unavoidable part of the aging process, often leading many seniors to turn to a variety of pharmaceutical drugs with complicated side effects. Many senior citizens are instead turning to CBD (cannabidiol) and are discovering its positive effects on their overall wellness and vitality. Here are just a few of the common ways seniors can benefit from CBD:JOINT SWELLING AND GENERAL PAIN RELIEF Most seniors will at some point deal with aches and pains and joint soreness. Several studies have shown CBD to be a promising treatment for joint pain as well as its underlying causes. This is because CBD attaches itself to the CB-2 receptors, reducing inflammation and alleviating discomfort in almost any part of the body. The overall relaxation effects of CBD can also provide tremendous benefit for overall pain relief.BRAIN AND VASCULAR HEALTH Scientists are beginning to understand CBDs potential to support brain and vascular health and aid in post injury recovery. A study in Neuropharmacology revealed that rats administered with CBD experienced improvement in brain excitotoxicity and neurobehavioral function, and a 2015 study in Journal of Cerebral Blood Flow & Metabolism demonstrated CBDs promise as a neuroprotectant, with positive pharmacological effects.SLEEP DISORDERS Quality sleep is necessary for health and vitality, especially as one ages, and sleep issues are common among seniors. CBD has been shown to decrease chronic muscle spasms caused by neuromuscular disorders or random spastic episodes that can often interrupt sleep. Furthermore, CBD helps maintain homeostasis in our bodys endocannabinoid system, which can increase sleep quality and regulate sleep stability.HEART HEALTH Studies show that CBD has tremendous benefit for our cardiovascular system in several ways. First, it causes vasorelaxation in our arteries, which can support a healthy blood pressure and increase blood flow to the heart. In addition, its been shown to alleviate ischemic tissue damage, which can prevent the heart from receiving enough oxygen. CBD does not have to be smoked and can instead be consumed through oils and tinctures, making consumption for seniors easy and healthy. It can also be more cost effective than using pharmaceuticals and produce fewer side effects. Editors Note: This article was contributed by www.echoconnection.org. You can learn more about CBD and hemp oil by visiting A Beginners Guide to Cannabis on their Education page at https://echoconnection.org/beginners-guide-cannabis/

Family caregiving in all its forms is challenging and often described as burden.The term burden is neither bad nor goodbut rather a usual component of human relationships and the giving and receiving of care. In the context of dementia caregiving, the unique features of the disease add considerable difficulty. Memory loss is frequently mistaken for normal aging, minimized or hidden by those affected, or ascribed to stress or other life circumstances. Caregivers may have a hard time separating the person from the disease.Over time, caregivers may become less engaged in their own self-care and increasingly vulnerable to illness, fatigue and psychological depletion. Early diagnosis optimizes education of the patient and family, allowing them to develop a professional support team, paving the way for the introduction of community supports.Most caregivers work diligently to respect historical preferences and creatively respond to emerging symptoms. Advance care planning is vital in the care of those with cognitive impairment, as diminished capacity is a certain eventuality. Advance care planning includes: discussions with medical providers for health specific information discussions with family members about patient preferences and goals of care completing Advance Directive forms support the person with early stage dementia to express goals, preferences and wishes that contribute most to a clear understanding of the care setting and treatment interventions that are preferred.These conversations begin a process where the patient and family speak openly about the situation. Shared family caregiving reduces the isolation that can become a debilitating component of caregiving.In addition, open communication paves the way for obtaining formal supports. Involvement in caregiver support groups and support groups for care recipients is beneficial for social engagement and information sharing. Community services such as supported transportation, cognitive stimulation programs in senior centers, exercise programs, respite care and adult day care are relatively low cost and delay institutional placement. Early introduction of services reduces the risk that the caregivers will become soloand exhaustedcaregivers.Article submitted by: Authors:Katherine Supiano, PhD, LCSW, FTDirector, Caring Connections: A Hope and Comfort in Grief ProgramAssociate Professor, College of Nursing, University of Utahhttps://healthcare.utah.edu/caring-connections/Jacqueline Eaton, PhDDirector, Gerontology Interdisciplinary ProgramAssistant Professor, College of Nursing, University of Utahhttp://nursing.utah.edu/gerontology/

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.

How to age gracefully if we could put it in a bottle and sell it we would be kazillionaires! But in reality there are so many different ways to define what aging gracefully actually means and it is different for all us. What you can do though is find ways to keep your body, brain and spirit in the best shape possible. This will definitely improve your chances of aging gracefully!We all value our independence. Perhaps the single most important factor in maintaining our independence is maintaining our mobility. We like to be able to get up and go when we want and where we want. Falls and/or the fear of falling can seriously impact our ability to keep our mobility. There is no doubt about it, the risk of being seriously injured in a fall and losing our ability to get up and go increases with age. The rates of fall injuries for adults 85 and older are four to five times that of adults 65 to 74. Approximately 25% of older adults who fall suffer moderate to severe injuries such as bruises, fractures, or head traumas. These injuries can make it hard to get around and limit the ability to maintain our independence. Many people who fall, even those who are not injured, develop a fear of falling. This fear causes them to limit their activities, leading to reduced mobility and physical fitness, thus increasing their actual risk of falling.At Fountain Crest our residents are fiercely independent and maintain their mobility in a variety of ways. One of the ways they do this is through our IMPACT Program. IMPACT is an acronym for Improving Mobility Through Prevention, Assessment, Conditioning and Tai Chi. Environmental and physical assessments help our residents know what their risk factors are for falling. Our exercise classes incorporate all four components to a complete exercise program. These components are cardiovascular work-outs, strength training, flexibility training and balance training. In fact, maintaining good balance may be the most important aspect of maintaining your mobility. Research has shown that practicing Tai Chi twice a week can dramatically improve your balance, decrease your chance of falling and decrease your chance of getting injured if you fall.So we at Fountain Crest encourage you to stop looking for the next best anti-aging remedy and do as we do embrace the inevitable and AGE GRACEFULLY!Editors Note: Submitted by Amy Perkins, RN, BSN, MHSA, National Director of Wellness, Grace Management, Inc.

If you or a loved one were facing a terminal illness, would you know where to turn for information about end-of-life care?Every year, half of the American population will be touched by the death of a friend, family member or colleague. Hospice providers across the country are united in urging all adults, regardless of age or circumstance, to learn more about end-of-life care options that can transform dying into the final act of living well.There are four general questions that should be explored before one is touched by the unsettling reality of a terminal prognosis, explains Ann Klein, RN, VITAS patient care administrator in New Jersey North. They are: 1. How will pain be managed? 2. If the patient prefers to remain at home, what kind of assistance and in-home care will be available? 3. What role can family members have in patient care? 4. How will the spiritual and emotional support necessary for quality end-of-life care be administered?Hospice is an end-of-life care option that answers all four questions, Klein says. Tailored to the needs of each patient and family, hospice provides care to patients diagnosed with a terminal illness. It includes expert pain management, but also goes beyond medical care, providing emotional and spiritual support that most Americans believe is an important aspect of end-of-life care.Hospice care is provided by a multi-disciplinary care team comprised of doctors, nurses, home health aides, social workers, clergy, and trained volunteers. Hospice care typically is provided in the home, allowing the patient to stay in a familiar setting surrounded by family and friends. Home is loosely defined, so terminally ill residents of nursing homes and assisted living facilities can receive hospice care without having to consider moving.Medicare, Medicaid and most private health insurance plans provide coverage for hospice services. The Medicare Hospice Benefit is an all-inclusive benefit and includes coverage for physician services, nursing care, home medical equipment and medical supplies, prescription drugs and over-the-counter medications related to the patients terminal illness, counseling, spiritual support and bereavement support for the patients loved ones. Patients and their families receive all benefits without any additional co-pays or ancillary payments.Editors Note: This article was submitted by Robin Marshall, General Manager of VITAS Innovative Hospice Care of New Jersey North. For more information about hospice, visit the National Hospice and Palliative Care Organization, www.nhpco.org, or call VITAS at 973-994-4738.

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

Selecting a senior living community could be a daunting task. There are many factors to consider finding the perfect place.Bruce Rosenblatt, owner of Senior Housing Solutions has over 30 years experience in senior housing and uses his expertise to help eliminate the guesswork of selecting a senior living community. Bruce is also a featured columnist for the Naples Daily News and provides senior housing advice in his column. Senior Housing Solutions has been proudly serving Lee and Collier counties for over 10 years.Senior Housing Solutions looks beyond the fancy dcor and evaluate communities on quality of care and services, resident satisfaction, health care violations, operation stability, financial viability and overall lifestyle.We meet one on one with our clients to better understand their needs and preferences. We narrow down the process through our in-depth knowledge of the market place and help create a roadmap for our clients. If desired, we schedule visits and join you on your tours. We even negotiate prices, as appropriate. As a trusted resource, we help you every step of the way including recommendations for Veterans benefits, attorneys, movers, Realtors and downsize experts.Our services are 100% free to our clients. Let us help find a solution for you!Call 239-595-0207 or visit our website at www.seniorhousingsolutions.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}##listing_mgr{8 basic_search}#

Want to stay in your own home? Do you cherish your memories? Are your family and friends close by? Do you like being on your own schedule?#1 Make an Entryway AccessibleInstall a modular ramp for entry to front, back, or side door. This will eliminate stairs for individuals who have mobility challenges or use a wheelchair a scooter. A modular ramp can be assembled in one day, is removable and reusable, fireproof, slip resistant, and has handrails.#2 Install Rails and Grab Bars Inside or OutsideSometimes a little extra stability is needed. A handrail on the opposite side of the stairs can provide much comfort when climbing or descending stairs. Grab bars come in different sizes and can be installed anywhere in the home.#3 Install a Stair LiftWhen stairs become challenging, a stair lift offers a great solution. Stair lifts are easily mounted with minimal changes to the stairs. Stair lifts come in varying indoor and outdoor models with an array of features such as remote control, swivel seats, battery back up, and more.Many individuals painstakingly crawl up and down steps. Do not wait! This is an easy modification that will pay for itself. Stair lifts will take you from one floor to the next with ease and make your daily life enjoyable.#4 Portable and Threshold RampsOne or two steps or an uneven surface can become troublesome. These small areas of raised surfaces are often the biggest causes of a trip and fall accident. There are many styles of aluminum and rubber ramps that can provide a smooth transition for you to maneuver.#5 Make a Bathroom AccessibleMany falls and slips happen in the bathroom. Modifications will allow you to avoid hazards that could cause accidents.? Install a walk-in shower to eliminate tripping hazards.? Install a lower sink to easily reach the handles and basin.? Install a toilet of appropriate height to ease sitting and standing? Strategically place grab bars in shower or next to toilet for added stability.Easy and affordable modification will enable you to stay safe and independent in your home! Enjoy your surroundings and make the most of every day!_______________________________________Editors Note: This article was contributed by Nick Marcellino of Amramp. See their ad on page 65.

While LTCC's are not cheap, they may still be less expensive than living at home when all things are considered. The options for paying for a LTCC include:Private Pay - your income and liquidized assets (annuities, IRAs, etc.), help from family members and veterans benefits (see below).Long Term Care Insurance (LTCI) - if you purchased LTCI, it can be used for certain in-home care and LTCC costs. There are monthly and lifetime caps on payment - you will need to consult your policy to get the specific details. There are also services available that will review your policy and negotiate with the insurance company to make sure you are getting any and all benefits that you are entitled to.Medicaid - While most states (44 + D.C.) allow Medicaid to pay for your LTCC costs through what is called theMedicaid Waiver Program(which comes with many different names), there are income and asset limits. You must apply and qualify for Medicaid.Veterans Aid & Attendance (VA&A) - qualifying as a Veteran or Surviving Spouse can add quite a bit to your income but there are specific asset, income and service requirements to qualify, including:90 days active duty1 day during a wartime period. These are:WW II - 12/7/41 thru 12/31/46Korea - 6/27/50 thru 1/31/55Vietnam - 2/28/61 thru 8/4/64 (must have served physically in Vietnam)Vietnam - 8/5/64 thru 5/7/75Gulf War - 8/2/90 thru current (requires 24 months service)Other than the earlier Vietnam period, you need not have served directly in a theater of operations to qualify.There are also the asset and income limitations. On the income side, whatever you use on help with things like ADLs is deducted and not counted. That means is you have $5000 a month in income and move into a community that costs $5000 a month, in the eyes of the VA, your income is $0 and that qualifies. Or let's say you're living at home with that same income but you are receiving 4 hours a day of home care (aides) to help you with ADLs. At $25/hour, that's $100/day = $3000/mo. That $3000 gets deducted from your $5000 income, leaving you at $2000/mo and qualifying for most if not all of the maximum benefit.It is strongly recommended that you work with an accredited VA claims agent through this process.If you do qualify, the benefits for 2020 can be as high as:Married veteran - $2,266/moSingle veteran - $1,911/moSpouse needs care, living veteran doesnot- $1,500/moSurviving spouse (must be married at time of veterans death) - $1,228Unlike Medicaid, which is paid directly to the service or product provider, VA&A is paid to you (like Social Security) so it really falls under the private pay category for LTCC's since the money passes through you.Qualifying for Medicaid or VA benefits (you can't get both) is a complex process that requires the guidance of an expert lest you make a mistake that costs you dearly and cannot be corrected. There are "look back" periods for assets (in case you thought giving stuff away would help - it won't) and certain assets like investments and bank accounts are counted while others like your house and car are not. Some assets that are counted for Medicaid are not counted for the VA and vice versa. If you sell your house thinking you'll need that money, you've just converted an asset that is not counted into one that is counted and set back your date of qualifying by months or probably years. This has been said in other articles but here more than anywhere it bears repeating:Whether for Medicaid or VA benefits, work with an expert to make sure this is done properly.I hope this series of articles has been helpful in educating you about the LTCC world. As the baby boom generation begins to pass the 80 yo mark, that tsunami of people will begin crashing on the LTCC world in a big way. New communities are being built and new pricing models are being developed and tried. More and more dementia units are being built as cases of Alzheimer's and other forms of dementia continue to explode. Being educated on the current state of affairs in at least a general sense can help you plan and be prepared for whatever it is that you may face.Written & Submitted By: Care Patrol- Click for more information*

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

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

The trouble is, old age is not interesting until one gets there. It is a foreign country with an unknown language to the young and even to the middle-aged. May Sarton, As We Are Now Just because we may lose some of our memory and our independence as we get older, this doesn't mean that we lose our intelligence or the desire and ability to socialize and truly enjoy the sunset years of our lives. We still have opinions and know what we want to include in our lives.A recent study by AARP found that 85% of older Americans want to age in the home they lived in before retiring. Experts in the field of geriatrics believe this percentage will increase as the baby-boomer generation reaches their senior years. Statistics also indicate that people actually live longer in their homes especially if they have the services they need, a caring community and friendships. We certainly don't want our seniors to be isolated or alone by choosing to live in their own home.As a nation we are not organized in a way that makes aging easy. But we can improve the dignity and quality of life of senior citizens in our communities by involving them in the choices that they can make on a daily basis. Seniors can learn about their community and what is happening in our world from others. Caregivers can also work with them to learn something new each day no matter how small that one thing is. Time should be scheduled daily to relieve stress by reducing noise, praying, meditating or just being quiet. Many studies have shown that movement and activity are important in maintaining mind and body. Seniors should move naturally in regular low-intensity physical activity on a daily basis. And we all know how important it is to enjoy our food and eat only until full. Most importantly one must be involved in community spiritual, friendship and family communities. In his book The Blue Zones, Dan Buettner details the importance of this through his studies of the four areas of the world where people live active lives into their 100s. Each of these areas has strong spiritual, family and community ties among their citizens. We all should take an active part in providing more than just services for the elderly but also friendship, companionship and in creating opportunities for interaction with others on a regular basis.Editors Note: This article was submitted by Linda Gabel of Seniors Helping Seniors. She may be reached at 970-631-8251 or www.seniorshelpingseniors.com/LarimerCountyCo

For more information on the author Reichback Center, CLICK HERE!KETAMINE INFUSION THERAPYKetamine infusions can help those who thought they were out of options after taking narcotic pain killers, antidepressants, or other conventional therapies with no response or undesirable side effects. Ketamine works in the spine and brain through a different set of nerve receptors than traditional antidepressants and pain relievers. Thats why it is effective in helping individuals manage mental health disorders, including various types of depression, anxiety disorders, and post-traumatic stress disorder (PTSD). Its also successful in relieving neuropathic pain disorders such as CRPS/RSD, ongoing back or joint pain, chronic severe headaches and migraines, fibromyalgia, and the symptoms of Lyme disease, among others.The experts at Reichbach Center have observed dramatic improvement in some patients depressive symptoms, mood, and dysthymia, often after just one infusion. In others, the change may be more subtle. These changes may include improved sleep, improved focus, and concentration, more desire to engage with family and friends, etc. It is important to realize that every patient responds differently. Subtle signs of improvement in function are generally cause for optimism in completing an initial series of infusions.MEDICAL MARIJUANAThe ratification of Amendment2 in 2016 has allowed for patients with qualifying medical conditions to obtain an official card to legally purchase medical cannabis in the State of Florida. To obtain a card, there is a straightforward process that begins with a visit to a physician who is certified by the State of Florida to determine if a patient qualifies, like Reichbach Centers expert physician Dr. Steven Reichbach. Qualifying Medical Conditions: There are 12 medical conditions defined in the Florida medical marijuana initiative. However, the law also states that any medical condition in which the physician believes the medical use of marijuana would likely outweigh the potential health risks for a patient may also qualify a patient for a card. The medical conditions specifically defined in Floridas medical marijuana law are cancer, epilepsy, Crohns disease, glaucoma, HIV, AIDS, seizures, chronic muscle spasms, post-traumatic stress disorder (PTSD), amyotrophic lateral sclerosis (ALS, Lou Gehrigs disease), Parkinsons disease, and multiple sclerosis (MS.) The benefits of treating a wide array of symptoms from multiple disorders with medical marijuana have been staggering over the last five years.

To learn more aboutCharter Healthcare,CLICK HERE.When a patient or loved one needs ongoing care after a hospital or inpatient stay, the priority is making sure they are set up with the appropriate help when they get home. Often, the patients family is unaware of the differences in the types of care their loved one can receive at home and they look to the provider for guidance in making the best decision. For care providers, it is important to help patients and their loved ones understand that different levels of care exist and can change over time depending on prognosis. For patients and families, knowing different types of care are available can help ensure they understand the care they are receiving is the most appropriate for their situation.What is Skilled Home Health?Skilled home health offers a wide range of health care services delivered in the convenience and privacy of the home by specially trained health care professionals. It is a more effective and efficient form of health care for people who have a chronic medical condition, disability, or are recovering from illness or injury.Skilled home health is a good option for patients who wish to remain in the home but need extra medical help to do so safely and effectively. It can sometimes prevent or postpone the need for residential facility care or hospitalization, which leads to improved quality of life for the patient. Medicare covers skilled home health, which is ordered by a doctor, under Medicare Part A or Part B at no cost to the patient and family.What is Complex Care Management?The goal of Complex Care Management is to reduce hospitalizations and emergency room visits by bridging gaps in care and connecting patients to the appropriate level of in-home care. It is designed for patients with serious medical needs and is aimed at improving communication and care coordination with the patients other care teams to help avoid unnecessary hospital readmissions.Care provided through Charter Healthcares Complex Care Management model can include nursing visits, connecting patients with specialists, addressing social determinants of health, providing medication reconciliation and medication changes and providing 24/7 access to care through an in-house triage team. A provider may recommend Complex Care Management for patients who need extra assistance during transitions in care from a hospital, long-term care, rehabilitation or skilled nursing facility to the home.Whats the difference?Skilled home health can be part of a patients care plan under Complex Care Management, but often it is one piece of a larger plan of care. When a patient is enrolled in a Complex Care Management program, typically they have already received care at a hospital or inpatient facility. They may be unable to stay in those facilities long-term or may prefer to receive care at home but need enhanced medical supervision to do so safely. Skilled home health is often elected by patients to prevent or postpone hospitalization or residential care.

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!

Memory Loss, Forgetfulness, and Aging: Whats Normal and Whats Not?Forgetfulness and memory loss may be a normal part of aging. As we age, all parts of the body change, including the brain. As a result, some people may notice that it takes longer to learn new things or their memory is not as good as before.Today, were looking at some memory-related topics to give you a better understanding of what to expect with memory and aging.How does memory change with age?As you age, physiological changes occur that may cause problems in your normal brain functions. These are functions that most of us simply take for granted without a second thought. When functional issues arise, it might take you longer to learn and recall information; or you may not be as fast as you once were.As such, you might mistake these slowing mental processes as being actual memory loss. Fortunately, many of these functions return if you give yourself time. Therefore, certain brain changes are inevitable during aging. However, memory problems are not one of them.This is why it is important to understand the difference between normal age-related forgetfulness and symptoms that may indicate cognitive problems.How can I help my elderly with memory loss?The best way to approach someone who suffers from memory loss is to do so as you would a child. What does this mean? Essentially, it means using simple language while maintaining an encouraging tone. As such, you want to exhibit positive expressions, make eye contact, and use open gestures.And above all else, it means employing a lot of patience. Lets look at some keep tips you can exercise to help older adults with memory loss.Mind Your ToneEven if its difficult to see that your loved ones cognitive abilities are declining, you should try to be optimistic when talking to them. People with dementia may not understand everything you say or ask, but they will definitely notice your emotions and expressions.For example, if you look anxious, worried, or upset, they too will become anxious or upset. Therefore, speak positively with an uplifting tone. Be sure to smile and let yourself be optimistic about them. Try using gentle language and loving gestures.Use Short Sentences and WordsYou dont need to yell or speak in an overly simple way. But you should speak slowly, clearly, and evenly while using simple words. Try using one- and two-syllable words to express what youre trying to say.Lowering the natural pitch of your voice can also help to get the attention of your loved one. Just remember that if your loved one needs you to repeat what you said many times, dont let it frustrate you.Even after implementing these tips into your vernacular they still dont understand you, go to the next step. You can always try these techniques again at a later time.Choose a Quiet SettingYou should try to limit background noise as much as possible. If your children are running around and making noise, ask them to play in another room and play as quietly as they can. Turn off the TV or anything else that could serve as a distraction.Moreover, if your relative lives in a memory care home or nursing home, close the door during your visit to reduce noise from within the facility. Then, use simple techniques to get the attention of your loved one and try to maintain your communication.Also, be sure to call your senior by their name. If he or she doesnt remember your name, dont be angry; simply identify who you are and move on. Remember to make eye contact, too, as it is very important in communicating with someone suffering from memory loss.Light, gentle touches on their shoulders, arms, and hands also help to establish a line of communication.Use Names as Much as PossibleAnd speaking of using their name during your social interaction, the same goes for family and friends when discussing them. Whenever possible, use direct names (pronouns) rather than nouns like he or she, him or her.Memory senior care is a challenging venture. But using proper names is a big step in overcoming cognitive decline. Thats because the use of these names helps to trigger memories in loved ones whose brain function isnt what it used to be.Whats more, names are more familiar compared to simple nouns. You may find that speaking clearly with proper names triggers a stimulating response. Give it a try, and be sure to maintain this method in your conversations moving forward.4 Ways to Improve Memory for SeniorsRejuvenating brain function is a challenging proposition. But there are some helpful tips to keep your brain sharp and your thinking healthy. Consider each method a mental exercise that you can employ to improve your mental health.The good news is that you can implement these tips in an attempt to help seniors suffering from memory loss, dementia, or Alzheimers disease.Stay OrganizedTry to limit distractions and dont attempt to take on too much at once. If you focus on the information you are trying to keep, you are more likely to recall it at a later time when you need it.Keep Brain Functions ActiveJust as physical activity helps keep the body healthy, mental stimulation activities help keep the brain healthy and may prevent memory loss. Do crossword puzzles, play bridge, or take up playing a musical instrument, for example.Stay Physically ActiveJust as important is physical activity, which increases blood flow to the whole body, including the brain. This may help maintain your memory and keep your mental health sharp.SocializeSocial interaction helps fight depression and stress, both of which can lead to memory loss. Look for opportunities to get together with relatives and friends. This is especially important if your elder lives alone.If you have questions regarding what services Mary T offers for patients with memory loss,contact ustoday. Well do our best to provide more information and figure out the best plan for you or your loved one.

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.

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

Home health care is provided by skilled medical professionals, such as registered nurses, physical and occupational therapists and medical social workers, and includes a wide range of services that are provided in your home to treat an illness or injury. The focus of home health care is to help you get better, regain your independence and become as self-sufficient as possible.Many times, home health care is less expensive, more convenient than and as effective as the care you would receive in a hospital or a skilled nursing facility. It often follows a doctors visit or a stay at a hospital or rehabilitation facility.According to Theresa Santoro, president and CEO of Ridgefield Visiting Nurse Association (RVNA), For Medicare beneficiaries, doctors orders are needed to initiate home health care, and you must be considered temporarily homebound. If your doctor or referring health care provider determines that you are a candidate for home health care, they should give you a list of agencies that offer these services and allow you to choose the one you would like to use.Home care services are the non-medical services that can help maintain your quality of life while living at home in a comfortable environment. Assistance can range from companionship to hands-on care, depending on the need. This can be accomplished by regular weekly visits or by a 24/7 live-in caregiver. Help can include assistance with dressing, bathing, mobility, feeding or meal preparation, medication reminders, light housekeeping, shopping and errands.Often non-medical home care services are the kind of personal assistance that allows a person to remain in their own home instead of relocating to a residential facility, Santoro says.Some home health care agencies can provide both medical care and non-medical home care services for their clients. Other agencies offer non-medical home care services exclusively. Both home health care and home care agencies have the goal of keeping you safe, comfortable and healthy at home.Editors Note: This article was submitted by Heather McGhie, director of Home Care by RVNA. She may be reached at 203-894-5000 or customercare@hcrvna.com.

In 2015, Senior Charity Care Foundation addressed the challenge of providing accessible and affordable dental care by starting its own mobile clinic.Since July 2017, SCCF has added dentures services and semi-permanent crowns to the services provided.Dental care is an often-neglected service for many seniors. Unlike traditional medical care, dental care is not covered by most insurance programs and is excluded from Medicare or Medicaid (except for blind and disabled) coverage. Without insurance, the cost of care can be simply too high for most seniors as they face decisions of whether to pay the rent or get dental care. Additionally, many seniors face issues getting to and from clinics, as the care they need might be several counties away and they do not have to the time or resources to get to a traditional dentist appointment.As the senior population of Utah grows over the next two decades, the need for affordable and convenient dental care for seniors is becoming more important than ever. Senior Charity Care Foundation works to improve the quality of life for seniors in need by finding alternatives to market rate dental care. With 110 clinic days planned for 2017 and hosted in senior apartments and care facilities in seven Utah counties, Senior Charity Care Foundation is trying to take a bite out of the issue.In addition to dental care, Senior Charity Care Foundation also helps to provide eyeglasses and hearing aids and works with Friends for Sight and Jewish Family Service to link seniors to other resources they may need by hosting monthly Senior Socials throughout unincorporated Salt Lake County.Here is what one patient said about our services. "I didn't know who I could turn to. They helped me learn to hold my head up high, and Im changing my attitude. You all are awesome. Thank you for helping us have a better life than we had."Editors Note: This article was submitted by Aaron Ershler. Aaron is an AmeriCorps VISTA member with Senior Charity Care Foundation and can be reached at 801-468-6806 or aaron.ershlersccf@gmail.com

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

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

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

It may seem odd, but you may be unaware that you have a hearing loss -- or, not aware of the impact its having on others. This is because hearing loss is subtle and progressive. You lose hearing very slowly over a long period of time, and then you one day you realize you have to strain to hear your wife in a restaurant. You may think she's decided not to speak up anymore, but in reality she's speaking to you like she always has. Or, maybe one evening she says, please turn down the TV -- its hurting my ears! And, you think the volumes set like always.So, here are a few key questions to evaluate if you have lost some hearing. Each question is designed to gain an understanding of impact your loss may be having on your daily life. These are the things that can become very frustrating for your friends and family -- even though you may not realize it. So, here you go:Do you have a problem hearing over the telephone?Do you have trouble following the conversation when two or more people are talking at the same time?Do you have trouble understanding things on TV?Do you get confused about where sounds come from?Do you especially have trouble understanding the speech of women and children?Do people seem to mumble?Do people get annoyed because you misunderstand what they say?If your answers to these questions raise concerns, I encourage you to get a free hearing checkup. For most people, there's no need to live with these problems. Todays hearing aid technology is truly remarkable!Editors Note: This article was submitted by DigiCare with offices throughout Southern Colorado. For further information please see their ad on the Inside Front Cover or they can be reached at 719-676-3277 or via their website at www.digicarehearing.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.

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

Close your eyes for a moment and go back to your very first love. Remember the butterflies you felt, the sweaty palms, talking on the phone for hours, loss of appetite, etc? Your heart skipped a beat a time or two and you walked around with this big smile on your face if youre like most of us. Now unless you married that same first love, try to recall the day when it all ended The feelings and strong emotions you felt. The butterflies turned into belly aches, your sweaty palms now dried and clinched, the phone stopped ringing, and maybe you realized that what mom told you about eating that cookie or piece of cake really didnt make you feel better after all I mean the weight issue you may be facing due to all that Here, eat this Youll feel better talks with those older and wiser.Now lets fast forward a bit like your whole lifetime. Think for a moment what others with good intentions tell us about how to handle our grief. Weve all heard the have some food theory, but weve also heard, Hey, there are plenty of fish in the sea Just go out there and find someone else. After a short time with that other fish you soon realized its just not the same and so you repeat the pattern of replacing the loss. Maybe you were told to Just Give It Time like many of us and time only did what time does, it ticks by us and nothing really changed other than you look back upon certain losses and still have painful memories of hurt and disappoint.Personally, I see grief everywhere. Just turn on the news and read about another drunk driver, or the murder due to the opioid and drug crisis. People doing what they were taught to ease the pain of loss. The Grief Recovery Method can help you heal. Just remember, its not your head that got broken, its your heart.Editors Note: The Grief Recovery Method is now at Restland and open to all to come and heal. Learn more aboutRestland

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

For people living with serious illness, palliative (pal-lee-uh-tiv) care can provide relief from symptoms and stress while improving well-being and quality of life.While there continues to be a lack of awareness and misconceptions about palliative care, a recent study by the Center to Advance Palliative care (CAPC) showed that 80% of consumers who received background information about palliative care would choose it for themselves or their loved ones.Palliative care is specialized medical care that focuses on the patients needs and honoring their wishes. The care is provided by a specially trained team of doctors, nurses and other specialist who work together with the patients own doctors to manage symptoms such as pain, shortness of breath, fatigue, loss of appetite and difficulty sleeping.Palliative care is often confused with hospice care. While both focus on comfort and quality of life, palliative care can be provided at any stage of a serious Illinois, alongside curative treatments. A patient gains the maximum benefits of palliative care when it is introduced at or near the time of the diagnosis.Hospice care is for those with a prognosis of six months or less if the illness follows its usual course, and the patient is no longer responding to curative treatment or has decided to discontinue the treatments.Once you explain what palliative care really is and all the great benefits it provides, it really resonates with people, said Michelle Bacon, Regional Director with the Transitions Group. With palliative care, people can really live their best life.Here are some other Need to Know facts about Palliative Care:Palliative care can also improve a patients ability to tolerate medical treatments, such as chemotherapy.Care can be provided in a variety of settings, including wherever a person calls home.Most insurance plans, including Medicare and Medicaid, cover palliative care;The palliative care team assists the patient and family with clarifying goals of care, understanding available care options and choosing treatments that align with those goals.For more information about palliative care, contact the Transitions Group at 847-515-1505 or go to www.transitionshospice.comEditors Note: This article was submitted by Lisa Encarnacion, Communications Manager with Transitions Group. She may be reached at 847-515-1505 or by email lencarnacion@transitionshospice.com

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

Reverse mortgages are designed for adults 62 and over who own their own home and wish to access their home's equity while retaining ownership. These programs are government insured and can provide tax-free cash on a monthly basis. Reverse mortgages allow elders to access thehome equitythey have built up in their homes now, and defer payment of the loan until they die, sell, or move out of the home. Because there are no required mortgage payments on a reverse mortgage, theinterestis added to the loan balance each month. The rising loan balance can eventually grow to exceed the value of the home, particularly in times of declining home values or if the borrower continues to live in the home for many years. However, the borrower (or the borrower's estate) is generally not required to repay any additional loan balance in excess of the value of the home.#listing_mgr{7 basic_search}#

One of the quickest ways to stretch your retirement budget is to shrink your housing costs. Moving into a smaller house, condo, or apartment can also reduce your taxes, utility bills, and home maintenance costs. Here are other reasons to consider downsizing in retirement:Boost your nest egg. Cutting your housing costs is a quick way to increase your retirement savings. "Having less money locked up in your housing frees up more money to invest or just for your lifestyle," says Kathy Hankard, a certified financial planner for Fiscal Fitness in Verona, Wisc. "If you're deciding just by the numbers, it's pretty much a no-brainer to downsize." For example, if you moved from a $300,000 home with a paid-off mortgage into a $150,000 condo, you could add $100,000 or more to your nest egg, after transaction costs.Lower your cost of living. For retirees who still have a mortgage or pay rent, moving into more compact quarters in your current town or relocating to a low-cost locale can lower one of your biggest monthly expenses. Ideally the smaller space would also cost less to heat, furnish, and maintain. Slimming housing costs will produce far greater results than skipping coffee and clipping coupons. Aim for a town that balances a low cost of living with amenities such as high-quality health care and plenty of fun, affordable activities.Reduce taxes. Inexpensive housing has the added bonus of smaller property tax bills. "I have clients who have saved a couple of thousand dollars per year because they have moved from an urban area with a high property tax to an area with a lower property tax and that doesn't assess seniors for school taxes," says Micah Porter, a certified financial planner and president of Minerva Planning Group in Atlanta, Ga. Taxes can vary considerably by location. Alaska, Florida, Nevada, South Dakota, Texas, Washington, and Wyoming have no state income tax. New Hampshire and Tennessee tax dividend and interest income only. "If you anticipate earning income in retirement, being able to forgo that state income tax could save you thousands of dollars as well," says Porter. Five states levy no sales tax: Alaska, Delaware, Montana, New Hampshire, and Oregon. Also look for state and local tax breaks specifically for seniors who reach certain ages.Less upkeep. Ron and Jean Mirabile, both 67, traded in a three-story townhouse with a basement in Cromwell, Conn., for a three-bedroom apartment with a lake view in Port Charlotte, Fla. The couple was looking for a change of scenery and housing that required less upkeep when they retired in 2008. "If something breaks, I call the office and the maintenance man comes and fixes it," says Jean, a former proofreader. Ron, a retired dentist who makes wooden fishing lures as a hobby, no longer needs to travel to fish. "I can take one pole and lure and go out in the backyard and fish for bass," he says. "The best things in Florida are free: The weather, the beach, and the scenery."Slash utility bills. Cozier quarters may also result in lower heating and cooling expenses and a smaller homeowner's insurance bill. "A smaller space should save you money on utilities," says Porter. Ask for copies of the previous owner or tenant's utility bills to determine approximate monthly expenses.Increase flexibility. Some retirees go back to renting in retirement. "Renting makes a lot of sense because there is more flexibility," says Hankard. "Most people would rather do other things with their time and money, unless they are really in love with their home." Renters can try out a few retirement locations. Sometimes priorities also shift throughout retirement. For example, immediately upon retirement, you might want to move to the Sunbelt or travel. But after a few years, you might want to move closer to your children and grandchildren.More amenities. First-time home buyers are often concerned about space for children and living in a good school district. But retirees need to think about whether their home will continue to be convenient as they age. "As you get older those stairs are not going to be your friend," cautions Julie Schatz, a certified financial planner for Investor's Capital Management in Menlo Park, Calif. Seniors may want to consider a single-level home and proximity to family and friends who can help with household tasks. If you have any type of health problem, it is essential to live near a medical facility.http://money.usnews.com/money/retirement/articles/2010/03/15/21-ways-to-cut-expenses-in-retirementTake the stress out of downsizing!Busy lifestyles and often two-income households leave adult children little time to help aging parents with their transition. Other seniors don't have much help of any kind, and are too overwhelmed or physically unable to tackle their move alone. Even when family help is available, emotions can run high, making the process challenging and frustrating for everyone involved.The good news is, you are not alone! We are here to help.A Life Transition Service LancasterLarry Hess1280 Plaza Boulevard, Lancaster, Pennsylvania 17601, United States(717) 468-2520

Short-term rehabilitation is designed to help people make a safe and comfortable transition between post-acute care and home. Typically lasting 21 days or less, short-term rehab can be extremely beneficial following a surgery or hospitalization after an injury, stroke or major medical issue.One big benefit of short-term rehab is that it can target a variety of needs. Many programs offer physical, occupational, speech, respiratory and cardiac rehabilitation services. By offering a comprehensive array of therapies and rehabilitative services, short-term rehabs can address each patients unique needs.Another benefit of short-term rehab facilities is a more comfortable environment. Hospitals can often feel clinical, but the right rehab facility is clean and modern with a warm, comforting ambiance. Many rehab centers also offer amenities such as rehabilitation gyms, concierge services, private rooms and bathrooms, and cable TV and WiFi access.Staff is key to the rehabilitation experience, too. Its essential they are qualified and experienced, but its also important to be attentive, caring and empathetic. Employing a sufficient number of staff is critical as well, as health and recovery issues can arise when patients needs arent met promptly.Short-term rehab programs are often located within skilled nursing facilities, meaning that if a short-term rehab patients health takes a turn, they are able to easily move that patient into skilled nursing for more intensive care until a strong recovery is made. This puts less stress on the patient during a vulnerable time, as transitioning between facilities can be difficult and disorienting.When choosing short-term rehab care, its important to select a program that meets your needs. Do your research: ask lots of questions, talk to current or former patients and have loved ones visit the facility. Not only does an informed decision make for a more comfortable rehab experience, it can maximize recovery.To learn more about the short-term rehab programs at EPOCH Senior Healthcare of Weston and EPOCH Senior Healthcare of Chestnut Hill, please call 781-891-0777.This article was submitted by Rodney Gonsalves, Regional VP of Operations at Epoch Senior Living

The Southwest Home Equity Assurance Program is a unique program of the State of Illinois (65 ILCS 95) that was developed to guarantee property values for an extended time. It is financed by a special levy imposed on the Chicago property tax bill within the home equity district on single through six-unit residential properties. Chicagoan's are eligible if they own a home within the southwest side district.The district encompasses 9 wards, 7 zip codes and 13 neighborhoods near Midway Airport. Homeowners can check to see if theyre eligible for the program by referring to their property tax bill. Under Miscellaneous Taxes, it should say SW Home Equity Assurance Chicago. To register, homeowners can apply by submitting their current appraisal of 6 months-or-less to be approved by our Board of Review. If homeowners do not have a current appraisal of 6 months-or-less, the Southwest Home Equity Assurance Program can have one done starting at $125 for a single-family home (prices may vary for type of home). Once a registered member, they now have the chance to take advantage of two benefits:1) guaranteeing the value of the home and/or 2) the home improvement loan. After 5 years of being a member, if a member decides to sell their home and does not receive what its worththey can file a claim. By filing a claim, the program will compensate a portion of the money that was lost in the sale (there is a list of procedures that must be followed to ensure compensation). The second benefit we offer is the home improvement loan. We work with two local banks within the district to offer our members loan programs to be used for home repair, maintenance and improvements. Our most popular program is the 0%, up to $10,000 loan that members can qualify for. Members have 5 years to pay it off and once they do, they can qualify for another one. Overall, this is a key program that is only offered in 2 other areas in Chicago besides the southwest side. It is a safety net that not only incentive's the southwest side but encourages residents to invest in protecting the value of their homes. This ultimately benefit ts the neighborhood as a whole!Editors Note: This article was submitted by Victoria with the Southwest Home Equity Assurance Program and may be reached at 773735-2000 or by email victoria@swhomeequity.com. More information may also be found at www.swhomeequity.com.

It takes time to deliver to patients all that the Medicare Hospice Benefit offers.Americas hospice programs are being rushed. Short-stay patients, those referred for hospice care mere days before death, typically are in a state of acute medical, emotional and family trauma. Hospices only have time for emergency medical response, family crisis intervention and hurried attempts to maximize quality of life in the few precious days before the patient dies.Although the Medicare Hospice Benefit is intended to provide comprehensive, quality care to those who are expected to live six months or less, half of all hospice patients nationwide receive only three weeks of care before they die. A third of hospice patients receive care for less than one week, according to the National Hospice and Palliative Care Organization.That crisis-management approach is in sharp contrast to the hospice ideal: building trusting relationships; controlling distressing symptoms such as pain; encouraging meaningful emotional closure for loved ones; and facilitating a peaceful dying experience for the patient and grief support for loved ones.As important as crisis support is, hospice is about living. While hospice can work miracles when someone is referred in crisis, we can do so much more for patients and families if we're given three weeksor better yet, three monthsinstead of three days to provide care. The more time the hospice team has to support the patient and family, the better the quality of life for the patient and the better the memories for loved ones following the death.Customizing care to meet end-of-life needsHospice interdisciplinary team members care for each patient as an individual; his or her needs always come first. That kind of service reduces family calls to their physicians office and prevents unnecessary trips to the emergency department. And hospice provides timely communications to patients physicians, adds Joel Policzer, MD, VITAS senior vice president and national medical director, so they are never out of touch.VITAS Telecare support ensures that the patient and family have 24-hour direct access to experienced hospice staff, adds Policzer. Just a phone call away, these professionals can be a reassuring voice at 3 a.m., and they also can assess, advise and dispatch clinicians in moments.When there is a crisis or a spike in symptoms VITAS Intensive Comfort Care staff offer up to 24 hours per day of medical management in the patients home, where most people hope to remain at the end of life.Caring for body, mind & soulWith time to get physical pain under control, there also is time to evaluate psychosocial pain. Patients often learn to embrace this important stage of life, making connections, repairing relationships, rediscovering simple pleasures and making their peace with death, says VITAS Social Worker Lori Reardon, MSW. Hospice helps patients live each day.When the end comes, VITAS goal is not to let any patient face death alone, Reardon adds. Members of the team gather to be with their patient and to support loved ones at the final moments, and for a year or more after-ward. We help families to grieve, to live and to remember.Author: Pippa Steinhart, RN, General Manager, VITAS Innovative Hospice Care of Collier County. VITAS works with healthcare professionals in Collier County to bring quality of life to patients at the end of life. For more information, contact VITAS at 866.928.4827

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

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

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

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

To learn more aboutGood Shepherd Home Care & Hospice, CLICK HERE.Making the decision to hire aUtah home care serviceto provide care for your loved one is an important decision and can, at the same time, be very difficult. If an illness or recovery from surgery requires nursing care or physical therapy, a physician may order skilled home care services that provide both skilled providers and personal aides. Your decision is then based on the obvious medical determinations made by the doctor. But what if you as the family caregiver must determine the extent of care needed without the help of a doctor?Each home care situation is unique. In the beginning, family or friends step in to help with simple tasks and support for aging seniors who want to stay in their homes. As long term care needs progress, more time is required to manage those needs. Physical and mental conditions change with aging making usually routine hygiene and daily living activities difficult for an aging individual. Even with the healthiest of seniors, the ability to drive a car, shop for groceries or do general housekeeping eventually needs to be relinquished to the responsibility of another person.In one example, Karen, would stop by her parents home on her way to work every morning and again on her way home from work in the evening. She checked in the morning to see that they were up and ready for the day and Karen would take a shopping list for things they needed. In the evening she delivered the needed items she had purchased during her lunch break and sometimes she fixed a meal when one was not prepared by her mother. This worked well until Karen began to notice her father did not shave or dress during the day and both parents were forgetting their medications. Karen felt more time and supervision was needed in their care but with her own family and job, she could not do it. Non-medical or personal home care services would be a good option for Karen to consider.Before starting your search for a non-medical or personal home care company, determine what the care needs are and how much time each week will be required for assistance from the company. You may want to consult with the family physician and other family members as well as experienced social workers or care managers to determine needs. Most home care companies, as well, will help you do an assessment at no charge. With your care needs in hand, you are ready to begin your search.The National Association for Home Care & Hospice (http://www.nahc.org/home.html) gives the following guidelines and checklist in searching for a home care company.How long has this provider been serving the community?Does this provider supply literature explaining its services, eligibility requirements, fees, and funding sources? Many providers furnish their home care clients with a detailed "Patient Bill of Rights" that outlines the rights and responsibilities of the providers, clients, and family caregivers alike.How does this provider select and train its employees? Does it protect its workers with written personnel policies and malpractice insurance? Does it protect clients from theft or abuse by bonding its employees?Does this provider assign supervisors to oversee the quality of care clients are receiving in their homes? If so, how often do these individuals make visits? Who can the client and his or her family members call with questions or complaints? How does the company follow up on and resolve problems?What are the financial procedures of this provider? Does the provider furnish written statements explaining all of the costs and payment plan options associated with home care?What procedures does this provider have in place to handle emergencies? Are its caregivers available on notice?How does this provider ensure client confidentiality?If a home care company has not previously been recommended to you, ask for a list of previous clients and call for their experience with this provider.Following up on these guidelines can help you determine the quality of personal care that is given. Many states license non-medical home care companies and require both legal and health standards to be maintained.

If you are contemplating a move to an adult living community for the lifestyle, support and peace of mind it offers, you may find the selection process a bit daunting. There is a great deal to think about it is, after all, your future you are planning. The truth is the process can be a rewarding one resulting in a better understanding of what you require and what you want, bringing about a gratifying lifestyle change.Before you begin, take into account your current needs and possible changes in them over time, as well as your financial situation. Once you have done that, you can start looking at your options. Information on communities can be easily attained by visiting their websites, or calling and requesting brochures. When you have narrowed down your possibilities, schedule visits at times that are convenient for you spacing visits out enough to avoid information overload.Below is a handy initial evaluation checklist that will help you quickly slim down your options. It includes topics that you may not normally think to consider, and allows you to more easily compare one community to another. After each visit, ask yourself:Is the location close to shops, doctor's offices, a pharmacy, and other destinations important to me?Is the location convenient for family and friends? If the facility is not in my town, are there hotels nearby for when family visits?What living arrangements are available apartments, private rooms, shared rooms?What are the fees and what is included?Are the buildings and the grounds well-kept and attractive?Are the common spaces pleasant and appealing?How many rooms are there where residents can spend time with each other and with visiting family members?Are the dining rooms clean and attractive? Can the community cater to specific dietary needs or special requests?Do I like the food? Can visiting family members join me for meals?Is there a private room available for family celebrations or private family dinners?Is there a posted, varied schedule of activities and events, and do they interest me?Did I feel comfortable during my visit? Could I see myself living there?In addition, visit the communities you are partial to more than once. To be sure you are getting the complete picture; stop in, without an appointment, at various times of day. Lastly, take your time so that you are sure to make the best lifestyle choice for you.Editors Note: This article was submitted by Elizabeth Dupree. Elizabeth Dupree is a Senior Director of Community Relations with Benchmark Senior Living Continuing Care Retirement Communities and may be reached at 781-430-6000 or by email at edupree@benchmarkquality.com.

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}#

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

For patients who require more intensive nursing and respiratory care including post accident and ventilator dependent patients.Sub acutecare is specially designed to provide short-term rehabilitation to help recover from an injury or illness, or to provide the compassionate care you need when facing multiple medical problems or illnesses for a longer period of time.Asub acuteor post acute facility is a licensed, skilled nursing home that is equipped to deliver care to a patient when they have been discharged from the Intensive CareUnit(ICU) or some other acute setting.#listing_mgr{1 basic_search}#

What is Anxiety? It is a condition of agitation and distress and a subjective state of apprehension and uneasiness. It is a response to a vague, distant or unrecognized danger (internal) Anxiety affects ones whole being: physiological, behavioral and psychological.Bodily reactions may include rapid heartbeat, muscle tension, queasiness, dry mouth and/or sweating. Anxiety can sabotage ones ability to act and interfere with ones ability to deal with everyday situations. Anxiety is an inevitable part of life in contemporary society and can be an appropriate response. Anxiety disorders are distinguished from normal anxiety in that they involve a more intense reaction and it lasts longer-months instead of going away after a stressful incident and may lead to phobias that interfere with ones life.Causes of anxiety: heredity, childhood circumstances, changes in brain chemistry, medical conditions or short term triggers. Personality traits that cause or perpetuate it are perfectionism, excessive need for approval or excessive need for control.Numerous medical conditions can cause anxiety: hyper or hypothyroidism, hypoglycemia, congestive heart failure, pulmonary embolism, COPD, inner ear disorders, vitamin B12 deficiency, mitral valve prolapse and substance abuse. There are different types of anxiety: panic, agoraphobia, social phobia, generalized, obsessive-compulsive disorder, post-traumatic stress disorder and other specific phobias. In order to be diagnosed one needs to see a doctor and provide their symptoms including length of time one has experienced them. Panic attacks diagnosis requires at least 4 symptoms: examples are shortness of breath, palpitations, sweating, fear of losing control, fear of dying. The most prevalent phobia is agoraphobia or fear of open spaces. People fear an inability to escape if one has a panic attack. Social phobia involves a fear of embarrassment or humiliation when one is exposed to the scrutiny of others (public speaking). Generalized anxiety disorder is chronic and persists for 6 months but is not accompanied by panic, phobias or obsessions. One focuses on stressful life circumstances such as finances, relationships or health.Obsessive-Compulsive Disorder: Obsessions are recurring thoughts that seem senseless but continue to intrude ones mind. Compulsions are behaviors or rituals that one performs to dispel anxiety such as wash ones hands repeatedly or check the stove repeatedly.Post-Traumatic Stress Disorder- Disabling psychological symptoms develop following a traumatic event. Combat soldiers, rape victims, car accidents or natural disaster survivors are examples of trauma. Symptoms are repetitive, distressing thoughts about the event- nightmares, intense flashbacks or outbursts of anger. Symptoms must persist more than a month. Acute Stress involves anxiety after a traumatic event but disabling symptoms last less than a month. Treatment is available. A combination of therapy (CBT Cognitive Behavior Therapy) and medications is effective. Coping strategies such as thought stopping, positive self- talk, physical activity, desensitization, visualizing a calm scene are helpful and require practice. In most cases treatment can be outpatient.Editors Note:This article was submitted by Maureen Rafa BS RN BCPMH, the Community Outreach Coordinator at Metro South Medical Center and may be reached at 708-334-9080 or by email at Maureen_Rafa@Metrosouthmedicalcenter.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.'

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

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

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

To learn more aboutAging Services Consultants - Audrey Krebs, MA, CSA, QMAP, CLICK HERE. A small company with a big heart! With over 20 years of experience, you can trust us to help make your life easier. We are experienced, certified professional advisors trained to assist older adults and their families, focusing on individuals health and well-being. In addition, we provide services and referral/placement into adult communities. As we age, we experience life changes. Aging Services Consultants will assist you as life changes occur, and we will provide the guidance you may need to continue to enhance the overall quality of your life. Let us help you thrive!Contact Audrey Krebs, MA, CSA, QMAP, Certified Senior Advisor Email or call for a free consultation at 720-328-1375

Finding The Right Home Care AgencyDecisions regarding the well being and care of our loved ones are some of the most important and difficult decisions we will face in our lifetimes. We may feel that we did all the right things or we made a terrible mistake. One of the most important decisions is selecting the best Home Care Agency to provide ongoing care to our loved ones in their home.The first task is deciding between a medical homecare and a non-medical home care agency. Non-medical home care cannot dose medications, provide injections or wound care. Most clients at home will require the type of care provided by a non-medical home care agency.When choosing potential home care agencies, make sure that the agency has the skills that match your loved one needs. Meet with the decision makers involved, develop a list of the things you want to see, and make sure your list addresses the following:Does the agency have liability insurance? Request a copy of the certification.Is one of the agency owners or directors involved in the meetings?Does the home care agency provide a personal assessment; do they provide a home safety assessment and what are the charges?What are their hours of operation? How do they handle calls and issues outside normal hours of operations? Most crises do not happen between 9 AM and 5 PM.What is their back up plan if a caregiver becomes sick, has a transportation issue or a delay because of bad weather? How adept are they at crisis management?Have they received a referral from a competing home care agency? That is one of the key indicators that a home care agency is known and respected in the field.How does the home care agency screen its caregivers? Are the caregivers bonded?How did you hear about the agency? Is it a direct referral from someone who has worked with the agency?Ask for previous client testimonials and contact information. And make the calls!Many excellent non-medical home care agencies exist today. If you get good answers during your due diligence process, you have probably found a great agency for the care of your loved one. Remember that the agency and their caregivers must have the skills and personality to work with your family and be a good fit with family members to make a cohesive care team for your loved one.This article was submitted by Carol L. Kilduff Director/Owner of Visiting Angels Chelmsford. She can be reached at 978-244-0200.

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.

Losing a loved one is an extremely difficult part of life and the loss we experience has lifelong effects on us.Queen Elizabeth II stated, Grief is the price we pay for love. This is so true in any loving relationship.It was said by a European psychologist that, Americans are the only people on earth that think death is optional. This is a somewhat comical statement but it also highlights the fact that we have a tough time recognizing the reality of death which affects our ability to mourn or be prepared. The afterlife should not be an afterthought and the best way to prepare for death is to Preplan your own funeral and encourage family members to do the same. When a death occurs, there are literally 100s of decisions that need to be made in a short amount of time. Planning ahead will relieve stress, anxiety and confusion because surviving family members dont need to make all the decisions at such an emotional time. There are many reasons why families feel that preplanning is an excellent choice for them. Many do so because it makes sense financially. You can stop inflation and freeze costs that could otherwise double every 10 to 12 years. At the time of death, the funeral home and cemetery require payment in full. With preplanning, you can customize plans that fit your budget and you can eliminate the temptation that your family will emotionally overspend at the time of death.The most common reasons that families preplan is to protect their loved ones emotionally. They want to put their house in order. They want peace of mind knowing they have made decisions together and that nobody will have to make them alone on potentially one of the worst days of their life. Ultimately, they want to remove both the financial and emotional burden from their loved ones, giving them one last gift after they are gone.It has been a privilege to serve the community for over 130 years and we have 4 convenient locations around the Salt Lake valley to serve you.Editors Note: This article was submitted by Spencer Larkin.Spencer Larkin is the COO/Vice President with Larkin Mortuary and may be reached at 801-363-5781or by email at larkin@larkinmortuary.com

Where can an aging adult go to socialize, laugh, sing, exercise, receive health care and eat well balanced, nutritious meals?Many adult day centers offer these benefits and more for aging adults who require additional assistance during the day due to health reasons. Currently there are 4,600 adult day centers in the United States serving approximately 260,000 aging adults and younger persons with disabilities. Estimates show a 35% increase since 2002, reflecting the trend that Americans are aging and require professional support services for those with dementia or other cognitive impairments.There are generally two types of adult day care centers: those that focus primarily on social interaction and those that offer medical care. Some centers, such as the River House, offer both. According to the National Adult Day Services Association (NADSA) the average participant that attends a day center is a 76-year-old female who lives with a spouse, adult children or other family members. About half of these individuals have some form of cognitive impairment and more than half require assistance with at least two daily living activities.At an adult day center, whether it is a social or medical model, the aging adult greatly benefits from active engagement but at a medical model health monitoring and individualized care is a huge help.Caregivers benefit from reliable, professional, compassionate services for their loved one. They offer respite time for the caregiver to recharge their batteries. The caregiver need not quit their jobs or neglect their own health. The result is better health and well-being for families. An adult day center also offers family support such as counseling and provides caregivers links to community resources and other service providers.Lastly, the center can play a key role in the continuum of life for aging adults. After working for many years and easing into retirement, older adults may not engage with others as much as they used to. They may have to stop driving, and then find themselves staying home, isolated from others. Friends and family may die, or move way, leaving an older adult without the companionship they once had. A day center can offer a lonely person a new place to meet people and engage with others. Evidence shows that participants who regularly attend a day center show improved quality of life.The bottom line is adult day care centers offer a cost effective alternative to other long-term care options and allow aging adults to stay engaged in their communities and at home with their families.This article was submitted by Marie Johnson, MA, Social Services Coordinator,River House Adult Day Center. She can be reached at 203-629-0079.

Do you want to move as you grow older? Most people want to stay in the homeWhere all their memories have been made the home they love. The top reasons to remain in your existing home include:Maintaining IndependenceStaying in your own home can allow you to remain independent with the freedom to make your own choices. Having control over your own daily routine and making your own decisions allows you to retain your self-worth and dignity, which can help you keep a positive outlook and enjoy good emotional health as you age.Maintaining Family and Social ConnectionsIf youve lived in your home for a number of years, you have established friendships and social connections in yourneighborhoodand local community. You can also spend as much time as you desire with your children, grandchildren and other relatives, and on your schedule.Reduced Exposure to Contagious IllnessesWhen you live independently, you have less risk of catching the flu, cold and other such contagious illnesses that tend to spread quickly in settings where residents live near and share resources.Keeping a PetIf you have a dog or cat, you can continue to enjoy the unconditional love and companionship they give if you remain in your own home.Comfort and Quality of LifeYouve probably spent years making your home into a comfortable haven, and its likely filled with treasured memories and possessions. Having to givethat up because of mobility and safety concerns with your home can be a traumatic experience.The good news is, with a few modifications, you can stay at home comfortably and safely for the rest of your life! Retaining your quality of life in a familiar environment might simply involve making modifications like adding a ramp to access your homes entryway, installing a stair liftso you can safely reach the second floor, or having the bathroom equipped with grab bars and an easy entry shower or walk-in tub.At Remodel Direct, were here to help you address any safety and accessibility concerns so you can age in place in your own home and continue enjoying an independent lifestyle.Contact us today to schedule a free home safety assessment!EDITORS NOTE: Submitted by Dave Wilson, Remodel Direct dave@remodeldirect.com

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.

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

Residents who needeye careand have lost their jobs because of the COVID-19 pandemic, have no health insurance and are in financial hardship may now receive a virtual eye appointment from Quigley Eye Specialists at no charge. Upon completion of a financial affidavit, those in need may have fees that insurance would normally cover completely waived.Service to our community has been our mission since Thomas A. Quigley founded our practice more than 30 years ago, saidDr. Duane Wiggins, Board Certified Ophthalmologist and Cataract and Refractive Surgeon at Quigley Eye Specialists. Giving back is an important part of our everyday lives. We are proud of the fact that we have performed more than 2,000 free surgeries for those without insurance or means to pay because they were at risk of going blind without the needed procedure.Extending eyecare to those impacted by the COVID-19 pandemic is the next natural step for Quigley Eye Specialists. Waiving fees to help residents who need to see an eye doctor but dont have the resources to pay for it is the responsible thing to do, he added.Residents do not need to be a current patient of Quigley Eye Specialists to obtain virtual eye exams or have the fee waived. Any patient who has an eye concern can now access this safe way to see a doctor without leaving their home, said Dr. Wiggins. While we cannot do dilation online, we can uncover visible eye concerns that may involve obtaining a prescription for medication. If it is an emergency or cannot be handled online, we certainlycan make an appointment for an in-office visit.Those with current insurance coverage will not qualify for the program. Individuals with insurance may still schedule a virtual eye appointment, but their insurance will be billed for the exam.Dr. Wiggins said there is also an emotional benefit to the virtual appointments. When we visit with patients in their homes via virtual eye appointments, we are able to connect. For many patients, this is the only human connection they have during this time of social distancing, he said.Virtual appointments may be the new normal for a long time. According to theCenters for Disease Control, the pandemic is expected to pose a threat until a vaccine is made. Therefore, social distancing guidelines may continue for the next 18 months.Article Submitted & Written by: Quigley Eye Specialists - click for more information*

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

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

We visited with Jeff Bellomo of Bellomo & Associates and explored how to take the fear out of dying? Jeff explains that much of the fear connected with dying has to do with not having your affairs in order and your family taken care of. How do you protect your home and yet be prepared? What does taking care of your family look like? Jeff Bellomo, Bellomo & Associates, 717-845-5390, www.bellomoassociates.com. More questions? Ask Chris Gartman, Publisher, Seniors Blue Book of South Central PA - pa-info@seniorsbluebook.com #Money #Savings #NursingHomes #Homes #Finances #ElderLaw #BellomoAssociates #SeniorsBlueBook

To learn more aboutAseracare Hospice, CLICK HEREHospice volunteers are a special group of people that give of their time and talents to help patients and their families. They are available to visit with you and help run errands. They can also assist with daily activities and may read, sing, write letters, or just reminisce with you and your loved ones. Their support enhances the quality of life for patients and helps relieve some of the demands that are often placed on caregivers.

The Sheridan at Lakewood Ranch is a delightfully different, upscale Assisted Living and Memory Care community located just off Lakewood Ranch Boulevard on Rangeland. With award-winning, signature programs we offer our residentsan opportunity to reignite past passions, connect with friends and discover new interests. We will welcome our first residents in the Spring of 2016.Our convenient location, a host of dedicated services, and a wide array of amenities caters to each residents wants and needs in an atmosphere dedicated to the closeness of family and friends. At The Sheridan at Lakewood Ranch our residents will benefit from innovative healthcare technology like GE QuietCare Wellness Monitoring, award-winning memory care, family-friendly programs, and intergenerational activities.Our Assisted Living and Memory Care residents and families receive valuable peace of mind knowing that our licensed care team is available 24-hours a day. Prior to moving in, we speak with our resident and their physician to find just the right level of support needed to live life to the fullest. We are here to help withmedication reminders, special diet plans, shower assistance, dressing assistance, continence care, and more as needed. Our mission is to provide a lifestyle that fosters independence, actively engages the mind, invigorates the body and nurtures the spirit while offering you and your loved ones the peace of mind you deserve.Come see what life at The Sheridan at Lakewood Ranch is like by visiting us at our Welcome Center on Lakewood Main St. You can meet our team, see the community and reserve your spot today as a Diamond Charter Member of our community!

Theres a new concept and its available to all. Its called Functional Medicine. It deals with prevention of chronic disease rather than removing or covering symptoms once they arise.Our culture is experiencing an increase in the number of people who suffer from complex, chronic diseases such as diabetes, heart disease, cancer, mental illness, and autoimmune disorders like rheumatoid arthritis. With Functional Medicine, you can start reversing these diseases and enabling your body to heal itself. This is very different from suppressing disease signs or symptoms with drugs, as is done with medications to make lab measurements look better. What if I told you there was something else that could support conditions like anxiety, autism, brain injury, depression,fibromyalgia, insomnia, migraines, obsessive-compulsive disorder, stress, stroke and more! Would you try it? Its called Neurofeedback. How does it work? The signal source varies based on the system used, but it involves audio or video of the patients choosing. The method iseasy, a patient can get better by listening to their favorite music or watching their favorite videos. The process is non-invasive, requires no drugs and is pain-free. Neurofeedback literally means brain and input, where the brain is monitored and input is given instantly. The result is an improvement in brain regulation, which can reduce or eliminate most neurological symptoms. Neurofeedback can work on anyone, no matter the age. We would love to discuss how Functional Medicine and/or Neurofeedback may benefit you. Call us to set up a consultation today. Say Bluebook for special discounts.Editors Note: This article was submitted by Dr. Justin Coop, with Inspired Health Center and may be reached at (630) 465-6685 or by email at drjustincoop@gmail.com.

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

Take advantage of everything your plan offers to achieve optimum health and well-beingIf youre 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. Thats 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 theyre 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 youre not sure, visitmedicare.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 youre getting the most from your plan.Editors Note: This article was written by Dr. Richard Smith, Medical Director for Humanas Senior Products in Utah and submitted by Humana. For more information on Humanas senior products in Utah call (800) 884-8328.

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

The New Choices Waiver is Medicaid program designed to help nursing home residents move to more independent community settings, whenever possible, without compromising medical or safety needs. The basic eligibility requirements are:Must be a least 21 years of age.Must have resided in a nursing home for a minimum of 90 days and be medically eligible for Medicaid long term care; or, must have resided in a nursing home for a minimum of 30 days on a Medicare stay and be eligible for Medicaid long term care at the end of the Medicare stay.Medicaid or Medicare must have paid for the nursing home stay for a minimum of 30 days immediately prior to discharge on New Choices Waiver.Referrals are done directly with the Long Term Care Bureau at the Department of Health and can be made to either Kathleen Bowman at 538-6497, or Vicki Ruesch at 538-6148.Eligible referrals are given their choice of case management agencies who will first conduct an assessment to see if the person can have their care needs safely managed outside of the nursing home. If that is possible, the case management agency will work with the person to find a placement that can manage their needs.Potential placements include assisted living, residential settings, independent living, or home with family.Waiver participants are required to pay for their own room and board costs (generally between $400 and $700 per month) and the New Choices Waiver pays for the services provided at the facility. The case management agency will also help arrange for other needed services such as home health, medical equipment, medical supplies, homemaker services, budget assistance, and respite care.Case managers remain involved on an ongoing basis to help coordinate medical and mental health care, changes in service needs, changes in placement sites, and hospital admissions and discharges. Case managers are also available to provide ongoing care assessments and help with problem solving any issues related to service and placement.For more information please contact either Jim Reichelt or Don Fennimore with FlexCare at 273-6366.FlexCare has been a case management provider for these services since 2000 and has successfully moved over 1,400 individuals back into the community.Author:Jim Reichelt or Don Fennimore

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

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

The results of a survey aimed to better understand how much Americans know about Social Security retirement benefits, which included a true/false quiz about Social Security facts, were concerning: only 28 percent of those surveyed received a passing grade when asked basic questions about Social Security retirement benefits.Also troubling is that when asked about their level of knowledge about Social Security retirement benefits, only 8 percent of those surveyed consider themselves to be very knowledgeable. And that perception mirrors reality. Nearly all surveyed hold at least one misperception about Social Security only one survey respondent answered all true/false questions correctly.Perhaps the greatest Social Security deficit in this country is the lack of education around the retirement benefits of the program, which presents an opportunity and responsibility to financial professionals, said Michael R. Fanning Executive Vice President, U.S. Insurance Group, MassMutual. With millions of Americans nearing retirement each year, many may be at risk of underutilizing a critical component of their retirement income stream.The findings also show gaps in knowledge about Social Security eligibility, which may have a negative impact on planning and saving for retirement: Citizenship is not a requirement1: Three-quarters of survey respondents think that being an American citizen is necessary to receive Social Security retirement benefits, which is incorrect. Retirement age is a mystery2: More than seven in ten surveyed (71 percent) incorrectly believe that full Social Security retirement age is 65, when the age actually varies depending on birth year. Continuing to work and age affect benefits3: More than half of those surveyed (55 percent) incorrectly believe that they can continue working while collecting full Social Security retirement benefits regardless of their age.Americans who lack the proper knowledge and information about Social Security may be putting their retirement planning in jeopardy, said Phil Michalowski, Vice President, U.S. Insurance Group, MassMutual. In fact, many may be leaving Social Security retirement benefits theyre entitled to on the table, or incorrectly assuming what benefits may be available in retirement.MethodologyThe research was conducted by KRC Research from February 26 to March 2, 2015 via an online survey among 1,513 Americans (1,000 non-Hispanic age 25 to 65; 513 Hispanic age 18+).Editorial Note: This article was provided by Bradley Waller, a financial representative with MassMutual Financial Group. The article has been modified.

Term life insurance or term assurance is life insurance which provides coverage for a limited period of time, the relevant term. After that period, the insured can either drop the policy or pay annually increasing premiums to continue the coverage. If the insured dies during the term, the death benefit will be paid to the beneficiary. Term insurance is often the most inexpensive way to purchase a substantial death benefit on a coverage amount per premium dollar basis.#listing_mgr{7 basic_search}#

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

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

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.

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

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

The cannabis industry is one of the fastest growing industries in the U.S. today, and senior citizens are the fastest growing demographic that is embracing the industry.It only makes sense- many of the ailments seniors suffer from are ailments that can be easily treated with cannabis. As the industry has grown over the last five or six years, many new products have been developed that eliminate the need to smoke cannabis. For arthritic joints, there are cannabis lotions and salves that are simply applied topically to the affected area and provide instant relief. Many customers report back that the lotions not only relieve their joint pain, but it also leaves their skin feeling refreshed and soft. There are products that contain other cannabinoids besides THC, like CBD and CBN. Neither of these cannabinoids have a high effect, and they each help in their own way. CBD is a wonderful anti-inflammatory, and CBN is very effective as a sleep aid. There are transdermal patches that contain either THC, CBD or CBN and many seniors have found abundant relief for many ailments using these new cannabis patches. There are also sublingual tinctures that can help alleviate anxiety, or to help stimulate the appetite, or to alleviate pain. Really, any common ache or pain can be addressed with cannabis without damage to the kidneys that many over the counter pain relievers can potentially cause, and in many cases, cannabis can be extremely beneficial for more serious diseases and afflictions as well. The fact that consumers can now purchase these items without a medical recommendation has helped boost the number of seniors consuming cannabis because they no longer have to navigate the medical card process. At any retail cannabis dispensary, a customer only needs a state issued, picture ID that states they are over the age of 21. The changing attitude toward cannabis is also helping to boost the number of senior cannabis consumers. If youre looking for an alternative to the many pharmaceuticals that doctors keep prescribing, please investigate cannabis as that alternative.Editors Note: This article was submitted by Erica Freeman. Erica is the owner/operator of Choice Organics and may be reached at (970) 472-6337 or by email at admin@choiceorganicsinc.com

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

Parkinsons disease (PD) is the second-most-common neurodegenerative brain disorder after Alzheimers. In his 1817 Essay on Shaking Palsy, James Parkinson first described PD as a disease.Now, 200 years later, PD is known to affect an estimated one million people in the US, with about 60,000 new cases diagnosed each year. The cause of PD is still unknown, but genetic and environmental factors are thought to contribute. No test has yet been developed to diagnose PD. Instead, it is diagnosed clinically based on the patients history of symptoms and a physical exam conducted by a neurologist or movement disorder specialist. PD is a chronic and progressive illness, but patients can live long, meaningful, and happy lives if they exercise routinely and take their medications on schedule.PD seems to affect men more than women. Some studies have shown that African Americans and Asians are less likely than Caucasians to develop PD, although the reasons are not clear. Otherwise, the disease knows no social, ethnic, economic, or geographic boundaries. Many people live with symptoms of PD for several years and visit multiple physicians before a diagnosis is made. Early symptoms can be subtle and may even come and go. Frequently, a loved one is the first to notice subtle problems with movement.PD symptoms are due to a deficiency of dopamine, a neurochemical in the brain that is essential for initiating and executing fast and smooth muscle movements. Its also important in preserving mood, cognition, and energy. In PD patients, dopamine-generating neurons in the brain are dying at a much faster rate than the normal aging process. When 60-80% of dopamine-containing neurons have died, symptoms appear, including tremors, muscle rigidity or stiffness, slowness of movements, and shuffling when walking. Non-movement-related symptoms include smaller handwriting, less facial expression, acting out dreams, constipation, urinary incontinence, dizziness, depression, anxiety, hallucinations, delusions, and fatigue. The PD experience is unique to every patient, and no one ever develops all of the symptoms.Most PD medications temporarily replenish or mimic dopamine, so they are often called dopaminergic drugs. These medications improve speed and coordination of movement, reduce muscle rigidity, and reduce tremors. Although dopaminergic medications dont cure or slow the progression of PD, they are effective in treating the movement-related symptoms. Routine exercise is the only known method of slowing the progression of PD. Dallas Area Parkinsonism Society, a local nonprofit, offers over 30 exercise classes per week in various areas around the metroplex, as well as patient and caregiver support groups. Their monthly educational programs often feature academic and practicing physicians with topics of interest to people affected by PD. You can read their newsletter at daps.us/newsletters.Editorial Note: Article written by Drs. Nirav Pavasia, MD and Aashoo Mentreddi, MD. Movement disorder specialists at Neurology Consultants of Dallas and volunteer members of the Dallas Area Parkinsonism Society Medical Advisory Board.

What chapter of life are you in? If like me, retirement is approaching, but not quite here. Are you prepared? Five hundred and five seniors, aged 75 or older, were surveyed by Home Instead, Inc. about preparing for their future. While many people know they should plan for retirement, get their financial affairs in order, and decide on their final resting wishes, most seniors are underprepared when it comes to creating a plan for their long-term care. Planning for care along with family members can be difficult, but it must be done for your future and optimal quality of life. Although we know in the back of our minds we should be preparing for our end, we truly dont want to face it. Eight-nine percent of surveyed seniors are comfortable discussing their own future, but only 68% find this to be an easy useful conversation to have.Of surveyed seniors, 23% have thought about and planned for their long-term care, and of those, only 21% have made their arrangements. Our average life expectancy in the United States is 76.1 years for males and 81.1 for females. If we are fortunate enough to live to this, or into our 80's and 90's, then we must start thinking about what will happen if we no longer can care for ourselves. Our retirement chapter can be a blessing if we have a plan. We may have opportunities to access our saved funds, down size our homes, or move to be closer to family, but most of us dont plan for aging in place when our personal needs and safety are compromised to the point that we need help. Long-term care is expensive. Regardless of whether we have one-on-one in-home care or reside in an assisted living or skilled nursing facility, we tend to underestimate these costs. On average, a year in a skilled nursing facility is 64% higher than what seniors estimate. The message here: Plan for your care and put money aside for these costs! Of seniors surveyed, 46% have not saved enough money to cover a year of: in-home care, an assisted living (53%) or a skilled nursing facility (59%). Too often seniors outlive their money or spend their savings on care for a spouse, leaving little for themselves. They may depend on family or government for assistance, which unfortunately puts stress not only on the senior but their family as well. What happens if Medicaid policies change, all money is spent, and families have no other resource to supplement care? For those currently in this position and with little income, help is available through grants, previous employer resources, government sources, Veterans Affairs benefits, as well as local support services such as the Senior Source in Dallas. If there is time, then you must plan for your future. Decide on your plan of care, set aside resources, and discuss this with adult children so they can plan with you. Most importantly, your family will know your wishes and feel comforted that a plan is in place.Editorial Note: This article was written by Dr. Nancy Oppenheimer-Marks with Home Instead Senior Care. She may be reached at 972-239-3934. See ad page 115

Stroke Warning Signs:Three-Step Stroke Screening1. Look for Facial Asymmetry: Ask the Person to smile and look for unevenness in features- a facial "droop" or a lopsided smile- indicating weakness on one side of the body.2. Look for Arm Drift: Have the person raise both arms out in front of them and look for one arm to drift down indicating a weakness on that side of the body.3. Listen to Speech: Ask the person to repeat something like "The grass is green." Look for slurred, garbled or absent speech or confusion.Call 911 Immediately if you or a loved one is experiencing any of these symptoms. Remember: if one if these three is happening, there is a 60% chance that a stroke has occurred.Authors Note: This screening checklist was submitted by HealthSouth Rehabilitation Hospital of Utah. They can be reached for any further questions at 801-561-3400. You can also find more information at healthsouthutah.com.

If only eating healthy was as easy as eating junk food! Making healthy choices can be hard, especially while constantly surrounded by temptation. As hard as it may be, it is imperative to ensure you are you paying attention to your diet. The easiest way to change your diet is to concentrate on the foods that will improve your health, as opposed to thinking only about the foods you cant have.One of the most important food groups to include in your meals every day is vegetables as well as fruit. This is more difficult for some people than for others. There are people that refuse to lay a finger on anything green. The best way to overcome this aversion is to experiment. Try different recipes that incorporate vegetables in new ways. For example, substituting minced cauliflower for rice or zucchini noodles for pasta. These are easy but delicious ways to include more vegetables in dishes that would normally not be suitable for someone who is prone heart problems.Why is it imperative to abide by a healthy diet you ask? Well, unhealthy foods such as fried foods, refined carbohydrates, sweets, sugar and saturated fats cause build up in your arteries. These blockages make it hard for your body to pump blood through your veins. When the blockage makes it to your heart, it causes a heart attack. Living your life in such a way that maintains the cleanliness of your arteries is crucial and can add years to your life.Another way to help substitute healthier options in place of snacks lacking nutrients, is to do some prep work up front. This means making your food snack ready right from the start. After purchasing apples or other fruit, cut them up before storing them in the fridge, this makes it much easier to choose healthy when you are hungry, knowing you dont have to prep right before you eat. Switch out apple slices instead of potato chips, or carrots and celery with hummus or ranch instead of french fries. Not only will your heart benefit from your diet changes but you will begin to feel more energized overall and experience less fogginess in your mind. It is never too late to make the switch. Eat healthy for your heart starting today!Editors Note: This article was written by Abigail Wright, Account Representative with Seniors Blue Book Greater Dallas. Abigail may be reached at Abigail@SeniorsBlueBook.com

Aloan closetis a program that allows people to borrowdurable medical equipmentandhome medical equipmentat no cost or at low cost. Becausemedical equipmentis expensive and often needed for only a short time,loan closetshelp people receiveequipmentthat they may not otherwise be able to afford.#listing_mgr{7 basic_search}#

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

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

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

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

Now that vaccines are available to fight the COVID-19 virus and are now being distributed to health care workers and at-risk adults, many seniors will soon be able to be vaccinated. Unfortunately, there is a lot of misinformation on the internet and social media regarding vaccines for elderly people and others.There are good reasons for older people to get vaccinated.According to the U.S. Centers for Disease Control and Prevention, the risk for severe illness with COVID-19 increases with age, with older adults at highest risk. Although 65.1% of COVID-19 cases occurred in people under the age of 49, 95.3% of deaths occurred in people ages 50 and older,the CDC says.Here are some things you need to know about the vaccines, why you should be vaccinated, and why some of the things youve been hearing about the vaccines are wrong.*While we at Senior Lifestyle recommend receiving the COVID-19 vaccination, we understand that this is a personal decision and should be talked about with family and caregivers prior to making the decision.What You Need to Know About the COVID VaccinesThere are two main vaccines available right now, from Pfizer and Moderna.According to Kaiser Health News, both vaccines were 94% to 95% effective in clinical trials, taken in two injections about three to four weeks apart.Facts About the COVID VaccinesBoth Pfizer and Moderna have said that 50 million doses of their vaccines became available in January, followed by 60 million doses in both February and March. That is enough vaccine for about 85 million people and should be a sufficient amount of vaccines for older adults along with other at-risk individuals,KHN says.For the entire year,WebMD says, Pfizer expects to have 1.3 billion doses available, while Moderna expects 80 million doses to be available.Here are some more facts about the vaccines,from WebMD:Facts About Distribution of COVID VaccinesAs the vaccines are being distributed, one of the main challenges will be temperature.Pfizers vaccine needs to be stored at minus 70 degrees Celsius (94 degrees below zero Fahrenheit), calling for specialized equipment. Modernas vaccine needs long-term storage at minus 20 degrees Celsius (4 below zero).Another challenge will be getting the vaccine itself. Long-term care facilities, hospitals and local health departments are in the front line for distributing the vaccine,according to AARP. As more vaccine doses are shipped, more opportunities to receive it will be made available.For now,the CDC estimatesthat 21 million health care workers and 3 million people in settings such as nursing homes and assisted living facilities will need to be vaccinated. Millions of these people have already received at least their first dose of vaccine.AARP is keeping a list of vaccine availability state by state.Go here to find out more.11 Misconceptions About the COVID VaccinesMany misconceptions about the vaccines have arisen, everything from suspicion over their rapid development to what is contained in them. These myths may be preventing people from getting vaccinated.Here are some of the more common COVID vaccine misinformation points being shared and the truth about them from theMayo ClinicandCleveland Clinic.1. The Vaccines Are Unsafe Because They Were Developed and Tested Too RapidlyTwo factors led to the rapid development of the vaccines: The nature of the pandemic and the deployment of new technology.The emergency nature of the COVID-19 pandemic led pharmaceutical companies to find a rapid solution. The U.S. government also prioritized finding a vaccine quickly, employing Operation Warp Speed to help accelerate development while maintaining standards for safety and efficacy.The vaccines use a new technology called messenger RNA, or mRNA. Although this is the first time its being widely used in a vaccine for the public, researchers have actually been working on this vaccine strategy for more than three decades.2. The Vaccines Will Give People COVID-19These vaccines enable your immune system to recognize and fight off a disease, but they dont actually infect you.The vaccines introduce mRNA into your cells, which instructs them to make a piece of the protein thats present on the COVID-19 virus. Those protein pieces trigger your immune system to mount a response to fight the virus, but they dont harm your body.3. We Dont Know Whats in These VaccinesIngredient lists have been published for both the Pfizer and Moderna vaccines. In addition to mRNA, both vaccines use lipids, or fats, to deliver the mRNA into cells, plus a few other common ingredients that help maintain the vaccines stability. Conspiracy theories circulated on social media say they contain microchips or tracking devices, but they do not.4. These Vaccines Will Alter Peoples DNAThe vaccines use mRNA to launch an immune response to the COVID-19 virus. Once the mRNA does that, the bodys cells break it down and get rid of it.5. People Who Have Had COVID-19 and Recovered Dont Need a VaccineThere is not enough information currently available to say if or for how long after infection someone is protected from getting COVID-19 again. This is called natural immunity. However, some evidence indicates that natural immunity from COVID-19 may not last long.Experts advise that it is appropriate to be vaccinated even if youve had COVID-19.6. The Vaccines Cause Severe Side EffectsShort-term mild or moderate reactions have been reported, but they go away without complication or injury. Chills, fatigue, fever, headache, injection site pain and muscle pain have been reported in some people. These COVID vaccine side effects are actually an indication that your immune system is responding to the vaccine and are common when receiving vaccines.7. There Is No Need to Wear a Mask After Getting VaccinatedIt may take time for everyone who wants a COVID-19 vaccination to get one. When you get your first shot, you dont become immediately immune. Also, while the vaccine may prevent you from getting sick, it is unknown at this time if you can still carry and transmit the virus to others.Until more is understood about how well the vaccine works, continuing with precautions such as mask-wearing and physical distancing will be important.8. Since COVID-19s Survival Rate Is So High, a Vaccine Is UnneededWhile its true that most people who have gotten COVID-19 have recovered, its also true that around 2 million people worldwide have died from the virus. Because the disease can damage the lungs, heart and brain, it may also cause long-term health problems that experts are still working to understand.The vaccine also protects those around you, since many infections appear to be spread by people who are not sick but are carrying the virus. Widespread vaccination protects populations, including those who are most at risk and those who cant be vaccinated. It will be important for ending the pandemic.9. The Vaccine Has a Microchip to Control the General PopulationThere is no microchip in the vaccine, and it will not track people or gather personal information into a database.10. The Vaccines Were Developed Using Fetal TissueFetal cells were not used in either the development or production of the Pfizer and Moderna vaccines.11. The Vaccines Must Be Stored at Low Temperatures Because of PreservativesBoth Pfizer and Moderna have reported that their vaccines contain no preservatives.If you have more questions about the vaccine, talk with your trusted health care provider or look to reliable sources like theCenters for Disease Control and Preventionor theWorld Health Organization.Written and Submitted By: The Sheridan at Lakewood Ranch- click here for more information*Click Here for Original Blog Link*

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

Many of us work all our adult lives waiting for retirement to travel, enjoy life with our spouse or signi?cant other, spend time with family and to be able to do all the things that were sacri?ced because we had to work.Unfortunately, this scenario does not always play out as we envisioned it. There are many unknowns that pop up when we least expect them. Maybe your health is declining, maybe you have become a caregiver for your spouse, a parent, a child, or grandchildren. My father worked 30 years on the Fire Department and I will admit we had to take him kicking and screaming to retirement, however he had many things on his bucket list that he wanted to do with my mom, his family, and to enjoy his new role as grandpa. Unfortunately, he was diagnosed with Melanoma on his face that he had gotten from an injury in a fi re, and I am sure his days in the Navy out in the sun didnt help either. Once that was under control and he had retired, he was then diagnosed with liver cancer. I never understood how a man with the biggest heart I had ever known could have been diagnosed with a terminal illness just 3 short months after retirement. It really makes you think. We go to work every day in search of this big payoff at the end. For many like my father that day never came. It just doesnt seem fair.As my mother continued to age, I was left worrying about her as she was living all alone. What if she falls? What if she has a stroke like her mom? How will I know? How can I keep her safe when I dont live with her? This went on for many years and finally she moved in with us when her memory was declining and she was no longer safe to drive or live alone. I know there are many of you that go through this same scenario. It is an emotional roller coaster for both your loved one and for you, as you have now assumed the role of caregiver to add to your already growing list of titles, wife, husband, mother, father, employee, taxi driver, coach, laundress, meal prepare, and Mr. Fix It.What are your options when you or your loved ones health is declining? What kind of care do I need? How can I find a reputable company?I wish I had someone to help me. The good news is you do. CarePatrol is the Nations largest Senior Care Placement Organization. We have 150 Franchisees across 44 states. This allows the franchisees to work together to help a family that may have a parent in a different state that needs to be moved closer to their children. Our Certified Senior Advisers can help you assess the care that is right for you, your loved one, and your family. We complete a Level of Care Assessment and base our recommendations on care options that can specifically meet your individual needs. Is it safe for you to live at home, alone with a caregiver, or are you a better candidate for an Assisted Living Community?Assisted Living Communities/ Memory Care: We guide you through the process of determining not only your care needs, but set a budget and location that works for all the decision makers and then we narrow down the communities that will best suit you. We check the state surveys of the communities in which we tour. This will help us to determine the safest places for you. We accompany you on the tours and ask questions that you may not know to ask. We are like a realtor helping you to find your new home. We continue to follow up with you after placement to make sure that your needs are being met. We have referral partners that we can recommend to help you including; realtors, movers, elder care attorneys, organizing and relocation companies etc. We also can refer you to Veterans Aid and Attendance representatives to see if you qualify for those benefits to help pay for your care.Home Health:If you need Home Health we can refer you to the companies that will best fit your needs. Do you need companion care which is non-medical caregivers that come to your home to assist you in cooking, light housekeeping, taking you on errands, preparing your meals or would a company that provides certified nurse assistance serve your needs better? They can do a lot of what the companion care can do, however they are able to give baths, medication reminders, take vital signs, assist with incontinence etc. We look to see if these companies have done a back-ground check on their employees, because your safety is important to us. Ironically, some people are turning to online classified ads to find their caregiver. We strongly suggest you dont do this as you are letting this a complete stranger into your home and we do not feel this is a safe option for you. It is important that if you suffer from dementia or Alzheimers that your caregiver has the necessary education to care for clients with memory impairments. Do you need multiple modalities in the home? If so, in order to improve the continuity of care for a patient, it makes sense to have a caregiver, physical therapy, occupational or speech therapy, all in one company we will try to do that for you as well. Seniors have many needs outside the scope of medical care and assistance with daily living. Below are a few of the common problems:Socialization and Isolation: These are behaviors that are often overlooked. We are human, by nature we were meant to interact. When there is a change in the ability to engage in socialization whether it is due to a death, a decline in mental capacity, not being able to drive, being the only widow or widower amongst your friend group, or embarrassment just to name a few, you may see that you or your loved one will begin to isolate. This will cause depression,anxiety, aggression, and many other unwanted behaviors. While living at home with a caregiver allows the client to stay in their own home, we also need to ensure that we are providing socialization, stimulation, activities and outings, to stop them from becoming socially isolated. There are Adult Day Care Centers available to send your loved one to during the day while you are at work to get all of these needs fulfilled. Nutrition: Will you have a 24 hour a day caregiver that can provide mom or dad their meals? Do you need a company to make and deliver them meals? We know that nutrition is key in this population as nutritional deficiencies can lead to dehydration,skin impairment, kidney issues, and confusion. Growing older doesnt have to be going into uncharted waters. There are lots of options and resources available to help you or your loved one to help them live out their life. We can help you as we are referral partners to many of the senior community based companies and organizations. At CarePatrol your safety is our goal, our mission. Please visit our web page at Chicago.CarePatrol.com.Editors Note: This article was submitted by Ruthie Barkus, RN, BSN, CDP, Ruthie is the owner of Family Senior Services, LLC DBA CarePatrol Northeastern Illinois. Each CarePatrol of?ce is Independently Owned and Operated. She may be reached at 708- 377-9969 or by email at RuthieB@Carepatrol.com.

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

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.

For more information on the author Cardiac Care Group, CLICK HERE.A stroke occurs when the blood supply to the brain is suddenly interrupted. When the brain lacks sufficient blood flow for a long enough period of time, brain damage or even death can result. Immediate medical attention and early treatment are critical to help minimize damage to brain tissue and improve the outcome.Types of StrokesThere are two major types of strokes: ischemic and hemorrhagic. Ischemic strokes, the most common type, occur when which a blood clot blocks the arteries leading to the brain and cuts off blood flow. A hemorrhagic stroke occurs when a blood vessel in part of the brain becomes weak and bursts open, causing blood to leak into the brain.At the first sign of a stroke, patients should seek medical care immediately. Symptoms of a stroke vary, but typically occur suddenly and include:Weakness, tingling or numbness in a limbPartial loss of visionInability to move a limbDouble vision, vertigo or loss of balanceDifficulty swallowingMemory lossDrowsiness or loss of consciousnessUncontrollable eye movementsWhat Causes Strokes?Smoking is the number one risk factor for strokes, and indeed, making basic lifestyle changes like quitting smoking can significantly reduce your overall risk. These include:Weight lossExerciseCholesterol and blood pressure managementReducing alcohol intakeAside from lifestyle changes, managing any underlying health conditions, including hypertension and diabetes, also reduce your risk of stroke. If you are concerned about your stroke risk, talk to your cardiologist about what more you could be doing to keep your risk low.

Getting rid of longtime possessions isnt easy; it can feel like giving up cherished memories. For many seniors, beginning the downsizing process feels good knowing that they have some control over who gets what, and having peace of mind that a new generation will value their treasured belongings.If youre starting to downsize or helping a senior family member, consider these tips:Set Realistic Expectations. Give yourself a realistic timeline. Try to limit downsizing activities to a few hours per day. And, remember to be patient with your partner or parent. Going through a lifetime worth of stuff can stir up emotionstake a few moments to acknowledge those feelings!Plan ahead. Regardless if youre moving or aging in place, its never too early to downsize. Begin by getting rid of expired medications, clothes that dont fit, and other unused items.Ask for help. Downsizing requires some tough decisions. You dont need to do it alone.Sorting. Its best to create three piles: keep, sell and donate. Have a yard sale but remember items you plan to sell, regardless of how top notch the condition is, arent going to fetch top dollar. Before donating, check the organizations guidelines on acceptable items. Or, try setting unwanted items on the curb with a sign that says Free. Sometimes this makes items miraculously disappear. Also, ask family and friends if there are any items they would want.Get an expert. Businesses exist for the sole purpose of assisting seniors and their families with the downsizing process. There are enough of these companies to warrant their own organizationthe National Association of Senior Move Managers. You can check out their website to find a professional in your area.If you or a loved one is choosing a retirement community, we invite you to contact us at Traditions of Hershey. We would be glad to provide you with information on downsizing experts and moving companies in the local area. Schedule a visit to preview our senior living community and learn what this lifestyle can offer._____________________________Editors Note: Mike Lapinsky submitted this article. He is the marketing director at Traditions of Hershey Independent Living and Personal Care.

If there is anything we have learned in the last 50 years, it is that exercise is the best preventive medicine. The evidence is now clearer than ever that a sedentary lifestyle is one of the greatest threats to our health and wellness. It is even considered by many to be as dangerous as smoking.The easiest way to improve our overall health is the increase our daily physical activity. The Physical Activity Guidelines for Americans recommends a minimum of 150 minutes of moderate physical activity per week for adults. Over 80% of adults do not meet this minimum standard, and it shows in our overall poor health.It is never too late to improve physical fitness and every minute of activity counts. A single bout of moderate to vigorous physical activity can:The Best Preventative Medicine:improve sleep qualityreduce anxiety and depressionimprove brain function and cognitionreduce blood pressure n improve insulin functionStart with simple improvements like walking more, taking the stairs, or even doing household chores like vacuuming and mopping more frequently. As you get stronger, do a little bit more or increase the intensity. If you can, add in muscle strengthening exercises to further reduce the risk of fall-related injuries. The cost of preventable chronic diseases has led to skyrocketing medical costs and diminished quality of life for older adults. Physical activity is also linked to reduced risk of cancer, dementia, depression, diabetes, stroke, heart disease, and heart failure. In fact, those who are highly fit are 74% less likely to be hospitalized for heart failure. One of the simplest ways to reduce our overall healthcare costs and improve quality of life in our later years is to be physically fit. Research from The Cooper Institute shows that being fit can result in a 40% savings in annual healthcare costs as we age. Imagine the impact that could have on healthcare costs across the country if we all improved our physical fitness. Quality of life is everything and becomes even more important as we age. Now is the time to get up and get moving. Every minute counts and can help you live Well. Into the Future. 'Editors Note: This article was submitted by the Cooper Institute, CooperInstitute.org

Working with an Aging Life Care Professional- What to ExpectBob and Kathy Smith (not their real names) are in their 90s and live independently in their own home. Their 2 children live in other states and have busy lives of their own. Kathy is beginning to show early signs of dementia and Bob doesnt get around as easily as he once did. They would like to remain in their home but understand they may eventually need someone to assist them in their home. Their children live too far away to provide the help they may eventually need. Bob and Kathy know that there are resources available to assist them. But like so many of their senior friends, they do not know how to access it. What should they do?Care Management or as it is now known, Aging Life Care, is the field of healthcare that provides a single point of contact to guide seniors to the resources their situation may require. Aging Life Care Professionals are particularly helpful when adult children live away from their parents and are not readily available to assist their parents. Aging Life Care Professionals help identify areas of risk or needs and with input from the seniors, their children or any other designated representative, create an action plan with appropriate response directions in place.The goal of Aging Life Care management is to be proactive and put a plan in place so that when a crisis does occur, they can readily access the pre-determined care partners. In this example, Bob and Kathy might need a Personal Emergency Response System (PERS) installed in their home to respond to a medical emergency. Additionally, a private duty caregiver might be appropriate to assist when one or both needs assistance with personal care, transportation or even light housekeeping. A life care professional will ensure that legal planning is done proactively. The clients might not be able to make important legal decisions, and this plan eliminates difficult decisions being made by family members at a high time of stress. Aging Life Care Professionals also coordinate care between the multiple facets of healthcare delivery such as home health, physicians, hospice and senior living facilities.Bob and Kathy hire an Aging Care Life Professional- Pam. Pam, after discussions with Bob and Kathy, has had a Personal Emergency Response System (PERS) installed in the house. A few days later, Bob falls and requires hospitalization which leaves Kathy home by herself. As designated by the care plan, Pam immediately secured a private duty caregiver to assist Kathy at home. As a result of this proactive approach, Bob and Kathys legal documents are in place giving their daughter the right to make preplanned decisions on their behalf. Kathy doesnt have to worry about finances or making health decisions for Bob. In the hospital, Bob can rest assured Kathy is in good hands. His children are aware of the situation and can make their plans accordingly.In todays hectic and sometimes complicated world, seniors and their families can count on Aging Life Care. They become an invaluable partner for families dealing with long-distance caregiving as well as local families looking for a health care partner. Peace of mind, how do you put a price on that?Brenda Lyle is a certified Aging Life Care Manager as well as a Certified Dementia Practitioner. She has owned an Aging Life Care Management practice since 2016, with the goal of offering affordable care management. She may be reached via email at brendalyle2015@gmail.com or 630-229-2089.

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

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

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

Refers to services that can be provided at home under the supervision of the patients M.D. Entrant patient conditions include, but are not limited to, the following: dysphasia, inflammatory bowel, esophageal use, intestinal atresia, colitis, chrones disease and malignancies.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

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

There are many changes in the realm of senior care, everything from improved rehabilitation equipment, remote-monitoring or telehealth equipment and so much more. One of the changes that has been highlighted recently is how inter-generational exchanges can have a positive effect in the senior care sector for everyone involved!As reported in McKnights Senior Living in January 29th, 2018, [m]any senior living communities are welcoming students of all ages some as temporary residents and scheduling activities to foster intergenerational relationships. At The Middletown Home, beginning in the Fall of 2018, we are spear-heading this trend in South Central PA! The Penn State Harrisburg campus is next door to our community and we are offering students from Penn State Harrisburg a wonderful opportunity to reside on our campus. Students receive a furnished independent living apartment equipped with a full bath and kitchen and meal plan, as students are encouraged to share meals with residents in our dining room.A very modest monthly fee is charged to the student in exchange for the student providing a minimum of twenty (20) hours/month of structured volunteer programming with our residents. Students are encouraged to participate in programming such as: 1:1 visits; escorting residents to social events on and off campus; sharing in music, dance, drama, and/or art; and most importantly offering companionship.In 2017, Leading Age, along with Generations United published a white paper called Intergenerational Programming in Senior Housing. This paper reports there is a growing interest among senior housing providers in intergenerational programming as a vehicle for connecting residents to the broader community, enhancing well-being for both youth and older adults, reducing ageism, and preparing an aging workforce. There is even a trend for active involvement of child-care centers in some senior residences in South Central PA.Whether its students or child care, the results are the same opening up the lives of both the seniors and the participants (children or young adults) can positively impact everyones outlook. As we vision for the future, The Middletown Home is intentional in more fully developing a campus of Wellness, Rehabilitation, and Life Long Learning, especially through the relationship between The Middletown Home and the students of Penn State Harrisburg. As we embrace our visioning specific to Life Long Learning, the relationship between The Middletown Home and the students of Penn State-Harrisburg is paramount. I truly believe that We are better, when were together, both residents and students living together in one community with one another._____________________________Editors Note: Louis Vogel III submitted this article. He is the CEO at The Middletown Home CCRC.

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

Take action in the fight against Alzheimer's disease Alzheimer's 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 Alzheimer's Association is taking action to change these numbers and we need your help! Alzheimer's Association Trial Match 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. Trial Match 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 Alzheimer's, Alzheimer's 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 Alzheimer's. Go to www.alz.org/advocacy to get involved right away! Walk to End Alzheimer's Walk to End Alzheimer's is the worlds largest event to raise awareness and funds for Alzheimer's 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!

Assistance with memory care issues that are customized and specific to the individual with memory or dementia issues.#listing_mgr{7 basic_search}#

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

At the end of life, every patient has different needs, goals and wishes. When that patient is a veteran, providing appropriate care requires insight into the challenges they face throughout life, not only at its end.VITAS Healthcare, the nations leading provider of end-of-life care, understands that veterans of the US Armed Forces face life-shaping experiences throughout their military careers: Rigorous training, long deployments away from loved ones and the experience of combat all test the limits of the human body and mind.The physical, mental and emotional scars of these experiences may linger long after a veterans service ends, and their needs at the end of life can be severe and varied. Since 1978, VITAS has had the honor of meeting those needs.VITAS employs specialized admissions personnel and representatives with military experience to help patients nearing the end of life understand how hospice can help. Once a veteran is receiving care from VITAS, these veteran liaisons ensure the patient has access to every benefit to which theyre entitled.The best way to honor veterans is to let them know that we care, and were here to support them, says a VITAS representative and decorated veteran. Out of 22 million veterans, only 8 million are enrolled in the VA. The key is getting the word out.VITAS in Chicago participates in We Honor Veterans (WHV), a program developed by the National Hospice and Palliative Care Organization and the Department of Veteran Affairs (VA) to improve care for vets in hospice. VITAS also shows veterans how much their service is valued through special events, activities and memorials, including trips to the Washington, DC, war memorials via the Honor Flight Network.VITAS offers many other services for retired military personnel, from pinning ceremonies to challenge coin presentations. Support groups for veterans and their families are also available. Sometimes, all a veteran needs is a conversation with someone who knows what they have been through.Editors Note: Article submitted by Cathy Carlson, general manager for VITAS Healthcare in Chicago. For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

Joliet Area Community Hospice Considered the model for quality compassionate care for people facing end of life, hospice provides expert medical care, pain management, and emotional and spiritual support expressly tailored to each patients individual needs and wishes.Hospice can improve a persons quality of life when curative treatments and technology are no longer effective or desired. Like various sectors of the medical community, Joliet Area Community Hospice (JACH) includes complementary therapies in patient care plans and with family bereavement. Currently music, art, pet, massage, Reiki and aroma therapies are offered to our patients. These non-invasive therapies promote comfort and well-being and complement the medical and social support they already receive from their interdisciplinary care teams. Complementary therapies promote relaxation and rest, minimize anxiety and stress, release tension, reduce pain, helps with agitation and improve functional status and quality of life.Aromatherapy has minimal side effects and is ideal in hospice care. Not only does it benefit the patient but also family members and caregivers. Our trained staff choose the right essential oils and method of application. They incorporate aromatherapy through touch and massage or through diffusers. Massage in itself is beneficial and when paired with aromatherapy, canboost the mood and ease the tension many hospice patients experience.Reiki treats the whole person. It is a Japanese therapy for stress reduction and relaxation. Reiki is a popular and beneficial healing modality that is utilized for health and wellness. It is based on energetic principles and is practiced in many hospitals, medical settings, and in private practice all around the world.Music can be a powerful tool at end of life by bringing peace and harmony to a hospice patient. Studies have shown that patients at end of life engage more easily when music is playing. Music therapy has always proven to enhance verbal and motor abilities for adults, teenagers and children.Pet therapy promotes conversation, activity and emotional connections during a visit. Some patients enjoy petting the animal and having them lay by them to cuddle. Others like to throw a ball and play fetch, while some give the dog commands to do. People who love animals and have had pets of their own can feel a sense of normalcy from a pet therapy visit.Art therapy is also beneficial to hospice patients as well as their family member and can help when dealing with anticipatory grief. Art is a perfect outlet to express feelings and in turn reducing anxiety. Adults, teenagers and children benefit from art therapy as a means of relaxation and stress relief. Therapies offered to JACH patients and families are administered wherever home is and by licensed staff or volunteers as required. Editors Note: As a hospice patient or family member, ask your care team about these additional therapies that may provide additional bene?ts to you. Submitted by Joliet Area Community Hospice, 250 Water Stone Circle, Joliet, IL 815.740.4104.

Finally, there is a place in Southwest Florida where consumers can shop their Medicare health plans at No-Cost and No-Obligation!Informed Choice Insurance Agency is a Midwest-based company that opened its doors in Southwest Florida three years ago. We have been serving clients Medicare needs since 1998.Informed Choice Sales Associates are not paid commissions.We dont pay commissions in order to assure clients that we are doing what is in their best interest. At Informed Choice, clients can shop many of the finest Medicare Advantage Health Plans, Medicare Supplement Health Plans, and Prescription Drug Plans available in their market.Whether you are turning 65, retiring and losing your group insurance, or just simply trying to find out if the plan you have is truly the right plan for you, Informed Choice can help! Thank you in advance.Editors Note: For more information contact Informed Choices at 239-208-7090. Informed Choice 13620 Metropolis Ave #100, Fort Myers, FL 33912. (877) 446-3676.Neither Informed Choice nor its agents are connected with the Federal Medicare Program.

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

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

For more information on the author The Sheridan at Lakewood Ranch, CLICK HERE.Retirement planning. These may involve chats about employer percentages, being vested (or not), and quiet outrage at retail prices of motorhomes. However, there is one important piece always missing from retirement conversation: The target retirement age.As of February 2019, the average age of retirement is 59.88 years old. Ofcourse, plenty of Americans retire before and after this age, for a variety of reasons. Surprisingly, 76%of employees say theyll keep working past retirement age, and 35% of those people will do so because they have to.For most people, it is a foregone conclusion that sixty-five is the magic number. However, the right age varies significantly from person to person. Discover what age might be right for you and then take steps to make sure you are ready!Taking an Early RetirementEarly retirement is generally referred to as retirement before a persons ability to draw from Social Security or pension benefits (usually age 55-64 depending on their career field). The ability to retire early usually relies on the person having good financial stability, but can be influenced by personal factors such as health concerns or waning interest in a career. Often touted as the ultimate goal, early retirement can be more complicated than it first seems.Early retirement might be the right choice for you, but you should evaluate your long-term and financial standing before you take the leap.Benefits of Early RetirementReduction of stressMore free timeAbility to pursue passionsPotentially healthier and longer retirementDownsides of Early RetirementLess time to grow investmentsLonger time of living off savings or fixed incomeA potential loss of purpose or driveDelaying RetirementLate or delayed retirement is a term reserved for individuals waiting until after sixty-five to retire, although that age will change as Social Security benefit dates adjust for baby boomers. You may have good reason to wait until your late sixties or early seventies to retire, whether its a love of your profession or the need to get more financially secure. As with early retirement, you have to weigh the costs and benefits of waiting.Benefits of Late RetirementMore time to grow your investments and portfolioMaximizing Social Security paymentsA continued sense of purpose from your careerDownsides of Late RetirementWork-related health declinePotentially shorter retirementNot transitioning to retirement with spouse or peersInvestments and Ongoing Financial StabilityWhether you choose an early, delayed, or regular retirement date will depend heavily on your ability to finance the years ahead of you in retirement. Utilize a financial advisor to ensure you have enough money to not only meet your needs, but also achieve your goals throughout retirement. Make sure you discuss your desired lifestyle, long-term care options, and plans for big-ticket items like trips or vacation homes. Then you can decide if your current savings meets those needs.The most common forms of retirement savings are: 1)Social Security2)Pensions3)IRAs4)401k5)AnnuitiesThroughout your work life, you may have accrued one or many of these investment accounts. Be diligent in researching, tracking, and forecasting each account to determine an overall projected retirement income. That figure can give you a good idea of what age you will be able to retire in comfort.Personal and Health ConcernsMoney isnt everything. If you have a chronic health condition that is worsened by work-related stress, or feel like you are missing out on important family milestones or time with your grandchildren, it may be time to call it quits.On the other hand, economists have found that retirees have an average medical spend of roughly $122,000in medical costs after the age of 70. Health concerns are a huge aspect of any retirement consideration, and saving as much as possible for retirement is certainly a priority.For some people, downsizing and simplifying their lifestyles is enough to make retirement attainable. For others, putting off retirement for a few years allows them to save money, without sacrificing quality of life. Many people have found that retirement communities are the most affordable option, when considering the rising costs of in-home caregiving, medication, and the costs of catastrophic care.The Right Retirement Age? It Depends.There is not a perfect age for retirement. In the end, you need to fully understand your personal goals, health, and financial means to come to the right decision and retire at the age right for you.Independent Living communities can be a practical way to consolidate your expenses and reach your retirement goals. Learn more about our communities and calculate your retirement costs to better understand your options.

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

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

To learn more about Utah Senior Care Advisors,CLICK HERE.Helping a loved one transition from their cherished home into an assisted living community can be a challenging experience to say the least. Companies are building communities all over the valley in anticipation of the Baby Boomer generation eventually coming of age to need assisted living accommodations. The Baby Boomer generation (1946-1964) are nostalgically defined as the children that were joyously conceived after the Allied Forces ending WWII.Working after school at my family assisted living communities, my best friends were the soldiers and mothers that raised the Boomers, these seniors were my residents and they each taught me something unique about embracing old age. The oldest of the Boomer population is currently eclipsing their early seventies, years away from any thought of the assisted living communities in their future.Many large assisted living companies have already taken advantage of building communities in anticipation of the aging Boomer population with the complete understanding that their resident population boom is still more than a few years away, especially with the average person living a longer, healthier lives than their parents. Black lung and exposure to radiation is less common every day Thanks to OSHA.The consolation for families in need of care for a loved one is knowing that the assisted living market is oversaturated with communities that need residents. Many communities are willing to cut deals, because most of them are competing for the same clients. Let me use my years of assisted living operations experience to advise your family. No other company has the hands on experience that I have. Other senior advisor companies have franchise owners associates with backgrounds in sales and marketing, not much direct care or management experience in an actual assisted living community. Experience makes a big, big difference. Allow me to personally help your family.

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

The best way to protect ourselvesand our loved ones is through socialdistancing, mask wearing and practicing good hand hygiene. Select themask that works best for you and thecircumstances and stay safe!Types of masks for COVID-19protection:Homemade Cotton Face Masks This kind of mask offers a very lowlevel of protection, but it helps remind you not to touch your face. Asa reusable option, it is important tokeep it clean and regularly wash yourface mask in a 140194 F hot machine wash with laundry detergent.One more thing to remember: shapematters! Your mask protects you better when it fits your face perfectly.N95 Respirator Mask N95 respirators are designed to create a tightseal around the nose and mouth.When worn correctly, they can blockover 95% of small airborne particles.Some even have as much as a 99%bacterial filtration efficiency (BFE).Respirators are the best at protecting both the wearer and the peoplearound them. N95s are made oflayers of polypropylene fibers, whichis what makes them so effective.The N95 is regulated by the CDCand NIOSH unless it is marketedfor medical use, at which point theFDA will approve them as well. Inresponse to the Coronavirus pandemic, the FDA changed their guidelineswith an emergency use authorization(EUA) to allow NIOSH approvedrespirators to be used in healthcarecircumstances.KN95 Mask KN95 particulatemasks are also rated to filter 95%of particles and are regulated by theChinese government. The FDA alsoissued an emergency use authorization (EUA) authorizing the useof KN95s as a valid alternative toNIOSH approved masks. Anotherdifference between KN95s and N95sis that the KN95s often use ear loopsrather than an over the top of thehead and behind the neck two strapconfiguration like the N95.3-Ply Disposable Masks 3-ply disposable masks are fluid resistant andprovide the wearer protection againstlarge droplets, splashes, or sprays ofbodily or other hazardous fluids. Theyalso protect others from the wearers respiratory emissions. They aremore loose fitting than either N95 orKN95s, so provide a less reliable level of protection from inhaling smallerairborne particles. When marketedfor use in healthcare scenarios, as asurgical or medical 3-ply mask, theyare regulated by the FDA and therefore provide better protection than ahomemade mask.Editors Note: This article was submitted byChris Myers, Partner at Community Attire, anorganization dedicated to providing protective supplies to help keep people safe andbusinesses running. Chris can be reached atchris@communityattire.com or 213-761-4229.More safety articles are available at communityattire.com.

Communities that specialize to those living with Dementia and Alzheimer's. Communities are typically bedroom-style rental units with common areas for dining and activities. These communities are locked, secured units for residents safety. Staff is specifically trained for the special needs of this population. Amenities and cost vary. These communities are ideally suited for those who do not need skilled medical care found in a nursing home, but might require some assistance with daily activities. This allows for independence. Rates also vary from all-inclusive to base rates with levels of care/point system for care. Payer sources usually accepted are private pay, some insurance plans and some Medicare.#listing_mgr{1 basic_search}#

Its been three years since Dotties husband passed away. She took good care of him right up to the end. Thats what people do when theyve been married as long as Dottie and her husband. Shes on her own now and lonely. Bill always paid the bills and oversaw their retirement investments. Now, its up to her to keep track of everything.Dottie is at risk of being exploited and she probably already knows the individuals who may take advantage of her. The annual financial loss by elder financial abuse is estimated to be $2.6 billion annually. An individual doesnt have to have a large net worth to be a target.Here is who exploiters look for:Homeowners.they are home alone leaving them exposed to scam artistsLonely.sales and scam solicitations can fill a need for socially isolated seniorsDiminished reasoning and memory issues make older adults more vulnerablePredictable patterns of payments (pensions, social security, investment income) make elders more at risk for financial abuseThe perpetrators are not strangers, they are people seniors trust. The top three categories of perpetrators account for 46% of all reported elder financial abuse;* Trusted Professional 18%* Family Member 17%* Non-agency caregiver 11%People who take advantage of seniors are friendly and persuasive. They may start with small amounts of money and take more as time passes, if no one intervenes. They often rationalize their behavior by claiming the senior wants them to have the money/asset, doesnt need it anyway, or that the senior will never miss it.Here are the ways seniors and their families can guard against financial abuse:Have a reliable power of attorney, favor family members who do not live with the seniorKeep belongings neat; and list valuables (collectables, jewelry) in the householdReport instances of financial abuse to police and bank Compliance DepartmentUse an agency with an insured and bonded agency model that has employees as workers, not private individuals who have no accountability to a formal employerEncourage direct deposits of checksHave a safe and secure place where important documents are kept, such as POAs, WillsSeniors should talk to their family and make arrangements before severe illness or disability happens. Unfortunately, many cases of financial abuse are not discovered until a senior has passed away and the family discovers money or valuables missing from the seniors home or bank. This is a difficult financial and emotional situation that can be avoided.Editor's Note: This article was submitted by Bobbie Mecalo, CAPM, BSBA., co-owner of Abby Senior Care, Inc. Bobbiemay be reached at 303-699-8840 or by email atbmecalo@abbyseniorcare.com

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

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

As you or your loved one begins to require increased attention to health issues, keeping an up-to-date medical journal can come in handy.Having quick access to this information is not only useful to you on a day-to-day basis, but to health care providers as well especially in a time of emergency.Keeping the journal is something you and a love one can do together. In a notebook, create sections to include the following:Health Insurance Information In nearly every circumstance when medical care is received, patients must provide health insurance information. Having your loved ones health plan name and policy number readily available can help facilitate quicker access to care.Doctor/Hospital Contact Information You never know when youll need to unexpectedly contact a doctor or emergency medical facility. On one page of the journal, write down the names and phone numbers of the doctors and specialists your loved one sees regularly.Prescription Medications Doctors should always be aware of any medications a patient is taking to prevent over-prescribing or harmful drug interactions. Your health journal should include a list of the medications your loved one is taking and the condition(s) they treat.Allergies Theres a reason why health care providers always ask if patients have any allergies: it can impact the course of treatment provided. Make a list of any allergies your loved one may have, along with the symptoms and current treatment (if applicable).Major Illnesses or Surgeries Devote a page of your journal to listing any major illnesses your loved one has had in the past. Examples include pneumonia, cancer and heart disease. Also make note of past operations, such as heart surgery, hysterectomy, gall bladder removal, appendectomy, etc.Emergency Contact Information Finally, be sure to list the names and phone numbers of family members and/or friends who should be notified in the event of a medical emergency.Once the journal is complete, make sure that you and your loved one keep it up to date, making any necessary changes or additions every time medical care is received.Editors Note:This article was submitted by KayT Matheson. KayT is a Division Director of Marketing & Operations with Genesis HealthCare and may be reached at 208-859-5117 or by e-mail at kayt.matheson@genesishcc.com

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

Work out your way from the comfort of your home with online classes just for SilverSneakers members.SilverSneakers is more than a fitness program. Its an opportunity to improve your health, gain confidence and make new friends in a whole new way, said SilverSneakers member and Florida resident, Pat McCormick. Now SilverSneakers has made it even easier to make fitness a habit with SilverSneakers LIVE online classes!With hundreds of virtual SilverSneakers classes a week, you have a variety of options so you can find something that fits your needs and your schedule. Youll find everything from Zumba and strength classes to yoga and tai chi. There are classes for beginners and ones for more advanced exercisers.SilverSneakers LIVE workouts, like all SilverSneakers classes, are tailored specifically for older adults. Some people might be more active, some may have more limitations, and others may be managing chronic conditions. Thats why youll find a variety of ways to adapt each workout to meet your personal needs.During the COVID-19 pandemic, home is often the safest place to be, and now you can enjoy your favorite SilverSneakers classes without stepping outside. It may also be an advantage for anyone who feels uncomfortable in a gym or is hesitant to try a new class.To ensure that you dont miss a workout, youll get a personal email reminder for each class that you sign up for. Easy!Forming a community online may sound unlikely, but its happening at SilverSneakers LIVE! Members log in before class and stay on after class to talk to each other in the chat function. Many members credit this virtual community with helping them to reduce social isolation and loneliness.Ready to Get Started? If youre already a SilverSneakers member, log in to or create your online account to check out SilverSneakers LIVE. If you are not a member but have a Medicare Plan, it may include SilverSneakers at no additional cost. Check your eligibility and log in at SilverSneakers.com.If you dont have SilverSneakers as a benefit through your Medicare plan, visit our Facebook page to experience SilverSneakers Facebook Live classes!Editors Note: For more information visit SilverSneakers.com or call 1-888-423-4632

As any dental health professional will tell you, healthy teeth and a healthy heart are closely related. A number of recent studies have reinforced the concept that gum disease and tooth loss can increase the risk of developing heart disease and coronary artery disease. This doesnt mean that good oral health will prevent heart disease, but poor oral health could actually increase the risk.How are they connected?Researchers dont know how the heart and dental health are connected not yet but there are a number of theories. Most of them are centered around inflammation. Once the bacteria that cause gingivitis and periodontal disease enter the blood stream, they can travel throughout the body, causing inflammation of the blood vessels and tiny blood clots all over the body, including the vessels in the heart and brain. Heart attacks and strokes are just two of the possible results. And unfortunately, treatment with antibiotics has not proven to be effective at reducing this elevated cardiovascular risk.Its also possible that it is not the bacteria itself, but the bodys reaction to it the inflammation that is the culprit, setting off a cascade of damaging effects to blood vessels, including vessels in the brain and heart.Its difficult to draw clear any indisputable connections between oral health and heart health because there are so many other factors involved. Some of these factors, including smoking, obesity, and lack of exercise, are well established and agreed upon. But research into the dental connection to heart disease is continuing, and the evidencehas become far more persuasive.There are other health risks possible, tooThere is growing evidence that poor oral health may be connected to other conditions as well. Studies have linked periodontal disease to rheumatoid arthritis.One thing is certain: you only have one body, and its many systems are interconnected in many, many ways. Good oral health brushing daily, regular flossing, and regular checkups are a good idea all by themselves, and theres no question that good oral health not only preserves your smile but adds to your overall quality of life.Editors Note: This article was submitted by Dr Fred Guerra. Dr Guerra is adentist with Guerra Dental and may be reached at719-596-1230 or by email atoffice@guerradental.com

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

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

LTACH is an acronym for long-term acute care hospital.The name itself is misleading. Long-term often leads people to assume that its similar to a long-term care facility, but a more accurate description would be a post acute care hospital. The main difference between a traditional hospital and an LTACH is the length of the patients stay. Traditional hospitals are focused on caring for a patient for an average of four to five days. While a long term acute care hospital typically cares for a patient an average of 25 days.The purpose of a LTACH is to provide critical care-level services but with a stronger rehabilitative focus permitted by the longer length of stay. Patients referred to an LTACH must meet admission criteria designated by their insurer including Medicare, Medicaid and commercial insurers. Arrival to an LTACH for a patient will feel similar to their acute care hospital stay. The nursing ratios for patients will be similar and they will continue to have a physician round on them daily for their care.At a LTACH, patients can continue to receive intensive interventions, such as ventilator-weaning, cardiac monitoring, aggressive wound management, antibiotic infusions and TPN, while being managed by a patient care team specialized in rehabilitation. Long term acute care hospitals offer specialized programs for patients who require ventilator-weaning, wound care, infectious disease management, or intensive management of medically complex conditions. Typical services include daily physician visits, telemetry, laboratory, pharmacy, radiology, rehabilitation, dialysis, and an intensive staff-to-patient ratio.Most common questions about LTAC servicesIs a LTACH like a nursing home?Not at all. Patients in a Long Term Acute Care Hospital are too medically complex for nursing homes to typically accept. In addition, admission to an LTACH avoids using precious skilled nursing facility days granted by Medicare, which do not replenish. So the patient wins, with continued acute hospital-level care and conservation of precious Medicare eligibility.Is a LTACH like a hospice?Although many fatal diseases or injuries are serious enough to require specialized care, the Long Term Acute Care Hospital is for patients who can be treated, recover and then return home or to a lower level of care. Hospice care is primarily for those not expected to recover and have a terminal illness.Are there Out-Patient Services?It depends on the individual LTACH, but many offer a full complement of therapy services.For those looking to understand what services and conditions may be available for treatment at a LTACH, the following are the most commonly associated with LTACH: Ventilator-Weaning Respiratory Failure Wounds Medically complex Rehabilitation Amputation Cardiovascular Disease COPD CHF Head Injury Infectious Diseases MRSA Malnutrition Pneumonia Post-Operative Patients Renal Disease/Failure Vascular Diseases Spinal Cord Injury Stroke Trauma Uncontrolled Pain VREPlease contact Brad Miner of Utah Valley Specialty Hospital, 801.226.5881, for more information.Author:Utah Valley Specialty Hospital

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

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.

Thats the question that is looming in every patients mind before a medical procedure, after a newly diagnosed illness, a hospitalization or worse yet a long rehabilitation stay. Lets be honest. Healthcare expenses can add up in a hurry making it critically important that people understand (to the best of their ability) what benefits their health insurance plans provide. Unfortunately, that is easier said than done, right?Group plans are ever-evolving with deductibles creeping higher and the introduction of Health Savings Accounts and Health Reimbursement Accounts to help members fund increased out of pockets costs. Marketplace and short term medical plans change each year making it challenging for members to keep things straight. Medicare is riddled with complexities and often referred to as Alphabet Soup; (Ive made a fun jingle about it!) including BIG differences between Medicare supplements and Advantage plans.So then, what is the answer? Members have many resources when it comes to exploring their plan benefits. Plan materials and policies are sent out to members either by mail or electronically that contain volumes of information. Insurance carriers provide customer service phone numbers that can help address questions during regular business hours. In most cases, members can register for online accounts to view current benefits, claims history, print new ID cards, premium information and much more. Providers can submit pre-authorization requests to help members plan for future services. Did I mention agents? Reputable agents will help their clients navigate their benefit questions. Local senior service programs such as ENOA and Aging Partners can help provide information and direction. Medicare specifically publishes a new handbook each year titled Medicare & You and makes it available by print or online at www.medicare.gov. In addition, Medicare recently developed an app for smart phones that helps determine if an upcoming service is covered.Ask questions, advocate for yourself and family members and be sure to understand your plan benefits BEFORE you enroll. And remember, whats good for your neighbor, friend, or relative, may not be whats best for you.This article was submitted by Stephanie Swerczek. Stephanie is the owner of Simplified Financial Solutions and may be reach at 402-670-0357 or by email at stephanie.swerczek@gmail.com

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

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

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

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

Veterans Benefits that Increase Income to Pay for Long term CareTwo 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.Author: *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.

Market Events have created the proverbial "Perfect Storm" for home sellersHere are 2 ways you can take advantage of the current Sellers Market!We are in the beginning stages of the return of the sellers market! A mix of historically low interest rates, and record setting low housing inventory has created the proverbial Perfect Storm for selling houses at top dollar. Home shoppers across the metro area are out with their Realtors feverishly looking for their next or first home. However, buyers are still picky about what they will buy. Here are two proven ways to help you get your home sold for maximum profit.1) Make needed repairs:Buyers are willing to pay a premium for remodeled and updated homes. Houses that have been remodeled are necessary for people that dont have the money, knowledge or time to make repairs. Besides the needs of buyers, banks have tightened their lending criteria and in some cases are requiring that inspection reports be turned over for review. The old AS-IS sale just doesnt work for retail buyers using bank financing. If the report reads like a laundry list of repairs the lender is most likely to require the seller hire a licensed contractor to make repairs before the bank will finance the home. Homeowners must be realistic about the condition of their property and get a professional to remodel or make repairs before putting up a For Sale sign.2) Make your house a model Home:Time must be spent on preparing the home for showings. De-Cluttering is a must. Banish old family photos, collectibles, and papers to public storage. Clean the carpets, and dust the blinds. Organize your office and shelves. Deodorize pet smells and clean their space. Remember, buyers cannot see past all of your stuff. Showcase your homes best features. Consider having your home professionally staged with new furniture so that when a potential buyer arrives at your house they are greeted by a model home.Real estate is hot right now, so if you are facing a situation that is forcing you to sell your home then by all means take advantage of the market. Invest in your property by making repairs. Help the buyer visualize living in your home by cleaning and staging. Take time to do these things, and you will be happy with the results; your home SOLD for a great profit!Editors Note: This article was submitted by Brandis Meeks, Realtor (SRES).Brandis Meeks is Vice President of Colorados Home Buyers and may be reached at 303-835-0545 or by email at bmeeks@gochb.com

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

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

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

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When is the best time to consider adult day care services for someone I care about? That is a question often asked by caregivers and family members who are concerned about someones safety and well-being. The answer is simple: If you are concerned, then the time is now.If you find yourself asking if its time for additional caregiving services, then generally the answer leads to yes. A comprehensive health care plan for someone who needs additional support during the day should include a day program that provides both mental and physical activities. Evidence shows that attending a day service and engaging with others, eating nutritious, well-balanced meals, and participating in physical and mental activities can sometimes help slow memory loss. Some programs are designed specifically for those with dementia or other cognitive impairments. Other adult day programs provide structured activities for impaired older persons or disabled individuals of all ages. Such structured programs can help the person with the disability or disease maintain abilities that would otherwise deteriorate more rapidly. A person can locate a program that provides more specialized social work, nursing or physical and occupational therapy services.By utilizing adult day care, family members can remain employed, do errands, rest, and be involved in other important areas of their lives. As with any service, the best time to start exploring whats available is before you need it. According to Eldercare Online, you should consider using adult day services when your loved one: Can no longer structure his or her own daily activities Is isolated or at risk for social isolation Cannot be safely left alone at home or theres little supervision at homeIt is beneficial to enroll someone in a day program at least one year before you believe they need the service, so that they can fully enjoy the many benefits the center offers. Spend a day at an adult day center, check out references and talk with geriatric professionals to determine if the center meets your needs.Editors Note: This article was submitted by Marie Johnson, MA, Social Services Coordinator , River House Adult Day Center. She can be reached at 203-629-0079.

As an alternative to traditional burial, funeral, or cremation, whole body donation for medical research, education and training offers the chance to make a contribution that benefits others. You can help advance medicine and improve the quality of life for patients today and in the future.Most will meet the criteria for donation, including those with cancer, heart disease, arthritis and diabetes. Pre-registration is usually not required though you should check with the specific program you are considering. Plus, you can often be both a whole body donor and an organ donor.A life-affirming choice, donation is also a highly individual decision. It is important to research the program that best fits your needs and wishes. Typically the program provides cremation and the filing of the death certificate at no cost.A few areas in which whole body donors contribute to medical advances:Heart diseaseDiabetesSpinal injuriesJoint replacementsCancer researchAdvanced drug deliveryAlzheimers researchBody Donation ProcessTypically the basic procedure for donating your body is straightforward and intended to be efficient and simple for your caregivers and loved ones. Most have similar processes:It begins with a short medical screening over the phone at the time of passing to determine if the potential donor matches current research criteria.The program will coordinate the obtaining of consent for donation and cremation and transportation to the donation facilityTissue is procured and placed with medical research and training projects.Cremated remains may or may not be available quickly for the family. In some cases the tissue not used for research is cremated and available for return within 3-5 weeks.Following donation, the family may receive information regarding research projects and the impact the donor has made to society.It is important to consider if the body donor program is accredited by the American Association of Tissue Banks (aatb.org) which is a nationwide 3rd party independent and scientifically based accrediting body to ensure the highest standards of quality, safety, and dignity for the donor and donors families. For more information on accredited organizations contact the AATB at: 703 827 9582Editors Note: This article was submitted by Melinda Ellsworth.Ms. Ellsworth is the Director of Donor Services with Science Care and may be reached at 800.417.3747 or by email at info@sciencecare.com

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

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

The #1 killer of Older AdultsWith the coming of shorter days, frosty nights and falling snow, late fall marks the beginning of the peak season for accidental falls, especially for older people. Falls and fall-related injuries are the leading cause of death in people 65 years and oldermore than 15,800 deaths per year. For people 85 and older, one in five falls results in death. Contrary to the myth that falls are unavoidable accidents, most falls are the result of manageable or preventable risks. Physical changes that come with aging make seniors more prone to falling. Changes in muscles and joints make movement more difficult and make it harder to correct for a sudden loss of balance. Vision changes make it tough for older eyes to adjust to varying levels of light or perceive depth and distance. Many medications, depression, stress or lack of sleep can also affect judgment, balance and coordination. Older adults who stay physically active improve their balance, flexibility and strength. Exercise and socialization also reduces stress and depression, increases alertness and strengthens the heart and circulatory system. Regular eye exams will help correct vision problems and detect possible diseases, like glaucoma, that make it hard for seniors to see hazards. Sturdy shoes and walking equipment such as a cane will improve balance. A seniors own home presents risks, too. There should be plenty of light in every room and along hallways and in stairways. Motion-activated or timer lights can be particularly helpful, especially as days get shorter. Emergency lighting or a flashlight should also be within easy reach. You can improve bathroom safety by having grab bars installed in the tub or shower and by the toilet. Non-slip strips and a bath bench in the tub or shower and a raised toilet seat are valuable additions. In kitchens, countertops should be kept glare-free. All rugs should be tacked down or secured with nonskid pads. Rugs with highly-contrasting dark and light patterns can interfere with seniors depth perception and should be avoided or replaced. To reduce glare, only no-wax cleaners should be used on floors. Firmly secure handrails are a necessity on both sides of stairways and outside steps. Steps should also have non-skid treads. Furniture should not block walking areas. Make sure all electrical cords are out of the way. Hiring an in-home caregiver can also help prevent falls, especially if youre a senior who is living alone at home or you are caring for an older loved one. In addition to handling risky household activities, a caregiver can provide constant supervision. Supervision is especially important for older people with dementia that makes them get up and wander at night. Editors Note: Submitted by Jared Caplan, General Manager, Home Care Assistance of Dallas.

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 sameconsequence 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 notto 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 understand 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.

Many people think of changing their documents after a marriage, divorce, birth or death, but those are not the only reasons you may want to make changes. Perhaps your agent under a power of attorney is going through a physical or mental health crisis, or the person you appointed executor of your will has made some poor financial decisions lately. You may want to appoint a new Trustee if the agent you chose has moved away, or if theyare struggling with addiction. Its also important to consider whether the people who you have named as back-up agents are still your best options.Here are five questions that may help you decide if change is needed:Is the person youve appointed to be your agent (under a power of attorney, as an executor or a trustee) the best person available to fill that role?Is the person youve appointed to be your agent willing and able to act as needed?Do you need to change the distribution of your assets?Do your documents allow for Medicaid or VA Pension qualification if needed in the future? (IE Durable Financial Power of Attorney with special provisions to allow large financial gifts into trust.) Have you moved to across state lines? While wills, trusts, and power of attorney are valid across the United States, some states have specific provisions. For example, a bank may be more willing to work with your agent under a durable financial power of attorney, if the format used for the document looks familiar.Documents should be kept updated to ensure your wishes are followed. Any changes you make should be communicated with your chosen agents, and copies of your latest documents should be shared with your agents or stored in an easily accessible location.If you think it may be time to update your will or other documents, contact a Certified Elder Law Attorney. 'Editors Note: This article was submitted by McNair Law. They may be reached at 469-210-8371, McNair-DallasLaw.com

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

When patients and their families experience a life-limiting illness, the physical and emotional challenges are burden enough. But the financial stresses sometimes are more than a family can bear. So its vital to fully understand the financial benefits available to Medicare enrollees who choose to take advantage of their hospice benefit.The Medicare Hospice Benefit is ALL-INCLUSIVE. Medicare-certified hospices must accept the per diem reimbursement rate as 100 percent coverage for the services provided to the hospice patient and family.For patients, that means no more co-pays, deductibles or coverage limits. All prescription medications, lab and diagnostic work, and medical equipment and supplies related to the patients terminal illness are provided at no cost to the patient. It also means that hospice professionals provide care related to the patients terminal illness at no additional cost to the patient.Hospice is a Medicare benefit that provides care for both the patient and the patients loved ones. The Medicare Hospice Benefit requires all Medicare-certified hospices to provide an organized program of services to meet the bereavement needs of the family for at least one year after the beneficiarys death. This helps to ensure that all terminally ill patients and their families have ready access to compassionate and effective end-of-life care. Visit vitas.com/florida or call VITAS at 866-928-4827.Editors Note: Submitted by Tamara DeCaro, Director of Market Development, VITAS Innovative Hospice Care of Collier County

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

Often the hardest part of doing something new is getting started, and that's especially true about exercise. This article from AARP makes it easy to get started with the most important exercise to help you age healthy: squats. Five or ten squats are easy to do while you wait for the coffee to brew or the microwave to finish heating.Even when we're healthy we sometimes need a little extra help with the house or errands. Visit our website at www.rosehillathome.com to learn more about how Rose Hill Stay-at-Home Services can help you or a loved one stay in independent and at home.

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.

The real estate market is always changing, and one of the largest recent shifts is the way in which homes are marketed! In the past, agents specialized in fairly small geographic areas, such as the Boise Bench or North End Boise exclusively. This was essential because there was no Internet, and new listing information came via the fax machine and weekly or biweekly paper copy updates. Today, listings are put on the local Intermountain Multiple Listing Service (IMLS) electronically with tons of information available to anyone with access. Millions of people can now view your listing! In the past, most sellers expected their listing agent to put ads in the local newspaper, host open houses & bring the buyer to their home. Today, an exceptional listing agent understands that although there are still great ways to market through print ads, statistically, OVER 90% of buyers look for homes online via their computer, smart phones, tablets, etc. Furthermore, 40% of buyers find the home by themselves online, compared to only 2% using print ads! Your agent must understand this statistic and market where buyers are looking!Preferably, the listing agent will have a Seniors Real Estate Specialist (SRES) designation as well. This designation means the agent understands the unique situations Seniors face in buying or selling their homes, including: loss of loved ones, trusts, 401Ks, IRAs, down-sizing or right-sizing, community requirements, emotional attachments to the home, etc.A great agent can also assist their clients in preparing their home for sale to maximize profits by helping the seller stage their home, make necessary repairs, take professional photos, create a website for the home, etc. A SRES agent understands that Seniors may want to buy in a community that features specific amenities that are most desirable to Seniors, and also may consider proximity to health care professionals. Being near a local hospital could mean the difference between life or death. Be sure your agent has the SRES designation and is FULL-time, and do not be afraid to ask how many homes they sell annually. Everyone knows someone who sells real estate, but having a professional & caring agent will make a huge difference.By Sean Taylor Boise SRES Realtor & Top Producer

Q: What causes kidney stones?A: Kidney stones are a painful condition whereby stones form in the kidney and pass through the ureter into the bladder. Usually the pain associated with kidney stones is caused by the passage of the stone into the bladder. Surprisingly, most patients experience few symptoms when the stone leaves the bladder. There are multiple causes for kidney stones. Most of the time though, there is no definable cause. The best prevention for kidney stones is to drink plenty of fluids, at least 6-8 glasses of water a day. Depending on the composition of the stone, certain medications are useful in preventing kidney stones.Q: Why do I keep getting urinary tract infections?A: Urinary tract infections (UTIs) are caused by bacteria that grow in any part of the urinary tract. The bladder is the most common site for a UTI. Frequent UTIs, 3 or more per year, are divided into persistent (one bacteria that doesn't resolve with treatment) or recurrent (a separate infection, with the same or different bacteria, that has a period of resolution between infections).Causes for frequent UTIs include poor hygiene techniques, hormonal changes such as menopause, incontinence, kidney stones and intercourse to name a few. Some serious diseases, including bladder cancer, may mimic a urinary tract infection and should be ruled out by a qualified urologist before starting treatment for frequent UTIs.Q: I've started to leak urine. Is this a normal part of aging?A: No, it is not a normal part of ageing but unfortunately may become more common as women age. Over 40 million women in the United States are believed to have some type of urinary leakage. There are two main types of leakage. Urge urinary incontinence which is when you have to rush to the bathroom and don't make it in time and stress urinary incontinence which occurs with physical activity, cough or sneeze. It is most common in my practice to see women with a component of both which is a bit more complex to treat. The most important thing to know is that these conditions can be successfully treated and can vastly improve a persons quality of life.Q: My doctor told me I have an enlarged prostate, but I have no difficulty urinating. In fact, I urinate too often. I have good flow and sometimes I have difficulty making it to the bathroom. If my prostate was enlarged wouldn't it be difficult to urinate?A: Symptoms of an enlarged prostate (BPH) can be frequent and urgent urination rather than difficulty urinating. As the prostate grows and begins to obstruct the bladder, the bladder muscles become thicker, and the bladder begins to contract more often and unexpectedly. A careful urology evaluation can determine if these symptoms are due to enlarged prostate, cancer or a bladder or kidney problem.Jonathan Jay, M.D. , Board Certified Urologist Specialists in Urology 239-434-6300

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

Kavod Senior Life recently hosted a town hall meeting with Lt. Kate Young, a Community Resource Officer (CRO) from the Denver Police Department. Lt. Young did a great job helping our residents learn some best practices on keeping themselves safe from harm.While Kavod has protocols in place to keep the campus secure (including a daily check-in system, fob-controlled entry, night managers on staff, lighting and video camera surveillance), once residents step out in the greater community, they need to know how to keep themselves alert and protected.Lt. Young discussed the following points, which were also provided on a handout for residents.GENERAL TIPSNever invite someone into your home who you do not know, and never loan anyone your car.Never give out personal information, such as your Social Security number, credit card, etc.Do not tell unknown persons if you live alone or if you are going out of town.Have a friend or loved one check in on you to ensure you are safe.Shred documents before discarding; be aware of scams and do not trust calls asking for money or personal information.TRAVEL ADVICEAlways be aware of your surroundings. If something doesnt feel right, it probably isnt.Avoid or limit distractions, such as cell phones or headphones, and pay attention to people approaching you.Park, walk and exercise in well-lit areas, avoiding dark areas and less populated shortcuts.Travel with friends or ask someone to escort you to your vehicle or destination as much as possible.Be discreet with valuables; try not to carry more than you need. Also, try to keep valuables on your person, so if your purse or bag is stolen, you still have your important items.Be prepared to have your keys in hand when walking to your car; move quickly in and out of your vehicle.REPORTINGIf something does seem suspicious, report it.Non-emergencies: 720.913.2000Emergencies: 911Online: Denvergov.org/PoliceIt is our goal at Kavod to provide as many resources as we can to our residents to provide them a safe place to live and ensure that they can live their best lives possible. We encourage anyone to take advantage of these resources as well. For more information about Kavod Senior Life and our campus amenities, call our front desk at 303.399.1146 or email Info@KavodSeniorLife.org.

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

Senior centers are gathering places for seniors who are still active and are seeking a place for planned activities, friendship, and planned programs. Lunches are usually served, and transportation may be available.#listing_mgr{7 basic_search}#

Services that cater to the needs of the individual client or resident.#listing_mgr{7 basic_search}#

For many of us, finding our way through stress and anxiety can feel debilitating, disempowering and sometimes, impossible. Did you know there are coping skills to help you move through stress and anxiety meaningfully and increase your overall personal mental health and wellbeing? Start today!Mindfulness Coping SkillCreate a daily routine to include a brief meditation set to relaxing music in which you focus on being intensely aware of what you're sensing and feeling in the moment, without interpretation or judgment. To practice being non-judgmental, try listening to a piece of music and only report the facts of what you hear (instruments, style, tempo) without emotional interpretation and successfully engage in the moment without judgement. Apply this mindset of non-judgmental observation of your thoughts, feelings and reactions while meditating during your daily practice.Distress Tolerance Coping SkillDuring times of high stress and anxiety, the quickest way to return to a mindful state of focus and calm is to try the 5-4-3-2-1 Grounding Method:5:AcknowledgeFIVEthings you see around you. It could be a pen, a spot on the ceiling, anything in your surroundings.4:AcknowledgeFOURthings you can touch. It could be your hair, a pillow, or the ground under your feet.3:AcknowledgeTHREEthings you hear. This could external sounds. Focus on things you can hear outside of your body.2:AcknowledgeTWOthings you can smell. Maybe youre in your office and smell pencil, or in your bedroom and smell a pillow. If you need to take a brief walk to find a scent you could smell soap in your bathroom, or nature outside.1:AcknowledgeONEthing you can taste. What does the inside of your mouth taste likegum, coffee, or the sandwich from lunch?Emotional Regulation Coping SkillEmotional regulationskills includetheability to identify,understandand accept emotional experiences; control impulsive behaviors when distressed; and flexibly manage emotions. Next time you are feeling a difficult emotion, use the acronym RAIN:R: Recognize the emotionA: Allow the emotion to happenI: Identify where the emotion is in your bodyN: Nurture the emotion with kindness and self-compassionEditors Note: This article was submitted by Ashley Lewis, MM, MT-BC. Ashley is a Music Therapist with Central Florida Community Arts and may be reached by email at ashley.lewis@cfcarts.com. Or call (407) 937-1800

If you are a senior, you are a target. Scammers and telemarketers want your money. And sometimes family members and caregivers want more than their fair share as well. The average financial cost for a victim of an elder abuse scam was $28,800, with the telephone being the most common way scammers contact you.According to Merriam-Webster, a scammer is a dishonest person who uses clever means to cheat others out of something of value. In 2016, the top scams reported to the Better Business Bureau included the IRS scam, fake sweepstakes/prizes/gifts, the Tech Support scam, and the Grandparents scam.How do scammers get your information? Scammers look for information that will help them appear to know their victim. Social media is one of their targets that helps fill in the blanks of information they dont have - especially for the Grandparents scam. They also use information on mail not shredded and phone calls. Information is also purchased on the internet from other scammers. What are the tell-tale signs of a scam? If someone you dont know contacts you and promises you something, but you have to give them money first, its a scam. If the person dangles bait on the phone, but they want your personal information, its a scam. If they want your money NOW, there is no time for you to verify the details or call them back, its a scam. How do you avoid being a target? If it is too good to be true it probably is. Ask lots of questions. Do your own research. Dont trust caller ID. It is very easy for scammers to fake the caller ID information (called Spoofing). Dont take company information at face value. Look up the companys information yourself and call them back. Dont call the phone number the person on the phone gives you. Dont stay on the phone just to be polite. Hang up, or tell them I dont give money over the phone. Send me something in writing. Dont use gift cards or money orders or wire transfers to pay for anything. Its the same as sending cash, and cannot be reimbursed. Check your credit statements for unauthorized activity. Protect your personal information. When in doubt, dont give it out. What are the signs youve been scammed? Unrecognized charges on credit card/bank account statements Missing money from bank account Stop receiving bills that you expect Receiving mail at your address but addressed to a different name See procedures on medical explanation of benefits you dont recognize Find accounts that arent yours when you check your credit report What if you think you think someone has already gotten you? Recognize that youve been scammed and act fast Report the scam Cease all contact with the scammer Educate yourself, your family and friends ResourcesPolice and/or Local ProsecutorsState of Texas Attorney Generals Officehttps://www.texasattorneygeneral.gov/cpd/file-a-consumer-complaintFrauds and Scams page: https://www.texasattorneygeneral.gov/cpd/frauds-and-scamsFederal Trade Commissionftc.gov/complaint,, 877-382-4357Identity theft, abusive debt collectors and most types of fraudFtc.gov/PassItOnInternet Crime Complaint Centeric3.gov/complaintInternet-based scams, operated by the FBIPostal Inspection Servicepostalinspectors.uspis.gov, 877-876-2455Scams distributed by US mailConsumer Financial Protection Bureauconsumerfinance.gov/complaint, 855-411-2372Shady business practices and financial products, including loans, bank services, credit reporting, ID theft, debt collection and payment cardsUSA.govhttps://www.usa.gov/state-consumer/texasState and local consumer agencies in TexasBetter Business Bureau Scam Trackerbbb.org/scamtrackerHelp the BBB investigate and warn others about scamsEditors Note: This article was written by Jill Schriefer with teleCalm. She may be reached at jill@telecalmprotects.com or teleCalmProtects.com.

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

Cypress Coves assisted living community, The Inn, offers its residents a lifestyle that allows them to pursue opportunities for learning and growth as well as entertainment and fulfillment, all while receiving the services they need or want.Some people may think of assisted living as being an old time nursing home. Not here! At The Inn, we are all about quality of life. We are proud to say that Cypress Cove was the very first community in the State of Florida, and only the sixth in all of North America, to achieve Person Centered Care Accreditation from the Continuing Care Accreditation Commission. This recognizes our commitment to each individual whom we serve, to allow our residents in every level of care to retain as much control over their lives and their choices as possible. The choices to enhance life at the Inn are numerous. It all starts with our wellness lifestyle offering, Inn Charge! The philosophy of this wellness initiative is that residents will be healthier if they select a balance of activities that challenge a variety of disciplines: Social, Spiritual, Physical, Emotional, Vocational, and Brain Fitness. Special offerings such as the Conductorcise Program, introduced to the residents by its creator Maestro David Dworkin, enhance all of these disciplines as the residents conduct classical music together, while learning about the various pieces of music, the history of their composition, and interesting trivia about each selection. This unusual exercise challenges all six of the disciplines and is not only a valuable wellness tool but provides so much fun that the residents sometimes forget its also good for them!Classes in Skype, digital camera use, computer skills, and cell phone technology keep our residents on the cutting edge of technology, often surprising their grandchildren with their expertise. We are assisted in this effort by groups of students from area high schools and colleges. Many residents refer to our young visitors as a breath of fresh air and the students likewise glean pearls of wisdom from their new friends and mentors. Both populations grow richer by sharing intergenerational events and activities.A younger group of children from a nearby daycare center looks forward to monthly visits with their adopted grandparents. All the holidays become brighter when shared with children, many of whom do not have their own grandparents living nearby.Every month, the calendar is jam packed with choices! Residents enjoy such activities as live music programs, current events discussions, bingo, pet visits, Wii tournaments, brain fitness exercises, dance therapy, pet visits, movies, crafts, seminars, chair volleyball, worship services, games, and gathering with friends in the courtyard. Outings include going out for lunch, to the dinner theater, picnics in the park, for boat rides, shopping, and just taking a ride on the bus in order to stay in touch with how the greater community is changing and growing around us.Three times a day the family of residents at The Inn gathers to enjoy three very important parts of daily life breakfast, lunch, and dinner! We are fortunate that our director of dining services comes from a resort background. Forget institutional dining, and board our cruise ship that doesn't move. The quality of the meals, as well as the choices available, provide a pleasant and inviting setting to visit with your neighbors and make plans for an evening bridge game, or a walk in the courtyard.The professional staff at The Inn stands ready to assist you with your activities of daily living as needed eating, bathing, dressing, grooming, bathroom assistance, transferring, and medication administration. The Inn has an Extended Congregate Care License that allows for additional nursing services not available in a standard assisted living community. This license affords peace of mind, as residents do not have to worry about making a move to another facility if they need some additional assistance temporarily or permanently.Is it becoming tedious to do your laundry, or complete the chores to keep your home clean? The Inn has a professional housekeeping staff to take care of those things for you. Did a light bulb burn out? Cant get your answering machine to work? Our friendly maintenance team stands ready to help you.Residence at The Inn does not require payment of an entry fee; our doors are open to welcome our friends in the greater community to join us in this relaxing, worry-free lifestyle. We firmly believe in the old saying No one can go back and change the past, but anyone can start today and make a new life.We at The Inn rise to the challenge of giving our residents something to look forward to every day! We are proud of Cypress Cove, a neighborhood of friendly people, fresh ideas, and new possibilities!Editors Note: Submitted by Sharon Giebels, Director of Assisted Living and Wellness at Cypress Cove. She is a Certified Aging Services Professional and a Certified Alzheimer's Trainer. with a Masters Degree in Health Services Administration.

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

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.

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

Click here to begin your FREE search!Have you heard of BenefitsCheckUp? 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 our BenefitsCheckUp 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!How BenefitsCheckUp Works:Answer some questions. Review your initials results or enter more details to personize your report.Get your report. Provide more information to get a customized report of benefits youre most likely to qualify for.See how to apply. Review your custom report, learn more about benefits, and start enrolling in programs.Click here to begin your FREE search!

A New Decade, A Fresh and Safe StartWith the start of a new decade, it's a great time to get a fresh start. Make your space safe and comfortable by getting rid of the stuff you really dont need or want anymore. The challenge is deciding what to let go of. Here are some helpful tips to consider.Only keep what you LOVE and what you NEED.Everything else is just more stuffget rid of it!!Ask yourself whats the worst thing that will happen if you let go of this item?When is the last time you used this item?If its been more than a year, its not worth keeping.Did this item come into your life for a reason (one time occasion), a season (for a little while) or a lifetime (a forever keeper)?If it has a special memory but you really dont want it in your space anymore, take a picture of it and then let it go.Would you enjoy the money youd get from selling the item more than keeping the item itself?Here are some helpful tips for purging papers!Schedule a particular time on your calendar to do this project.Get support from someone in your life before you start, and plan on reporting to them after to share your success!Make it pleasant, put on music that is soothing and uplifting, preferably instrumental.(Lyrics can clutter your brain when youre trying to concentrate on this project!) Light a candle, open a window, get the air smelling good and fresh.Remove all bills and statements that are from the previous year.If they need to be kept for tax purposes or permanent records, file them in your archive files Shred or recycle the rest.Remember: Tax files only need to be kept for seven years.Glance through ALL of your files to purge what is no longer relevant. Example: Outdated events and documents, closed accounts, instruction manuals for items you no longer own, etc.Reward yourself in some special way when you have finished!Its going to feel GREAT to get this handled, so go for it!!If you are not able to complete these tasks on your own, hire a professional organizer.The cost will be offset by your increased safety and happiness.Editors 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.

Dementia, Delirium and Alzheimers DiseaseUnderstanding the differences between these terms is a first step in understanding what may be going on with you, a family member, a friend, or colleague.Dementia is often incorrectly used as an interchangeable term for Alzheimers Disease. Dementia does not define any specific disease, rather denotes that there are symptoms causing cognitive difficulties severe enough to interfere with daily live. These disorders cause the death of neurons (brain cells) or permanent damage to the neurons. Illnesses of dementia are generally of a gradual onset, while being progressive. At this time there are no known cures. Treatments are available to mitigate the severity of some symptoms such as behavioral therapies, person centered interventions, and in some instances medications.Alzheimers Diseases (AD) is the most frequently occurring form of dementia with three distinct forms and one variant, affecting people from 30 years of age to over 85.In addition to AD, some of the other forms are vascular dementia, Lewy Body Dementia, the Frontal Temporal Dementias, Parkinsonian Dementia, AIDS related dementia, Creutzfeldt-Jakob Disease and dementia due to a traumatic brain injury.Delirium follows a time pattern with an abrupt onset, and of a short duration. Delirium can occur within a diagnosis of a dementia related illness, or when there is no such illness present. Delirium is a temporary event that can result in confusion, disorientation, changing levels of consciousness, hallucinations, delusions, anxiety, jerky movements, disturbed sleep cycles, memory impairment, periodic agitated behavior, mood changes, altered speech, and changes in blood pressure and pulse. Delirium can be treated and cured because it is caused by an underlying medical problem (such seemingly simple things as a bladder infection or constipation can precipitate a bout of dementia) drug toxicity (caused by taking medications improperly, incorrect dosage, incorrect medication, anesthesia, among other drug factors) and environmental factors (such as sensory overload, too much noise, sensory deprivation often stemming from isolation, and impaired hearing). Once the underlying cause of the delirium is treated the symptoms subside and the person returns to previous levels of functioning. Unlike dementia, delirium does not involve structural changes to the brain.Alzheimers & Dementia Resource Center is here to help you every step of the way, from initial concerns, to diagnosis, to treatment interventions, skill building, learning about the disease and understanding all the options available to you so that you and the person for whom you are caring can LIVE with a dementia related illness.This article was written by Edith Gendron, Chief of Operations for the Alzheimers and Dementia Resource Center. She can be reached at 407-436-7750

For more information on the Guest Author, Jackie Waters, with 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.

What happens when you reach that point in life where you are required to take medications daily but can't seem to remember to do so? It might be time for an Automatic Medication Dispenser.What is this you might ask?Automatic Medication Dispensers are medical devices that can be programmed to organize and remind you when and what medications to take. They come in a variety of sizes to accommodate those who take few medications daily and those whose medication list never seems to stops growing. You can program the device with morning, afternoon and night reminders; many have flashing lights, audio alarms, and buzzing vibrations for those who are hard of hearing. At the set time the device will alert you and then dispense the appropriate medications. Most of these devices are programmed and monitored by your registered nurse (RN) or other assistant providers.What are the benefits of having one?- Set it and forget it. Once the device is set for the week there is no more worrying about taking the right pills at the right time- Convenience. Having all your medications stored in one secure place- No cost! That's right; many home health care companies provide this service free of charge while using their services.- Reduces the risk of forgetting to take your medication or taking the wrong medication at the wrong time.- Medication Protection. The devices typically have locks on them so that your medications don't go missing. Automatic Medication dispensers are great for anyone who struggles to remember to take their medications or who is maybe struggling to remember things in general!Editors Note: This article was submitted by Adrienne Sirstins, with Midas Creek Home Health and may be reached at 801.302.8526 or by email at midascreekhh@digis.net

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

Did you know that a persons smile affects many areas of their lives? It affects a persons overall feeling of wellbeing, as well as their social & business interactions.The structural health of the teeth is very important. Any breakdown of the teeth is progressive in nature. As an example, a small cavity can be treated very conservatively, however left unchecked, it can lead to an abscessed tooth requiring a root canal treatment & crown. In the meantime, the infection in the tooth has deleterious effect on the whole body.Periodontal disease is extremely harmful to persons overall health. There are 11 pathologic, disease causing bacteria associated with periodontal (gum) disease. As the disease progresses, gum & bone tissue (the foundation for the teeth) is destroyed. Pockets develop that make it impossible to clean the teeth properly. The infection & associated inflammation contribute to many systemic diseases, including heart disease & diabetes. In addition, many of the chronic inflammatory diseases that we know of are affected. Fortunately, today we can identify the disease causing bacteria with an oral DNA test & utilize the most effective antibiotics in conjunction with laser periodontal therapy. Laser periodontal therapy is much more effective & comfortable than previous treatments that were available.The relationship of the jaw joints to the teeth is very important. A poorly aligned bite system leads to wear & fracturing of the teeth, as well as breakdown of the gum & bone supporting tissues. In addition, the chronic inflammation of the joints leads to degenerative osteoarthritis in the joints. Chronic inflammation in the joints affects all of the organs in the body & often leads to headaches, as well as poor sleep.The alignment of the teeth is not only an esthetic concern. It not only affects the health of the teeth & gums, it is also a source of chronic inflammation affecting the entire body. FastBraces is an excellent way to align the teeth. It is healthier, faster, & more comfortable.In conclusion, oral disease affects more than just the teeth & gums. It is a source of chronic inflammation that contributes to most other diseases in the body. Be sure your dentist provides a thorough exam and interview and then discuss all health concerns with them. Better overall health could be a smile away!Editors Note: This article was written by Dr Donald Couchman, with Couchman Center for Complete Dentistry. He can be reached at 719-593-0263.

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

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

Seniors have more housing options than ever, from the booming tiny house market to roommates and retirement communities. Senior living communities, however, remain a popular choice.Family members who provide hospice care to a loved one at home can experience emotions and encounters that range from immensely satisfying to intensely scary.When a hospice patient takes a turn for the worse at homestruggles to breathe, experiences sudden pain, loses consciousness, becomes agitated, or battles chronic nausea, vomiting or diarrheaVITAS Healthcare offers an additional level of care that brings a nurse or aide directly to the bedside, when medically necessary, for temporary shifts of care up to 24 hours a day until symptoms resolve.Its called Intensive Comfort Care (ICC), one of the four levels of hospice care mandated by the Medicare hospice benefit. ICC makes it possible for appropriate patients to receive around-the-clock hospice care at home, where ICC teams manage symptoms, relieve pain and keep hospice patients out of hospitals and emergency rooms.ICC supports hospices focus on quality of life. ICC is rooted in VITAS commitment to honor hospice patients wishes to remain at home, surrounded by familiar places and their families. This level of care also extends to patients who have complex conditions or challenging diagnoses. Sometimes, ICC patients have been diagnosed with more than one disease (e.g., heart disease and diabetes; chronic lung disease and end-stage kidney disease). These high-acuity patients often require special levels of care that other hospice programs are not equipped or able to provide.Hospice care begins after curative treatments stop or are no longer effective. But some modalities can support quality of life for hospice patients with complex needs, even if they do not treat the underlying terminal disease. For example, intravenous hydration or antibiotics can help manage the pain of an underlying disease, while respiratory/ventilation support can ease breathing discomfort or anxiety in patients with advanced lung disease.For complex patients, ICC and complex modalities keep care focused on the hospice philosophy: compassionate care that supports quality of life at the end of life. The good news is that ICC can be provided wherever the patient calls home: private residence, nursing home or assisted living facility.Editors Note: Article Submitted by: Cathy Carlson, General Manager for VITAS Healthcare in Chicago. For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

Making the transition into an independent living community is exciting, but it can leave you with lots of questions. How do I know when its time to move? Everyones reasons for moving to a senior living community are different. For some, its due to need, like a health crisis or change in available care at home. For others, its based on a lifestyle choice, so they can surround themselves with top-notch services, amenities, and opportunities. Whichever is the case for you, here are some things to consider when deciding when the right time to move are:The lifestyle youd like to live.Your healthcare needs and who is available to help you meet them.Your needs in the upcoming futureits easier to make the move earlier than later.How do I choose a Community thats right for me? Deciding which community is right for you takes a little bit of research. Youll want to think about location, amenities, staff, affordability and ratings.What should I expect once I get there? Once you make your decision, the hard parts over; now its time to explore, relax, and enjoy your new home.In a quality, full-service Retirement Living community, you can live the life you want without worries like everyday maintenance or security. There are many benefits and opportunities like:Delicious and nutritious restaurant-style diningFull calendar of events and activitiesTransportation services that make running errands and visiting your favorite places easySpacious, beautiful living areas that make coming home the best part of your dayInternet and cable connections so you can stay connected 24/7Housekeeping servicesA community of like-minded people that will quickly make you feel like youre homeChange is never easy, especially big lifestyle changes like moving into an independent living Community. Ask the right question, tour, and then take a deep breath and feel confident in your choices.Editor's Note: This article submitted by Tim Watson, Executive Director at Flatrions Terrrace. He can be reached at 303-939-0594 or by email at tim.watson@flatironsterrace.com

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

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

If you are a senior moving into asenior residential living community, or if your family has a senior loved one who is planning such a move, there's a lot to take care of beforehand. One of the major things to work on is finding storage for furniture and other personal items that cannot stay in the home, perhaps due to its impending sale. Many senior living facilities have limited space for residents' personal items, or they might havelimits imposed by state laws, which means that many treasured possessions must be either given away, thrown out or put into storage. Even if a facility has virtually unlimited space for personal things, it's still a good idea to store some of the bulkier and heavier items in a safe place until you're sure the new community will be a permanent home. By taking this route, you'll at least save the trouble of having to move everything twice if a change of facilities is required.Its important to find a good senior storage facility for your items. Seniors have somewhat different storage needs than people in other age categories, and there are several criteria a storage site should meet to be a good match for senior customers. Knowing how to spot a good senior storage facility when you find it saves time, money and effort. Starting early, asking the right questions and finding the right storage facility for yourself or a senior loved one helps reduce the strain of a move for those already struggling with a difficult transition period.Whats Special About Seniors Storage Needs?Seniors often have unique needs when it comes to looking for storage that younger adults may not have to think about. Where many people look for storage units to hold surplus items that are taking up space in their homes, seniors are frequently looking to store most or all of the items in their homes. The transition into assisted living facilities or other senior living arrangements often results in the need for a place to store a houseful of furniture and a lifetimes worth of keepsakes. Even when packed as efficiently as possible, this vast quantity of belongings can take up a lot of floor space and require a larger-than-usual storage unit.Moving into a new home, even if its justdownsizing into a smaller house or apartment, can be an expensive feat to accomplish for seniors living on a fixed income of Social Security and a pension. The cost is somewhat lessened if the storage is temporary, which it often is for seniors who intend to recover their things after they settle into a new place. Yet those savings are sometimes offset by the seniors need to hire professional movers who can handle the heavy items for them. This dynamic of circumstances causes seniors to need more space than younger adults, though often for less time.Things to Look for in Senior Storage ArrangementsMeeting seniors needs for storage requires some unique concessions on the part of the storage facility. Extra space for large amounts of furniture, for example, helps keep all of a seniors household items together. Flexible pricing, or even a veterans discount, can be beneficial for many seniors and families trying to budget a move.Flexibility is also helpful a few months after signing the initial contract when the senior is settled in and has the space to move some items out of storage and into their new home. It may be that a smaller storage unit is more appropriate after the couch, bed, dresser and several boxes of keepsakes have been transferred to the senior living community. Larger storage sites that have many different-sized units available make it quick work to shift the remaining items to a smaller and less expensive unit. This option is also much easier when rent on the unit is month-to-month from the start, instead of a fixed-term lease that requires you to rent a specific unit for a year or more.Some storage facilities offer valet service to help move items into or out of a storage unit. Some even offer van or truck delivery for a nominal charge. Valet service is especially attractive for many seniors, even those who have family members who live close enough to help with such a move.One studyfound that seniors in America are up to five times more afraid of becoming a burden to their loved ones than of dying. A storage facility with a convenient and affordable valet service provides seniors with the option of handling item relocations by themselves. This helps them take more control of their affairs and lessens the embarrassment that occurs when they feel theyre imposing on loved ones.Warning Signs to Watch Out ForIts always a good idea to start your search for acceptable senior storage as early as you can; theres a lot to research before the move. As you investigate storage facilities, you might notice characteristics that lead you to believe the site is not a good match for you or your senior loved one. Dont be afraid to go with your gut impressions. Common warning signs include:Rigid pricing or unit policies that impose a one-size-fits-all approach to senior storageLong-term lease requirements that force seniors to rent more space than theyre likely to need in the near futureInadequate security at the site, given the cash value of expensive items and heirlooms that are being storedRestricted access or bad site layouts, which can make it difficult for movers to get close to the unit when moving bulky items such as couchesPoorly sealed units that are not ventilated or climate-managed, which can expose irreplaceable items to moisture, mold and other hazardsPuddles of water inside public areas of the building, which indicate that leaks might be present within the units themselvesHow to Shop Around for Great Senior Storage FacilitiesThe importance of finding a great storage solution for a senior cant be overstated. It takes time and research that may include physically visiting the sites youre considering, to inspect them in person. Start your search online by looking up storage facilities located within a convenient distance of either the senior facility youve settled on or the home of a family member who can help with the move. Glance over the sites features and amenities and make a ranked list of the facilities you are considering, based on factors that matter to you, such as price, location and security.Once you have a list of at least three to six potential sites, call and make an appointment to visit each of them. If you have the time, consider showing up unannounced a couple of days before your scheduled appointments to observe how the places normally operate on a daily basis.Site managers often view these inspections as selling opportunities, so its a good idea to explain upfront that you are still investigating multiple locations. Ask to be shown the larger units, which you may need at first, and then check out the smaller options, which may wind up as your long-term choice after the final move. Look for evidence of leaks and gaps in the structure of the units, as well as dents or scrapes on the doors that could indicate frequent break-in attempts or other trouble. Try to gauge how much room a truck would require when backing up to the units youre looking at and whether any obstacles could cause maneuvering difficulties. Finally, ask about price structures, flexibility in changing units, lease conditions and whether the facility offers discounts to senior citizens, veterans or their surviving spouses.Final Questions to Ask When Youre Researching Senior Storage OptionsApart from inquiring about pricing discounts, consider asking the site manager some of these questions to get a fuller idea of how your storage choice is likely to work out:Does the site offer extra-secure storage options for valuable items such as jewelry collections, art or military medals? What about insurance on these items?Does this facility report unusual events, such as fires, leaks or break-in attempts, to residents in a timely manner? How will you be informed of such events? Are police reports or other formal documentation of these events available for customers to see?If a senior client falls behind in their payments, how long is the grace period before the facility seizes their stored items?Are on-site staff available to assist seniors with limited mobility? Will they help carry items out? Are there fees for this service?Does this facility limit the frequency of visits?Has this facility ever had an issue with bedbugs, toxic mold or other hazardous materials that could damage a seniors cloth furniture, clothing or other personal items?Can vehicles be stored at the location? Is there a parking space right next to the rented unit or are there units large enough to accommodate vehiclesandpersonal belongings? Is there a discount available for this?Can people other than the listed renter, such as a seniors next of kin or caregiver, collect items or access the site without the senior being present? How are those permissions granted and documented?

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.

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

Older Adults in El Paso, Park &Teller Counties receive over $5 Million in services; it is not enough.There is a little-known Federal act, the Older Americans Act, that was established in 1965 in response to concerns about a lack of community based social services for older persons. The vital Older Americans Act (OAA) dollars are sent to states and communities every year to provide a wide range of services that prevent unnecessary nursing home placement, promote healthy aging and help people age with independence and dignity where they want to be, in their homes and communities. In the Pikes Peak Regions El Paso, Park and Teller Counties, these funds are administered through the Pikes Peak Area Agency on Aging (AAA). The OAA helps millions of older adults each year by providing in-home supportive services that assist them to bathe, get dressed or maintain a clean and safe home. It provides transportation programs to keep older adults engaged in the community. OAA supports home-delivered meals or dining at community centers. It supports the nutritional and social needs of older adults, while evidence-based community programs help people manage their chronic conditions and prevent falls. The family caregiver support that is offered through OAA helps those who are helping older adults.At the time of this article, the OAA is being reauthorized at the Federal level. AARP has tracked the funding gap and shows that since 2000 the aging population has increased 50% with funding increasing only 1.1% annually and sadly there was a 20% cut in funding in 2010. Many organizations and individuals have advocated to replenish funding to the 2010 level and then continue increasing funding to meet the growing need for food, caregiver support, transportation and more. By the year 2030, more than one in five people in the U.S. will be age 65 or older, yet it appears the Act will just barely pass and hold to the existing, inadequate funding levels.Older Americans make up a significant population of our country. As we all age, we want to have resources that are beneficial for us to age in place. The OAA funds distributed by the Pikes Peak Area Agency on Aging provides 19 services through 18 contracted partner agencies and six services through the AAA staff. In 2019, the AAA updated its State Four Year Plan. The full Plan can be accessed on the AAA website but highlights include a focus on affordable housing, mental health, social engagement, elder abuse prevention and transportation resources. As we look forward to the year ahead and how we can better meet the needs of older adults in our region, save the date for May 1, 2020 for the Older Americans Month Kickoff Event at the Pikes Peak Area Agency on Aging where we will celebrate and reframe aging. And, stay tuned for OAA news.To learn more about the Older American Act visit the National Council on Aging or the Administration for Community Living.Editors Note: This article was submitted by Melissa Marts, Program Development Administrator, with Pikes Peak Area Agency on Aging. She may be reached at 719-471-2096, or by email at: mmarts@ppacg.org

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.

For more information onVITAS Inpatient Hospice Care, CLICK HERE!ByBob Johnson,RN,general manager for VITAS Healthcare inCollier CountyChoosing a hospice provider is one of the most important decisions you will make for yourself, a loved one,and your family. By law, every hospice program must offer the same basic services.How can you be sure youre choosing the best program?Keep these factors in mind to ensure you receive theprofessional, compassionate end-of-life care you and your family deserve.Evaluate the providers reputation.How long has the provider been in business? Does it hire its own employees or contract with other agencies? What do other patients/families say about this provider?Check the providers certification, licensing,and payment policies.IsitMedicare-certified, licensed,and accredited in your state? Is it certified by the Department of Veterans Affairs (VA) as a We Honor Veterans program? Does it accept Medicare, Medicaid, VA benefits,andmost private plans?Provide charity care?Obtain details aboutdepth of care.Does the programprovide individualized care? Doeseach team include:nurse, physician, aide, social worker, chaplain, bereavement specialist,and volunteer? How frequently do team members visit? Do they educatecaregivers?Ensureitprovides all four levels of hospice care:Routine home care(wherever you call home); continuous care up to 24 hours per day (per Medicare guidelines); inpatient hospice care (when symptoms can no longer be managed at home); and respite care (up to 5 days) for caregivers.Ask about timing andemergencies.How quickly can hospice care start? Are patients admitted 24/7? Does theprovider offera 24-hourhotline to answer questions and respond to crises?Assess the providersexpertise.Can it care for patients who require complex modalities or have more than one chronic disease?Does care honor the cultures, traditions, beliefs,and needs of specific populations (e.g.veterans, LGBTQ,Black, Latino, Haitian, Asian, Jewish, etc.)?Explore supportive services.Does the programhelpwith advancecareplanning andprovide integrated services(e.g.,music therapy, massage therapy, pet visits, etc.)?Pay attention to impressions.Were the representatives empathetic?Good communicators? Did they answer allyourquestions?Learning about end-of-life care options can transform a difficult time into a good death.Ask the right questions to make sure you choose the best hospice provider for your familyso that your experiences and memories will be positive and heart-warming for years to come.

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 r