Growing old can be a daunting thought for many people. But the truth is, there are still plenty of fun activities and hobbies that elders can enjoy even as they age. Here are some suggestions for things that elders can do to stay active and engaged in their later years.Travel: Just because someone is no longer young doesn't mean they can't enjoy new destinations and experiences. Many travel companies offer tours designed specifically for seniors, allowing them to see the world at a comfortable pace with like-minded individuals.Attend concerts and events: Music and other forms of entertainment can be enjoyed at any age. Whether it's a symphony performance or a local theater production, there are always events happening that elders can attend.Volunteer: Giving back to the community is a rewarding experience, and there are many opportunities for elders to volunteer their time and talents. Whether it's helping out at a local food bank or mentoring youth, there are endless ways to make a difference.Take up a new hobby: Learning something new is a lifelong pursuit, and elders can still pick up new hobbies and skills well into their later years. From painting to knitting to woodworking, there's something out there for everyone.Exercise: Staying active is important at any age, and elders can still enjoy a variety of physical activities such as yoga, swimming, or even just taking a daily walk around the neighborhood.Join a club or social group: Socializing with others is crucial for mental health, and there are many clubs and groups geared towards seniors such as book clubs, bridge clubs, and even senior centers.Learn technology: Technology has made the world a smaller place, and it can provide endless entertainment and learning opportunities for elders who take the time to learn. Whether it's setting up a Skype call with loved ones or learning how to use social media, there are plenty of ways to stay connected.In conclusion, growing old doesn't mean having to slow down or stop enjoying life. There are still many fun and engaging activities that elders can pursue in their later years. With a little effort and a willingness to try new things, getting older can be a time of exciting possibilities and adventure. Article written by: Seniors Blue Book

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

Northland Heights Senior Living in the North Hills is a new senior housing community and they are accepting new residents! Learn more here!

Choosing a Medicare Plan can be overwhelming for most.If you are coming out of a group plan, aging into Medicare, recently moved, on disability or Medicaid or exploring options during Open Enrollment, there are specific plan features to consider. Lets explore what to do and what NOT to do when reviewing your Medicare plan options.Do NOT go with a plan because its your friends plan. My first question to a Medicare beneficiary is, how did you select this plan? The answer 95% of the time is because my neighbor or friend is on the plan. That is great for them, but may not be for you.What TO do? Consider your physicians, medications, travel and budget to name a few. Its important to have a professional review all of the options to determine which plan and carrier is right for you, your finances and lifestyle.Editors Note: number is 941-809-2012 and the website at insuranceplansforu.com.

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

To learn more aboutLegacy Village of Taylorsville, CLICK HERE.Premier Memory Care in Taylorsville, UtahWelcome to Legacy Village of Taylorsville. Serving the west side of the Salt Lake Valley, Legacy Village of Taylorsville is the premier provider of memory care services. Our memory care community, called The Cottage, is specially-designed to care for residents with Alzheimers disease or other special needs. It is staffed by professionally-trained caregivers that provide extra assistance and supervision. Our residents benefit from personalized care, meaningful activities, family-style dining and beautifully decorated living areasall in a secure, home-like setting.Let Us HelpIf you are caring for a loved one with Alzheimers disease, dementia or other form of memory loss, you know first-hand how difficult caregiving can be. Sometimes, this challenge may seem impossible to face. In fact, sometimes, this challenge may only be faced with a helping hand.At Legacy Village of Taylorsville, we recognize that caregiving can be stressful and that it is not always easy to ask for help. Weve also learned that being a good caregiver means both meeting the needs of the person needing care and recognizing when you are not able to do it all yourself.OurPersonal TouchCultureWhy choose Legacy Village of Taylorsville? Caring for seniors and their families since 1996, Legacy Retirement Communities is a premier provider of senior living services. At Legacy Village of Taylorsville, we distinguish ourselves from others by embracing aPersonal Touch Culturethat strives to make a heart-to-heart connection with those we serve. We believe in an individuals worth and respect their uniqueness. We personalize our services by knowing our customers through sincere listening, caring service and attention to personal details.Visit today. Wed love to have you over for lunch.

Sometimes we need an extra pair of helping hands. Individuals with chronic conditions, seniors with limited mobility or advanced dementia and post-surgical patients may all benefit from assistance with daily activities from a professional caregiving company.Choosing a caregiver can be a daunting task. However, there are some steps you can take to make the process easy and worry free.Determine what degree of assistance your loved one requires. Someone who suffers from extreme dementia or physical incapacity or who is a flight or fall risk may require around the clock care while someone who simply requires assistance with bathing, meal preparation, light housekeeping or companionship may only need help for a few hours a day, especially if there is a spouse or relative living in the home who can also assist.Seek references and referrals. Ask advice from friends and acquaintances, doctors, discharge planners, social workers, and internet reviews.Call the company. Confirm that the company is licensed by the State of Texas, bonded and fully insured. Ask if they are locally owned and operated, or a franchise. Are their caregivers employees or independent contractors? If they are independent contractors, ask if you will be responsible for insurance, taxes and liability. Verify fees and hourly minimums (four hours is standard in the industry) and ask about any additional fees or surcharges.Choose a company with capable, trustworthy, experienced and well-trained caregivers. Ask how the caregivers are screened and trained. Are they CNAs? CPR certified? Do they receive ongoing training, including training for emergencies? Is a physician on staff to assist with education and training?Ensure that you will be carefully matched with a caregiver. Ask about steps the company takes to match clients and caregivers and how quickly they can replace a caregiver in the event of a personality conflict or illness.Choose a responsive company. Be sure that the company will assign a dedicated representative to conduct home visits, follow-ups and oversight of caregivers. Verify that someone will be available 24/7 to address emergencies or client concerns.Knowing the right questions to ask can ensure that you pick the best caregiving service for your loved one. A complete list of questions is available.Editorial note: Submitted by Cambridge Caregivers. They may be reached at 972-423-3600 or at questions@cambridgecaregivers.com.

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.

Home Care We understand that budget is a primary consideration when you are making arrangements for home care. We also know that you want the best for your loved ones. Let us help a little bit. Here a list of things to consider when youre shopping around:Before you make your first phone call, thoroughly consider your needs in a caregiver: Do you need a companion, or someone who can provide hands-on care, such as assisting with bathing, dressing, helping you move around, etc.? Do you need assistance with cooking and light housework? Do you need a caregiver who can drive you to doctor appointments or social events? Do you need a caregiver who is specially trained to work with patients with a memory loss diagnosis, such as Alzheimers or some other form of dementia? Do you need a caregiver with special training in fall prevention or hospice care? Do you need a caregiver who speaks a particular language? Do you need skilled medical assistance to take vital signs, do blood sugar testing, medication administration, wound care or tube/drain/bag maintenance?To protect yourself and your loved ones, ask questions. Get the facts about the agency and caregivers: What levels of care are available? Are they licensed for medical care or only companion care services? If a worker is injured in your home, will they be covered by the agencys workers comp insurance? Are their caregivers supervised by an RN? Does a nurse conduct an initial assessment before starting each case? Are their caregivers licensed, insured, and bonded? Are they tested for drug use or given Federal background and driving tests? Are they independent contractors? Do they take care of paying taxes and withholdings for the caregiver, or will you have to do that? If there is a personality conflict or other problem with a worker, can a change be made? How would that be handled? What are their rates? Will you have to commit to a minimum number of hours each day/week/month? What happens if a caregiver calls in sick orhas an emergency? Will they send another caregiver of equal skill and experience? Can you interview the caregiver before you commit to using their agency? Do they check references, and can you get details of the caregivers experience and background? Can you get someone who has worked with patients with similar needs? What happens in case of an emergency? Can their caregiver provide hands-on help, such as CPR?Heres how you can make the process of starting quality home healthcare easier and eliminate unwanted surprises: Before a new caregiver starts, write out a basic daily and weekly schedule for the patient. Be sure to include a list of likes and dislikes, with respect to both foods and activities. This will make the transition much easier and less stressful for the patient, and will help the caregiver get up to speed quickly. Remember that you are the customer. Do not hesitate to express your needs and give feedback, especially if you are dissatisfied or worried. The matching of a caregiver to a patient is as much an art as a science, and clear, constructive feedback will help everyone. A note on 24-hour care: Live-in caregivers are often more convenient and cost-effective than utilizing multiple workers in 12-hour shifts. However, live-ins do require some time off and private space for meals, sleeping, and grooming, while 12-hour workers do not sleep while on duty. If the patient requires lots of attention during the night, 12-hour shifts or an additional overnight caregiver may be the right solution 'Editors Note: These useful tips were provided by Alison Richardson, Owner, BrightStar Care of Frisco, and Bill Stinson, Owner, BrightStar Care of Plano.

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

Our population is aging rapidly and with an aging population comes an increased need for different careoptions. Nine out of ten seniors express a strong preference to age in their own homes. In its simplest terms, home care means assistance with activities of normal daily living and household tasks. Ideally, home care also provides meaningful companionship for older adults and peace of mind for their families. Home care can serve as a comprehensive alternative to an institutional setting like a nursing home or assisted living facility. Home care can also be a valuable resource when an individual of any age has had an injury, surgery or is suffering from a chronic illness.There are two different types of home care:1. Medical Home Health Care: Licensed professionals caring primarily for medical problems and is commonly referred to as home health or hospice.2. Non-Medical Home Care: Personal caregivers helping with normal activities of ones day and is commonly referred to as home care.Here are important benefits of in-home personal care:1. Home care is delivered at home where 90% of seniors want to live.2. Home care helps the elderly maintain their freedom and encourages their independence.3. Home care keeps families and their social relationships together.4. Home care maintains family roles helping prevent children from becoming their parents parent.5. Home care reduces complications during post-hospitalizations and helps prevent re-hospitalizations.6. Home care is safer for many seniors than being alone much of the time.7. Home care promotes healing because we get well faster and with fewer complications at home.8. Home care is personalized care tailored to the specific needs of the client.9. Home care prevents or postpones the regimentation of institutionalization.10. Home care reduces stress and provides peace of mind to families.11. Home care is rendered by special people who are motivated to provide satisfaction to their clients.12. Home care can be less expensive than other forms of care occurring in facilities.13. Home care adds years to ones life and adds life to ones years!Editors note: This article was submitted by Mark Bowman, President of Home Care Assistance of Utah. Home Care Assistance provides high quality in-home care for seniors in line with its proprietary Balanced Care MethodTM across the US, Canada and Puerto Rico. To speak with Mark or another Home Care Assistance of Utah employee call 801.733.6100

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

Know a stroke survivor with shoulder pain? Its a common complaint, and a major source of anxiety for survivors and caregivers alike. Shoulder pain affects stroke survivors independence and long-term quality of life. Yet, survivors often struggle to have their pain adequately addressed. The following is a discussion of 2 frequent contributors to shoulder pain in stroke survivors, how to recognize them, and potential methods of treatment.Contributor 1: Physical injury. Physical damage to the shoulder can pre-date stroke, but may also occur due to accidental mishandling/poor positioning of the limb. Stroke survivors commonly experience changes in muscle tone, sensation, or both. Structures that are too loose or tight can easily become torn or injured.Signs of physical injury: Pain can be pin-pointed. May be triggered with a specific movement, activity, or position. Pain quality may be sharp, sudden, throbbing, or achy.Contributor 2: Central Pain Syndrome (CPS). CPS is pain resulting from damage to the brain, rather than damage to the shoulder. The stroke survivor perceives pain, but no physical injury is present. This DOES NOT mean that the pain the person feels is not real. CPS is as real as any pain felt following injury to the body.Signs of CPS: Pain is harder to pin-point. May be constant. May be triggered by gentle touch. Pain quality may be numb, tingly, burning, aching, or sharp.IMPORTANT: The symptoms for each type of pain are not always straight-forward. Both types of pain CAN exist simultaneously. So, what can be done?For pain due to physical injury, the injury must be treated. Depending on available shoulder movement, treatment might include targeted exercise, stretching, manual therapy, task/environmental adaptation, positioning, and modalities.For pain due to CPS, methods such as mirror therapy, meditation, and sensory re-education might be used. Because pain causes are complex, experienced therapists use a customized combination of methods to achieve the best results.Whatever underlies pain, its imperative that the survivor be treated with compassion and empathy. Easing painful shoulders after stroke requires a high level of skill. Showing you care is easy, and can also provide welcome relief. Author, Emilia Bourland, is an occupational therapist and the owner of AIPC Therapy, a mobile therapy practice serving the greater DFW area. You can contact her by calling 469-998-1245 or sending an e-mail to emilia.bourland@aipctherapy.com

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

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

What is Low Vision:Low Vision as defined by The Vision Council, is a term used to refer to a visual impairment that is not correctable through surgery, pharmaceuticals, glasses or contact lenses. It is often characterized by partial sight, such a blurred vision, blind spots, or tunnel vision. Low vision can impact people of all ages, but is primarily associated with older adults.What causes Low Vision: Age-Related Macular Degeneration (AMD/ARMD): AMD is a leading cause of vision loss among Americans over age 60. It accounts for nearly half of all low vision cases. It is caused when the part of the eye responsible for sharp, straight-on vision the macula breaks down and causes a loss of central vision. There are two types of AMD, wet and dry. Wet AMD is caused by the growth of abnormal blood vessels under the macula. Central vision loss occurs rapidly with wet AMD. In dry AMD, light-sensitive cells in the macula slowly break down, leading to a gradual loss of central vision. Diabetic Retinopathy: According to the National Eye Institute, more than 30 percent of Americans diagnosed with diabetes have some form of diabetic retinopathy. It is a major cause of blindness and is directly related to high blood sugar, which damages blood vessels. That damage affects the retina and can even lead to its detachment. Glaucoma: Glaucoma is the second leading cause of blindness. With glaucoma, portions of vision are lost over time, usually with no warning signs or symptoms prior to vision deterioration. For many, a decrease in peripheral vision is the first sign of glaucoma. Cataracts: Over 20 million people in the US alone have cataracts according to Prevent Blindness America. It appears as a clouding of the lens of the eye. Retinitis Pigmentosa: This is a group of inherited diseases affecting the retina resulting in progressive vision loss. This type of vision impairment often begins in childhood with poor night vision and progresses over time.Where can I get help?In Fairfield & New Haven counties there are 9 Lions Low Vision Centers at your disposal, these centers are in partnership with an established health care facility. These centers are staffed with Occupational Therapists (OT) that are specifically trained in helping patients with low vision. Each initial visit begins with an evaluation of your condition and then the OT has a starting point of your specific needs. The evaluation is approximately 1 hour long for your first visit. Your treatment may require a few visits to provide you with the best care. The OT will determine different devices that will assist you with dealing with the amount of eye sight that you have remaining. ALL devices that are given to you during a visit are 100% FREE, however the OT is a staffed person at the medical facility and will bill your insurance for any charges. Depending on your specific insurance you may be required to pay a co-pay for the services that the OT provides.There are only 4 steps you need to take to receive services from 1 of our Lions Low Vision Centers.1. Visit your eye care professional.2. He/She should complete the referral form (available for printing from our website) and fax that form into the center that is closest to your home.3. You then call that center (phone numbers are on the front side of the referral form) and make an appointment with the OT that does Low Vision evaluations.4. Go to the scheduled appointment.Our centers are in the following towns: Bridgeport, Danbury, Derby, Greenwich, Naugatuck, New Haven, North Haven, Southbury, Waterbury. You can get more information at our website: www.lionslowvisioncenter.org

Aquatic therapyrefers to treatments and exercises performed in water for relaxation, fitness, physical rehabilitation, and othertherapeuticbenefit. Typically a qualifiedaquatic therapistgives constant attendance to a person receivingtreatmentin a heatedtherapypool. Aquatic therapy is well suited for seniors and keeps both the body and mind fit.#listing_mgr{7 basic_search}#

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

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.

There really is no place like home. And that even goes for medical services your own living room is probably a lot more comfortable and accommodating than a hospital or doctors office. Thats where at-home health care comes into play.Individuals of many agesand with a variety of medical needs are recognizing the benefits home health care has to offer. If youre looking into this solution for yourself or your loved one, well cover what you need to know.What Are Home Care Services?Home care involvesa collection of health care services that dont require the patient to go to a health care provider. Instead, a nurse or other health care professional comes to the patients home. Medical procedures like vaccinations, wound care, physical therapy, occupational therapy, mental counseling, and more make up home health care.Governmental organizationslike Medicare, nongovernmental organizations, and private agencies are all entities that provide home health care. Its oftenmore convenient than receiving care from a traditional facility and just as effective.Who Are Home Care Services for?Some patientsuse at-home services because they have trouble leaving the house, others for hospice treatment, and still others simply because it is a more convenient solution than visiting a doctors office. More specifically, these services are a great fit for the following: Individuals who have just returned home from asurgical procedure or extended hospital stay Persons with physical or mental disabilities who may have trouble leaving their home Older patients who may have medical concerns but are still able to live in their own home Individuals receiving hospice careHome care services certainly arent limited to patients meeting these criteria. As long as an individualdoesnt need a procedure where theyre required to be in a traditional medical facility, he or she can hire a home care professional to perform the service.Editors Note: This article was submitted by Greg Kelley. Greg is a Home Care Consultant with Phoenix Home Care and may be reached at (970)270-1541 or by email at GKelley@PhoenixHomeHC.com with any questions regarding Home Health.

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

In my early forties, I was having a lot of low back pain. So off I go to an orthopedic physicians office to find out why. The doctor looked at my X-rays and said, Kelly, you have degenerative lower back arthritis, in fact, your X-ray shows that of a 70 year-old woman instead one who is 43. I couldn't understand how this could have happened. I exercised five days a week, strengthened my stomach muscles and core, and used weights to build bone density. Besides, I thought your 40s were the new 30s! The doctor explained that lumbar spine arthritis is most commonly seen in older patients, those with previous injuries to the spine and the obese. He said my back aches were due to a lack of stretching; it was taking a back seat to my exercise routine. We came up with an arthritis management plan that would help my sore back. Because 21%, or one in five adults in the United States report doctor-diagnosed arthritis,* I thought I would share some general key points for a plan that may help you as well.ACTIVITY: Stop sitting for long periods of time; it increases the risk of lower back pain. Too little activity leads to loss of flexibility, strength, and endurance. So start a walking and stretching program. It will increase your energy level and your flexibility.DIET: Add Omega-3 rich foods to your diet; they are very effective in reducing inflammation. Omega-3 fatty acid is found primarily in fatty fish like salmon, sardines, and trout. One should have at least three to five servings of fatty fish per week. Calcium and mineral supplements will improve weak bones.SLEEP: Try changing your sleeping positions. Avoid sleeping on your stomach as it puts stress on your lower back. Instead, sleep on your side. If you are a back sleeper, use a pillow to keep your feet in a raised position. Some people find sleeping with a small towel rolled up under their lower back is comfortable.POSTURE: Poor posture is one of the main causes of back pain. Slouching forward places a strain on your back. Practice sitting straighter and walking in a more upright position. You'll be amazed at how that will help relieve pain. *National Health Institute Statistics - 20032005Editors Note: This article was submitted by Kelly Bennett, B.S., CSI (www.csicaregiver.com). She can be reached at 239-481-6138.SMOKING: It goes without saying you should stop smoking. Not only are your lungs harmed but smoking decreases blood flow and the supply of oxygen to the spinal discs. Lack of oxygen is a major factor in low back pain.

John is 82 years old and lives alone in his suburban home. He no longer drives and finds it increasingly difficult to get around due to severe arthritis. Johns daughter visits once a week to take him shopping. Although he appreciates his daughters visits, John feels lonely and would like to get out to see his friends at the VFW hall. He doesnt like spending so much time alone.This is just one snapshot of what isolation among seniors looks like. According to experts, there are two components of isolation social isolation and loneliness. Social isolation is the lack of connection with other people, ones community, and resources and supports. Loneliness is the feeling of being isolated and alone.Growing evidence shows that isolation is a major health issue like diabetes or obesity and negatively impacts the health and wellbeing of seniors. Isolation is associated with negative health consequences such as chronic conditions, depression, dementia (including Alzheimers disease), increased hospital use, nursing home placement, and death. Isolation may also place older adults at increased risk for abuse, neglect and exploitation. One study has linked the health risks of ongoing isolation with smoking 15 cigarettes daily!Many factors contribute to isolation in seniors: transportation barriers; living alone; mobility challenges; chronic illnesses and disabilities; and inadequate social support. Other factors that may increase seniors risk include: living in unsafe, inaccessible or rural communities; language barriers; low income and limited resources; mental health issues; inaccessible housing; belonging to a minority group; and caregiving for someone with severe impairment. (Please visit AARP Foundations www.Connect2Affect.org for more information.)The good news is that there are community-based services available to help seniors fight social isolation and remain engaged in their communities! These services include: information and assistance, transportation, volunteer programs, community dining sites and senior centers that offer educational classes, recreational activities, and health promotion programs. The Illinois Department on Aging has made combatting social isolation in seniors a top priority by charging Area Agencies on Aging to work with community senior services providers in expanding resources to address this devastating issue. For more information on how to access services and resources to prevent social isolation and promote a positive quality of life, please contact your local Area Agency on Aging.This article was submitted by Megan Napierkowski, MSW, LCSW. Megan is a Community Planner with Agency on Aging Northeastern Illinois and may be reached at 630-293-5990 or by email at mnapierkowski@ageguide.org

According to the National Alliance on Mental Illness, more than 6.5 million Americans aged 65 or older are affected by depression.While some adults with depression may have been managing the disease for a number of years, others experience depression for the first time later in life.Symptoms of depression in people older than age 65 include: Social withdrawal Loss of appetite Confusion Loss of interest in activities Feelings of guilt and/or worthlessness Feelings of hopelessnessUnlike typical feelings of sadness, loneliness or grief, depression does not go away on its own and may last for months or years at a time if untreated.No one knows exactly what causes depression, but some circumstances or diseases can increase the risk of depression. In the elderly, hormonal changes can be a factor, as can physical illnesses such as dementia, Alzheimers disease, arthritis, Parkinsons disease and certain thyroid disorders. Major life changessuch as retirement, the loss of a loved one or the diagnosis of a major diseasemay also trigger depression.Diagnosis DifficultiesBecause depression can mimic symptoms of other diseases, early signs may be misdiagnosed. Before diagnosis and treatment of depression, physical tests should be conducted to rule out other illnesses.Depression can also be mistakenly considered a normal part of aging, both by doctors and by senior adults. Some seniors may also see depression as a character flaw and feel uncomfortable asking for help. While all people experience life changes that can elicit grief or sadness, clinical depression is not something that should just be accepted as a part of getting older. Treatment options such as psychotherapy and antidepressants can help improve symptoms and quality of life for those suffering with depression at any age.The MetroSouth Senior Behavioral Health Unit is an acute inpatient program to treat persons 55 years or older who are suffering from symptoms such as: Overt prolonged sadness, Excessive anxiety, Sudden onset of disorientation and confusion,Thoughts, behaviors, or plans of hurting themselves or others including poor judgment in day-to-day living.For a confidential assessment, or more information, call (708) 824-4774.Editors Note: This article was submitted by MetroSouth Medical Center.

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.

The incontinence experts at Shield HealthCare have consulted with on-staff Registered Dietitians to provide this valuable information about the link between incontinence and nutrition.How can the diet affect bladder control?Although there is no special diet to cure incontinence, there are certain dietary matters you should know about. Many people with bladder control problems reduce the amount of liquids they drink in the hope that they will urinate less. This can create highly concentrated, irritating urine which can make a person have to go to the bathroom more often. This also encourages the growth of bacteria, which can lead to infections. Certain foods and beverages are thought to contribute to bladder leakage. Their effect on the bladder is not always understood, but you may want to see if eliminating one or all of the following items improves bladder control.Common bladder irritants:Alcoholic beveragesCarbonated beverages (with or without caffeine)Milk or milk productsCoffee or tea (even decaffeinated)Medicines that contain caffeineCitrus juice & fruitsTomatoes or tomato-based productsHighly spiced foodsSugarHoneyChocolateCorn syrupArtificial sweetenersNon-irritating thirst quenchers:Water (a thin slice of lemon is OK)Grape juiceCranberry juiceApple juiceCherry JuiceProper hydration and water intake. Water is essential for body functions including digestion, absorption, circulatory and excretory functions, as well as the absorption of water soluble vitamins. Water is also required to make saliva, cushion joints and regulate body temperature. In general, it is recommended that you drink 8 glasses of water daily (8 ounces each). You and your physician can determine if this amount is right for you. Source: National Association for ContinenceThis article was submitted by Elizabeth Tscholl, Registered Dietitian at Shield HealthCare which services Denver and the surrounding areas with medical supplies for care at home. Elizabeth can be reached at 303.437.0121 or etscholl@shieldhealthcare.com.

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

To learn more aboutBrightStar Care,CLICK HERE.If your loved one receives in-home care, any new illnesses, injuries, or symptoms can be upsetting and confusing. How do you know when to call the doctor and when its best to start with your in-home nurse?In a life-threatening emergency, you should always call 911. Emergencies older adults might face include:Chest painHeart attackSerious fallStrokeSudden dizziness, confusion, or disorientationTrouble breathingBut for less urgent needs, you potentially can avoid a trip to the urgent care clinic or emergency room by first checking with your nurse or doctor.When to call the doctorOutside of emergencies, older adults need to see the doctor when a medical condition gets worse or a new problem develops. There are also important wellness checks and regular check-ups that should not be neglected.If you have to call 911 for your loved one or take them to the emergency room, make sure to update their primary care doctor and home care nurse on whats happened. The care team might need to modify or add new restrictions, medications, or treatments into your loved ones care plan.When to call your loved ones home care nurseMany healthcare-related issues can go to theirin-home carenurse first. Our BrightStar Care nurses are experienced RNs who are seasoned at narrowing down whats wrong, and determining if the clients doctor needs to be involved.Every BrightStar Care franchise has a registered nurse who serves as director of nursing and is actively involved with each client in a number of ways, such as:Care plan creationHome visits to see how the client is doing and whether theyre satisfied with their careRegular check-ins with clients and their loved ones about how the client is doingSupervision of in-home caregiversBecause our nurses see their clients regularly, they tend to know when somethings not right. They can investigate whether the client has experienced any new symptoms, and they can bring their concerns to the client or their loved ones. This nurse advocacy is one way BrightStar Care delivers A Higher Standard of Care to our clients and their families. If our certified nursing assistants (CNAs) notice something wrong while theyre assisting with daily routine care, they know to report it to one of our nurses so we can investigate these potential issues.If the issues are dangerous or life-threatening, your loved ones nurse may advise calling 911 or going to the emergency room. For other issues, they might do some detective work to determine whether your loved one is sticking to their care plan, such as taking all medications when indicated or getting enough sleep, before recommending a call to the doctors office.Save time with fewer appointmentsWith nursing care at home, your loved one might not need to go to the doctors office as often for routine care. Our in-home nurses can handle many of theseskilled nursingneeds for clients, such as:Complex wound careDiabetes managementIntravenous infusion therapyVentilator careDont be afraid to lean on them as a resource if you or your loved one has questions about their care or if you need help determining when its time to take things to the next level.

Cosigning on a private student loan can be a big help to students trying to take out private student loans for college. How does a cosigner help? A cosigners credit history is factored into the approval decision, and a cosigner can strengthen a private loan application when a student lacks a long or solid enough financial track record.Technically, anyone whos an adult can cosign a private student loan application. Most students get their parents to co-sign, but friends and other family members can cosign. If youre still hurting for some help, grandparents could be the next cosigner choice. Like any other adult, grandparents are perfectly capable of cosigning a private student loan application. While this can be helpful in a pinch, it bodes well to think about the actual responsibility of a cosigner.Considering the Risks of a CosignerAlthough it may be difficult for a grandparent to refuse helping a family member, it is necessary to think about the consequences of cosigning a private loan. Co-signers are legally on the hook for debt repayment, just like the primary borrower. If the primary borrower slacks during repayment, then the cosigner will be responsible for the remaining debt.If your cosigner is a grandparent, you need to think about the implications cosgining could have on their livelihood. Senior citizens are often on a fixed or limited income, and taking over student loan payments could negatively impact their finances uncontrollably.Heres an example. For a $100,000 private student loan on a ten-year repayment plan at six percent interest, a grandparent could be on the hook for a monthly payment of $1,100. While thats an extreme loan example, interest rates can often push double digits, so its easy to see how a grandparent could struggle with an unexpected burden.There are other consequences to consider aside from paying money. If the student loan enteres default and collections, then your grandparents could take a major hit on their credit if they cant pay up. On top of this, your grandparents could be subject to debt collectors who sometimes take a hard aggressive line.With the consequences out of the way, it remains to be seen whether a grandparent cosigner would even help a credit application.Would a Grandparent Actually Help Your Private Loan Application?The first reason for adding a co-signer to a private student loan application is to improve the chances of approval. A borrower who has higher income and stronger credit history should theoretically improve those chances.Second, the next reason for using a cosigner is to increase the chances of receiving favorable terms on an approved private student loan. If you have a good cosigner, then you should have a better chance at receiving a lower interest rate.Its easy to assume a grandparent would fit the bill for a strong cosigner, but you should take into account their financials such as income and credit history.If he or she isnt working anymore, then this could be a huge factor in a credit decision. A good co-signer candidate has the means to cover loan payments if the student borrower defaults. If your grandparents are retired without an income, then theres the chance they wont be able to cover payments, reducing the chance of a successful application.Furthermore, theres plenty of credit history to go over; you should discuss their past financial history. If theyve been responsible the entire time, then they should be in good shape as cosigners. If not, this could be a negative factor on an application.Protecting Yourself When You CosignCo-signing on a private student loan for a grandchild can make all the difference in paying for college, but be cautious in doing so.Read the fine print regarding the definition of default. This could differ from lender to lender, and its an extremely important detail to understand if youre a cosigner. Also, review what actions the lender can legally take against the borrower or co-signer in the event of a missed payment. You should also look into the terms regarding the event of death, disability, or bankruptcy. These all have an impact on how a lender will approach a cosigner.It is also essential to check if there are prepayment penalties with private student loans, especially if you anticipate taking over loan payments at some point in the future. Taking a moment to understand your obligations as a co-signer is necessary if you want to help a grandchild, and yourself, in the pursuit to cover tuition.Our original source:https://lendedu.com/blog/can-a-grandparent-cosign-on-a-private-student-loan/

Choosing a nursing home is one of the most important decisions we will make for our loved ones. When looking for a nursing home, it can be overwhelming. Here are some tips to consider:EDEN CERTIFIED HOMES -- Our Elders have so much to teach us. The Eden Alternative philosophy asserts that no matter how old we are or what challenges we live with, life is about continuing to grow. Building on this new paradigm, it affirms that care is not a one-way street, but rather a collaborative partnership. Look for homes that are committed to the Eden principles.Does it feel like home - You want to feel safe and loved in your new home, with the ability to create your own schedule. A place to receive encouragement, where you have the opportunity to become stronger mentally and physically, and where you can make your own lifestyle decisions.First Impression - When you walk in the door, what do you see, hear and smell? Is there joyfulness, are there calming sounds, is it welcoming? When touring the facility, pay attention to odors. If you smell an odor in a specific place, it is likely a single incident. Odors throughout should be worrisome.Staff Are caregivers and care receivers described as care partners, each an active participant in the balance of giving and receiving? Seek care partners who strive to help you optimize your independence, energy and spirit as you move to your new home.ACTIVITY Together, families, care partners and elders strive to enhance well-being by eliminating the three plagues of loneliness, helplessness, and boredom. The antidote to overcome the three plagues may come in the form of human and pet contact, music and art, as well as variety and spontaneity in day to day experiences.WELLNESS On-site physical, occupational and speech therapies are important. Look for a pool with aqua therapy, a fitness center, a Bistro and spa.Editors Note: This article was submitted by Cindy Silverman, Director of Community Relations at Shalom Park. For information and tours contact Karen Gates, Director of Admissions, at 303-680-5000 or by email at: karen.gates@shalompark.net.

Seniors Blue Book publisher, Kathleen Warshawsky, BSN, RN welcomes Sonya Wells, Community Services Advisor with Restland Funeral Homes to educate us on the Benefits of PrePlanning. Learn about the Circle of Protection.Preplanned Memorial ServicesCemetery Property RightsOuter Burial ContainerOpening & Closing (Interment Fees)Memorials & MarkersDownload to the Free PrePlanning GuideTo Learn more about Restland Funeral Homes from Sonya, watch the video and click on Restland Funeral Homes.Watch the video here:

Are you worried about the impact of a Nursing Home stay on you or a spouse? You are not alone! The majority of older adults worry about this possibility. Consider the following: How will I pay for Nursing Home Care?? Medicare coverage is available in many cases but is limited in payment duration.? Long Term Care insurance can do wonders in protecting our assets and may even increase your chances of gaining admission to a competitive health care facility, but many feel the premiums are not affordable. This option should be researched while we are still insurable and we should make a conscious decision about whether this insurance is a good fit for us.? Once we have exhausted Medicare & insurance, paying privately becomes inevitable, until we become Medicaid (Medical Assistance) eligible. Must I spend all of my assets if I am admitted to a Nursing Home?? Under Medical Assistance, the spouse who is NOT in need of nursing home services, (the Community Spouse) is afforded options that provide the necessary means to continue living at home with assets and income to support them. What can I do to lessen the impact of a Nursing Home stay?? It is never too early to initiate planning. Everyone should have a Will, Financial Power of Attorney and a Healthcare Power of Attorney with Living Will instructions these all are Essential documents! Be mindful that while a Will is a critical document, asset titling and beneficiary designations are equally important to review and possibly modify.? Nursing Home Planning and Estate Planning do go hand-in-hand as both types of planning examine an individuals and a married couples assets and asset protection goals, by closely examining Will & Power of Attorney documents, asset titling & review of beneficiary designations.? Start the conversation with an Attorney who specializes in Elder Law and understands the specific laws and regulations. An Elder Law attorney can help you create a proper Estate Plan, including a strategy for protecting assets, thereby creating peace of mind.Editors Note: This article was contributed by Shawn Pierson, Elder Law Attorney.

The Over-the-Counter (OTC) Hearing Aid Act of 2017 has been a hot topic in the U.S. Senate since spring 2017. This act would allow for the sale of over-the-counter hearing aids without the supervision, prescription, involvement or intervention of a licensed professional.The act attempts to increase accessibility and decrease the cost of hearing aid devices for people who think they have mild-to-moderate hearing loss. However, there are tradeoffs when purchasing hearing aids without a licensed professional involved in the process. First and foremost is knowing if you really need a hearing aid. You may have a medical condition that can be fixed with a visit to the audiologist or your physician.But what if you do have hearing loss that can be helped with a hearing aid? If this is the case, its critical that your hearing aid be fit to your specific needs and amount of hearing loss. An audiogram (hearing test result) is not the only thing you need to get the most out of your hearing aid. Its not enough to just make sounds louder.Personal sound amplification products (PSAPs) are already available and used for recreational use (hunting, birdwatching, listening to your neighbors conversation). This product is not currently classified as a medical device because it amplifies sound overall and is not fine-tuned to your specific hearing losses. The OTC Act would change this classification and allow electronic consumer giants to sell amplifiers and call them hearing aids.Improperly-fit hearing aids and amplifiers can actually make things worse, causing more hearing loss or undertreating your condition. Each person is different, with unique hearing loss and ear size, both of which can make a big difference in sound and satisfaction. These generic devices are not meant to solve hearing loss.So, what can you do? Talk with your doctor and audiologist about a diagnosis and get the appropriate treatment for your hearing loss. Treatment is most successful when a licensed professional is part of the process, not a cashier. This way, you can become part of the 91 percent who are satisfied with their hearing aids because they were fit by a professional.Editors Note:Kate Savage, AuD, is an audiologist specializing in adult hearing loss and hearing aids, along with dizziness and balance at the Idaho Elks Hearing and Balance Center, Meridian Clinic.See ad on page 41

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

For more information on Care Patrol, Click Here.Older adults must sometimes move to a new home to meet their current needs. However, uprooting the life of a senior can cause immense stress and disruption known as transfer trauma. The big life change, especially for older adults with dementia that cannot participate as much in decision-making, can be very triggering and negative.When a move is necessary, there are steps you can take to reduce the effects of transfer trauma and make the experience more positive for the senior.Read on to learn more about how to avoid transfer trauma.What Is Transfer Trauma?According to Tracy Greene Mintz, LCSW, the nationally recognized expert in transfer trauma, transfer trauma, also known as relocation stress syndrome, includes a cluster of symptoms that occur in a senior after moving. The mood, behavior and physiological symptoms include:SadnessAngerIrritabilityDepressionAnxietyConfusionCombativenessScreamingComplainingWanderingWithdrawalRefusing carePoor appetiteWeight loss/gainIncreased coping through bad habitsIndigestionNauseaSudden onset of irritable bowel syndromeOlder adults suffering from transfer trauma will often complain about their situation and ask to go home. They may question why they are there and how/ when they can leave. The symptoms tend to be worse when the move is sudden or unwanted, like when an older adult breaks a bone during a fall and must go to rehab, but then ends up having to stay.Who Is At Risk For Relocation Stress Syndrome?Any older adult can experience transfer trauma when moving. Transfer trauma is centered around the loss of control and choice producing fear. However, the risk increases for people with dementia because they have a hard time taking in the new information, and are not able to actively participate in the decision making process. Seniors that do not have dementia but have severe physical issues that force a move are also at risk.How To Help A Loved One Experiencing Transfer TraumaTypically, relocation stress syndrome occurs in people leading up to a move, and within the first three months. Its important to remember that the trauma can overlap with symptoms of dementia, so you should keep a lookout for any changes in eating, sleeping, cognition, and self-care. If you suspect a loved one is battling with transfer trauma, acknowledge their fears, and be supportive. Additionally, you should avoid moving them again during this time as it will only compound trauma.Tips For Avoiding Transfer TraumaPrepare the new facility for transfer trauma, ensuring that they have a protocol in place and will monitor the development of it.Try your best to include the older adult in the decision-making process, bringing them to visit before moving.Help your loved one engage in their new community by finding events and organizations they may be interested in.Make the new place feel like home by decorating with family photos, comfortable items from their last hoe, and familiar scents.Visit your loved one on a frequent basis to provide a sense of familiarity.Moving can be incredibly stressful for older adults, especially those with dementia. By recognizing the signs of transfer trauma and taking precautions to avoid it, you can help your loved one make the move in a safe and healthy way.

To learn more aboutSalt Lake Behavioral Health,CLICK HERE.Most everyone has felt anxious at some point; before a job interview, first date, or an important event. The symptoms of anxiety may actually help to motivate us to focus and achieve. However, when anxiety becomes unmanageable to the point that it is interfering with daily functioning it may be time to get help.Anxiety presents itself in three ways:1. The anxious body (physical symptoms of terror and panic, sweating, trembling, tension, etc.)2. The anxious mind (overactive thoughts, rumination, worry, inability to shut off thoughts, etc.)3. Anxious behavior (avoidance of any situation which increases anxiety or engaging in rituals to combat the anxious feelings, etc.).The good news is that anxiety is a treatable disease and, with treatment, symptoms can be managed or alleviated.

For more information on the Ear Research Center, or to donate for Debras continuing care or help other people like her, please CLICK HERE!Debra Bergeron is a wife and caretaker of her terminally ill husband, Ron Bergeron. She is also deaf. And Ron has been relentlessly sought help for her to hear his voice before he passes. Debra received a fundamental surgery in October 2020, followed by the activation of her cochlear implant -- a surgically implanted hearing device sometimes referred to as a bionic ear -- the following November.It is said to provide sound for people suffering from sensorineural hearing loss in both ears by bypassing the damaged hair cells in the cochlea and transmitting sound directly to the auditory nerve and on to the brain.Debra was already profoundly deaf in her right ear; her left ear went deaf while waiting nine months for new hearing aids. Debra cannot benefit from a hearing aid any longer because of the severity of her hearing loss and aids not being able to amplify adequately to give her speech understanding. She became a cochlear implant candidate.The cochlear implant costs about $30,000. With no health insurance of her own, and her husband on full disability, fear creeped in for the Sarasota couple.My biggest fear was who would take care of my husband," she shares. "If something should happen to him, I would not be able to hear him." Ron expressed fears in the wake of his diagnosis of a terminal disease as well, but more for his wife, than for himself. I was very fearful of her not being able to function alone," he says. So, he called various institutions for help and was finally referred to Sarasota's Ear Research Foundation, founded by Dr. Herbert Silverstein.The 501C-3 provides medical education in an Otology Clinical Fellowship training program in a private setting all while expanding its programs to include an ear clinic for indigent patients.The foundations team worked tirelessly to coordinate both party's wishes and ease both their fears the past few months. Dr. Jack Wazen and Dr. Sharon Rende, AuD agreed to donate their professional services. In a concerted effort to contribute due to the heartwarming local story, Sarasota Memorial Hospital generously offered a reduced cost. However, more funding was still needed. When the cost of the surgery, hospital and follow-up care are factored in, the expense is upwards of $100,000. Its truly wonderful to witness how foundations from different states stepped up and made the gift of hearing possible for Mrs. Bergeron, says Jodel Velarde, Ear Research Foundation Coordinator.Still,no one entity had the remaining resources and extensive funds to foot the hefty aforementioned price tag of this particular surgery.Fortunately, Eileen Jones, founder of the former Gift of Hearing Foundation in MA, shared an organization called Jacobs Ride for Hearing of Annapolis, MD. Jacobs Ride worked directly with the hospital to provide resources to help cover the expenses of the surgery and then we worked with an anonymous third-party charity that provides the cochlear implant equipment,"says Randy Landis, Executive Director of Jacobs Ride for Hearing. "In this case, we were fortunate to have a private foundation donate the equipment."To guide Debra into entering a world of sounds, the Ear Research Foundation will continue to provide post-operative care and give additional financial support through the Help Us Hear program. Ive been doing the cochlear implant cases for more than twenty years. 1998 was my first one and it is still just as exciting today as it was then says Dr. Sharon Rende, Silverstein Institutes Director of Audiology.Debra, who turned 62 early October shares, I was given the best birthday gift anyone could ask for. This will change our lives drastically. Everything that has been done for us has been a godsend.

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

I have helped over 100 seniors move into retirement communitiesthey all say they wish they had done it sooner. Change is hardeven the changes we really want and look forward to. You have worked hard on your home over the years; now let that equity work for YOU, to provide a lifestyle that is more in step with where you want to be at this different stage of your life!But what do you do first? You call a Senior Real Estate Specialist (SRES) with over 30 years experience. This is a good first step in the decision to move to a retirement community.Perhaps you are wondering..How much is my house worth? You and your SRES will review recent sales in your area and come up with a price range. Review an accurate days on the market study. Ask your SRES to prepare an estimate of how much money you will net at closing. Give this information to your investment counselor to help you determine how you can use the interest from the investment to subsidize your income.What if my house needs work? Many buyers want as is properties.but if your home needs work to go on the market have your SRES help you get estimates. Or maybe a pre-listing inspection would fill the bill.What about all my stuff ? there are excellent resources available to help seniors downsize.a good estate liquidator will help you get top dollar for the items you will not need in a smaller space and professional companies are available to help organize your move down to every detail.Is it a good time to sell? Absolutely! Rates are low and buyers are abundant! Your house will not be in competition with distressed properties! Find an SRES with a cutting edge marketing program that will get your house sold!How do you coordinate the move-in date with the sale of your house? Many seniors have found that moving into their new apartments and letting their homes be shown vacant is the most convenient. It is easier to show your house and a lot less stress on you.Article submitted by Sandi Hewins SRES, Metro Brokers. She can be reached at 303-887-2509 or on the web atwww.denverseniorrealestate.com

When you or your loved one is having difficulty with memory, it can feel overwhelming and trigger fear about what will happen and how will we cope. Here is a quick guide to match what support you need during the changes that occur over time with memory care.Getting the DiagnosisThe primary care MD can provide initial testing, such as a Mini-Mental Status Test, and may refer to a neurologist or gerontologist. The goal of the evaluation is to rule out any medical concern that affects memory. We are fortunate to have Rocky Mountain Alzheimers Disease Center nearby for comprehensive evaluations and the potential to participate in research.Initial SupportThe Alzheimers Association offers education and support groups, and a helpline you can call anytime day or night. The Office of Aging, as well as Senior Centers can guide you to local services and help you plan for future needs. Some faith-based organizations have programs to assist families with respite caregiving, such as Stephen Ministries.How Will Care Needs Change?Visualize a Care TeamA single caregiver cant do it alone through every stage of the illness. The person with memory loss, even if they say they dont, also needs social outlets and breaks. If you are losing your patience, feel constantly tired and overwhelmed, and cant find your sense of humor, these are the red flags of caregiver burnout and you need to get more help. There are many creative ways to build respite and care services, pulling a competent and caring team together. It can be done!Author: Megan Carnarius, Memory Care Consulting 2017

Pam was ready to move to a retirement community but she was overwhelmed by the mountain of tasks that lay ahead. She had a large home with 45 years of accumulated belongings. Pam knew she couldn't take everything to her new smaller home but she couldn't decide what to take with her.Pam hired a Senior Move Manager. The Senior Move Manager (SMM) profession is relatively new. It was sparked by the increase in the senior population and the scattering of families across the nation. Seniors are increasingly moving into retirement communities instead of staying in their large homes. Adult children are often unable to help with the move.How does a Senior Move Manager differ from a moving company? Unlike moving companies which just pack and transport, SMMs offer personalized management and organizing services that help with all aspects of the move including offering emotional support.Pam's SMM company helped her make decisions about down-sizing and what would fit into her new home. They helped make decisions about where to dispose of unwanted items through a variety of venues including gifts to family and friends, estate sale and donations. They packed, recommended a moving company (most SMMs do not actually move your possessions) and helped with address changes and transfer of utilities. Pam's SMM even prepared her home for sale.Best of all they made Pam's new home feel like home immediately by arranging her furniture, hanging pictures and setting up her kitchen and closets. SMMs offer a range of personal services and you can choose all or some of them.How do you find a Senior Move Manager? First look on this website. You also can go to the National Association of Senior Move Managers web site, www.nasmm.org and click on Find a Senior Move Manager. NASMM members follow a strict code of ethics and get ongoing training. Often your retirement community can make recommendations.Choose a company that is bonded and insured. Check references. Ask all the questions you have and be happy with the answers. Be sure you are comfortable with them, that you are a "good fit".Relax and let a professional help you. You deserve it!This article was submitted by Robin Korn of Fresh Spaces, LLC. They can be reached at 303-349-3700 or through their website, www.freshspacesllc.com.

In our culture we often fail to plan for the last great act of life. At the beginning of the circle of life we give all our thoughts and best efforts to planning for a new child and their upbringing, but due to the inherently sad nature of the end of the circle of life, we often fail to plan or really give the following question any thought: how will I pay for assistance if I were to need it as I age?The Unique Reality of Assisted Living CommunitiesAssisted Living communities are one of the only areas of health care that Medicare will not pay for, and most communities limit the number of Medicaid rooms they have, if they have any, because the reimbursement rate is so low. This is why most Assisted Living facilities are private pay. Most assisted living residents pay from their own social security, pensions, savings or with help from family members. Often funds to pay for Assisted Living comes from the sale of a home or the sale of stocks and bonds. Below is a list of some other excellent options and resources for Assisted Living financing options:Long Term Care InsuranceThis is one of the most underutilized and best options for paying for Assisted Living. It may be too late to cost effectively start a long term care insurance policy for you depending on your current age. But inform and educate your children to start now and plan for their future.Reverse MortgagesA reverse mortgage is a loan available to seniors age 62 and above. It's used to release the home equity in the property as one lump sum or in multiple payments. The homeowner's obligation to repay the loan is deferred until the owner passes away, the home is sold or the owner moves out. In the case of couples, as long as one person still lives in the home, the payments do not need to be made on the loan.Secured Lines of CreditA secured line of credit is a loan from the bank, credit union or other financial institution. Similar to a bank account, you may draw funds as needed, but you only pay interest on the amounts drawn. A line of credit can be secured by real estate, CD's, equities (stocks) and cash that you may have. You can borrow from it over and over again without having to renegotiate terms.Life InsuranceSome life insurance policies have a cash value that may be withdrawn or borrowed against. You may also obtain the proceeds from a life insurance policy by selling or liquidating it before death.Tax ConsiderationsFamilies often help support their loved ones at Carrington Court. Each individual may give up to $14,000 in 2015 & 2016 and married couples, filing jointly may give up to $28,000.00 in 2015 & 2016 without being subject to Gift Taxes.Costs related to senior living may be tax deductible as medical expenses for both the resident and their family caregiver if they meet applicable Internal Revenue Service requirements. You should obtain your own qualified tax counsel in these matters.Companion LivingTwo residents may share a suite as companions. This offers a more affordable option, with all the benefits and assistance of Assisted Living remaining the same. A roommate can often help ease the transition to a new community.Veterans BenefitsThe United States Department of Veterans Affairs administers the veterans pension program which also includes aid and assistance and housebound benefits. For more information on qualification for and how to apply for these benefits go to http://www.vba.va.gov/bln/21/pension/vetpen.htm#7.If we start doing our due diligence to plan and provide for the end of our circle of life the future will begin to grow bright!Editors Note: This article was submitted by Michael Nielson, Administrator of Carrington Court Assisted Living and Memory Care. He may be reached at 801-676-8787 or by email at michaeln@carringtoncourtal.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 dont 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, dont use a photo or use one that doesnt 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.

Almost every American has some form of arthritis. Of the many forms of this debilitating disease, the most common associated with aging are osterarthritis, rheumatoid, avascular, posttraumatic and various inflammatory types of arthritis. As many of us know, the first line of treatment is non-steroidal anti-inflammatory, and commonly known pain medications such as Tylenol. Narcotic-type medications are used in some cases although not recommended for long-term use. Other common treatments include nutritional supplements such as glucosamine and chondroitin. If arthritis progresses to a severe point where no cartilage remains in the affected joint, medications are less successful and joint replacement surgery is quite effective.Seniors considering joint replacement surgery have more options, greater chances of relief and success, and a more comfortable recovery period than ever before. Technological advances have produced new components lasting 30 to 50 years. This technology is mainly found in total hip and knee replacement components common problem areas for many senior citizens. Advancements in techniques and joint replacement products have led to smaller incisions and less tissue dissection. In some cases, muscles are not cut only split for the procedure. Also, using computer-assisted surgery, the artificial joint components can be aligned to allow for the longest wear and best function for the patient. The hospital stay is shorter, the range of motion is improved, and pain relief is significant. In some centers around the country, joint replacement surgery is performed as outpatient, and future outlook points to an overnight stay in the hospital for many other procedures. To learn more about joint replacement surgery, browse the many sites on the internet for information. A few websites that offer information are www.jointreplacement.com, www.medicinenet.com, and www.nlm.nih.gov/medlineplus. Your primary care physician or orthopedic surgeon should be able to explain your options of treatment best for you. This article provided by R. Lance Johansen, MD, adult reconstruction arthritis surgeon, The Joint Replacement Center of Mississippi. He can be contacted at 228-328-2400.

To learn more about Utah Senior Care Advisors,CLICK HERE.With the cost of assisted living care through the roof, many families choose to take care of their elderly loved ones in their own homes for as long as possible. It is a demanding task that takes a lot of family support. Most families are unaware that a majority of assisted living and memory care communities offer adult day care and respite care. While day care is self explanatory, respite care is much lesser known. Respite care is essentially short term lodging at assisted living communities.The lives of in-home caregivers can be challenging. You may be taking care of your husband with dementia and need to attend the funeral of a loved one out of State or maybe you are planning a trip to Europe before the kids go back to school in the fall. In any situation, it is nice to know that assisted living communities can accommodate your needs short term. Most communities have a furnished room available, if not, ask to use their model room. All of the same principles apply when looking for short term assisted living accommodations. As a caregiver, you need to have peace of mind knowing that your loved one is in good hands while you are away. That is why you should call me, Jason at Utah Senior Care Advisors!

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

Rosemary Thomas proudly endorses physical fitness and the saying, If you dont move it, you will lose it. After two hip replacements and fluctuating weight, she knew she needed to step up her fitness routine to regain mobility. Joining SilverSneakers provided her with the consistency she desired and the confidence she needed to begin fine-tuning her body. In addition to attending SilverSneakers classes regularly, she loves cardio and dancing. Thomas encourages others to get active and says, Dont meet me at the gym; beat me getting to the gym. In 2016, Thomas was selected as one of 10 finalists for the SilverSneakers Richard L. Swanson Inspiration Award due to her inspiring story of improving her health and happiness, and being a dedicated fitness champion.With SilverSneakers, older adults can get active and feel great, at their convenience and at no additional cost. More than 14.5 million people are eligible for the SilverSneakers benefit through more than 60 health plans that include the nations leading Medicare Advantage health plans, Medicare Supplement carriers and group retiree plans. As Thomas story shows, fitness is personal. Each individual should exercise where, when and how they want. That's why SilverSneakers has built a national network of more than 13,000 participating locations and fitness centers use the pool at one location in the morning, jog on a treadmill at another in the afternoon And take a class at another gym in the evening. In addition, the program includes SilverSneakers FLEX, with more than 70 unique types of classes in convenient neighborhood locations, such as churches, recreation centers and older-adult living communities. Celebrating more than 25 years, SilverSneakers is the nations leading community fitness program designed specifically for older Americans. No other program has such a rich history and experience in older adult fitness. What began in 1992 as a first-of-its-kind class for older adults, has now grown and evolved to accommodate all fitness levels, from Baby Boomers and beyond. This article was submitted by Tivity Health. For more information about SilverSneakers or to check elegibility, visit www.silversneakers.com or call 1-877-402-6753. In addition, our Spanish customer service team is available at 1-888-617-6392.

Today more and more seniors are using the NEW reverse mortgage product as a key piece of their retirement planning.The US Department of Housing and Urban Development (HUD) has implemented several consumer protection pieces in the last two years that have enhanced the NEW reverse mortgage product. These pieces include: consumer counseling from a third-party HUD approved agency; protection for the non-borrowing spouse (when one of the couple is less than 62 years old); and decreasing closing costs.Many in the reverse mortgage industry remember in years past when the average client was a widow about 75 years young. In the last several years the reverse mortgage has become incredibly more popular among the baby boomer generation. Today the average age of the reverse mortgage borrower is getting younger and younger.With the changes over the last couple years, the NEW reverse mortgage is no longer a loan of last resort but a viable tool for retirement planning.This article was submitted by Kent Montavon, Reverse Mortgage Planner, NMLS #390242. Kent works at Fairway Independent Mortgage Corporation, NMLS Entity# 2289. This information does not constitute financial planning advice. Please consult a financial planner regarding your specific situation. One person on deed must be at least 62 years old.

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

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

Many of us were familiar with day care when our kids were pre-school age, and we needed the kids to be cared for while we were at work. Well, what about having mom or dad living with us when they shouldnt be left alone at home all day. Not only would it be boring, but it may be medically unadvisable.We have choices of in-home care such as a Home Care and Personal Assistance agency (pages 50 52), or away-from-home care in an Adult Day Care (ADC) facility (page 7)The available level of care varies among agencies and ADC facilities, so be sure your loved ones needs will be met when selecting care. In-home care with a caregiver affords certain comforts of home that may be beneficial, yet an ADC offers interaction with other seniors and activities not available at home. Both have advantages; we have had families tell us that they use both options, with in-home care on the first two days of the work week, and ADC the other three days. Whichever you choose, be sure its providing an enriching, satisfying experience for your loved one.

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.

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

The percentage of senior citizens continues to increase over the years which means the need for senior services is becoming more necessary for living a more comfortable life after retirement. Many of these services are provided across the Austin metro area as well as surrounding towns.However, seniors are increasingly using some of these most sought after senior services in Austin, Texas to ensure they are getting what they need in order to live their lives day to day:Senior TransportationDriving is one skill that suffers as a person ages and often it becomes impossible for a senior citizen to drive. However, maintaining independence to meet daily needs is vital. Many of those seniors who are aware of their deteriorating driving skills limit the time they drive throughout the day to reduce the risk of accidents.Capital Metro Transportation AuthorityThese public transit and paratransit services offer transportation to seniors who dont have the capability of driving. Special accommodations are provided for seniors, including lift and ramp access, front of the bus seating, special stop requests, and more. Capital Metro also operates Special Transit Services (STS) for pre-approved seniors with disabilities who need door-to-door service.Volunteer Caregiver ProgramsThese programs provide service to the greater Austin area to enhance the independence of older adults by offering specialized transportation requests. Volunteers use their own vehicles and provide free-of-charge service but clients pay parking lot fees.This service is available for health care needs and grocery store errands as well as other secondary need services like social/recreational activities, grooming, and personal errands. Seniors can request these volunteer services late morning to early afternoon depending on the volunteer.Medicaid Recipient TransportationThose seniors who qualify for Medicaid may qualify for free transportation to doctors appointments and pharmacies if they are not in a long-term care facility. The Texas Department of Human Services provides seniors free tickets to use for Capital Metro services and taxis.Healthcare at HomeThis service is a crucial part of senior living when transportation is limited and a seniors mobility is hindered. Healthcare at home provides seniors a way to receive care from medical professionals as well as receive medicine through mail or delivery, without having to go directly to a facility or store.Skilled nurses provide daily assistance to the elderly, including administering medicine, cooking meals, doing laundry and helping with personal needs. These service costs vary depending on the services provided to the patient and how often those services are requested.Other services include:Physical TherapyOccupational TherapyHome Care AideSpeech TherapyMedication ManagementAnd More!Meal DeliveryA major problem among the senior community revolves around eating, but many seniors receive help from charitable food organizations that deliver food to homes and facilities where the elderly reside.In 2013, more than 5.4 million seniors over the age of 60 experienced a time of insecurity which eventually led to hunger. Organizations like Meals on Wheels deliver meals to seniors across the Austin area to prevent those numbers from rising.Some of these meals are served at senior centers while others are delivered directly to seniors in their homes. More than 1.2 million volunteers provide service to seniors across the country and more than 300 in the Austin area make sure local seniors never go hungry. This service is provided free of charge to seniors.Finding The Best Senior Services with Seniors Blue BookWhen searching for the most beneficial services for you or your loved one, Seniors Blue Book gives you more than a choice, we give you the best option that will create the most comfortable senior living imaginable.For more information on Seniors Blue Book and our extensive resource guide to senior living in Austin, Texas, contact us today through SeniorsBlueBook.com!

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

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

For those living with Alzheimers disease it is important to understand the dietary needs and mealtime changes that need to occur to ensure a safer, more enjoyable quality of life. Mealtime means more than a balanced diet, as it is a key component of daily living providing a routine and socialization.For someone newly diagnosed with Alzheimers disease and in the early stages, mealtime is a good time for socialization, with slight modifications. For example, rather than having a dinner party at a busy restaurant with 12 people, an intimate gathering of 4 6 at someones home would be more enjoyable. This would also be a good time to start a mealtime routine. Evening time can become a time of anxiety and aggression in those living with Alzheimers. Late meals can add to this and act as a trigger for unpleasant behaviors, so it is recommended that the largest meal of the day be midday. Evening time should consist of a light snack, making it easier to sleep through the night.As the disease progresses to the moderate stage, it is necessary to increase taste, texture and color of the meals. Bright colors from fruit and vegetables add interest to the plate, and smoother textures can ease swallowing. Eating in small groups consistently will provide comfort and familiarity and having a constant dinner partner can also be beneficial.In the late stages of the disease, it is important to focus on the texture of the food, for ease of swallowing. As it become harder for those with Alzheimers to control their tongue and muscles used for eating, a smoother texture is needed throughout the diet. Of course, during this time, nutrition is just as important. Often times, supplements or shakes are needed to ensure the right nutrition is being consumed. Additional care and assistance during mealtime is needed.When choosing a community look for one that offers an onsite chef, who understands the needs of those living with Alzheimers and have the meal plans reviewed by a registered dietician, to ensure that menus are nutritious and well balanced.Editorial Note: This article was submitted by The Cottages at Chapel Creek. The Cottages has been operating in Texas since 1997 and is family owned and operated by The Cottages Senior Living. They may be reached at 972-464-2757.

Medicare Advantage plans are governed by Medicare. They are only offered through insurance companies that have an annual contract with Medicare. They are NOT the same as Medigap policies. They must cover all Medicare approved services. Most Advantage plans include Part D prescription drug coverage.For more information visit www.medicare.gov or call 1-800-MEDICARE. This information is the opinion of the author and intended as an easy to read summary. This is not a contract. Additional limitations and exclusions may apply to services. In the event of any inconsistencies with Medicare or with a published medical insurers certificate, the certificate / Medicare will control. Prepared 09/2018

The City of Boulder Older Adult Services (OAS) provides programs and services for city residents age 60 and above and their caregivers. Client Services Coordinators remain committed to being available and responsive to our older adult community to provide information and referral services as well as case management to older adults and their local or long-distance caregivers. Client Services Coordinators help navigate and access available services, provide options and resources, offer financial assistance for basic needs, and assist consumers to make informed decisions around aging well. Phones are monitored Monday Friday from 8 a.m. to 5 p.m. and services are available in English and Spanish.Essential services are being prioritized amid challenging economic conditions caused by the pandemic. To preserve the widest array of older adult offerings, OAS will be concentrating its older adult programs and services in one location. Previously housed in two buildings, programs will now operate from a single center, the West Age Well Center, located at 909 Arapahoe Ave. A variety of online programs are being offered while the West Age Well Center is closed. The ability to reopen for in-person activities will be guided by state and county health regulations.Program offerings are focusing on health and wellness, lifelong learning, social engagement, and community resources. A weekly electronic newsletter is available to stay current on programs and services. To sign up, go to: OAS Weekly Newsletter. Many of the drop-in fitness programs that took place at the East Age Well Center are run by the citys Parks & Recreation Department (Parks & Rec), including SilverSneakers, Silver & Fit, Renew Active and warm water fitness. For the latest information on these classes, visit the Boulder Parks and Rec Webpage.The mission of Older Adult Services is to inspire and empower older adults to age well through community, connection, learning and play. During this very difficult and challenging time our mission is more important than ever.Client Services Coordination: 303-441-4388Program Registration and information: 303-441-3148 or 719-985-1367Website: https://bouldercolorado.gov/older-adults

Sometimes people get confused with the term Home Health Agency in Utah. Utah requires that companies providing in-home care be licensed as a home health agency. Home health agencies are divided into two types: Home Health Agency and Home Health - Personal Care Service Agency. Both types of agency are licensed to provide health care services in patients' homes. Both types of agency are required to ensure that all employees pass a criminal background check. They must also have policies and procedures in place that describe the type and scope of services that they provide. The Utah State requirements for Home Health and Personal Care Agencies are found in the Utah Administrative Code, R432-700 (http://www.rules.utah.gov/publicat/code/r432/r432-700.htm).Home Health Agencies provide skilled services and are often paid through Medicare. Their services must be ordered by a physician. Home Health Agencies provide a broad range of medical services in the home, including physical therapy, occupational therapy, wound care and medication management among others. Typically, services are ordered by a physician for 60 days. That order for service may be reauthorized by the physician if the patient is continuing to make progress. Home Health Agencies typically do not provide long-term care in the home. Thats where Personal Care Agencies come in.Personal Care Agencies provide assistance with activities of daily living (ADL's); they do not provide any therapies or wound care. Personal Care Agencies provide services similar to that provided by Assisted Living Facilities, including assistance with all ADL's, cooking, cleaning and outings. Services are generally paid for by the client, just like an Assisted Living Facility. Some Personal Care Service Agencies accept Medicaid to assist disabled patients who need long term assistance in the home. Medicare never pays for this type of service. Personal Care Agencies are a good choice for those seniors who want to live in their homes, but need a little extra help to stay there safely.You can find a listing of Home Health and Personal Care Agencies, with the different services they each provide, on page # 126 of the Seniors Blue Book or on the webat www.SeniorsBlueBook.com.Editors Note: Article Submitted by Kevin Whatcott, owner of Homewatch CareGivers of Utah. He is an attorney and Certified Senior Advisor. Homewatch CareGivers has been caring for seniors in their homes for over 30 years. If you have any questions about home care or other senior issues, give Kevin a call at 801-746-1080

The traditional role of compounding pharmacies is to make drugs prescribed by doctors for specific patients with needs that can't be met by commercially available drugs.This may be done for medically necessary reasons, such as to change the form of the medication from a solid pill to a liquid, to avoid a non-essential ingredient that the patient is allergic to, or to obtain the exact dose(s) needed or deemed best of particular active pharmaceutical ingredient(s). It may also be done for more optional reasons, such as adding flavors to a medication or otherwise altering taste or texture.#listing_mgr{7 basic_search}#

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

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.

A Professional Fiduciary is an experienced professional who performs decision-making tasks for another. This may include serving as Guardian or Conservator as well as trustee, agent or as a contract services provider for case management and financial services. Colorado does not license or register Professional Fiduciary's but most fiduciaries belong to a national organization that has a code of ethics and conduct; for example the National Geriatric Association of Care Managers (NAPGCM) or the American Association of Daily Money Managers (AADMM). In addition professional fiduciaries may be bonded, or have liability insurance.You can designate a professional to serve as your financial agent or medical agent or in other estate planning roles. This can come in handy when you don't have family close by or family members are unable to serve or are simply not a good choice. A professional is interested in carrying out your wishes and directions and has no interest in benefiting from your estate plan, as a family member might be, which can cause a conflict of interest for that family member. The professional is focused on you in the most efficient and supportive manner.When our body's age, our mental abilities decline as well. Sometimes this decline is mild and sometimes severe. You do not have to wait until decline occurs to take advantage of the services of your agent. Perhaps you are going on an extended trip to visit family in another state and you don't want to worry about paying your bills or the security of your home while you are gone. Or perhaps you are going into the hospital for a procedure and want to have an experienced professional on hand to advocate for you, your medical agent can temporarily assist you with this support.Your agent can assist you before or as you decline to the degree you request of them. It is a collaborative relationship. A professional fiduciary will keep accurate records, save all receipts and make transactions or decisions for your benefit that are consistent with your wishes and in your best interest. If incapacity occurs the agent can step in completely, but in the mean time you can use the services they provide to make life easier, and more enjoyable, as well as to provide peace of mind, which after all is the whole point of retirement.This article was submitted by Sally Hirsh, Professional Fiduciary Alternatives Financial Services, LLC. Sally can be reached at 303-776-0585 or by email at shirsh9807@gmail.com.

No one ever imagined what living in a pandemic would be like, and certainly never planned to find out. Healthcare has completely changed as we know it and may never return to its previous status. As we all navigate these new uncertain times, there is a light at the end of the tunnel.In March 2020, Chateau Nursing and Rehabilitation was the first long-term care facility with a documented positive case of COVID-19. With that status came fear of the unknown and negative press. It was hard for the team of employees to see their workplace, their home away from home, on the daily news.What many may not realize about long-term care facilities whether independent, assisted, supportive living or memory care is that the residents and their families become our family. They are part of our day, even when we go home. We celebrate new babies, graduations, and weddings. We grieve when a loved one passes away. We are another cheering section. When COVID showed up at our doorstep, the staff was scared, we didnt sleep, and we worried about our family.We also worried about others in the industry. They were hurting for their families as we were hurting for ours. Some of our family members became sick and some passed away. Our hearts broke for the family members who couldnt say goodbye. We fought and we fought hard. When our residents or coworkers left the facility, we prayed we would see them again. In three short months, everything changed, but one thing did remain constant: we are still here caring for our extended family. Even though hugs are on hold and smiles are hidden behind our masks, we are here caring for our residents.As weve entered the summer months, COVID cases have decreased throughout long-term care facilities. At Chateau, our current recovery rate is 84% of all residents treated. Our extended family is able to return for outdoor visits. Hearing the joy in everyones voices to see their loved ones has made our hearts full. The recovery process was lengthy; however, we remained steadfast and strong. We are keeping all of our comrades in long-term care in our thoughts, that you too will weather the storm and be able to welcome back your extended families.This article was submitted by Michelle Kramer RN, BSN. Michelle is a Regional Business Development Director with Extended Care Consulting and may be reached by email at mkramer@extendedcarellc.com

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

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

To learn more about Harmony Home Health and Hospice, CLICK HERE.Even though the holiday season is commonly viewed as a time that is joyful, filled with spending time with family and friends who are near and dear to us and finding the perfect gifts, for older individuals, it can be anything but merry and bright. A mix of lost loved ones, memories of holidays past, health concerns and more can impact older adults with feelings of lonesomeness and sorrow.AtHarmony Home Health & Hospice, provider ofin-home careandhospice care in Salt Lake Cityand surrounding communities, we care deeply about making sure that seniors feel included in the festivities and enjoy the holiday season to the fullest. The following tips can help everyone enjoy the wonder of the holiday season together:Create a cookbook with recipes from all family members. Accumulate all the recipes together, and then make copies of your new family cookbook.Go for a drive to enjoy holiday lights in the community your older family member grew up in.If the senior has problems with setting up holiday decorations, offer to help! This is a wonderful way to share memories of past holidays and the stories behind different decorations.For a holiday that is really relaxing, schedule time together at a local beauty shop or spa. You can even request a local beautician or masseuse to come to the seniors home if its possible.Safety precautions may also need to be considered for the senior, for a number of reasons: increased fall risks with all of the extra holiday decorations, challenges with following a prescribed dietary plan, and for those with dementia, interruption to routine, additional visitors in the home, and higher noise levels can all cause stress.Keep the following in mind to be sure your senior loved ones remain safe and content:Keep decoration safety in mind. Ensure that there are clear walking paths, and try to make use of simple, uncluttered decorations.Lower lighting can conceal things that seniors could possibly trip over, such as extension cords.Designate a quiet area for the older person if the enthusiasm of young children, loud music and activities become overwhelming.Assign someone to be the older adults buddy for the event, making sure his or her needs are fully met and establishing a bond that is beneficial for both.The holidays can certainly be fun and relaxing for all. With just a little pre-planning and additional thought, seniors will enjoy the holidays as much as everyone else, creating new memories that the whole family will take pleasure in and remember for a lifetime.And, if in the middle of the holiday hustle and bustle you might like the help and support of a professional caregiver fromHarmony Home Health & Hospice, provider of the best home health care and hospice care in Salt Lake City and nearby areas, is on hand to help!Contact usat1-877-I-NEED-CAREto learn more about how we can brighten the holidays for you and yours and for more ideas for fun activities for elderly loved ones to enjoy this holiday season.

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

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

Home Safety AssessmentInconspicuous risks to your physical safety can go unnoticed in the home. After a home safety assessment, an Occupational Therapist can offer strategies for individuals to manage their daily activities while reducing the risk of an injury or further decline in health. By offering these strategies, Occupational Therapists can find the right fit between abilities needed and desired activities in the home.Cognitive and Memory FunctionsAlzheimers Disease, dementia, and other cognitive conditions can have a significant impact on a persons ability to perform basic functions in their everyday lives. Occupational Therapists evaluate individuals with cognitive impairments to determine their strengths, impairments, and performance areas. Once evaluated, a plan is created to assist clients in using tools for improvement which may include wellness programs, memory activities, routine exercises or modifications. Not only do Occupational Therapists provide support for their clients, they are also able to help educate family members through the process.Fall PreventionThe risk of falling is a serious concern as we age. If one falls, they risk a lengthy hospitalization and rehabilitation stay. Occupational Therapists can assess and analyze the potential risks that may lead to a fall. Providing potential solutions and identifying fall risk factors can allow individuals to feel comfortable and safe in their environment such as include improving balance with safety devices.CareAparents Occupational TherapistCareAparents Occupational Therapists can assess and focus on daily activities that could prevent an individual from aging in place. The ability to have an Occupational Therapist come into the home environment encourages and promotes staying healthy and active. If you or a loved one have any questions about our Occupational Therapy Program service,click here.To learn more about how CareAparent can help you or your loved one,please visit our website.

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.

Everyone loves their pets!Seniors Blue Book Greater Dallas, Publisher, Kathleen Warshawsky, BSN, RN created this fun andinteractive networking event to encourage a personal connection as we get to know each other better.Meet Seniors Blue Book Community Partners and senior care professionals at Seniors Blue Book Marketing Mania | Pet Edition, our favorite networking event! Thank you to our Community Partners for participating.Scroll down to watch the video and see all of our pets! :)

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

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

For more information on the author, Comfort Keepers of Charlotte County, CLICK HERE!As we enter the fall and winter season this year, things look a little different. Many seniors continue to isolate at home because of the Coronavirus pandemic and this can take a toll on their mental health.Its important for seniors to work with their families, caregivers and health professionals to develop a plan that allows them to safely take part in activities they love and maintain positive mental health through activity and connection.At any age, our health and wellbeing are enhanced by regularly participating in the things that bring us purpose, hope and joy. For seniors, taking part in these activities can be more difficult, older people who feel younger than their age show less brain aging, better memory and less depression. And studies show that staying engaged is important for a seniors mental and physical health. Medical professionals recognize that social determinants of health, especially those that affect mental, social, emotional and spiritual wellbeing, impact health outcomes and quality of life.There are always opportunities for meaningful moments and joyful days with a little planning, conversation and intentional action.Fall ActivitiesFall activities tend to focus on connecting with loved ones, enjoying the turning season and spending time outside before the weather gets icy.This year, many people cant see their favorite sports teams play in person. But fall is a dream for seniors that enjoy football, baseball and hockey and there are ways to participate virtually. Seniors and their loved ones can watch together over a video call or have a socially distanced viewing party at home, as long as everyone adheres to recommended safety guidelines.Enjoying fall foliage is an activity in itself, and can be done sitting on the porch, going for a short walk or on a longer hike outside. Raking leaves can even be fun when done with loved ones.Eating is another activity that seems to be more fun in the fall family dinners for those isolating together, baking projects and Halloween fun are all opportunities for seniors to participate in activities they enjoy while maintaining their nutrition goals.Winter ActivitiesThe holidays are filled with opportunities to enjoy music, celebrations with family and community service.Holiday shopping is a fun activity usually done outside of the house. However, online shopping may be the best way for seniors to get their gifts without visiting the mall.Singing, dancing, playing instruments and listening to holiday carols are ways that seniors can enjoy music, no matter what the weather looks like outside. Streaming music services often have a wide selection, allowing seniors to pick their favorites to listen to through a phone, virtual assistant or computer.While there are ways that seniors can serve others year-round, volunteering can be even more meaningful around the holidays. Finding virtual volunteer opportunities is even easier this year writing letters, knitting blankets and finding old coats and sweaters to donate can all be done safely at home.Comfort Keeperscan HelpAt Comfort Keepers, we create individual care plans for every client. These plans include wellness goals that consider physical, mental and emotional health. Our caregivers can help support physician-prescribed diet and exercise plans, provide medication reminders, provide transportation to appointments and help seniors engage in the activities they love the most. And, our caregivers can help senior stay connected with loved ones through video chats, phone calls and care updates. We believe that every senior should experience the best in life. If you have questions about Comfort Keepers uplifting in-home care services, please contact us today.ReferencesAARP. Keep Your Brain Active by Doing Things You Love. Web (video).Science Daily. Feeling Young Could Mean Your Brain is Aging More Slowly. Web. 2018.Forbes. The Risks of Social Isolation for Older Adults. Web. 2017.Lifehack. 19 Fun Activities for Seniors to Stay Active Physically and Mentally. Web.

Sam is a very nice gentleman that lives alone, never asks for help and does not want to be a bother to anyone. Sam has some health issues and he is a Dual Eligible. This means he is eligible for both Medicare and Idaho Medicaid. Sam was recently diagnosed with cancer and is undergoing chemotherapy. A couple of months ago, Sam heard about a new health plan called True Blue and he signed up. True Blue is a Special Needs Plan that is managed by Blue Cross of Idaho through a contract with the Idaho Department of Health and Welfare.As part of the True Blue Program, all Medicare and Medicaid services are covered and paid for through one place. Each member receives a Care Manager to help them access the services they need. Sams Care Manager met with him and learned that he was taking the bus to all of his Chemotherapy appointments. Feeling weak and fatigued after his appointment, he still would get on the bus and travel home. The Care Manager talked to Sam and told him that he could get a ride to his Chemotherapy sessions and that it was a covered benefit under Medicaid and that she would help him schedule his first ride. Sam was very happy that he was able to have a ride, get picked up and go right home after his session. Sometimes it is the little things that make the difference to people.Are you on Medicare and Medicaid, or do you know someone who is? Do you/they find it difficult to keep track of which programs pay for certain services? Do you wonder who to call with questions?If so, Blue Cross of Idaho's True Blue Program may be the answer. True Blue provides a care manager who can answer your questions and help you get the services you need. This program also offers medical, mental health, home and community based services, long-term care, dental and vision coverage.True Blue is available in most Idaho counties. Medicare and Medicaid beneficiaries wishing to enroll need to be at least 21 years of age and live in the True Blue service area.You can enroll by calling Blue Cross of Idaho at 1-888-495-2583, or TTY users can call 1-888-377-1363, from 8:00 a.m. to 8:00 p.m., seven days a week.Enrollment is voluntary. There is no open enrollment period and members can opt-out at any time.

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

A legal guardian or guardianship is a person who has the legal authority (and the corresponding duty) to care for the personal and property interests of another person, called a ward.#listing_mgr{7 basic_search}#

I don't know about you, but when I hear, "Are your affairs in order?" I immediately think of my will, my end-of-life wishes, and financial security.I find that most of us forget about everyday emergencies such as natural disasters including snow, fire, flooding, high winds or tornadoes; environmental disasters like utility outages; medical emergencies from acute illness, falls, or accidents; and household emergencies such as the loss of heat, air conditioning, plumbing, or appliance failure. Don't forget the little stuff. It's amazing how the simplest thing such as the break down of an electric can-opener can have a major impact on someone with arthritis.As we start to plan for emergencies and get ALL of our affairs in order, including the legal ones, there are many factors to consider such as finances, any medical conditions, our immediate family, parents, neighbors, and even our pets!The 3 steps to having ALL Your Affairs in Order are: Plan Ahead Determine who you can count on to be your primary source of help Have a list of people who you can turn to for questions, support, and help Make arrangements with someone to help with the house, children, and pets should you need to leave unexpectedly Notify the utility companies if you require the use of life sustaining medical equipment Gather Important Documents Gather important information about you and your household Develop a notebook with important documents so that everything is in one place Keep important contact information in your wallet - doctors, kids, friends, neighbors Get professional help to assist with the development of your planAging Life Care Professionals formerly known as Geriatric Care Managers are trained and experienced in creating a plan that is right for you. To find a qualified Aging Life Care Professional in your area contact the Aging Life Care Association at (520) 881-8008 or visit their website at "www.aginglifecare.org" If you are interested in having a document notebook which guides you through the process of gathering pertinent information such as personal, medical, household, financial, legal, and more contact Senior Life Solutions at (970) 282-7975.Editor's Note:This article was submitted by Colleen Daugherty MSW, NCG. Colleen is an Aging Life Care Professional with Senior Life Solutions providing care management and counseling in Northern Colorado. You may contact Colleen at (970) 282-7975 or by email at Colleen@SrLifeSolutionsLLC.com

Great news! Seniors who volunteer in their communities are healthier, happier, and feel more involved.A recent independent study from the Corporation for National and Community Servicefound that among seniors who serve their communities:84 percent feel their health is stable or improving78 percent experience fewer symptoms of depression88 percent feel less isolatedEven better news is that there is a program right here in Naples that is focused on helping local seniors find volunteer opportunities that are a perfect fit for their interests, talents, and expertise and provide the social engagementseniors need to thrive.The Retired and Senior Volunteer Program (RSVP) of Collier Countyis part of a national program that provides volunteer opportunities for people ages 55 and older who want to remain actively involved in supporting and improving their communities.In and around Naples, RSVP members apply their knowledge and life experience to helping in the areas of disaster response and recovery, economic opportunity, environmental stewardship, education, healthcare, and support of veteransand military families.How to Find the Volunteer Opportunity That Is Right for YouWe all enter our retirement years with decades of experience under our belts. With more free time on our hands, its important to find ways to apply that experience to help others. RSVP of Collier County offers many volunteer opportunities that will put your skills to good use. The list of organizationsthat RSVP volunteers work with includes:American Cancer SocietyHelp fight back, get involved and make a difference in the fight against cancer. Volunteers help with events including the Relay for Life and annual galas. Additionally, volunteers support mailings and assemble survivor and team captain bags and sponsorship packets.Boys & Girls Club of Collier CountyPromoting the educational, vocational, and health leadership and character of boys and girls in a safe environment. RSVP volunteers serve as mentors and tutors, imparting knowledge and skills that will enable the children they serve to succeed in life.Collier County Veteran ServicesProviding veterans and their dependents with support and access to a wide variety of Veterans Affairs (VA) services. RSVP volunteers serve as drivers, transporting veterans to and from nearby VA hospitals and clinics.Family Literacy Academy of ImmokaleeProviding farmworker families with equal access to education, resources, and opportunities. RSVP volunteers serve as instructors for preschool children, provide English and basic literacy instruction for parents, provide parent and child together (PACT) time, and provide parenting and health and wellness instruction.Habitat for HumanityEliminating substandard housing by constructing, rehabilitating, and preserving homes. Volunteers can enjoy the hands-on experience of the actual building effort, or they can donate their time to Habitats well-known thrift store.Naples Historical SocietyPreserving the history of Naples through tours and preservation initiatives. RSVP volunteers guide tours, teach classes, and provide administrative support to the organization.North Collier Fire & RescueProtecting life and property from fire and other emergencies through incident response and public education. RSVP volunteers become part of a community emergency response team (CERT), organizing rescue and relief efforts during times of trouble, or simply serving local homebound seniors by providing regular grocery delivery services.Rookery BayProviding a basis for informed stewardship of estuaries in Southwest Florida through research and education. RSVP volunteers serve in the visitor center greeting and assisting guests, work on one of many restoration projects, or serve as tour guides.STARability FoundationEnhancing the quality of life for individuals with developmental disabilities. RSVP volunteers work one on one with individuals during a six-week- long life skills class, and assist with monthly events.The Benefits of Volunteering with RSVP in Collier CountyThe RSVP coordinators in Collier County offer a great deal of support to local volunteers, including:Help setting up a personal interview with the volunteer station of your choiceOngoing follow-up and support by your coordinatorAn opportunity to learn new skillsReferral informationFlexibility to change your volunteer assignment whenever you wantFree supplemental insurance while you volunteer, including personal injury, personal liability, and excess automobile liabilityInvitations to special volunteer recognition eventsSubmitted and Written By: Barrington Terrace - click here for more information

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

To learn more aboutNamaste Alzheimer Center - CHI Living,CLICK HERE.Before hopping onto the next plane or train to check another destination off your Bucket List, plan ahead to ensure your safety to avoid catastrophes while away from home.Visit your health care providerat least one month before you travel. Discuss your medications and any medical conditions that may present limitations. Ask if any of your medications might interact with travel medications you may need to take, such as medicine for altitude sickness, travelers diarrhea or malaria.Get up-to-date on your vaccinations, including the COVID-19 vaccine, tetanus, seasonal flu and measles/mumps/rubella. More than one-half of tetanus cases occur in adults over age 65, so consider getting a booster before you travel. Also, ask your doctor if there are vaccines recommended for the countries you will be visiting.Consider how to prevent injuries.The most preventable cause of death among travelers is injury. Follow these precautions:Always wear your seatbelt;Accept rides only from marked taxis that have seatbelts;Be aware of your surroundings and avoid areas that may not be safe for tourists, which a hotels concierge can advise you about;Be especially careful crossing the street in countries where people drive on the left.Do not wear visible signs of wealth, such as an expensive watch or jewelry;Carry limited cash and keep that, along with travelers checks or credit cards, secured in a pouch worn underneath clothing; andAvoid traveling at night in a developing country.Finally, check with your insurance company to see what is covered if you need medical care in another country; you may want to consider purchasing travel insurance.With advance planning that focuses on your safety, you are sure to enjoy your trip and return home with memories to last a lifetime!

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

This technology is amazing - we can actually have a conversation with mom now instead of her running it and us only being able to say 'yes' or 'no.' It's crazy, she's a 73 year old woman and she has called everyone now. - A. CostaA captioned telephone service for people with hearing loss called CapTel allows individuals who arent able to follow conversations with traditional or amplified telephones to hear and read simultaneously what their callers are saying. The captions appear on the phones display screen allowing people who have difficulty hearing the freedom of telephone access regardless of their hearing ability.Through the Colorado Equipment Distribution Program, CapTel phones are distributed for FREE to those who qualify! EDP gives users the choice of which CapTel model best suits their needs. Whether its a model that only requires a traditional analog telephone line, OR a model that uses a high speed internet connection, there is a CapTel model that fits the bill. No matter which option is chosen, the hearing impaired are better able to re-engage with friends and family (combatting loneliness and isolation). Increased social engagement is increased and confidence is regained.For more information visit, www.relaycolorado.com/captelTo apply for your CapTel phone Call: 855.767.6128 or Email: TEDP_ccdhh@state.co.usEditors Note: This article was submitted by Kristine Shipley, Senior National Marketing Manager & Customer Relationships Manager III, with Relay Colorado 711/Sprint and may be reached at 720-210-5881 or by email: Kristine.m.shipley@sprint.com

CBD Does NOT Equal MarijuanaThere has been so much talk lately about Hemp, marijuana, THC, and CBD. The two questions most frequently asked are, will it get me high? and whats the difference between hemp and marijuana?. Although they both come from the same plant family, they have profound differences.What is CBD?CBD stands for cannabidiol, a chemical compound found in the cannabis sativa plant. Therapeutic grade CBD is extracted from hemp plants. This compound works in our bodies through our Endocannabinoid System (ECS). It is believed CBD helps the body adapt to stress and to exert a normalizing effect upon bodily processes. CBD does not have intoxicating effects on the body. Research shows its ability to affect inflammation, seizures, migraine, fibromyalgia, irritable bowel syndrome, and other ailments.What is Marijuana?Marijuana is the name for the cannabis sativa plant that contains high percentages of the chemical compound THC or tetrahydrocannabinol. THC is the chemical compound that is responsible for the intoxication high. THC works in our bodies through the ECS just as CBD does. Marijuana is both recreational and medicinal. Marijuana can also include certain percentages of CBD depending on the strain. If the plant contains more than 0.3% THC it is considered marijuana and is regulated differently than CBD.Hemp vs. MarijuanaIs it hemp? Is it marijuana? The only real difference between Hemp and Marijuana comes down to the THC level in the plant. Hemp is purposely bred to be low in THC while marijuana is purposely bred to be high in THC. In the U.S., hemp is defined by Federal Law as a cannabis plant containing no greater than 0.3%THC and Marijuana is defined as has having more than 0.3% THC. Farmers who grow a hemp variety of cannabis must ensure that the plant they harvest has a THC percentage that is no greater than 0.3%. If the THC in the harvested plant material tests higher than 0.3%, it violates the Hemp Farming Act regulations found in the 2018 Agricultural Improvement Act and may have to be destroyed as dictated by state or federal authorities.This article was submitted by Melita Crutcher. Melita is Owner/Wellness Coach of Best Weight on You Health and Wellness. She can be reached at 407-252-5556 or email bestweightonyou1@gmail.com

Non-Medical home care agencies#listing_mgr{8 basic_search}#

Do you have better things to do than worry about your medications?Most people do not know there are other options of packing medications besides the traditional pill bottle. Here are a few other options you might want to consider to make taking medications easier.Dispill. This a disposable med planner which is color coded by time of day. Its detachable and portable with perforated edges you can easily tear and take your medications on the go. Its clean, convenient, and best of all filled by your pharmacist. You no longer have to worry about mixing up your medications.Strip Packaging. These are securely sealed, clearly labeled individual plastic packets organized by date and time. So when its time to take your next dose you just tear the package off the roll and your pills are there. Thats all there is to it.Electronic Planners. These are tamper resistant planners which sound an alarm and flashing light when it is time to take medication. Alarm will sound for 30 minutes or until the meds are dispensed.Pharmacies who offer these options often set up your medications to be filled on the same day, schedule your refills, and deliver them to your doorstep. Worry less and discover a newer more efficient way of packaging your medications.Editors Note : This article was submitted by Irene Medina of Compass Pharmacy. For more information she may be reached at 719-444-4774 or by email at esideexpress@aol.com

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.

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

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.

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

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

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.Continuous care, or what VITAS refers to as Intensive Comfort Care (ICC), is 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 lifeICC 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.For more information about end-of-life care services, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.By Rikki Muro, RN, MSNGeneral Manager for VITAS Healthcare in Chicago

To learn more aboutPacifica Senior Living Millcreek,CLICK HERE.Joining an Independent Living program means youll retain the same level of independence you enjoyed before, but you let go of any mundane worries. Surrounded by individuals with similar interests, you have the opportunity to meet new friends, enjoy a variety of life-enriching activities, focus on your hobbies, and do what makes you happy. The only difference is that you will have hotel-like amenities such as cooking, laundry or housekeeping, as we take care of those activities so that you may enjoy your time the way you want in your golden years.Our Independent Living program in Salt Lake City has been carefully designed to provide all the comforts of home, if not more. Mix and mingle with your neighbors at the weekly happy hour, hone your gardening skills on the outdoor patio garden, join our balance and strength exercise program or get involved in one of our arts & crafts activities. And when you want to do something outside our secure gates, you have to take your car from the parking lot, decide where to go, and start the engine.For even more peace of mind, you should know we are a rental community, with no large buy-in or long-term commitment required. Plus, we offer you the option to personalize your apartment by bringing your favorite furniture and dcor items along. Your furry companions are also welcome. Phone today for more details about our Independent Living program in Salt Lake City!At Pacifica Senior Living Millcreek, we want your retirement lifestyle to be as carefree and convenient as possible. We want you to have the time to spend your days as you choose, free from the burdens of time-consuming home maintenance and chores.We offer the following independent living in Salt Lake City features:Delicious and nutritious prepared mealsPet friendlyIndividually-controlled heating and air conditioningHousekeeping & laundryDedicated, 24-hour staffingOn-site amenities, including library and a salon/barber shop and computer center with internet accessAll utilities paid, except phoneEmbrace the World Activity ProgramEmergency Call SystemScheduled transportationFull-time licensed nurse on staffAvailable resident parkingContinuing care program enables residents to stay in their apartment and receive careOptional Personal Emergency Call Pendant

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

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

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

Hospice is a unique service that provides comfort and quality of life to you and your loved ones who are faced with a terminal condition. This very emotional time in a familys life requires you to confront situations and to make decisions you may not feel completely informed about. Here are some common questions that arise whenever you may be discussing the option of hospice services:Does my loved one have to move from their home to have hospice care?Hospice is provided in any environment that the patient calls home. Whether that be in the house they own, a personal care or assisted living, or a skilled nursing facility.Isnt hospice is too expensive for me or my loved one to have?Hospice is covered under the Medicare and Medicaid benefit along with most private insurance at little to no cost to the patient. The Medicare Hospice benefit covers all costs related to the terminal illness that your loved one is facing.Am I giving up hope if I choose hospice?Turning to hospice does not mean giving up. The focus of hope shifts towards helping the individual to live their life as fully as possible and as pain-free as possible.If I choose hospice, do I have to make myself or my loved one a DNR?A Do Not Resuscitate (DNR) Order is not necessary in order to initiate and receive hospice services. You may be considered a Full Code and still receive hospice care.Is hospice only for people who are at the end?Hospice is a benefit available to anyone with a terminal illness that meets the criteria set forth by Medicare. A person can be evaluated for hospice services at any point within the disease process to see if they are eligible to elect this benefit. Hospice is also considered a lifetime benefit and a person can have hospice for as long as they are eligible.If you have additional questions or would like further information, please contact Grane Hospice at 717-763-4001 and an experienced representative will help you with your needs. Editors Note: This article was contributed by Jennifer Stratton, Administrator, Grane Hospice Care.

Pain is one of the leading reasons people seek medical care. Approximately 50 million adults experience chronic pain. More adults suffer from chronic pain conditions than the number affected by heart disease, diabetes, and cancer combined (Tsang et al., 2008). Chronic pain contributes to an estimated $560 billion yearly in direct medical costs, lost productivity, and disability programs (Institute of Pain Medicine, 2011). Because of this impact, it is imperative that we understand the complexities of living with and treating chronic pain. Chronic pain affects all aspects of life.Medical treatments, including medication, surgery, rehabilitation and physical therapy, may be the first line of defense in treating chronic pain. However, psychotherapy can also be effective at relieving chronic pain because it can alter how the brain processes pain sensations. Understanding and managing the thoughts, emotions and behaviors that accompany the discomfort can help people cope more effectively with painand can actually reduce the intensity of pain.Get a Therapist- He/She can help you navigate chronic pain and teach you management techniques.Manage Stress- Stress makes pain worse, stress management techniques will help you cope.Focused Breathing- Relaxes tensions in the body reducing pain. Stay active- Pain and the fear of pain can lead you to stop doing the things you enjoy -causing more pain.Biofeedback- Teaches you how to control normally unconscious bodily functions including pain.Hypnosis or Guided Imagery- Directs your thoughts by focusing on specific images other than pain.Music Therapy- Performing or listening to music can help with pain by creating relaxation and producing endorphins.Know your limits- Be active in a way that acknowledges your physical limitations, dont push yourself to do more than you can.Low-Impact Exercise- Stretching, yoga, walking and swimming can increase endorphins to combat pain.Be social- People with social support are more resilient and experience less depression and anxiety.Have a pain plan. Learn what affects the intensity and duration of your pain, and what helps to make it better.Manage Expectations. Avoid all or nothing thinking. Seek help to learn coping skills to manage pain.You are not in this alone. Let us connect you with a counselor who can help you navigate pain or any other issue you need.This article was submitted by Dr. Mary-Catherine Segota, Dr Segota is a Psychologist with Counseling Resource Services Inc. She can be reached at 407-654-4433 or at www.counselingresourceservices.com

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

To learn more about AccentCare Hospice, CLICK HEREYou're a careful parent who steers children away from things that could harm them. But hidden threats lurk in every housesometimes where you least expect them. For safety's sake, look through your home often. Keep an eye out for not-so-obvious hazards. Here are 5 of them:Scalding tap waterIt is common for a home's water heater to be set above 120F (48.8C). This can cause a scald burn to a child in seconds. Scalding hot tap water causes thousands of injuries and more than 30 deaths a year. A lot of victims are young kids.Solution: Set your hot water heater to no higher than 120 F (48.8C), and check the temperature of your tap water to be sure it's safe.Unstable furnitureEach year, thousands of young kids are badly injuredand some diewhen large TVs and heavy furniture tip over on them. Often, the victims were climbing it, or pulling themselves up on it, or falling against unstable furniture.Solution: Double-check the stability of large furniture. Anchor stoves, bookcases, shelves, or bureaus to the wall. Get rid of items that may tempt kids to climb.Window blindsHundreds of children have strangled to death after getting tangled up in cords or chains on window blinds. Window coverings sold before 2001 pose the most danger.Solution: Secure the cords of older window coverings so children can't reach them. Or replace them with safer, cordlessblinds. Move cribs, beds, and other furniture away from windows. Use only cordless window coverings in children's sleep and play areas.Poorly stored chemicalsSince the year 2000, the number of poisoning deaths has doubled among children. Many poisons are found in the garage, kitchen, or bathroom. They include pesticides, automotive products, weed killers, and household cleaning and disinfectant products.Solution: Store harmful chemicals in their original, labeled containerssafely out of reach. Consider locked cabinets for storage. Never leave chemicals unattended when you are using them.Home trampolinesBackyard trampolines send tens of thousands of people younger than 20 to doctors and emergency rooms each year. Injuries range from sprains, broken bones, and cutsto neck and spinal cord injuries, paralysis, and even death.Solution: Don't use home trampolines. In gym classes or competitive sports, use a trampoline only with strict adult guidance and supervision.

The story about Alzheimers disease, a powerful degenerative malady that shrinks brain cells, robbing its victims of their memories as well as their physical and mental abilities, isnt about the curethereisnt one. Its about the care.Alzheimers shrivels brain cells, making its victims lose their short-term memory first, before their long-term memory goes. Alzheimers patients lose their cognition slowly, becoming unable to carry out simple tasks like dressing themselvesand using the bathroom. As the disease progresses, affecting more parts of the brain, patients are often left unableto talk, recognize friends and familyor recall how to feed themselves. Theyalso might become violent because their requests or fears are misunderstood.When families care for a loved one with Alzheimers in their own home, they may encounter many unforeseen struggles. Thats where memory care facilities step in.Choosing a Care FacilityToday, there are 220,000 Alzheimerspatients in Illinois, most of them older than 65 and most of them women, according to theAlzheimers Association. That number is projected to jump by more than 18percent during the next nine years.There are nearly 100 Alzheimers care facilities in the greater Chicago area, according to the Illinois Department of Public Health. So how do you choose one?Families should visit the facilities in person and consider a number of factors, says Natalie McFarland, executive director ofTerra Vistain Oakbrook Terrace, which specializes in caring for Alzheimers residents.In memory care facilities, staff members are specially trained to help people with dementia or Alzheimers. McFarland suggests that families ask about the facilitys approach to working with their loved one. Does the facility embrace person-centered care and look at the resident as a whole person, taking into consideration his or her life history, and incorporate it daily? she says.Many facilities offer activities, suchas art and music, which are critical to keeping residents bodies and minds active. The Northbrook Inn Memory Care Community, for example, offers a modified stretching activity similar to tai chi, and residents are given iPods with music they enjoyed in the past, because music evokes memory, says executive director, Karolee Vandrush.Belmont Villagesenior executive director Jeanne Hansen recommends that families look at facilities sooner rather than later so they dont have to make a hasty decision.No two residents are the same, she says. Dementia, including Alzheimers, doesnt manifest itself in the same way or at the same speed for any two people. Families need to find the place thats right for them and their loved one.Paying for ItAlzheimers care can alter retirement plans and the financing of those golden years. As a result, an Alzheimers patient may need many financial resources to cover the bills.SeniorHomes.com, a website tracking those charges, says that the average billin Illinois for someone in a memory care facility runs from $60,000 to nearly $90,000 annually. Yet some memory care facilities in the Chicago area bill more than $100,000 a year, depending on the carean Alzheimers resident requires. These facilities are usually private pay. Short of having the money set aside, how else can you pay these costs?Long-term care insurance can be expensive, but when you think about what it can provide an Alzheimers patient at a skilled nursing facility for a considerable amount of time,the benefit is vast, says Lori Martin, who sells long-term care insurance plans at Riverside-basedEnvisionBenefit Specialists.Some long-term care plans have high annual premiums, but Martinsays that someone in their mid-50s can purchase a policy with good benefitsfor a $2,500 annual premium. The American Association for Long-Term Care Insurances website, aaltci.org,lists agents specializing in selling long-term care plans.Providing Support for FamiliesIn addition to assisting residents, memory care facilities can also provide support for families.All forms of dementia, including Alzheimers, are very stigmatized, similar to depression, says Mary Ann Anichini, a nurse practitioner and executive with Evanston-basedPresbyterian Homes. Families have a hard time accepting it.It is sometimes a shocking diagnosis for families, echoes neurologist Daniel Cacioppo, MD, ofNorthwest Community Healthcare. We tell them theyre not alone and provide them with information about support groups.We provide comfort to the families by listening and talking, Hansen says. We cant make the disease better, but we can absolutely let our family members and residents know that theyre not walking the journey alone. Doug PageEditoris Note: Excerpt reprinted with permission from Chicago Health magazine. Visit www.chicagohealthonline.com to read more or to subscribe to its bi-monthly e-newsletter.

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

The Manatee County Falls Prevention Coalition was established June 6, 2012 by members of our community to help bring awareness. Our mission is to reduce the risk of falls through education, training, and implementation of best practice interventions for fall prevention. The statistics in Manatee County alone are astonishing; in 2010 there were 2,387 non-fatal injury hospitalizations, 1,387 of those were fall related, 1,226 of those were seniors ages 55-85. There were 241 fatalities related to falls 34 of those were ages 55-85. The Manatee County Falls Prevention Coalition will come into your community and do presentations and education on fall prevention.Falls are a major threat to the health and independence of older adults, people aged 65 and older. Each year in the United States, nearly one-third of older adults experience a fall.Falls can be devastating. About one out of ten falls among older adults result in a serious injury, such as a hip fracture or head injury, that requires hospitalization.Falls can be deadly. Falls are the leading cause of injury deaths among older adults.Falls are costly. Fall-related in-juries among older adults, especially among older women, are associated with substantial economic cost.Falls are preventable.We will be Hosting a Fall Prevention Awareness Health Fair on February 16, 2013. There will be Speakers, Balance Testing, Vision Screenings, Hearing Screenings, Pharmacy Consulting and much more. For more information contact Christie Castro at christie@alifeathomehhc.com

Its been a little stressful lately, especially as weve all heard the experts warn us repeatedly that the coronavirus can be hardest on those who are older or in fragile health. Often, though, those are also the people who need to see their doctors routinely to stay healthy and safe. So, what should you do?Thanks to good planning by health systems like Penn State Health, the option for virtual care, also known as telehealth or telemedicine, was already in place and quickly became the preferred choice for accessing expert care safely.Virtual care means care accessed via an online platform, through the use of personal devices, such as laptops or mobile devices like phones or tablets. While it may seem odd at first to think about seeing your doctor over a screen rather than in person, the same heart-to-heart conversations, education and frequent check-ins are possible via virtual care. And the best part is you can see the doctor from the comfort of your own home, without having to drive anywhere. You can even wear your PJs!Virtual care linked to a health system also can facilitate coordinated care with your preferred specialists and primary care providers. For example, Penn State Health offers follow-up care via the Penn State Health OnDemand app for patients who may have trouble travelling. Not tech-savvy? No worries! Its easy to get started with virtual care. You can either download the app to your mobile device for free or you can visit our website, pennstatehealthondemand.com. After creating an account and answering a few questions, patients have immediate access to urgent care virtual visits with board-certified doctors who are ready to help. In addition, current Penn State Health patients can check with their own providers practices for access to regular or follow-up visits via virtual care.Telehealth visits are billed to insurance and can be subject to normal copays since the level of service is the same as an in-person visit. For those who need prescriptions, e-prescribing to a local pharmacy can make the whole process as convenient as possible.Virtual care, along with Penn State Healths wide array of local primary care and specialty doctors and our new hospitals currently under construction, assures access to the care you need when you need it and that makes life during a pandemic a little less stressful.__________________This article was contributed by Penn State Health.

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

If given directions and a plan that resulted in a high level of success what outcome might you experience? Consumers rely on physicians and pharmaceutical companies to improve health. Humans want and demand choice in all aspects of life yet plea to the effects of outside conditions when health fails. The act of caregiving arises from a need for care based on a foundation of poor or declining health of a loved one, yet research proves caregivers health fails as the result of the act of caregiving. If individuals acknowledged that actions today result in care needs of the future how might this affect the aspect of willpower versus wishful thinking in the area of health?Modern medicine treats and minimizes symptoms not the root cause of disease. Does illness have the opportunity to provide insight into life regarding aspects that require change? Is it possible to heal illness by recognizing and changing aspects in life that pose health risks? Perspectives posed by German physician Rudiger Dahlke, holistic experts Andrew Weil and Deepak Chopra and energy healers Barbara Brennan and Donna Eden teach that the body can heal itself.The idea of self -healing poses the conflict between will and desire. If permanently giving up sugar, white flour, processed and fried foods, alcohol, vinegar and tomatoes would result in remission of cancer and eventual cure, how many would follow this diet for a lifetime? If meditating twenty minutes twice a day resulted in lowered blood pressure, improved sleep and less stress how many would follow this daily regimen? Self-healing results from the actions of individuals willing to examine aspects of life and to make difficult changes.When a health diagnosis interrupts your life will you give into relying and hoping that modern medicine will provide a cure? Will you take matters into your own hands and make necessary changes placing willpower ahead of desire rather than hoping for an easy fix? The act of caregiving poses similar questions? Will you allow a less than ideal caregiving situation to continue? Will you take action to find balance to ensure that caregiving does not negatively affect your health and wellbeing?Editors Note: This article was submitted by Pamela D. Wilson, CSA, MS, BS/BA, CG, owner of The Care Navigator. Pamela may be reached at 303-205-7877 or by email at pamela@thecarenavigator.com.

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

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

Observing the safety hazards in a seniors home is one thing. Living them is another.Its not always easy to understand the physical limitations older adults face that could make home a virtual minefield for an aging parent.According toresearchconducted by the Home Instead Senior Carenetwork, nearly 100% of emergency room doctors in the U.S. and Canada report that the following health conditions are very serious risk factors as potential causes for injuries or accidents at home: Mobility Problems Poor Eyesight Balance Issues Confusion or Dementia Impaired Motor SkillsAs time goes on, the effects of aging could impact all senses including hearing, vision, taste, smell and touch. These sensory changes often affect an older adults lifestyle as well. Its a domino effect, of sorts, that might make a senior vulnerable to safety issues in the home.Poor eyesight, for instance, could make it more difficult to see a throw rug, safely use a knife to cut an apple or take the proper dose of medication.Agings Effects on the Five SensesThe following describes how aging can compromise the fivesenses:Sight:By the time someone is 60, pupils decrease to about one-third the size they were at age 20. Add to that aging-related eye conditions such as cataracts and macular degeneration.Taste:We start out with about 9,000 taste buds. They decrease in both number and mass with aging.Smell:Sense of smell can diminish, especially after age 70, because of loss of nerve endings and less mucus in the nose.Touch:Decreased blood flow to nerve endings as we age can reduce the sense of pain and temperature.Hearing:Our ears control hearing and sense of balance, both of which can be compromised as we age.Making Home Safer for Seniors with Diminished SensesIts possible to counteract the effects of aging by being proactive. Discover the ways you could help older adults safeguard their homes by going to www.MakingHomeSaferforSeniors.com by checking out a variety of resources including a room-by-room home safety checklist. .This article was submitted by Jerri Schomaker, owner and CEO of Home Instead Senior Care and can be reached at 719-534-0908

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

To learn more about My Medivan, CLICK HERE.There are many reasons to put off going to the doctor, especially with Covid still being an issue. However, getting those regular checkups is the best way to prevent a serious disease. If transportation is an issue, please give us a call. We are able to transport you whether you are able to walk on your own, are in a wheelchair, or simply need a little extra help. Our drivers are fully qualified and trained on not only wheelchair securement, but defensive driving skills, CPR, and spotting elder abuse as well. They also undergo a full background check and random drug tests. We have a zero tolerance policy when it comes to alcohol or drugs. Your safety is our #1 concern. Dont let another day go by. Call us to schedule a ride today at 801-734-7010.

In our financial planning practice, we frequently meet with seniors and their family members who have health issues that make it difficult to live independently. The challenge is that many seniors cannot afford the cost of care and Medicare has very limited benefits payable for this type of care. Now there may very well be help available from an unlikely source.There is a little known resource for wartime Veterans. Few know about this excellent source of funds for paying for care in an assisted living facility, nursing home, or even your home. The benefit is for seniors who are Veterans, or for surviving, unmarried spouses of Vets.This Veterans Affairs benefit has nothing to do with having a service-connected disability. I am discussing the aid-and-attendance or housebound program available to a Vet who requires assistance in daily living. A doctor must certify that the applicant has health conditions requiring aid and attendance of another person or care center in order to live safely.The monthly benefit amounts are up to:Married veteran: $1843Single veteran: $1555Surviving Spouse $967A Vet must have served at least one day during wartime. They must be determined to be permanently and totally disabled or over age 65. The VA generally accepts a letter from the persons doctor as to their disability.The VA considers the assets of the applicant and may deny the application if the net worth exceeds a certain level. However, the Vet may immediately transfer assets to satisfy the maximum net worth requirement. Unlike Medicaid, there is no look back period for transfer of assets. The Vets residence is not considered as a countable asset.The Vet may transfer assets directly to family members or an irrevocable trust. There are many advantages to using an irrevocable trust rather than a direct transfer, namely asset protection (including creditors and divorcing spouses), probate avoidance, estate tax planning, and overall peace of mind.Applications will be denied if the married Vets income exceeds the maximum level for a married Vet in need of assistance. However, out of pocket medical expenses, including the cost of care in a facility or in-home aid are deducted from income.For more information about this, call Frank Scotto: (720)530- 2823, or email Brian Marston: b.marston@lifecertain.com.For more information on transfers of assets to family members or trusts, call James Morgan, Esquire (303) 779- 3596.

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

The Parks Familys Storyby our family, for your familyThe Parks family envisioneda family-centered, positive caregiving community where friends and family would be excited to visit their loved one.When Mayo Clinicdiagnosed Jerry Parks, a former vice president at a large Minneapolis construction company,with Younger-Onset Alzheimers disease atage 56, it provided some answers for the chaos the Parks family had been experiencing.It didnotprovide a template for what comes next.When Jerrys family began toexplore long-termcare communities, they were unsatisfied with options available. The Parks family had a vision of what they wanted their fathers caretolook like, seeking to create a beautiful environment wherefamily members would be excited to visit their loved one and the local community would be inspired to embrace aging.With the support ofspouses and other friends and family members they put their passion project in motion.Together, they created Parks Place Memory Care, a beautiful place that looks and feels like home, with industry-leading safety features such as controlled entrances and motion detectors in every room for peace of mind. Their attention to detail continued with a state-of-the-art spa tub that fills in 60 seconds and delicious meals that can be tailored to each persons preferences.Carefully-selected staff focus on the ability of each person rather than disability. They partner with residents, encouraging them to use the skills and abilities they have and to stay active within the natural flow of daily life. Consistency of care is a priority at Parks Place. Staff take the time to learn each persons life story, and compassionately interact with them to bring moments of joy throughout the day.Editors Note: This article was submitted by Kaitlin Kelly. Kaitlin is Director of Marketing and Life Enrichment with Parks Place Memory Care and may be reached at 763-710-8484 or by email at Kaitlin.Kelly@ParksPlaceMemoryCare.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.

Nearly 60 million consumers are enrolled in some type of Medicare health insurance. That number is expected to grow rapidly, with more than 11,000 Baby Boomers aging into Medicare eligibility each day.For many of these individuals, this is the first time they wont have an employer giving them access to a health plan. And for those who already have Medicare, they may benefit from understanding their options if they want to switch their coverage.Medicare is complex so it may be confusing to understand.Original Medicare has two parts: Part A is hospital insurance that covers hospital stays, skilled nursing care, and more; and Part B is insurance that covers care including doctor visits and outpatient services.Part A and B do have coverage gaps. Without extra protection, people on Original Medicare could pay thousands of dollars in deductibles, copayments, out-of-pocket expenses, and other costs associated with prescription medicines, long term care, some dental care, hearing aids, and other health services. Thats partly why more than 30 million consumers have chosen to expand coverage through a Medicare Advantage, Medicare Supplement, and/or Medicare Part D plan. Medicare Advantage also called Part C is an alternative to Original Medicare. These plans include all the benefits of Original Medicare and many plans also have Medicare Part D (prescription drug coverage). Additionally, some may have extra benefits like dental, vision, hearing, and membership to a fitness program. Medicare Supplement plans also known as Medigap can be paired with Original Medicare plans and will help pay for costs not covered by Parts A or B. Some supplement plans provide additional benefits, such as fitness program membership. These plans allow enrollees to keep their primary care provider. Medicare Part D plans provide prescription drug coverage and complement Original Medicare. They can be purchased alongside a Medicare Supplement plan.These three types of Medicare plans are offered by private healthcare companies, such as Anthem Blue Cross and Blue Shield, and many plans have a monthly premium, which are in addition to the Part B premium.When searching for a Medicare plan, consumers should examine factors including affordability of plans to fit their budget; access to network of doctors, hospitals, and pharmacies that meet their needs; drug formulary that aligns with medication needs; availability of wellness and preventive care programs; and a health plan with experience they can rely on.People can go to Medicare.gov or visit a healthcare companys website like www.anthem.com/medicare to learn more about Medicare options.Editors Note: This article was submitted by Michele Dube of Anthem Blue Cross and Blue Shield in Connecticut.Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield is an HMO plan with a Medicare contract. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the Connecticut Medicaid program. Anthem Blue Cross and Blue Shield is a Medicare Advantage organization and a Prescription Drug Plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. This policy has exclusions, limitations and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, contact your licensed insurance agent, Anthem Blue Cross and Blue Shield or visit us on the web. Not connected with or endorsed by the U.S. Government or the federal Medicare program. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.

The Colorado Assisted Living Industry entered a new era of operation with a new set of rules and regulations. On 4/18/2018 theCDPHE Board of Health approved a new rewrite of the rules and regulations governing the operation of assisted living residences in Colorado. The Board unanimously approved the new rules and regulations. This was a culmination of 24 months of work between CDPHE, the Assisted Living Stakeholders working group, and private owners and operators of assisted living residences. The rule-making hearing saw over 100 assisted living professionals in attendance. People came to support and oppose the rules and regulations. They came to testify before the Board to express their concerns over the effects that the new regulations will have on the operation of their assisted living homes. Concerns such as the additional costs of operation, the training requirements, food service requirements and building requirement for remodeling or building a new assisted living facility were voiced. The board heard over two hours of testimony. Many of the attendees owned or operated small residential care homes. Over 40% of the 671 licensed homes in Colorado serve 20 or fewer residents. And most of them service Medicaid residents. The state presently has a shortage of Medicaid beds and this could reduce the inventory further with more assisted homes going to private pay to recover their costs of operation. The concern was so great that the members of the Colorado Assisted Living Association directed the association to introduce a resolution in the Colorado Senate to delay the implantation of the rules. The resolution passed the senate unanimously. A new era of regulation was launched today for the assisted living industry. The devil is in the details. Time will tell how the industry will react and adjust. This article was submitted by Henry C. Kyle III, CAE, MPA, Executive Vice President of the Colorado Assisted Living Association. For more details visit www. http://coloradoassistedlivingassociation.org

Our market downturn over the past few years is making the decision to sell harder for many would be sellers. Having sold Real Estate for the past 25 years, I can attest to how stressful moving itself can be in itself without thinking about where the market has been in the past and how much you could have gotten for your lovely home. Rather than dwell on the past, why not think of the future and what your personal needs will be? Is your current home too large to care for inside or out? Have some of your friends from the neighborhood moved into another community, one that may be more attractive to an over 55 crowd than where you currently live? Is it time to settle into a new-to-you home and surroundings that will fit both your lifestyle and needs for the rest of your life?Since I mentioned the stress families go thru at moving time, lets also talk about the fun it could be and how you can help others that may be in a time of need. Since your new home may not be similar in size to where you currently live, think about the things we all collect throughout the years, from the trinket treasures to multiple kitchen items that have not been used in awhile to the odd pieces of furniture that go mostly un-sat in or just unused. Wouldnt it be a good feeling to invite family members that may have always admired a certain item in your home to take it into their home and enjoy and think of you each time they see it or perhaps donate items you no longer need to a charitable organization that runs sales throughout the year? Giving and being in control at the same time can be an easy way to not only benefit by getting the no longer needed items out of your home but can also make you feel good knowing that you may be helping someone out that is currently in need.Downsizing in preparation for a future move may not be a bad thing for any of us to seriously consider. Why not get ready so when it is time you will not feel the same stress many others do when being forced to prepare their home for a buyer that is looking for openness when walking through your home or when opening closets or looking to see the shelf or countertop space they would have if making a purchase ? The buyers benefit: being able to visualizing their stuff set around the homes they are viewing; YOUR benefit: a possible higher price for your home in less time and keeping yourself busy while questioning am I ready to be a seller?!As a Seniors Real Estate Specialists I am a REALTOR qualified to address the needs of home buyers and sellers age 50+. The SRES Council has awarded me the SRES Designation based on my having successfullycompleted its education program. By earning the SRES designation, as a REALTOR, I have demonstrated necessary knowledge and expertise to counsel clients age 50-plus through major financial and lifestyle transitions involved in relocating, refinancing or selling the family home. I have received special training, get regular updates from the S.R.E.S. Council, and am prepared to offer options and information needed if you are just preparing for... or are being faced with life changing decisions.Thank you for thinking of me if you are thinking of making a move to be closer to your family or closer to comfort and relaxation. I welcome the opportunity to put my S.R.E.S. designation to good use if only for a one-time consultation.This article*submitted by Angeline Scakett., Realtor, ABR, CSP, CRS, ePro, GRI, SRES(239) 898-0524. Denny Grimes & Co.ANGELINE@dennygrimes.com

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

To learn more aboutAmazingCare Home Health Services, CLICK HERE.This is an easy question to answer. Its our employees! Amazing Care was founded in 2004 with the guiding principle that our great asset is our employees. Since 2004 we have grown from a small little company in Aurora to a rapidly-growing agency serving the entire Front Range with 4 locations. The truly Amazing part of this story is we did not use the standard growth-focused model, but rather a very simple one; we focused on the two most important groups, our Employees and Clients.OUR PURPOSEWe believe thathome health servicesare an essential part of the health care delivery system. By providing continuing care to clients in their own homes, home health services minimize the effects of illness, accident, or disability.We also recognize the worth of all persons, including the elderly or those with disabilities. We believe the contributions of these persons are no less important than the contributions of other members of our society. We are dedicated to helping these persons retain or regain their maximum participation in society.We recognize that the aging process is an unavoidable part of life. We understand chronic disease and disability may be part of that process.In providing care to our clients, the Agency recognizes that clients and their families have certain rights to self determination. They have the right to participate in planning for their care, to make decisions about their health care, and to maintain their independence as long as possible.Health education is an integral part of Agency's program.We recognize that the behavior, attitudes, knowledge, and understanding of our staff have an important influence on helping clients attain and maintain their health.Therefore, we are committed to the rehabilitation of aged, diseased, and/or disabled individuals within their home environment, allowing maximum contribution, retention of self respect, and independence.When rehabilitation or recovery is not realistic, we commit to providing dying individuals with appropriate care and coordinated services, supporting their dignity and self respect.OUR GOALSTo provide skilledhome care servicein collaboration with physicians, thus allowing clients to remain in their own homes.To provide a broad base of services with client demand governing the scope, allowing clients to be involved in establishing, implementing, and evaluating services.To maintain clients in their homes as long as possible and provide services in the least restrictive setting.To assist clients in using all restorative methods, tools, and procedures to return clients to their optimal level of function.To provide services to our clients in a way that optimizes quality of services while keeping cost down.To develop a relationship with referral sources to effectively and efficiently meet our clients home care needs.To function as a liaison between our clients and available community resources and assist our clients in coping with their needs and problems as they may change.OUR OBJECTIVESA coordinated team approach to therapeutic, rehabilitative, health care services using skilled nursing, home health aides, medical social services, physical therapy, occupational therapy, speech therapy, nutritional consultation and a system of referral, follow up, and evaluation.Home health care services and training, which allow clients and their caregivers to assume personal responsibility for clients health and personal needs.Review vehicles for continuous examination of the care clients are receiving from the agency.Educational opportunities within the health care system for employees through an ongoing in-service program, short term training for students, and participation in professional organizations.Coordinated liaison with health and welfare agencies to meet the needs of the community through joint efforts, meetings, and community awareness programs.A physical work environment conducive to maximum employee performance.To recruit and retain highly qualified personnel through:ScreeningTestingEvaluationProbationary employment statusA competitive compensation policy structured to recognize responsibilityA competitive comprehensive benefit package

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

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

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

Since I began working with the Pueblo Area Agency on Aging, I have learned older adults have critical needs to remain in their homes and live a healthy life.The Pueblo Area Agency on Aging or PAAA has great partnerships throughout Pueblo County who provide different services to those in the community. The importance of providing services that are helpful is listening to the communitys needs.One program the PAAA takes great pride in is providing Material Aid assistance to the community. This program provides assistance to those who reside in Pueblo County, age 60 and older with vouchers toward Dental, Denture, Eyeglasses and Hearing Aids. These categories are particularly important to live a well-balanced life.During my time with PAAA, the material aid program is clearly a need. I have learned many older adults have not been to a dentist for basic dental hygiene in 10 years or more in some cases. Many have dentures that they received 10+ years ago which do not fit well as they age creating sores on their gums. Some have shared that their glasses are so scratched that they are not sure if their vision has changed or the condition of their lenses are the reason. One extremely costly need for some are hearing aids. Many times, they purchase discount hearing aids in effort to save money, however, within a year they are no longer wearing them because they have not helped overall.The material aid vouchers are payer of last resort, with insurances, Medicaid and Medicare taking the lead in covering the service. Many of the plans do not cover these needed, therefore, the voucher helps with their needs. At times, the voucher is the only way an individual can find some comfort and the ability to have a conversation and hear clearly what others are saying.AAAs are a way for older adults to find assistance, comfort and pleasure in their daily lives. My day is complete when I hear a call thanking the PAAA because they were able to finally eat comfortably, read the paper or just hear the television clearly while enjoying their day. This is what makes working at the PAAA rewarding.Editors Note: This article was submitted by Dina Godinez, Program Coordinator for the Pueblo AAA. She can be reached at 719-583-6120.

A Fixed Annuity is a contract with a life insurance company that a consumer purchases with a sum of money. The life insurance company credits interest to the contract and agrees to make guaranteed payments to the contract owner immediately or starting at a future date that the owner chooses.Fixed Annuities are designed to provide consumers with a reliable way to accumulate and use their retirement savings with guarantees to help protect them against various risks.But, what makes them safe?Because Fixed Annuities are insurance, the life insurance companies who issue them and the agents who sell them in Florida must be licensed and regulated by the Florida Department of Financial Services.This Department is responsible to protect consumers by ensuring the financial health of those companies licensed to do business in Florida.In addition to this, all insurance companies that sell Fixed Annuities are required to be members of the states guaranty association as a condition of doing business in Florida.Editors Note: This article was submitted by Tony Tecce of TTA Services Inc. For additional information on the safety of annuities, please contact Tony directly at 941-346-0071.

Not as many people are aware, but every one of us is impacted by Alzheimers disease.Maybe the disease affects somebody we know - were all just a few degrees of separation away from someone suffering from the disease. We are all indirectly paying the bill as Alzheimers will cost our government $277 billion by the end of 2018, and that does not reflect informal care. Nationally, 5.5 million Americans have Alzheimers, every 66 seconds someone is diagnosed and 1 in 6 women age 65 and over develops Alzheimers. Over 450,000 Floridians have Alzheimers with approximately 40,000 of Southwest Floridians, and 1 in 8 persons over the age of 65 have Alzheimers.Researchers are working around the clock to expand on our knowledge. Many exciting studies are evaluating both diagnostic tools and treatments. Locally, the Neuropsychiatric Research Center of Southwest Florida (NPRC) is conducting eight studies all dedicated to Alzheimers disease and Mild Cognitive Impairment (MCI). We are learning every day. The more we learn, the closer we get to new treatments. That is reason to hope.Editors Note: Article submitted by Angel C. Duncan, Neuropsychiatric Research Center of Southwest Florida. For more information call the NPRC at 239- 939-7777.

To learn more about Tracy Aviary,CLICK HERE.What do a horticulturist, an educator, a Nature Center manager, a conservation biologist, and a CEO have in common?For starters, they all work at Tracy Aviary. But more importantly, this hodgepodge of professionals strapped on their masks and pulled on their gardening gloves to bring a long-anticipated vision to life: restore the meadow along the Jordan River.On April 29, ten members of the Tracy Aviary team got to mulch, dig, and water to install Monarch ButterflyWaystationsalong the Jordan River Parkway Trail in South Salt Lake. These waystations are five 10 x 10 garden plots installed along a quarter-mile stretch of the trail. In each plot, Aviary staff planted wildflowers and plants native to Utah. These plants are well-adapted for our dry climate and are expected to fare well in the sandy soils found in this part of the river trail. These plants are: yellow cleome, showy milkweed, rabbitbrush, oakleaf sumac, sulfur buckwheat, fourwing salt brush, big sagebrush, cliff rose, little bluestem, and firecracker penstemon. Since their planting, bikers, walkers, and runners on the trail have been stopping by to curiously look at the progress ofthesebaby plants.Early on in the Coronavirus outbreak in Utah, project leads Anne Terry, Lucila Fernandez, and Matthew Utley spent weeks planning how to mitigate transmission risk during the Waystation project. What was once an activity for a large-scale Earth Day event was scaled down to a staff-run activity. It is now maintained by small crews of volunteers. Featured here (left to right): Matthew Utley, Kate Kohut, and Anne Terry.What is the purpose of a Monarch Waystation?These garden plots of native plants and wildflowers are specifically designed and certified as habitats for Monarch Butterflies to find shelter, food, and a place to lay their eggs. The Monarch Waystation Programis a hemispheric effort to create safe migratory highways for Monarch butterflies by encouraging groups and individuals to set up such gardens along the annual flight path of these brilliantly colored,ecologically significantand culturally reveredbutterflies.A flight path is technical jargon for the route of their movements each year. The Monarch butterflies that we see in Salt Lake migrate twice a year. In early February-March, they fly north from central Mexico into the California coastline and the intermountain Rockies. Then, in late September - October, they migrate south back to Central Mexico. These Waystations are to the Monarch butterflies as gas stations and hotels are to humans; the butterflies use the Waystations as places to refuel and destinations to stay in.For Monarchs, the Waystations are especially important because they require the planting of native milkweeds for certification. Monarchs have a special relationship with milkweeds because it is their only food source. For this reason, Monarchs lay their eggs on milkweeds. Once the eggs hatch about four days later, the Monarch caterpillars go on a feeding frenzy on the milkweed leaves for about two weeks. At this point, they find a spot to form a cocoon, and emerge as a butterfly about 10 days later.Its not just about the Monarch butterfliesThe added benefit of focusing on making safe, healthy habitats for a species like the Monarch Butterfly is that doing so also provides space, shelter, food, and water for many other animals. Pollinators, animals that feed on nectar or seeds of plants and spread pollen due to contact with various plants, use these gardens, too. Some of the frequent visitors include: hummingbirds, bees, beetles, and bats. Many of these pollinators undergo similar migrations to the Monarch Butterfly and may also take advantage of large-scale networks of pollinator gardens and restored meadows, like Monarch Waystations, to successfully make this bi-annual trek! Other animals, like American goldfinch, stay year-round and will take advantage of the resources made available to them in these plots throughout the entire year.Many trowels, many hands; the more, the merrier for pollinators!Tracy Aviary is not the only entity in Utah that is installing Monarch Waystations along the Jordan River, and the Monarch Butterflies will benefit because of it! As with many conservation efforts, it takes a village to address issues hurting the land, as well as restore and care for its waterways, soil, plants, trees, and animals (including us humans). In the case of the Monarch Waystation, our counterparts atUtahs Hogle Zooand The Jordan River Commission successfully installed Monarch Waystations along the Jordan River, too.As noted, it takes many people to coordinate a well-supported, and sustainable, project like a Monarch Waystation. Some plantings of this nature suffer because the coordinating body (in this case, Hogle Zoo) commits to follow-up care. This is troublesome for organizations that have limited capacity in the form of staff time to water growing plants and trees, and funding for supplies to water and weed.On planting day in early May, 10 volunteers and interns came to assist with the preparation of the plots and the heavy-lifting of installing the native seedlings. They also made seed balls, which are balls of clay and mud packed with native seeds. These seed balls are used as low-maintenance ways to proliferate wildflowers and native plants. Now, an enthusiastic neighbor whose home is nestled against the plots waters and weeds these gardens. He is especially watchful forwhitetop, a perennial with little white flowers from southwestern Asia that is very good at taking over space and soil nutrients that otherwise would be suitable for Utahs native plants. Hogle is now committed at a practical, and manageable scale: to periodically check in and assess additional action, as needed.With a similar thought process in mind,Tracy AviarysJordan River Nature Centeris working with volunteers from the mensHomeless Resource Centerin South Salt Lake to maintain Monarch Waystations. Once a week, a small crew of volunteers come from the shelter, put on their masks, and regularly sanitize their hands and shared equipment to visit each of the five plots and give them some TLC.Piecemeal RestorationThe pipe dream for the Tracy Aviary Jordan River Nature center is to bring back fields of thriving, vibrant wild meadow in James Madison Park, along with participating in a budding network of such meadows along the full 52-mile stretch of the Jordan River. However, as a Nature Center that is just starting up, our team does not want to compromise the implementation of such ambitions by biting more than we can chew.Installing, maintaining, and monitoring plant and pollinator activity at Monarch Waystations is an example of an intentional, step-by-step approach to restoration. Instead of weeding, replanting, and watering larger tracts of land in one go, Tracy Aviary hopes to break down the restoration of meadow habitats along the river with finite, manageable goals like expanding the Monarch Waystation network, one plot at a time. This allows us to evaluate how well management of the plots are going, and adjust accordingly as we proceed into subsequent steps to bring wild meadows back to the Jordan River.

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

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

Whether were filling multiple prescriptions because of our families or just ourselves, we can understand that having to go to the pharmacy to pick up medications each week, or even more often, quickly becomes a demand on our time when we have so many others already.A bill recently passed by the House, now headed to the Senate for consideration, would give Pennsylvanians more of a precious resource time.House Bill 1800 would make filling prescriptions more convenient, as it would eliminate multiple visits to the pharmacy by allowing all prescriptions to be filled on the same day each month.People with a few monthly medications to fill may find the process of going to the pharmacy and waiting in line to be disruptive, but it is usually far more difficult for senior citizens and people who are in cancer remission. They may need 10 monthly maintenance medications and, oftentimes, they are unable to drive. Coordinating rides or relying on public transportation at the appropriate time is a challenge that studies show result in vital medications remaining unfilled.Synchronizing medications offers greater convenience and likelihood that Pennsylvanians will have the medications they need when they need them, which is important to maintaining health.While consumers can request this synchronization, this bill puts the practice into state law and prohibits an insurance company from denying coverage for a partial fill of a script to facilitate medication synchronization. Thirty-five other states have enacted or introduced similar legislation.This article was submitted by Pennsylvania State Rep. Bryan Cutler (R-Peach Bottom), who may be reached at bcutler@pahousegop.com. You may also view his website at www.RepCutler.com.

To learn more about Inspire Health Clinics,CLICK HERE.Heel pain can seemingly strike out of nowhere, and when rest and ice dont relieve your symptoms, its best to have the problem checked out. Untreated heel issues can become chronic.Heel pain is a common complaint and when it strikes your first instinct is likely to wait and see if it improves. You may turn to some self-care approaches, such as ice, heat, rest, and compression. In some cases, this is all you need for heel pain to resolve. If heel pain sticks around, its time to visit an orthopedic physician for an evaluation.At Inspire Health Clinics in South Jordan, Utah, foot and ankle surgeon Matthew Graff, DPM, specializes in diagnosing and treating conditions that affect the foot and ankle. Problems that affect the feet and ankles are often dismissed until they become too painful to ignore. In this post, we discuss more about heel pain and the signs and signals that you should see a physician.When heel pain signals an injury Your feet and ankles have a big job to do. They carry your weight so that you can walk, jump, run, and move effortlessly. Foot and ankle injuries are common and a sign that you should see an orthopedic physician to get checked out. Any damage to the foot or ankle requires medical treatment so that your foot can heal properly. Untreated foot and ankle injuries can result in chronic problems down the road.Here's what to look out for that may point to a heel injury:Problems walkingSwellingBruisingTingling or numbnessWeaknessPainIf you have a history of foot and ankle problems it's important to see an orthopedic physician to check for underlying issues.Common causes of heel painOveruse and underlying medical conditions commonly cause heel pain.Plantar fasciitisA thick band of tissue called a plantar fascia runs from the back of your heel to your toes. This tissue can become inflamed. Plantar fasciitis is the most common cause of heel pain and typically causes a stabbing pain at the bottom of the foot in the heel area. You're more likely to get plantar fasciitis if you're an athlete or stand on your feet for long periods. Excess pressure on the plantar fascia can cause irritation and inflammation.Heel spurA heel spur is a bony growth that forms at the bottom or back of your heel. It varies in size and can cause pain when you walk. Not all heel spurs cause pain, and many people who have them are unaware of it. When a heel spur does cause pain, it can make it difficult for you to walk comfortably.BursitisBursa are fluid-filled sacs that cushion your joints so that they glide smoothly. Bursitis occurs when the bursa near the heel joint becomes irritated or inflamed. This can cause your heel to feel painful and swollen.Achilles tendonitisThe Achilles tendon connects your lower leg to your heel bone. This tendon is vulnerable to overuse if you play sports that involve running, such as basketball. You're also more likely to develop Achilles tendonitis if you're overweight. Inflammation of the Achilles tendon can cause heel pain and limit your range of motion. Left untreated, Achilles tendonitis can result in a tendon rupture. If you're dealing with heel pain, discomfort, limited range of motion, or other heel issues, its best to consult with a foot and ankle specialist for further evaluation. Don't ignore heel pain. A prompt diagnosis paves the way for treatment to relieve your pain. Give us a call to schedule a visit with Dr. Graff. New and existing patients can also request an appointment using our online booking form.

There is a little-known pension for Veterans and their spouses to help pay for care costs. The Aid and Attendance Pension has been available for over 60 years, yet the VA estimates that millions of Veterans who qualify have not applied. Veterans earned this benefit by their service to our County. It is available for up to 20 hours per week of personalized care and completely paid for by the pension.Health costs covered by the pension are generally those not covered by Medicare. Maybe there is a need for some help around the house, with medicine reminders, meals or transportation to doctor appointments. The Aid and Attendance Pension provides from $1000 to $2000 per month to pay for these services. The pension is used for tasks that help a qualifying Veteran and their spouse live healthier or safer in their own residence.Aid and Attendance is a reimbursement pension. In-home care must be ongoing before the Veterans Administration pays the monthly benefit. Fortunately, there is a program that may pay for the care before the pensions disbursements begin and without recourse as long as the paperwork was conscientiously and accurately submitted. Therefore, Veterans and their spouses can have no out-of-pocket expenses for care before AND after the VAs eligibility determination. They never receive nor pay a bill for their care.The process to become qualified is laborious with a needs assessment, physicians evaluation and many forms. However, by working with an accredited Veterans Administrations agency, free guidance is provided to correctly present the application.To be eligible for the standard pension a Veteran must be at least 65 years of age, served as active military for 90 days during an approved time of war and received an honorable discharged. The spouse will need to provide a marriage certificate. Discharge certificates (DD-214 after 1950) can be restored if they have become lost. Help with the eligibility process is at absolutely no cost or obligation. Most Veterans and their spouses needing care will qualify.The important things for Veterans and their spouses to remember is that assistance is available to get the necessary forms completed, to help present their eligibility accurately, to pay for care before and after the pension begins and to help them live a higher quality of life. All these happen without any out-of-pocket expenses because of this unique program. More free information is available.Thousands of Veterans and their spouses have already utilized these services to start this pension paying for care. Those not receiving this benefit ought to consider applying for the Aid and Attendance Pension. Theyve earned it!Editors Note: This article was submitted by Dr. Mark O. Bowman. Dr. Bowman is the owner of Home Care Assistance of Utah and their office can be reached at 801.733.6100, by email atmbowman@homecareassistance.com

What brought Kobernick House resident Len Gumley to Sarasota after so many exciting years in New York and Hollywood where he enjoyed being an actor and a television and film producer? The arts, says Len without hesitation. I was attracted to Sarasota's arts and culture, especially the theatre. I served on the board of directors for the Asolo Theatre for 15 years and on the board of the West Coast Black Theatre for ten years. We just got our own building, and the plays at West Coast Black Theatre are selling out.Born and raised in New York City, Len al-ways felt a passion for theatre, acting and all the creativity of film and television production. In his senior year of college, the Pearl Harbor attack happened and Len volunteered to join the US Air Force, becoming a glider pilot. After the war ended, he retired as a Lieutenant Colonel and began producing motion pictures and designing television sets. His favorite studio was in Hollywood, California.Working as a young actor, Len landed a role in the popular 1949 film, The Sands of Iwo Jima, starring John Wayne.I am the last person alive who has screen credit in that film, says Len. I played the part of Private Sid Stein, and in that film, I died in John Waynes arms.In the summer of 1946, Len re-calls being roommates with Ernest Borgnine. They were in several theatre productions together. When Len decided to make a career change from acting to television production, he moved back to New York City and began with the Milton Berle Show. He went on to work for NBC and CBS, where he got to know Walter Cronkite, Mike Wallace and other greats in the news business.Later, Len became an independent film producer, excelling in medical documentaries. He is especially proud of a film he produced called In the Absence of Angels, which aired on PBS, showing homeless people helping other homeless people.This film was made 30 years ago, says Len, and it is still relevant today. I met with Sarasota's city manager to see if the film can be shown here. Len recently celebrated his 93rd birthday by going out to dinner at Hyde Park Prime Steak House with his lovely lady friend, Frances Robinson. They met at Kobernick House shortly after Len moved there in December of 2012.Frances recalls, I was part of Kobernick Houses hospitality committee, which is a group of people who welcome people when they first move in to help them get acclimated. My friend Bernice Goodman was also on the committee, and she introduced me to Len. Originally from Oklahoma City, Frances had vacationed on Siesta Key and Longboat Key for many years before becoming a full time resident of Sarasota. Like Len, she was attracted by the theatre, ballet, fine dining and all the cultural venues Sarasota offers. Frances has always been a bridge player, and she plays most every day in the Kobernick House Card Room.I believe that playing Bridge keeps your mind sharp, says Frances. I also enjoy exercising in the Fitness Center and swimming in the pool. Living here feels like being with family. People are so caring, and I have made a lot of good friends here. I am very happy at Kobernick House.Kobernick House offers the finest independent living on the campus of Kobernick-Anchin, Sarasota's only senior living rental community offering a full continuum of care: independent and assisted living, secure memory care, skilled nursing and rehabilitation. To learn more or take a tour, call any time: 941-377-0781. Visit online: www.kobernickanchin.org. 1951 North Honore Avenue, Sarasota, FL 34235.Sponsored by the Sarasota Manatee Jewish Housing Council, Inc., Kobernick-Anchin operates on a non-discriminatory basis for admissions, services and employment (ALF #8951, SNF #130471046)Editors Note: This article was written by Carlene Cobb, Public Relations Director, Kobernick-Anchin.

Why choose hospice? Hospice is designed to put the person back in the center of his health and allow them to take back control of their life. As a hospice agency, we often hear families express gratitude for patient centered care. Here are several examples of our patients family members comments: Hospice has given my family the power to take control of my dads cancer. With Hospice we have been able to bring my dad home with all the necessary equipment and comforts that he needs to be taken care of. Hospice has provided the support to bring my family together to share in an amazing experience of love in giving to my dad what he wanted most. "He got his wish to be living at home surrounded by his family." Hospice has provided this opportunity with the amazing team members that give the service our family has needed to spend the last moments making memories instead of being held hostage with hospital routines that you have no control over. Because my dad was able to come home he has been able to decrease his pain and stress and increase his appetite through the comfort of his own home.How does hospice place the patient in the center of the care? This is accomplished by the work of a dedicated team of hospice professionals, who understand. This includes the physical, social, emotional, and spiritual needs of a person with a life limiting illness. The patient and their family members are included in the creation of the care plan. Visit times are coordinated with busy family schedules. Symptoms and pain are managed instead of the patient experiencing extreme side effects. Hospice is able to add non-traditional modalities of health care such as Chaplin services, music, and massage and aroma therapy. The addition of all these services empowers a family to be able to care for their loved one in the privacy of their home.Cancer is so limited...It CANNOT cripple love.It CANNOT shatter hope.It CANNOT corrode faith.It CANNOT eat away peace.It CANNOT destroy confidence.It CANNOT kill friendship.It CANNOT shut out memories.It CANNOT silence courage.It CANNOT reduce eternal life.It CANNOT quench the Spirit.Author: UnknownEditors Note: This article was submitted by Kris Carter. Kris Carter is the Executive Director of Aspire Home Health and Hospice and may be reached at 801-292-0296 or by email at kcarter@aspireutah.com.

Most women wait over six years before they tell their doctor if they struggle with bladder or bowel incontinence. Men wait even longer. Embarrassment leads to this delay in reaching out for help. Other times, people leave this issue unaddressed because they believe incontinence accompanies aging. Pharmaceutical advertisements help shed light on this issue with promises to reduce the strong urge to urinate and stop dribbling for men and women in order to make life more manageable. In addition to pharmaceutical interventions, physical and occupational therapists with specialized training and certifications provide treatments that also resolve, reduce and improve bladder and bowel incontinence. All too often, people receive therapy for incontinence and simply go home with a handout on Kegel exercises only to find the problem doesn't improve and frustration increases. To most-effectively treat incontinence the problem needs attention from a specialist. Trained therapists can utilize biofeedback to discover what is truly causing clients incontinence. Biofeedback allows the therapist and their clients to see how the muscles that provide bladder and bowel control are performing by measuring their electrical activity and projecting it on a computer screen. This visual feedback assists in determining what is actually causing the incontinence, even in complex medical cases and chronic conditions or diseases and then the most appropriate treatment regime is developed. In addition to assessing the deep internal muscles of the pelvis, therapists provide helpful education for bladder and bowel health, home exercise programs, how to avoid irritants and most importantly, enjoy life, family and the community without the stress and difficulty of incontinence.Editors Note: This article was written by Krista Covell, owner of Covell Care and Rehabilitation a Medicare and Medicaid certified business. She may be reached at 970-980-9377

Feel Young Again! We are all looking to live the best life we can live, right?! Did you know that physical therapy can help get you back onto the right path if youve veered off of it?Therapeutic exercises and manual therapy techniques can restore muscle, increase joint function and improve mobility. But, thats not all, folks! Check out these three reasons why physical therapy IS for you.#1 Take Care of Your Body Its The Only Place that will be with You Forever!Physical therapy can help improve many areas of your health including:Diabetes: Exercise can help effectively control blood sugar and help with proper foot and leg careHeart Disease: Improve blood flow and increase daily function of your heartLung Disease: Condition and strengthen pulmonary flowAge Related Issues: Manage arthritis, improve function after joint replacement, and increase range of motionWomens and Mens Health: Increase pelvic floor strength, address bowel incontinence, constipation, urinary incontinence and male pelvic pain#2 Dont Let Aging Get You Down Its too Hard to Get Back Up!Physical therapists can help in risk reduction and prevention of falls through balance training, strength training, endurance training and patient education.Through physical therapy, you can: Increase your balance Restore vestibular function Train with an assistive device such as a cane or walker Work to eliminate dizziness#3 Preparation = No Operation!Physical therapy can be an effective alternative to surgery for lower back pain and other conditions. It can also help you recover from injury which in turn reduces your need for future surgeries. Prehabiliation therapy before surgery can also help improve your surgical outcomes, provide a quicker recovery time, less pain, shorter hospital stays, and improved quality of life. Also, by reducing your need for surgery through physical therapy, you can help control your own healthcare costs. Dont let a major surgery sideline you let physical therapy keep you in the game!

For more information on Assisting Hands Home Care, Click Here.Holidays can be a tough time for individuals with Alzheimer's, as well as those providing them care, and other friends and family. The reality of the situation can come to light during the holidays. It may be that one or two people have been providing care and suddenly the rest of the family is exposed to the changes in their loved one. Holidays can also be the time when family comes to terms with the fact that additional help is needed for their loved one and begins to look to professional Alzheimers in home caregivers for guidance and relief.The person affected by Alzheimer's may have a difficult time during the holidays. Family in home caregivers may feel overwhelmed trying to provide care for their loved one while also keeping up holiday festivities and traditions for that person and everyone else. Even family in home caregivers who have been providing care on a regular basis may have to confront new realities when family and friends come over to celebrate and note the changes that have occurred in the manner and behavior of their loved one.In order to avoid additional stress and make for a happier holiday celebration for everyone, it may be time for the caregiver to adjust his or her own expectations, as well as the expectations of everyone else. First, the caregiver should determine what can realistically be accomplished, which traditions can continue, what may need to change, and where additional help may be needed from other family members, friends or professional in home caregivers. Often the caregivers own expectations are the most difficult ones to change. Giving ones self permission to change holiday traditions and expectations is often most difficult for the caregiver who has often assumed the responsibilities and role of the person they are caring for and who is no longer able to take on that role for themselves.Some things for the family caregiver to consider when preparing for holiday celebrations are:Having a potluck instead of a formal dinnerChanging the celebration to a lunch or brunch instead of dinner (this time can be a better for those with Alzheimer's)Whether or not alcohol will be availableIf a new location might work betterIf the host or hostess responsibilities can be transferred to someone newUsing professional services for outside food preparation or cleaningWhether or not using professional home care services to provide Alzheimer's care while holiday preparations are underway, or during the festivities themselves, will help make the individual with Alzheimer's more comfortable and less disoriented by the situation.Once the family caregiver has determined possible changes, they should be communicated with honesty and sensitivity to the rest of the family. Likely, they will need to be informed of the reasons for the changes and the situation regarding the changes their loved one with Alzheimer's has experienced. It is helpful to let family members know that their loved one can no longer think or remember things clearly and may not even know who they are, so that they can be mentally prepared as well, and be able to handle their reaction in a way that will not adversely affect the positive atmosphere of the gathering.While input from others can be considered, the family caregiver who knows the situation best should be prepared to patiently explain the reasons the changes need to be made and stand by any decisions that are not up for negotiation. This is especially true when the caregiver knows that giving in to the demands of others will actually make the situation worse for everyone.After the holidays are over, the family caregiver should take time to rest and recuperate. Arranging to have professional in home caregivers come in to provide Alzheimer's care so that the family caregiver can have a break is important. The family caregiver should take time to do something enjoyable like take in a movie, have dinner with a friend, get a massage or spend time at a park or museum.Making holiday celebrations easier for both caregiver and the relative affected by Alzheimer's can make for happier, more enjoyable occasions for everyone.

CBD (cannabidiol) is one of hundreds of chemical compounds, including TCH (tetrahydrocannabinol), found in the hemp or cannabis plant. While THC is known for producing a high, CBD is non-psychoactive. Because of this, its appeal as a potential therapeutic option for a myriad of conditions has grown. Extensive preclinical researchmuch of it sponsored by the U.S. governmentindicates that CBD has potent anti-tumoral, antioxidant, anti-spasmodic, anti-psychotic, anti-convulsive, and neuroprotective properties. CBD directly activates serotonin receptors, causing an anti-anxiety effect. It works by modulating the endocannibanoid system, a hitherto unknown and complex neurochemical system encompassing most of the human body, including the brain, central and peripheral nervous systems, immune system, and peripheral organs.Recently there has been an onslaught of CBD products hitting the market amid claims that it is a cure-all. While certainly not a panacea, a solid body of research shows CBDs numerous potential benefits.When navigating the purchase of CBD, determining which products and appropriate dosages for specific conditions can be a challenge. Over the past year Ive undertaken a lot of study on this topic and consulted with other experts in the cannabis medicine field in order to give my patients solid advice on the therapeutic benefits and which products are of highest quality. Groundbreaking research is showing that Whole Plant CBD (as opposed to CBD isolate) provides superior therapeutic properties. Whole Plant CBD includes CBD, less than 0.3% THC and other phytocannabinoids, terpenes, and anti-inflammatories. Before purchasing, the key is to look for products that are rigorously tested and high quality. As always, check with your medical provider before using CBD products.For more on CBD, visit ProjectCBD.org or visit bouldermedicalcenter.comEditors Note: This article was submitted by John Kelley, MD, family practice physician at Boulder Medical Center. Call 303- 440-3001 for more information or to make an appointment.

The Covid-19 Pandemic has changed the world in many ways. One thing that has not changed, and has become more important, is the need to have legal planning in place if you get sick or worse. So, Powers of Attorney to have a trusted person in place to pay your bills and handle your finances; Health Care Proxies to have a someone in place to make medical decisions if you cant make them for yourself; and estate planning documents like Wills and Trusts are even more important now than ever.Covid-19 also has put limits on how you can put these documents in place. Seniors cant easily or safely meet in an attorneys office to discuss planning and to sign the documents, many of which need to be signed in the presence of witnesses and a notary public.Fortunately, we humans are a resourceful species and some solutions have been put into place so that you can get these important documents in place; such as:-a computer, tablet or smartphone, using video conferencing software (ZOOM and similar), can allow meetings to take place between your lawyer and you remotely.-if your lawyer and you are comfortable with you coming in to the office, many offices now have protective shields and air purifiers in place so that you can see and hear your lawyer in person safely with masks.-meetings to execute documents can take place in many ways. There are three options my office has been using:Meet in person with the protective safeguards (shields, masks and air purifiers) with witnesses and the notary keeping social distance but still being in your presence to meet legal requirements.When the documents are finalized, meet through a video conference with the lawyer to confirm the choices you have made in the documents. Then follow up with a drive in document signing in the office parking lot where the notary and witnesses provide the documents through the car window and watch as they are executed (and no, you cant get fries with that).Massachusetts passed a remote notarization law that allows documents to be witnessed and notarized remotely using a computer or smart-phone (not easy or simple, but it works).If you havent done legal planning before or need to make changes to your plan, the Pandemic should not be an excuse not to do it now.Editors Note; This article was submitted by Estate and Elderlaw Attorney Timothy R. Loff, Esq. of the Law Offices of Timothy R. Loff, Newton, who may be reached at 617-332-7021 or information@lofflaw.com.

To learn more about FirstLight Home Care of Omaha,CLICK HERE.Did you know that people who have sleep apnea in mid-life are more likely to develop Alzheimers disease as they get older? If you have a loved one with Alzheimers, youre probably aware that there is a connection. However, you might not understand why.With Alzheimers Awareness & Brain Awareness Month in June, its a good time to discuss this common issue, why it occurs, and ways caregivers can help.The Link Between Sleep Apnea and Alzheimers DiseaseMedical experts have known for a long time that there is a strong connection between Alzheimers and one specific type ofsleep apneacalled obstructive sleep apnea. This is the most diagnosed of the three types, and it occurs when the throat muscles relax and are unable to hold the airways open.In the past, research has shown that sleep apnea impacts the brain, causing damage that can potentially lead to cognitive impairment. Specifically, it triggers atrophy in the brains hippocampus, the area critical for memory. Now, new research has made even more progress in uncovering the connection between sleep apnea and Alzheimers.In the Alzheimers brain, abnormal levels of a naturally occurring protein called beta-amyloid 42 clump together to form plaques. These collect and build up between nerve cells and disrupt their function.In a new study published in the medical journal,Sleep, researchers found that the more severe a persons obstructive sleep apnea, the more likely they are to have increased amounts of these plaques in the hippocampus. This is because sleep deficiency hinders the brains ability to clear out the protein.In addition, the research also found that episodes of oxygen deprivation followed by re-oxygenation the hallmark of sleep apnea may lead to stress that further injures the hippocampus and nearby areas of the brain. This makes the brain more susceptible to Alzheimers disease.Other research has also linked obstructive sleep apnea to a range of different cognitive impairments. These can include damage to memories and decision making, as well as the ability to learn new information.How to Help a Loved One with Sleep Apnea and Alzheimers DiseaseAs researchers continue to work to better understand the connection between sleep apnea and Alzheimers, there aresteps you can take nowto support your loved one with both conditions. First, its critical they get medical care to treat sleep apnea, so they can improve the quality of their nighttime rest and lower their risk for additional cognitive damage. If youre a primary family caregiver of someone with Alzheimers disease and sleep apnea, make sure youre also focusing on:

Music-Thanatology is a musical/clinical practice that unites music and medicine in end of life care. The music-thanatologist utilizes harp and voice at the bedside to lovingly serve the physical, spiritual and emotional needs of the dying and their loved ones with prescriptive music.Prescriptive music is live music that responds to physiological changes observed in the patient moment by moment. For example, by observing vital signs such as heart rate, the music-thanatologist provides a musical prescription that is tailored to each specific situation. The warmth of this living music can bring solace, dignity and grace to those nearing the ultimate journey at the end of life.This music can help to ease the physical symptoms such as pain, restlessness, agitation, sleeplessness and labored breathing. It offers an atmosphere of serenity and comfort that can be profoundly soothing for those present. Difficult emotions such as anger, fear, sadness and grief can be relieved as listeners enter into a musical presence of beauty, intimacy and compassion.Music-Thanatology is not intended to entertain or distract the patient. Instead this music allows the patient to enter into the unbinding process of letting go in his or her very own personal way.In general, the music is quiet, restful and meditative. This music, referred to in Music-Thanatology as prescriptive music, is in fact music which is prescriptively delivered and is more specific to individual patient needs based on observations of the patients vital signs and overall affect. While there is a place for commonly known music or old favorites during many phases of life, music-thanatologists will consciously steer away from familiar music toward music that is unassociated with particular memories, thoughts or feelings. This approach encourages the listener to simply receive on a deep level.Whether conscious or unconscious, the music is patient directed since we connect at the level of breath, pulse, pain, effort and tension. In addition to this medical delivery of music, the music seeks to be an expression of beauty and love; and as such, it transcends diverse affiliations of faith and culture.Since antiquity, music and medicine have a long tradition as allies in healing. Music-Thanatology is a contemporary field rooted in that same tradition. Many physicians, nurses and caregivers welcome music vigils as an integral form of care for relieving suffering and bringing comfort for their patients and families.Editors Note:Christine Jones, CM-Th, M.I.S., B.A., is a certified Music-Thanatologist living and working in the state of Utah and may be reached by email at lyricalharp.jones@gmail.com

There are many wonderful rescues in our community, but Safe Place for Pets has a unique mission: to re-home pets of terminally ill owners. The all-volunteer rescue, founded more than 15 years ago, has helped hundreds of local pets find homes, and helped their terminally ill owners find much-needed peace of mind.So many people hold on until they know their pet will be well taken care of by a loving new family, said Cathy Woods, president of the Safe Place for Pets board of directors.Founded by Hospice nurse Joanne Bonicelli in 1996, the local non-profit now has more than 100 volunteers. All of our volunteer jobs are important, but one of the most crucial is our foster volunteers, Woods said. We always need more fosters, especially for cats. Other volunteer jobs include placing adoption posters in supportive local businesses, working to raise funds for animal care, and more.Safe Place for Pets accepts all types of pets, most often taking in dogs, cats, and birds. The rescue puts more than 90 percent of funds raised into animal care, including a great deal of rehabilitative training and veterinary care. On average, we spend $200 per animal that we rehome, Woods noted.So how can you help? Adopt or foster a pet in need! The rescue is always looking for more great volunteers, and donations are greatly appreciated as well. To learn more about this wonderful local organization, visitwww.safeplacepets.org or call (719) 359-0201.Editors Note: This article was submitted by Ann Davenport for the non-profit Safe Place for Pets. She may be reached at info@safeplacepets.org or 719-359-0201. For further information visit their website atwww.safeplacepets.org

To learn more aboutCarePatrol of Utah, CLICK HERE.In helping over 1,000 families findsafe care options, one of the firstquestions families ask about assisted living is how much does it cost?Many people are surprised at how affordable it is when given specificinformation about whats included.Such as utilities, food, cooking,cleaning, entertainment, transportation and 24/7 nursing care.What does Assisted Living cost inUtah? Communities charge anywherefrom $2,000 a month to as muchas $6,500, but the average is about$3,500. This amount largely depends on 3 factors. 1 How much care does the resident require? For individualsthat need help with a lot of activitiesof daily living (ADLs), the cost canbe more. This is important to keep in mind and understand that the cost may increase over time as careneeds increase. 2 Location. As will any real estate, location affects the cost. 3 Size of the room. Most communities have different sizerooms from small studio apartmentsto 2 bedroom suites. Most individuals are completely comfortable in astudio or 1 bedroom.Most assisted livings have a rentplus level of care pricing model.Which mean you have a flat baseprice for the rent of the apartmentand then added charges based on the level of care required. SomeCommunities have a flat rate all-inclusive pricing model, meaningyour price is the same every monthregardless of the care provided. In addition to the monthly cost forAssisted Living, most communitiescharge a move-in or communityfee for new residents. Make sure youunderstand all the costs associated with moving before you sign theagreement and move in. There aregreat communities at every pricelevel.Does Medicare or Medicaidpay for it?Traditionally Medicare does NOTpay for Assisted Living. It can, insome cases, pay for a short-termnursing home stay or for in-homecare. Medicaid can be used to payfor some of the costs associatedwith Assisted Living. In Utah theMedicaid program that helps payfor some assisted living charges iscalled the New Choices Waiver.Long Term Care InsuranceLong term care insurance is agreat way to help pay for some or allof assisting living costs. Some lifeinsurance policies have a long termcare rider.VA Aid and AttendanceThe VA Aid and AttendancePension is a great benefit for manyveterans. It can pay up to $2,295(2020 amount) to a married veteranand their spouse. The veteran musthave served 90 days active duty andat least 1 day during wartime. Thiscan also be an eligibly benefit for asurviving spouse.Private PayThe most common way residentspay for assisted living is with theirincome, savings, and retirement.If you have any questions aboutassisted living costs or how to payfor it, CarePatrols Senior Advisorscan help. Please call 801-717-9328for more information or visit Utah.CarePatrol.com.'Editors Note: This article was submitted by Randy Chipman, Certified SeniorAdvisor, Certified Placement and ReferralSpecialist. He may be reached at 801-717-9328 or by email at Utah@CarePatrol.com

The Seniors Blue Book was first published in 1983 by Clifton Chadwick. At the time Cliff was 69 years old and enjoying his retirement when his wife experienced a debilitating stroke. Cliff became her full-time caregiver, a job he cherished, but he was distraught that there was no place to turn for a comprehensive list of resources and services. It was from the love for his wife and commitment to his community that the Seniors Blue Book was born. Fifteen years later in 1997, when Cliff was 83 years old, Gil & Marion Hersch took over the reins from Cliff. With a history in publishing and Gerontology Gil & Marion were very impressed with the publication Cliff had nurtured along and wanted to become a part of it. After Cliff was certain that Gil & Marion had enough integrity to take over the guide and keep intact the many free listings and helpful editorials that he had published, Gil & Marion took over the Seniors Blue Book and soon joined forces with their children Oliver & Samantha. SeniorsBlueBook.com was launched soon after their arrival in 1999. Now, 40 years later, we have no question Cliff would be humbled and proud of where the Seniors Blue Book is today in 2023. Printing 2.7M copies serving 28 markets as well as a nationwide on-line database, the Seniors Blue Book helps thousands of seniors and caregivers every day navigate the confusing and often daunting senior landscape. Our local Publishers truly love the opportunity to help serve people in their communities and I know that would put a big smile on Cliff's face. Today all the Publishers of the Seniors Blue Book thank Cliff for his vision, and we work hard to make sure his vision is respected and honored. One of the greatest benefits of the Seniors Blue Book is the sense of community it fosters. By bringing together information on local resources and services, the book helps seniors and their families feel connected to their community and less isolated. It also provides a sense of empowerment, as seniors are able to make informed decisions about their care and well-being.  Please enjoy reading and learning from the local edition that you hold in your hands, and feel free to reach out to us at any time for any questions or advise we can help you with. The book is an invaluable resource for seniors and their families as they navigate the often-complicated world of aging.  As the Seniors Blue Book turns 40, it is a testament to the vision of its founder and the importance of providing reliable and comprehensive information to seniors and their families. We look forward to many more years of service and support for seniors and their families!

Incontinenceis a term that describes any accidental or involuntary loss of urine from the bladder (urinaryincontinence) or bowel motion, feces or wind from the bowel (fecal or bowelincontinence). Non-Medical Home Care agencies offer this service.#listing_mgr{8 basic_search}#

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

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

Rides to shopping, appointments and other outings. If you do not have family living nearby, you may consider having a caregiver or home care aide provide you with transportation when needed. Skilled Nursing Communities offer rides to and from scheduled doctor appointments, and most Senior Centers also provide transportation to the center.#listing_mgr{7 basic_search}##listing_mgr{8 basic_search}##listing_mgr{1 basic_search}#

Pondering the question of what the hearing impaired really want, it can be said that they want to be good fathers and mothers, brothers and sisters, aunts and uncles, sensitive to others needs and thoughts.They want to hear intimate speech and to hear clearly the words, I love you, I appreciate you in tones that match the message. They want to bond and feel at one.They are tired of being an invisible segment of their social circle. They want to hear small talk and contribute in kind.They want to be able to relax and enjoy, to breathe deeply and freely, not anxious and tense during a meal at a fine restaurant.They want to hear the dialogue over the music, television without dominating every cubic inch of the room, and their spouse to smile and squeeze their hand in the quiet moment, without having to repeat to the point of frustration.They want to know who youre talking to on the phone without asking, or hear you through the door when caught in bathrobe.Older hearing impaired individuals want to be able to pass the Mini Mental State Exam when the crucial questions are asked, without having checkbook, drivers license, deed to their home, and personal independence taken from them.They want to hear the small child's voice, and to be a calming influence that there is a bright future in store for the next generation.What do hearing impaired individuals want? They want all of the above, and the only way they can get it is by seeking out the services of a dedicated, caring hearing health professional.Borrowing from poet William Butler Yeats, the hearing impaired individual is like the Falcon flying in ever widening gyres,unable to hear the Falconer standing below, and simply searching for answers to their steadily advancing problem. The hearing health professional is like the Falconer , welcoming arm stretched forth, waiting for the struggling Falcon to come home.Dr. Chartrand serves as Director of Research at Digicare Hearing Solutions, Inc., with offices located in Colorado City, La Junta, and Trinidad, and as Associate Professor of Behavioral Medicine at NorthCentral University. Information: 719-676-4377.

Activities Bring Pleasure to Individuals with AlzheimersIt is very important to keep those with Alzheimers active in hobbies and interests that gave them pleasure prior to their Alzheimers diagnosis. Those activities can help improve quality of life in several ways, such as: Foster emotional connections with others Encourage self-expression Stir memories Lessen anxiety and irritability that the Alzheimers diagnosis will bring Make those afflicted with Alzheimers feel more involved with lifeSuggested Activities for Those with AlzheimersBelow are 10 activities that you can do with your loved ones. At certain times of the day, some activities may work better than others. Please understand that the persons level of interest or involvement in the activity may decrease as their Alzheimers progresses. Use music to spark memories in people with Alzheimers. Sing songs, play their favorite music. Use live music, or CDs. Radio stations with too many commercials cause confusion. Do arts and crafts, painting or knitting. Keep projects and patterns simple. Organize office or household items such as buttons according to color. Organize loose change according to denomination. This is extremely important for those who used to take pleasure in organizational tasks. Clean around the house, sweep the patio, wipe the table, fold towels or try other household tasks that help the person feel a sense of accomplishment. Tend to the garden. Read the newspaper. Look at books that they used to enjoy. Engage them with family photos and videos. Cook or bake simple recipes together. Work on puzzles together.Be Supportive and Flexible in your ApproachIf your loved one resists the activity, then have them take a break. You can try again later, or ask them how the activity can be changed to make it more enjoyable for them. Remember to concentrate on the process of the activity and not the results. It does not matter if you never finish the project together. What matters is that your loved one enjoyed the time spent on it, and felt useful.Editors Note: This article was submitted by MaryAnn Ciambriello, RB, BSN, owner of Alzheimers & Dementia Care, LLC; www.alzdementiacare.com. She can be reached at 203-520-0116 or Alzdementiacare@gmail.com. See ad on page

According to the National Alliance on Mental Illness (NAMI) DEPRESSION affects more than 6.5 million of the 35 million Americans aged 65 or older.Getting older can be joyful and peaceful. However, there are times when serious medical issues occur. Often, one may notice they start getting forgetful and find themselves limited in activities they could do before. As an example post stroke depression is common. As we grow older we may experience illness or loss. All of these things contribute to worsening sadness and depression.If left untreated, the depression may become severe and result in isolation. Sometimes, we may feel anxious and unwilling to take our prescribed medications. As the depression worsens it leads to feeling hopeless and may lead to having suicidal thoughts.So it becomes important for seniors to be evaluated and treated for depression. Your primary care physician is a good start. If you live in an independent or assisted living facility or in your own home you can request an evaluation.At Palm Point Behavioral Health Hospital we have developed the Mature Adult Program. This program is designed specifically for individuals over 65 years of age during a time they may be experiencing a mental health issue. The program is under the leadership of Dr. Vineet Mehta, a Board Certified Psychiatrist with over 30 years of experience. He and his team provide a healing environment to recover from depressive disorders. We use many modalities including group psychotherapy, medications and family meetings to effectively treat depression and other mental health disorders.We accept most major insurances, including Medicare, Tricare, private insurance, self-pay, Medicaid managed care. Our counselors will help you negotiate the insurance process. Upon discharge, they will also help connect you to services in the community so you can resume a happy, healthy life after treatment has been completed.Conveniently located off Rt. 1 in Titusville, we are just a short drive from Orlando.Please call us. We are here to help 24 hours a day.

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

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

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

In fall, a gardeners thoughts tend to turn toward winding things down. That goes for Florida gardeners as well as northern ones! In fall we do things such as planting cool weather annuals, tending fruit trees,anda heck of a lot oftrimming.The changing of seasons is also a perfect time to reflect on the Zen principle that everything in the universe is in a constant state of transformation. To a Zen Buddhist, impermanence is taken for granted, and nowhere is impermanence more evident than in a garden. Flowers grow, bloom, and die back. Fruits ripen, then fall to the ground and rot. During a summer of steady rains, the perennial shrubs grow so fast, they needconstantpruning!Impermanenceis one of the important concepts on display in theelegantJapanese art form of ikebana. Other concepts covered in this meditative practice areimperfectionandminimalism. Ikebana is a contemplative practice on a par with the ritual of the tea ceremony. It can be both relaxing and expressive,spiritualand secular. Along with calligraphy, ikebana and the tea ceremony are often practiced by Zen Buddhists because these activities are calming and require a certain degree of meditative concentration, according to Tricycle.org.Ikebana probably first appeared in Japan around the 7th century, imported from Chinaas an outgrowth of the regular practice ofoffering flowersto theBuddha. It wasnt until the 15th century, however, that ikebana began developing into a more ritualized art form. About this time, the 8th shogun, Ashikaga Yoshimasa (14361490), who was a patron of the artsparticularly flower arrangingcontributed greatly to the art form by practicing it himself, thus increasing its popularity among the upper classes. In fact, many of Japans generals through the ages have been practitioners of ikebana as a method of relaxation. Yoshimasa and his contemporaries even influenced the first codification of basic rules for ikebana.Although there have been many schools of ikebana through the ages, all have shared a common goal of honoring nature and respecting the spirit. Each floral arrangement forms a roughly triangular shape which is pleasing to the eye aesthetically, but also has deeper significance: The tallest branch represents heaven, the next highest represents humans, and a small bundle of flowers at the base represents earth. Creative ikebana practitionerscanuse seasonal and locally sourced materials to create new arrangements within these basic parameters.CONTEMPORARY PRACTITIONERSHayatoNishiyama, who lives in Kyoto, went to artschooland joined an ikebana club. Eventually hegrew tolovebotanyso much that he gave up art and became a gardener instead. The constant change of seasons inspires his work, as shown in an arrangement featuring autumn-red rowan branches (a gift from a northern friend) set against late-summer purple asters. Another work,showing three small flowers planted in mossone in bud, one flowering, and onefadingseems to comment on past, present, and future as well as the cyclical nature of time and life.Ikebana practitioners seem to prefer to usethe flowersand othermaterials that are native to wherever they live. Emily Thompson, a self-taught floral artist working in Manhattan, often usessuch unusual materials as weeds, hairy seed pods, and exotics. She is attempting to build worlds made of the infinite wealth of nature,she toldThe New York Times. One of her arrangements features a twisted, lichen-covered apple-tree branch with decaying leaves and one withered apple, paired with snowy Serena roses. Besides illustrating the contrast and impermanence,the arrangement sparks contemplation about how far that apple branch traveled to get to her hands.TRY IT YOURSELFIkebana courses may be found at many local schools, and through national and international organizations. You dont need elaborate materials: a sharp pair of pruners, akenzan(the pin-covered object we call a frog) to hold your materials firmly in place, and a small container. Some ikebana practitioners believe thattheir artshould be practiced in silence; others dont believe thats so important.But you might find yourself sinking into a meditative state as youthink about what materials to use, gather them from your garden or yard, andwork on your arrangement, contemplating the theories that your instructor explains to you. When you are finished with your first ikebana arrangement, you should feel a sense of wholeness as the three points of the triangle of heaven, human, and earth find their balance.According to Natalie Cenci, writing for Artsy: In Japan today, the wordkado, meaning way of flowers, is the preferred term for ikebana, as its believed to more accurately capture the spirit of the art as a lifelong path of learning. The impermanence built into this art, beginning with its dependence on natures seasons, lends itself to never-ending exploration and experimentation.Explore the many seasons of ikebana foryourself, andsee your garden with new eyes!Written by Patricia Rockwood, Instructor and Staff Writer, Adult & Community Enrichment (ACE)atSuncoast Technical College.

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}#

To learn more about Adult Case Management,CLICK HERE.Why did you start Adult Case Management? Great question, thanks for askingI started Adult Case Management after years of helping seniors find assisted living options withCarePatrol of Utah. With CarePatrol of Utah, we are able to help individuals find the safest long-term care options but we are limited to private paying clients. Over the years we helped hundreds of families but also had many requests from families without the ability to privately pay for assisted living or long-term care. We could help, but at some point our services were limited. By starting a New Choices Waiver Case Management company, we could offer the same first class service to those seeking long-term care placement on Medicaid.CarePatrol of Utah is a senior placement agency that helps families find the safest assisted living, independent living, memory care or in-home care. Our local Utah based team (Pictured above) has been to and works with virtually every place along the Wasatch Front. Our database and personal information is unmatched in the industry. With our experience and relationships we can offer clients the best and safest care options regardless of their payer source.Is there a conflict of interest with Adult Case Management and CarePatrol of Utah? Great follow-up question and something the State NCW office takes very seriously. Frankly, this is one major reasons I start this case management company. With CarePatrol of Utah working with private paying clients for assisted living and Adult Case Management working with those on Medicaid and the New Choices Waiver, we will never financial benefit from the same client in both companies. If the client can privately pay for assisted living, we will service that client through CarePatrol of Utah. If the client is on Medicaid, then Adult Case Management will service that client. These two sister companies are completely complimentary and void of any conflict.

More than 20 million Americans suffer from Peripheral Neuropathy, a condition caused by damage to the nerves. Peripheral nerves transfer information to and from the brain while transporting signals to the spinal cord and the rest of the body. When damage occurs, the nerves cannot function properly, consequently causing symptoms characterized by varying degrees of sensory disturbances. The pain can affect your everyday activities, including your work, your play, and ultimately your quality of life.Symptoms & Causes of NeuropathyThere are many symptoms of Peripheral Neuropathy, which is essentially damage to the peripheral nerve system. Some would describe it as wearing an invisible glove, extreme electric-like sensitivity to the touch, burning, or walking on pins and needles.Symptoms of Neuropathy:Loss of hot or cold sensationPins and needles feeling in your feetTingling or burningLoss of feelingDifficulty walkingFeet that are painful to touchRestless legsFeeling of ants crawling on your legsDifficulty sleeping because of foot painLeg crampingPeripheral neuropathy may be either inherited or acquired through disease or trauma. In many cases, however, an exact cause cannot be identified.Neuropathy may contribute to emotional stress and depressionMany people suffering with pain don't realize that the symptoms could be due to Peripheral Neuropathy. It is a condition that can be misdiagnosed or ignored until it is unbearable. This can affect all aspects of your life and may even cause emotional stress or depression. If you are experiencing severe pain, its essential to be treated immediately.Is there a lasting treatment for the symptoms of Neuropathy?A local doctor from Advanced Healthcare, Dr. Irwin, explains how a breakthrough technology along with advanced treatments provides the body with everything it needs to heal the damaged nerves. The non-surgical treatment offers a real option for lasting relief with little discomfort and no prescription drugs. Most patients who undergo the treatments feel pain relief after the first few visits. The combination of treatments helps to restore, stabilize, and rebuild the nerves in your extremities. In many cases the results also go beyond neuropathy and have been helpful for conditions such as chronic pain, arthritis, and MS.Editors Note: This article was submitted by Dr. Nathan Irwin. Dr. Irwin is a doctor with Advanced Healthcare and may be reached at 970-673-4295 or by email at Myadvhc@gmail.com

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

Pondering the question of what the hearing impaired really want, it can be said that they want to be good fathers and mothers, brothers and sisters, aunts and uncles, sensitive to others needs and thoughts. They want to hear intimate speech and to hear clearly the words, I love you, I appreciate you in tones that match the message. They want to bond and feel at one. They are tired of being an invisible segment of their social circle. They want to hear small talk and contribute in kind. They want to be able to relax and enjoy, to breathe deeply and freely, not anxious and tense during a meal at a fine restaurant. They want to hear the dialogue over the music, television without dominating every cubic inch of the room, and their spouse to smile and squeeze their hand in the quiet moment, without having to repeat to the point of frustration. They want to know who youre talking to on the phone without asking or hear you through the door when caught in bathrobe. Older hearing-impaired individuals want to be able to pass the Mini Mental State Exam when the crucial questions are asked, without having checkbook, driver's license, deed to their home, and personal independence taken from them. They want to hear the small child's voice, and to be a calming influence that there is a bright future in store for the next generation. What do hearing impaired individuals want? They want all of the above, and the only way they can get it is by seeking out the services of a dedicated, caring hearing health professional. Borrowing from poet William Butler Yeats, the hearing-impaired individual is like the Falcon flying in ever widening gyres, unable to hear the Falconer standing below, and simply searching for answers to their steadily advancing problem. The hearing health professional is like the Falconer, welcoming arm stretched forth, waiting for the struggling Falcon to come home.Dr. Chartrand serves as Director of Research at Digicare Hearing Solutions, Inc., with offices located in Colorado City, La Junta, and Trinidad, and as Associate Professor of Behavioral Medicine at NorthCentral University. Information: 719-676-4377.

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

Optimistic people live longer and have a better quality of life! They are happier, healthier, and deal with challenges better. According to a 2018 Boston University School of Medicine (BUSM) study, women and men who are optimistic have longer lifespans and greater odds of reaching 85 years old. These people are believed to be more resilient, better able to regulate stressors, and to bounce from adversity. They also tend to be healthier, and engage in self-care such as exercise and ultimately believe they can affect their own well-being.Optimism is hopefulness and confidence that the world is a good place and that things will turn out ok. It is not wishful or fantasy thinking. The idea that it isnt what happens to you but how you respond to what happens to you is the ultimate Optimist mantra, and research supports this. According to the BUSM (and many others) the benefits of being an optimist include:Protects against mortalityPromotes resilient aging and longer life spanImproves ones ability to beat cancerCreates overall better health and more enjoymentImproves stress management.Brains are wired to look out for things that may put us in danger, creating a pattern of pessimistic perceptions that have kept us safe for thousands of years. However, Martin Seligman, a psychologist at the University of Pennsylvania, believes optimism can be learned. He found that people who learned optimism techniques were less likely to develop depression, anxiety and enjoyed improved overall health. You CAN build Optimism through:Deciding to be Optimistic-Make a commitment to see the bright side.Thought Stopping Techniques-When you feel anxiety or have negative thoughts learn to stop your thoughts in that instant.Replacement Thoughts-Find something positive that you can commit to thinking about when you are feeling anxious or down.Gratitude List - Make a list of all the little things that are good in your life.Avoid Negativity-Limit yourself from being around people or things that bring you down.Change the subject-When someone is stuck on the negative redirect to the positive.Give compliments-Saying something positive to another or to yourselfNeed help growing your optimism? Give us a call.This article was submitted by April Boykin, she is an Owner/Social Worker with Counseling resource services who can be reached at 407-654-4433 or by email at april@counselingresourceservices.com

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

Having the DiscussionSometimes the hardest things to talk about are the ones we most need to discuss. One such occasion is learning that you or a loved one has a life-limiting illness. Discussing options sooner, rather than later, is critical, since starting hospice care in a timely manner is the key to its success.Hospice has a unique approach to end-of-life care that allows for active participation in developing a tailored, personalized plan -- so that together you and a hospice professional team can make sound decisions based on what is important to you and your family. Open communication is the key.Hospice offers people with a terminal illness an opportunity for gracious living at the end-of-life. Hospice treats the whole person, not the disease, while also providing care and support for their families. A team approach is used to address emotional, psychological, and spiritual concerns. The care you need is brought to you wherever you call home. Hospice provides medications and medical supplies/ equipment, at little or no cost to you. In fact, Medicare hospice benefits are available to pay for care, when two physicians prescribe this care for patients whose prognosis is for 6 months or less.The emphasis of this care is on helping the patient make the most of every moment by providing comfort and relief from pain and symptoms (often referred to as palliative care) and most importantly, listening and understanding. The earlier the hospice team is brought in, the quicker the pain and symptoms can be managed, and suffering minimized. It has also been documented that those who receive hospice care early statistically live longer and more comfortably than those who wait. This not only benefits the patient, but also the family, who need time to organize their affairs and desires, and to minimize the stress during this period.Hospice recognizes that quality of life is just as important as quantity. We encourage you to make the commitment to discuss your wishes with your loved ones, prior to your final needs.Editors note: This article was submitted by Alpine Home Health & Hospice. For further information, they can be reached at 1-800-Hospice.

Whether aging in place at home, or residing in a senior living community, people living with incontinence can reduce their risk of pressure sores, UTIs, and falls, subsequently reducing their risk of ending up in the hospital by choosing high quality incontinence products.Fully breathable products that allow the skin to breathe will reduce the risk of pressure sores. Without breathability, the person wearing the product may get skin irritations and skin breakdowns. In addition, the pain, worry, and ancillary negative effects are staggering. Not only is wearing a fully breathable product important, choosing skin care products and washcloths that protect elderly thinning skin is equally as important. Transparent barrier creams and no water needed cleansing creams, for example, can aid in reducing risk.Super absorbent products are key in helping incontinent elders sleep through the night. Restorative sleep, the term meaning 7-9 hours of uninterrupted sleep that allows a person to go through the 4-5 sleep cycles, has proven benefits, ie. cell regeneration, tissue healing, hormone regulation, more alert in the morning, etc. If an incontinent elder is wearing a product that keeps them dry longer and is made from soft comfortable materials, the likelihood of them staying in bed at night is greater. If they stay in bed, they reduce their risk of falling during the night, whereas others wearing a less absorbent product may wake up in the night, wet and uncomfortable. In turn, that elder gets up out of bed groggy and thus a fall may happen. Falls are a leading contributor to hospital admissions. Choosing high quality products helps reduce the risk!Super absorbent products may also reduce the risk of urinary tract infections in elders if they are wearing a high-quality product with a double absorbent core that locks in urine while decreasing bacterial growth.If you or a loved one are challenged with incontinence, it is recommended that you inquire about high quality products at your local independent pharmacy or home medical supply store. Staff members at these stores will be more well versed about quality products rather than a consumer buying adult briefs or pull-ups in a big box store and can help guide consumers to proper size & fit, appropriate absorbency levels, styles, etc. which are all factors in promoting confidence, dignity, and overall well being for incontinent people to enjoy everyday life activities.Most pharmacies and home medical supply stores will even be able to provide free product samples to try before you buy. Remember to compare overall value versus cost as this is critical to choosing wisely!This article was submitted by Deanna Vigliotta, National Sales Manager at TZMO USA INC. Deanna can be reached by email at Deanna.Vigliotta@tzmousa.com or visit www.seni-usa.com for more information. For free Seni product samples, please email marketing@tzmousa.com

Youve may have heard the phrase use it or lose it in reference to certain types of learningperhaps speaking a foreign languageor maybe regarding physical fitness. But did you ever stop to think this might be relevant for your brain as well?The human brain is the largest muscle in our bodies. And research indicates that the more we work it, the better it works! Mentally stimulating activities are associated with a variety of brain health benefits including lower risk of Alzheimers disease and other forms of dementia, higher levels of memory and recall, and increased ability to perform all sorts of thinking tasks.This is great news! We can have a positive impact on our brain as we age! In addition, the harder we work our brain, the more it benefits. If you wish to create your own brain workout program, here are some guidelines to keep in mind: Do new things. That which is new is typically more difficult and thus a better workout for the brain. Take a new route home, learn to play a musical instrument, or learn a foreign language. Do things that are mentally difficult. The more mentally challenging the activity, the better. Play chess rather than tic-tac-toe. Do things with other people. Social stimulation is important for mental health. Attend lectures with friends or join a book group. Make it fun. If it is drudgery, it wont be sustainable. If you find something you like, that continues to be mentally challenging, stick with it!If you take exercising your brain seriously, you may reap the benefits for many years to come!Editors Note: This article was submitted by Zane Robertson. Zane Robertson is 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 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 2016 Active Minds. All rights reserved

Wouldnt it be nice to just ride off into the sunset, and when that golden glow is laying on the horizon like a bridge, we just step onto it and walk right into Heaven?Sounds perfect.But life isnt so perfect, and it isnt easy either. But there are many good memories we can all tuck away and carry with us. And we can make the process a little easier on our families by being prepared. Sit with a pre-need specialist and work out the details the way you want. This will give you peace of mind. Next, have the talk with your kids, let them know what you expect. Knowing you are prepared will give them peace of mind.Enjoy life.By facing reality courageously, and making plans, an amazing thing happens: your now free to focus on other things, things that make you happy. We see people sigh a big sigh of relief when their plans are made. And we often see them take up new hobbies, spend more time with grandkids, even take a romantic vacation.So, a few words of advice: Expect a lot of emotions as you get older but avoid dwelling on the negative. Be forgiving and be at peace. Look for something to smile about everyday. Be prepared and put it away.Make somebody smile.Relationships are our greatest treasure. Reach out to friends and family, send notes, make phone calls, drop by for visits, have dinner parties, go for walks with grandkids. Your legacy is going to be the moments you leave them. One family we served lost their father just before he turned 60. He had cancer, and as soon as he found out, he sold his business and spent everyday with his wife and kids, and the grandkids. He was prepared and wanted to make the most of the last 3 months of his time. His kids spoke at the funeral and said they were the best three months of their lives. They laughed. They cried. They couldnt stop smiling.Make yours a happy ending.Editors Note: This article was submitted by Spencer Larkin of Larkin Mortuary.He may be reached at 801-363-5781

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.

To learn more aboutPacifica Senior Living Millcreek,CLICK HERE.The comfortable solution for an uncomfortable situation, our Respite Care program in Salt Lake City provides the care and assistance someone might find necessary while away from home. Whether its due to hospitalization or a temporary need for a place to stay, this living option offers a short-term housing solution that comes with all the other perks of living in our senior community attached.Phone today to learn all the details about our Respite Care program in Salt Lake City.A Helping HandAt Pacifica Senior Living Millcreek, all residents are treated as individuals with specific consideration. Our professional staff, together with the licensed nurse, Certified Nursing Assistants and Med Techs will offer all the daily assistance and support needed to recover after a medical procedure. It also means your loved one will have the opportunity to spend time at our library, outdoor patio garden, and arts & crafts center, as well as to join our life enrichment activities and events. Some of the resident favorites include the weekly happy hour, strength and balance exercise program, bingo games, and the mini manicures.

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.

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

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

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

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

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.

For more information on the author, Senior Care Associates, CLICK HERE!Todays healthcare system is complex and fragmented.Primary care doctors, specialists, multiple medications, therapies, Medi-care, Medicare supplements, Medicaid, primary insurance, secondary insurance, long-term care insurance, home health care, and therapies. EOBs, MCOs, NPs, BH, HHA and so many other acronyms what do they all mean? As we continue to age, it is difficult to navigate all of the services and people that come into and out of our lives. Often times seniors are targets for scams or may be taken advantage of by professionals who use their influence while we are in a vulnerable position. Do you need help from a trusted advisor:-Coordinating/monitoring service providers?-Coordinating government assistance, insurance, or other benefits?Monitoring/advocating for medical needs?-Making/recommending home safety changes?-Advocating for medical needs with providers?-Navigating/recommending community resources?-Managing residential transition? If you answered yes to any of these activities, a Geriatric Care Manager can help! At Senior Care Associates, we are your trusted advocates. Licensed, certified, and knowledgeable care managers here to coordinate all of your health needs. To learn more about our services call for a free consultation today!

Is your mother spending their entire day sitting in front of the television?Are you spending time at work being non-productive because you are worried that your father has fallen, forgotten to take his medication, or has not eaten anything all day?Do you feel tired and/or overwhelmed most of the time?Do you miss being able to meet your friends for lunch or play a round of golf?Adult day centers are designed to serve seniors who are frail, isolated, have a physical impairment such as Parkinsons disease or stroke, or have a cognitive deficit such as some form of dementia.Seniors who attend adult day centers have varied opportunities to meet and be with friends, enjoy delicious catered meals including special diets, and assistance with personal care including bathing. Some centers offer professional nursing services (RN and LPN) including the administration of medications. Additional services may include the provision of transportation, podiatry, and physical, occupational, and speech therapy services, weekly outings, salon services, and caregiver support groups.Adult day care centers are usually open from 7 am to 6 pm, from Monday to Friday. Some centers are also available during the evenings and on Saturday and/or Sunday.The average cost for adult day care is much less than a visit from a home health nurse and about half the cost of skilled nursing facility care. Assistance with funding is available from Long Term Care Insurance and Medicaid. In some areas, funding assistance may also be available from the Veterans Administration, nursing home diversion programs, and other entitlement programs.A checklist for comparing adult day care centers in addition to identifying locations is available on the website of the National Adult Day Services Association which is www.nadsa.orgAdult day care centers are the most cost effective way to help seniors age in place and provide respite for their caregivers. Call or visit one today!Editors Note: This article was submitted by Randy Gornbein of SarahCare Adult Day Care at the DTC. He can be reached at 303- 221-7272 or at rgornbein@sarahcare.com

Summary: There are many responsibilities when caring for an aging parent and sometimes family members cannot be there all of the time. Senior care from Non-Medical Home Care Agency can provide a respite for families for the times that they cannot be with their loved one.________________________________________________________________________Many are expected to take care of elderly parents or family members as their parents age and become less independent. It is very difficult, especially considering that most caregivers have their own careers and families to take care of as well. Families are happy to take care of their loved ones; however, it is recommended that there is some type of additional senior care to give respite to families. This is helpful with daily tasks and overnight and out of town needs.There are a multitude of basic needs, including household maintenance and chores to be tended to when aiding in senior care. Fundamentals such as bathing and grooming, preparing meals, household chores, and paying bills are some examples of what needs to be done for someone. Perhaps some of these can be done by family members, but many times it is too much to handle, and additional caregivers are needed. Services are available to provide help for these basic senior care needs and companionship.In addition to chores and keeping up with household duties, maybe a challenge is overnight care, or even being responsible for someone who lives out of town. In this day and age, it is common for families to live great distances from each other. If the adult child who is responsible for a senior lives out of town, how will their parent get to a doctors appointment, have a companion to check in on them, or take their proper medication? Hired senior care is available, and they offer caring, secure, and trained caregivers. Perhaps a family has coverage during the day, but is unable to spend the night with a loved one, and would feel more secure if their parent had someone in their home overnight. These senior care services are available also.Non-Medical Homecare Agencies provide caring, at-home caregivers offering respite for families, alleviating the stress that they may have. Non-medical homecare caregivers can help with hygiene assistance, meal preparation, housekeeping, errands, and much more. They allow the maintenance of a familys schedule while providing personalized care.Editors Notes: This article was written by Grace Enderlein, a freelance writer and editor. Submitted to Seniors Blue Book by Bruce Allison, the Administrator at Visiting Angels and may be reached at 866-492-6435.

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}#

Charitable and government organizations providing resources and dental services. Many programsprovidedental care for low income individuals at an affordable price, including patients with no insurance.#listing_mgr{7 basic_search}#

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

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

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

Isolation is a growing health epidemic. The AARP Foundation Connect2Affect campaign states that the health risks of prolonged isolation are equivalent to smoking 15 cigarettes a day. When asked which they would rather give up for a week, 79% of seniors said they would rather give up watching TV than talking with their friends and family.Social interaction and connections are necessary to lead a happy, healthy life. More than 8 million adults or 1 in 5 adults age 50+ are affected by isolation. The effects of the isolation and loneliness can be even more debilitating if they have any cognitive decline.Isolation is not caused by a single event; many factors contribute to the feeling of being isolated and alone. Its even more difficult for seniors who struggle financially or who have memory issues such as Alzheimers or dementia.Factors that contribute to isolation include: Lack of access to quality resources, services, and transportation Declining health, mobility and overall well-being Life transitions: retirement, loss of a spouse Challenges with staying in contact with friends and familyLonely seniors are more eager to answer unknown phone calls, and strike up a friendship with whoever is on the other end of the line. This makes them especially vulnerable toscammers and telemarketers. Seniors, who have already been taken advantage of, are almost afraid to answer the phone and therefore become even more isolated and disconnected.Ways to help seniors stay connected and engaged: Give them a purpose for getting out of the house. Visit the local senior center, take part in educational and fun activities, and meet up with friends. Ensure reliable transportation is available. Provide a simplified means of communication. A basic telephone that allows the family/caregiver to monitor their phone usage and block unwanted calls can eliminate much of the confusion created by the overwhelming number of features on most modern phones. It can also protect vulnerable seniors from scammers and help them to feel more comfortable with answering their phone again. This helps to ensure they stay connected with friends and family.Addressing these issues can open-up a new world to seniors, reducing the feeling of isolation and enriching their lives and the community as well.Editors Note: This article was written by Jill Schriefer with teleCalm. She may be reached at jill@teleCalmProtects.com or teleCalmProtects.com

Dr. Rasmussenoffers personalized service at home and on the go. Offering in-home visits, an award-winning Doctor of Audiology provides care that brings a new dimension to hearing, tinnitus, and hearing aid treatment. During 17 years in the field of Audiology, she heard the same complaints from patients: The office is far awayI get lostI cannot driveSays Dr.Rasmussen: All I could think is there must be a better way With advancements, I can now help patients in the comfort of their home. Doctors Hearing LLC bills insurance making Mobile Audiology affordable for most.Dr. Rasmussen is nationally recognized for her work on speech understanding in noise, which was published by the Acoustical Society of America. She is recognized for clinical implementation of the American Academy of Audiology guideline.At the top of her field, Dr. Rasmussen was the first Neuromonics Tinnitus Treatment provider in Naples. Dr. Rasmussen earned recognition in Naples Daily News for excellence in Hearing Aid and Tinnitus Treatment.Most recently, Dr. Rasmussen was awarded by Gulfshore magazine as one of the top 40 Under 40 in 2016--an honor that places her among the elite professionals in Southwest Florida.

The novelist and poet George Eliot wrote, Our dead are never dead to us, until we have forgotten them. In todays modern era of digital media, cloud computing, social networks, and mobile devices, we see no reason why anyone should ever be forgotten.Video InterviewsWritten family histories are invaluable but who and how many family members have The Book? Genealogy services are great for discovering your lineage, but viewing names on a screen cant convey the stories, laughter, or the personalities of the people that lived those lives.Conducting video interviews and recording the stories and memories that emerge as result of that effort, is the perfect solution for capturing your familys history.Advance PreparationAdvance preparation is helpful before you ever marshal your parent in front of a camera:Willingness Confirm your parent is willing and positive with respect to being interviewed. If they are not, the result is unlikely to generate the video you hoped for. You may need to frequently assure them this is something you and their loved ones want.Preparation Diligently consider your interview questions in advance. Topics may include places lived, family tree, education, career, military service, hobbies and interests, and a wide range of personal matters including romance, epic deeds, words of wisdom, feelings of happiness, joy, grief, regret, and more.Conducting the InterviewA video-story professional understands ways to help to conduct successful interviews. Here are a few that are especially important with respect to older adults:Dont exhaust your parent for hours on end. Pick a time of day they are most energetic and take frequent breaks.Use prompts such as family photos, mementos, and such. Bear in mind these can elicit strong emotions so be sensitive to their wishes.The interview may likely go off topic. Its okay, with open ended questions and follow up, more details will be obtained.The video interview process can be an immensely rewarding and joyful time for you and your parent. The completed video is a wonderful family gift and is something the entire family will cherish for the rest of their lives and for generations to come.Editors Note: This article was submitted by Steve Crane, President of Memorial Masters, a visual story-telling company. To preserve your family stories and experiences in a professional manner, contact Steve at (800) 474-5056, info@memorial-masters.com, www.memorial-masters.com. Read article on page 98-99

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*

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

Before I began Maximized Livings 5 essentials, my blood sugar levels were a constant concern as a Type 2 diabetic. Even though I was taking my prescribed medications daily, monitoring my diet, and regularly testing my blood sugar levels, my blood sugar was never consistent. My levels actually soared no matter how much medication I took or how little food I ate.I finally began to find real answers for my health at Trinity Chiropractic, a Maximized Living Health Center. I was invited to follow the 5 essentials that include: mentally controlling my attitude, receiving consistent chiropractic adjustments, dedication to an elite nutritional plan, regular exercise, and attention to decreasing the toxins in my environment. While this seemed like quite a challenge, being healed from Diabetes and living a high quality of life was worth some sacrifice and hard work!After 3 months, I have lost a total of 30 pounds. My blood sugar levels have stabilized and I am taking much less medication than before! I look forward to exercise. I have more energy than I have had in months! Instead of growing older, I am holding my own and feeling younger, more positive and full of well-being.Editors Note: This article was submitted by Florence E. Hesser. To contact Trinity Chiropractic, call 239-597-6099 or visit their website www.maximizedlivingdrloman.com

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

The 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 303.214.4307 or emailed at aaustin@nuclearcarepartners.com.

Do I Need A Will Or A Trust? That is one of the most common questions I am asked.The problem is that is the same as asking if you should turn left or right without saying where you are or what your destination is.In fact, those are typically my first two questions in an initial meeting. First: What is your goal? And second: Where you are in life and what do you have? Then we can figure out the best way to get there.The standard estate planning for many years has been a Will. It is tried and true and cost effective. You should start with a Will and move to a trust based plan only if you need to. So when do you need to move to a trust based plan? Correctly drafted and properly funded, a trust will avoid probate. They allow you to give someone else (typically a spouse from a second marriage) permission to live in your house until they pass away and then have the house go to your specified heirs. If you just left the house to the second spouse outright, he or she could leave it to whomever they wish towhich may or may not include your planned heirs. Trusts also allow much more privacy for the administration of your estate. Finally, if you own property in more than one state, a trust allows you to avoid probate in each state. If you think one attorney is expensive try having two or more, in different states!There is a third option that many dont know exist: the Will and beneficiary deed. Beneficiary deeds are deeds that act just like beneficiary designations on bank account or on life insurance. Upon your death, instead of going through probate, your beneficiaries just file a death certificate with the county and the property is transferred to your beneficiaries. No lawyers and no waiting. So, if your estate consists of a home in Colorado and some investments and you want everything divided equally between your beneficiaries a Will with a beneficiary deed plan may be right for youall at a cost of less than half of what a trust would likely cost.Editors note: This article was submitted by Ryan N. Morey, Esq. an elder law attorney with Morey Law, P.C. and may be reached at (719) 465-4324 or ryan@moreylawpc.com.

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

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

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

Mediation is an informal process during which a neutral third party helps people negotiate mutually acceptable agreements. All participants in mediation are encouraged to actively participate in the process. Mediation is a "party-centered" process in that it is focused primarily upon the needs, rights, and interests of the parties. The mediator uses a wide variety of techniques to guide the process in a constructive direction and to help the parties find their optimal solution.#listing_mgr{7 basic_search}#

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

For More Information on the Author Family Spine and Pain Care Institute, CLICK HERE!For more than two decades now, research on gender and pain has been a topic of major scientific and clinical interest. More recent research is expanding into how the overall pain experience differs for women compared with men.Richard W. Rosenquist, MD, Chairman of Cleveland Clinics Department of Pain Management, explains that multiple factors play a role in how we experience pain. This includes genetics, social status, exercise, and information processing in the brain. And for women, hormones, puberty, reproductive status and menstrual cycle also affect pain threshold and perception, he notes. Here is what the research tells us about the female experience with four common areas of pain.1. Musculoskeletal painThe National Institutes of Health (NIH) cites many studies that have looked into the prevalence of musculoskeletal pain in men and women. In one study that spanned 17 countries on six continents with more than 85,000 participants, results showed that the occurrence of chronic pain is higher among females than males. Other studies from Europe and Australia also indicated that chronic musculoskeletal pain is more common in females than males.Under review were several specific types of musculoskeletal pain, including back pain, whole body pain, fibromyalgia and osteoarthritis. As women age, they experience more compression fractures and vertebral changes, such as scoliosis, loss of bone mass and osteoarthritis than do men. And any one of these conditions puts women at a higher risk of breaking a bone during a fall, which can add to their pain.2. Abdominal painA number of studies have found a higher prevalence of abdominal pain in women. The NIH reports that there is approximately a 3-to-1 female-to-male ratio in the diagnosis of irritable bowel syndrome in the United States. This condition is characterized by recurring symptoms of abdominal pain and problems with bowel habits.3. HeadacheHeadache is one of the most common pain conditions. One review of findings from more than 60 studies concluded that the prevalence of headaches and migraines is higher for women than men. In the NIH American Migraine Study II, which included more than 29,000 adults, it was estimated that the one-year prevalence of migraine in the U.S. is 18 percent in women and 7 percent in men.According to the Womens Health Office of the U.S. Department of Health and Human Services, migraines are most common in women between the ages of 20 and 45. And women more than men report more painful and longer-lasting headaches with more associated symptoms, including nausea and vomiting.4. Pelvic painFor women suffering from chronic pelvic pain, absent a physical injury, childbirth or identifiable procedural cause, there is significant potential for a history of intimate partner violence. According to the Centers for Disease Control and Prevention, 1 in 4 U.S. women have experienced intimate partner violence, physical violence or rape compared to one in seven men. Data suggest that this can contribute to pain conditions.Cleveland Clinic pain psychologist Jill Mushkat Conomy, PhD, points out the following, specific to women and pain: For women, issues of family stress, weight gain and sexuality can be front and center when it comes to the onset of pain. When meeting with patients, I share a long list of biological, psychological and social issues to consider to get the conversation started.Issues include everything from experiencing physical trauma to having feelings of depression. Once the areas of concern are pinpointed, a pain psychologist will often use cognitive behavioral therapy (CBT) to help patients rethink their pain and find different ways to manage and live with it

It is not uncommon to experience increased aches, pains and joint stiffness as we age.hen it comes to the spine,somedecline in function and flexibility may be expected.Heres what you should know about what happens to your spine as you age, and ways to help prevent back pain and injuries.Common spinal conditions in older adults may manifest themselves in symptoms such as early morning back pain, leg pain when standing and walking, loss of height and more. Spinal arthritis develops as the cartilage separating the facet joints gradually breaks down over time. Symptoms include low back pain and stiffness that seem worse in the morning and at the end of the day, including after an extended period of physical activity. Osteoarthritis may also cause radiating leg pain known as sciatica. Lumbar spinal stenosis is a narrowing of the spinal canal, resulting in low back and leg pain that characteristically occurs while standing or walking but dissipates once you sit down or lean forward. Pain may also occur with symptoms of sciatica including tingling and numbness in the buttocks and legs. Disk degeneration and narrowing of the spinal canal may occur as the natural part of the aging process. These changes cause spaces in the spine to narrow and press against the spinal nerves. Many people with spinal stenosis also have spondylolisthesis, where one spine bone slips forward over the one below. Nerve pressure from these conditions can result in leg pain, tingling, or numbness that gets worse when walking or standing, and improves when sitting or bending forward.While not all back pain can be avoided, it is never too late to start protecting yourself against preventable spine problems. This starts with exercising regularly to keep off excess weight and strengthen the core muscles in your back and abdomen. Strengthen your core muscles through targeted exercises including aerobics, and stretching. Practice proper posture and make necessary ergonomic adjustments. Avoid lifting objects that are heavier than 25% of your body weight. Eat a balanced diet that includes anti-inflammatory foods and vitamin D to keep your bones strong. If you are a smoker - stop smoking! Consider purchasing a more supportive mattress or try a new sleeping position. Find ways to relax and loosen your back and neck muscles at the end of each day. Be practical about your exercise routine and avoid overdoing it with repetitive movements that can lead to muscle strains and sprains.If you suffer from chronic back pain or conservative treatments are no longer working, consult a spine specialist like the physicians at Boulder Neurosurgical & Spine Associates. Learn about what could be causing your pain and possible treatment options. Recurring and debilitating back pain is never normal and can be mitigated with the right assistance.Editors Note: This article was written by Alan Villavicencio, MD. Dr. Villavicencio is a physician with Boulder Neurosurgical & Spine Associates and may be reached at 303-938-5700, or by email at: info@bnasurg.com

Soon after four people in the mediated session sat down, they were wringing their hands with stress. Voices strained. The last months had literally brought headaches and sleepless nights for some. And now each was being asked by mediators to tell their story to listen while others told things from their vantage point. It was not easy. But they had come too far to give up now.Conflict brings stress. The physical and mental effects of a dispute is one of the definitions of conflict. Those effects are worsened or prolonged by ignoring nagging issues or combatively undermining the other person to get what we want. But there is another way. Dealing with conflict in a structured face-to-face dialogue like mediation not only relieves its stress, but also usually builds trust for the future.Mediation is a process that enables people in conflict to talk through their concerns with mediators who advocate only for a fair process. The mediation process moves parties from thinking about what they want to building on what they already have, to an attitude of gratitude. A growing body of research points to practices of gratitude having significant physical and health benefits. Paul Mills, a professor of family medicine and public health at the University of California San Diego, found that 186 men and women with heart disease showed physical improvements when they had attitudes and practices of gratitude. Other studies corroborate gratitude as a source of reducing stress and increasing refreshment from sleep. (NY Times, Nov. 21, 2011)The changes that come with life transitions in elder years bring natural opportunities for conflict. Increasing need for health care, moving your home and new financial decisions all raise divergent and emotional concerns. Dealing with these new issues can bring families together in their common concerns, or as weve too often seen, drive a lasting wedge between family members who fail to navigate it. Your familys legacy, along with the health implications of prolonged, unresolved conflict are the basis for a new service, Elder Mediation.In Elder Mediation, two unbiased, trained volunteers help each member of your family present, sometimes with attorneys or other outside support, to have a healthy conversation about these special concerns. The mediators are not only prepared to help each person listen and tell their own story, but they also have special training to help navigate senior-specific issues.Is it hard? Perhaps, though not nearly as painful as the alternatives. But most families who take advantage of mediation emerge from a session that began as stress-filled and hand-wringing to report resolution, re-connection and relief. Many even leave a mediation and immediately go out to eat. So, despite the initial stress of having a face-to-face dialogue around tough issues, restoring relationships and health is more than worth it._______________________________Editors Note: This article was submitted by Chris Fitz, Executive Director, Community Engagement of Lancaster-based Advoz Mediation and Restorative Practices.

Researchers in a large study have found that the incidence of dementia in people aged 60 and older has dropped from 3.5 per 100 people to 2.0 per 100 over the course of the 35 year study. There are two possible explanations for this drop, neither of which has yet been proved. One is that the risk factors for cardiovascular disease (like high blood pressure, high cholesterol and smoking) are better controlled now. The second possibility is that the trend in improved educational attainment over time may delay the symptoms of dementia. However, the number of people with dementia is not falling because the older population is growing, and that is placing a tremendous burden on society. The memory loss and cognitive decline associated with dementia can be attributed to two major conditions. The first is Alzheimers disease, which is characterized by abnormal fragments of a protein called amyloid in combination with tangles of protein known as tau. Amyloid accelerates the spread of tau throughout the brain and causes cognitive decline. The second is vascular dementia which is caused by damage to blood vessels in the brain, often a result of a lack of oxygen or damage to the brains white matter. Roughly half the people with memory loss have both amyloid and vascular damage. It appears that people with a more intellectual lifestyle may have a delay in experiencing symptoms of decline although their brains are going through the same changes as in the rest of the population.So what can you do? Controlling blood pressure through a healthy diet and exercise can improve cognitive function. Similarly, high blood sugar may have a negative effect on the brain, much as it causes cardiovascular disease in other body organs, so keeping that under control is beneficial. Hearing loss is also linked to a higher rate of cognitive decline since it may cause the brain to put more resources into decoding messages rather than memory or thinking ability, lead to brain atrophy and cause social isolation, which is a risk factor for cognitive health. So get your hearing checked, eat a healthy diet and stay socially and physically active.This article was submitted by Theresa Santoro, MSN, RN, CHCARVNA President & CEO. She may be reached at 203-438-4555. See ads on Inside Front Cover and page

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

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

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

Primary care providers (PCP) are the foundation for your medical care. As such, we lead the team of healthcare professionals and other specialists that provide you comprehensive care. So, we like to think of ourselves as the quarterback of your team.A PCP can be a MD, Doctor of Osteopathy (D.O.), Physician Assistant (PA) or Nurse Practitioner (NP). Your PCP will diagnose and treat common illnesses and medical conditions while teaching you about safe health behaviors, treatment options, preventative and self care skill as well as provide necessary screening tests and immunizations.PCPs detect undiagnosed health issues and start treatment promptly, ultimately resulting in better outcomes. We manage chronic disease, utilizing evidence based guidelines in order to achieve mutually agreed upon health goals. Evaluating the urgency of your medical condition and directing you to the best place for care, which may be referring to other medical specialists, is a key role your PCP plays as quarterback of your team.Communication is the key to success on any team. You need to take an active role with your healthcare team. Keep your quarterback PCP up to date on immunizations, surgeries, visits with specialists, family history and active medical illnesses. Schedule regular appointments and keep them. Keep a list of all current medications you take, including over the counter medications and vitamins. Share that information with your quarterback PCP and include why you take the medication, how often you take it and what the dosage is.If you have any concerns about your health, contact your PCP initially, they are the main healthcare provider in any non-emergency case. Regular visits to your quarterback PCP will reduce costly emergency room visits by catching problems early.Dont have a PCP? Parkview Adult Medicine Clinic serves patients ages 15 and above. We are staffed by four board-certified Internal Medicine Physicians, 21 Resident Physicians, one board certified Family Nurse Practitioner, and one board certified Psychiatric Nurse Practitioner. In addition to providing comprehensive and compassionate care to our patients in our state of the art clinic, we offer sports physicals, CDL medical exams, and Assisted Living Facility visits. To make an appointment, call 719.595.7585.Editors Note: This article was submitted by: Marian Heesaker, Family Nurse Practitioner at Parkview Adult Medicine Clinic

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.

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

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.

Will Medicare or Medicaid Pay for Long-Term Care Services? Many people need some sort of long-term care services and support later in life as their ability to care for themselves declines. These services, such as assistance with bathing or showering, dressing, eating, transferring, toileting or continence can be provided in a persons home or long-term care community. May people who need long-term care services are confused about how much these services cost and who will pay for them. Some people think Medicare pays the costs. Others think they merely have to apply for Medicaid to have the government pick up the costs. Neither is necessarily correct. Medicare and Medicaid are two completely different programs which cover different services. Medicare Medicare is a health insurance program run by an agency of the federal government. It is available to all United States citizens above the age of 65 regardless of their income, providing that he or she paid taxes into the Social Security fund. It is basically run the same everywhere in the United States. Patients pay part of the cost through deductibles for hospital and other medical services. Medicare only covers medically necessary care and focuses on medical acute care such as doctor visits, drugs and hospital stays. Medicare coverage also focuses on short-term services for conditions that are expected to improve such as a short stay in a rehabilitation facility, or physical/occupational therapy to help a patient regain function after a fall or stroke. Medicare does not cover long-term care services. Medicaid Medicaid is a joint federal and state government program that helps folks who have low income and minimum assets pay for non-medical long-term care services provided at home or long-term care community. Each individual state runs its own Medicaid program. Unlike Medicare, Medicaid pays for personal care assistance on a long-term basis even if there is no expectation that a persons condition will improve. Under the Federal Spousal Impoverishment Act, the government provides protection for married couples whereby a certain amount of the couple's combined assets and income are protected for the well spouse while the other spouse is qualified for Medicaid. For persons who do not meet the low income and asset criteria for Medicaid coverage, private paying from income and savings is the most common source to cover long-term care costs. Long term care insurance helps cover costs for those who purchased a policy earlier in life. Family members also play a large part by providing informal primary caregiving services to loved ones who need help. This article was written by Donna A. Schuyler, Attorney, who practices in the areas of estate planning, elder law, guardianship, and probate. Donna Schuyler Law, PLLC; elderlawboise.com. Phone 208-344-1947

If given directions and a plan that resulted in a high level of success what outcome might you experience? Consumers rely on physicians and pharmaceutical companies to improve health. Humans want and demand choice in all aspects of life yet plea to the effects of outside conditions when health fails. The act of caregiving arises from a need for care based on a foundation of poor or declining health of a loved one, yet research proves caregivers health fails as the result of the act of caregiving. If individuals acknowledged that actions today result in care needs of the future how might this affect the aspect of willpower versus wishful thinking in the area of health?Modern medicine treats and minimizes symptoms not the root cause of disease. Does illness have the opportunity to provide insight into life regarding aspects that require change? Is it possible to heal illness by recognizing and changing aspects in life that pose health risks? Perspectives posed by German physician Rudiger Dahlke, holistic experts Andrew Weil and Deepak Chopra and energy healers Barbara Brennan and Donna Eden teach that the body can heal itself.The idea of self -healing poses the conflict between will and desire. If permanently giving up sugar, white flour, processed and fried foods, alcohol, vinegar and tomatoes would result in remission of cancer and eventual cure, how many would follow this diet for a lifetime? If meditating twenty minutes twice a day resulted in lowered blood pressure, improved sleep and less stress how many would follow this daily regimen? Self-healing results from the actions of individuals willing to examine aspects of life and to make difficult changes.When a health diagnosis interrupts your life will you give into relying and hoping that modern medicine will provide a cure? Will you take matters into your own hands and make necessary changes placing willpower ahead of desire rather than hoping for an easy fix? The act of caregiving poses similar questions? Will you allow a less than ideal caregiving situation to continue? Will you take action to find balance to ensure that caregiving does not negatively affect your health and wellbeing?Editors Note: This article was submitted by Pamela D. Wilson, CSA, MS, BS/BA, CG, owner of The Care Navigator. Pamela may be reached at 303-810-1816 or by email at pamela@thecarenavigator.com.

For more information on the author Assisting Hands Home Care Sarasota, CLICK HERE.Changing Your Diet May HelpThere is a lot to consider before adding vitamin and mineral supplements to your diet.Like most adults, you are probably bombarded with information about these types of supplements. So, do vitamins have health benefits? That is a question that is best discussed with your health care provider to determine what would be recommend for you according to any health issues you may have or medications you may be taking. Since each person has different needs, so are their vitamin and mineral requirements. Here are a few factors to consider.Consider Your Nutritional StatusIf you are eating a healthy diet, then chances are you are getting all the nutrients you need. According to AARP, multivitamins and supplements are a small bit of extra insurance meant to fill in the gaps in a generally healthy diet. They do not take the place of real food. Of course, there are some exceptions such as poor absorption problems, or poor appetite, or bad diet.Seek Your Doctors AdviceBefore adding supplements to your diet, it is probably a good idea to talk to your doctor first. Although multivitamin and mineral supplements may seem harmless, sometimes they may cause more harm than good. Some vitamin supplements may cause an adverse reaction by increasing side effects or altering the effectiveness of certain prescriptions drugs. In some people, vitamins can exacerbate some undiagnosed illnesses.Be Aware of Surgery ConcernsAgain, let a doctor tell you when to avoid a supplement or vitamin or change your diet. May people are not aware that some vitamin supplements can cause problems after surgery. Vitamin supplements such as Vitamin E should be avoided before surgery because it impedes blood clotting. Herbal supplements such as ephedra, garlic, ginseng, and others should not be taken two weeks before surgery. There is a list of supplements to avoid so be sure to consult with a doctor prior to surgery and provide the list of vitamin and mineral supplements that you are taking.Consider Your PrescriptionsLong term use of some prescriptions may deplete vitamins and minerals from your body. Make sure to keep up with your routine blood work and consult your health care provider if you have any questions or concerns.Here are some examples of prescriptions and what vitamins and minerals they may deplete. This is not an exhaustive list, so make sure you ask your primary doctor about your prescriptions and how they may be affecting you.Lasixcan rob the body of potassium, magnesium, and calcium. Eating foods that are rich in these minerals may be all that is needed. However, based upon your blood work results, your health care provider may feel that a supplement is necessary.Statinsare used for many people to lower their cholesterol but unfortunately these drugs can also inhibit the production of coenzyme Q10 (CoQ10) which is a particularly important vitamin. Mild to severe leg cramping can occur when this vitamin is diminished by the statin drug which may be relieved when a supplement of CoQ10 is taken.Diabetic medicationssuch as metformin can reduce levels of folic acid and vitaminParkinsons drugslevodopa and carbidopa (Sinemet) may reduce levels of vitamins B6, B12, and folic acid which are also important to your system. If you do not eat meat or dairy products, you may be deficient in B12 due to a vegan diet which is then exacerbated if taking Sinemet. Your doctor can check this with a simple blood test.Anticonvulsants and corticosteroidsreduce levels of calcium and vitamin D. According to the Cleveland Clinic, vitamin D is one of many vitamins needed to stay healthy.Consider AgeAs we age our bodies use vitamins and minerals differently. Search the vitamin aisle and you will probably find a plethora of options for seniors.Of all the research available to find through an internet search, there seems to be just a handful of vitamins and minerals that healthy seniors need. Here is a recommended list of vitamins for people 60+.Vitamin DVitamin B12CalciumVitamin B6Acetyl-L-Carnitine (ALCAR)Consider Assisting Hands Home Care if you or a loved one needs assistance in the home. Assisting Hands has professional and compassionate caregivers who can help with meal preparation, groceries, shopping, and other services.

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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.

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:How will pain be managed?If the patient prefers to remain at home, what kind of assistance and in-home care will be available?What role can family members have in patient care?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.

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

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.

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

Medicare Parts A and B provide for home health, skilled nursing and therapies as well as skilled nursing and therapies in a Nursing Home for purposes of rehabilitation after a three-day hospital stay. These benefits have long been an important coverage under Medicare.Up until January 2013, Medicare has promoted to providers that Medicare would only pay the providers if the patient was improving his or her abilities as a result of these skilled services. This was counter to the law and Medicare's own rules and policies. As a result of a nationwide class action lawsuit which was approved by the court in January 2013, Medicare has agreed to educate the public and clarify the standards for coverage under Medicare. Under the new clarification Medicare will pay for skilled nursing services after a three-day hospital stay or for home health services if the therapies or skilled nursing services will help maintain the patient and avoid any further deterioration. Medicare will no longer require that the patient has the ability to improve but only that the skilled nursing service or physical therapy enables the patient to maintain their conditions or abilities.How does this affect you on a practical level? This means that the patients ability to stay in rehabilitation after a hospital stay will generally last longer, up to the 100 day maximum and thereby reducing continued rehospitalizations. It also means that patients with chronic conditions such as Parkinson's, Alzheimer's, MS, and ALS, can receive needed therapies enabling them to stay in the own home for longer. Previously these patients would be denied home health coverage for helpful physical therapies because it was viewed as the patient being unable to improve their circumstances and therefore the services were denied.Under the new maintenance standard these chronic care patients can receive these helpful therapies in their own home enabling them to stay in their home longer and healthier Over the next year, Medicare will revise their rules and engage in a public awareness campaign about this new standard for services. Seek help from your local elder law attorney on ways to best secure these additional services.Editors Note: Editors Note: This article was submitted by Lance M. McKinney, Elder Law Attorney, of Osterhout & McKinney, P.A., 239-939-4888.

To learn more aboutBloom Companion Care,CLICK HERE.Our StoryWhen my husband Davids parents moved to Omaha, we were naive as to what would follow. We wouldnt just be charged with making sure Ben and Louise were physically safe. We would notice a decline in their spirit, the result of a measurable loss of autonomy.Through our experience, we realized that our parents may not be comfortable being on the receiving end of I need help. Learning what they deem to be fundamentalfeeling connected and contributivebecame our priority. We also realized navigating the way isnt always easy. In Davids family, there are four available siblings who provide help in different areas. Each of them has a vital role assisting with Ben and Louises care, but without a centralized communication system, the information was hard to track. Each sibling often spent an hour or two a day sharing information with other siblings to stay connected. We needed a convenient platform for communication.So We Formed BloomBloom provides companion care to help connect aging parents and loved ones to the outside world as their abilities shift. We want to help them prioritize what they need, help them be independent in spirit even if it isnt always possible in body. At Bloom, we understand that when you need to seek assistance, you want someone who understands and appreciates your parents. Our interview process helps us to better understand your parents contributions, curiosities and legacy. We then match CNAs and Companions who have the most potential to appreciate and contribute to your parents well-being to help them stay connected to the outside world.Exercise, new activities, eating well and socializing are essential to keeping the brain and the body healthy. We present new activities via a broad community calendar to help your parents stay connected. Our Louise loves to socializejokes are her usual form of entry. Getting her out often, so she isnt telling the same jokes to the same people, is important. This is just one small thing that adds to her overall happiness.Concierge Companion CareBloom Companion Care offers concierge companion care of all levels. Whether your loved ones are dependent, on bed rest, recuperating from surgery or simply need an extra hand, we specialize in concierge companion care that is unique to you, your needs and your schedule.What About Services Outside Companion Care?We have a list of preferred service providers within our community that are sensitive to elder concerns and needs. We want to aid you in any way we can to take the pressure off of you being the caregiver and instead returning to the loving advocate role that feels more appropriate for both yourself and your parent or loved one.

The Florida Brain Bank is a state funded, autopsy research program with the goal of finding a cure for Alzheimers disease and other related dementias. The brain bank program originated in 1985 by the Alzheimers & Dementia Resource Centers (ADRC) founder, Pat Jimison, in partnership with Dr. Gary Pearl of Orlando Regional Medical Center. Together they launched a brain donation research program that went on to inspire the State of Florida to expand the program through the states Alzheimers Disease Initiative (ADI).Mt. Sinai, in Miami is the primary research center for the State of Florida Brain Bank. Through ADRCs partnership withMount Sinai Medical Center, we have becomethe major contributor to the Florida Brain Bank program. We are one of only two program entry points to the program which covers the entire state.ADRCs autopsy coordination and facilitation of brain donations encompasses 21 central Florida counties. The remaining counties are covered by Mt. Sinai.Paired with ADRCs support and one-on-one relationship with the caregiver and study participant, the Brain Bank program helps provide hope for the family and the future. Participation in the Brain Bank Research program provides a comprehensive written neuropathology report to the family that will explain in detail the diagnoses that were present in the participating family member. The comprehensive neuropathology report serves as a valuable tool for the family, and for the physicians who were working with the participant. Working with ADRC and the Brain Bank better prepares the family of the participant for the future and encourages them to understand the role lifestyle choice may have in reducing the potential risks for developing Alzheimers disease themselves. Knowing that their loved one has made a significantcontribution to the body of research seeking a cure forAlzheimers disease helps to bring a sense of purpose to the illness and provide closure during the difficult time of loss. The family can find comfort in knowing that the most precious gift givenby their loved one has gone on to help countless others.Currently, a definitive diagnosis of Alzheimers disease can only be confirmed with 100% accuracy through an autopsy. It is important to note thatthe post-mortem examination of the brain will not determine the cause of death, but solely the diagnosis of the type of dementia, or dementias that were present.Registration takes some time (plan on 6-8 weeks). All participants must be registered prior to time of death and must reside in the state of Florida at time of enrollment and at the time of death. There is no charge for participation in the study.Minimum criteria for enrollment requires an initial diagnosis of Alzheimers Disease, or any other age-related dementia, that has been in place for a minimum of 12 months. Additionally, a complete neuropsychological evaluation, inclusive of brain imaging, must have been done. The evaluation and initial diagnosis must have been made by a neurologist, neuropsychiatrist, neuropsychiatrist, or medical director of an ADI-funded memory disorder clinic. A local funeral home that will be responsible for transportation must be selected prior to enrollment.To learn more about the program and how to register, contact Edith Gendron at407-436-7752, Chief of Operations for ADRC.This article was written by Edith Gendron, Chief of Operations for the Alzheimers and Dementia Resource Center. She can be reached at the number above.

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

What is the Rotator Cuff?The rotator cuff is a group of four muscles and tendons that surround the shoulder. The rotator cuff assists in raising the arm away from the body and overhead. It also maintains proper position of the shoulder joint and provides stability to the shoulder joint. Rotator cuff tears are a common source of shoulder pain for many individuals.Rotator Cuff InjuriesThere is a spectrum of injuries that occur in the rotator cuff ranging from inflammation and tendonitis to a complete tear to the tendon. A rotator cuff tear can happen for a number of reasons. It can happen in older patients without an injury from wear and tear of the rotator cuff tendon. This comes as a result of years of overuse to include frequent reaching overhead or repetitive lifting. Rotator cuff tears can also occur secondary to a fall onto your arm, elbow or shoulder. Lifting something heavy can also cause a tear.SymptomsThe common symptoms patients experience with a rotator cuff are pain and weakness. Patients will notice the most pain and weakness in their shoulder when reaching overhead. A physician can usually tell if a patient has a rotator cuff tear just by examination. However, sometimes it is not so obvious on physical examination. An MRI provides accurate detail of the rotator cuff tendon and can tell if there is a rotator cuff tendon tear. It can also determine whether there is a partial or full thickness tear and which tendons are torn. X-rays do not show soft tissues so they do not diagnose rotator cuff tears.Treatment OptionsThere are non-operative and operative treatment options. Partial thickness rotator cuff tears mean that part of the tendon is torn but part of it remains attached. Most partial thickness tears can be treated without surgery. Complete or full-thickness rotator cuff tendon tears can also be treated with or without surgery. Often full-thickness rotator cuff tears that cause pain and weakness are treated with rotator cuff repair. I performed this arthroscopically, which is a surgery using a camera and small incisions. Rotator cuff repair requires physical therapy and extensive rehabilitation following surgery. There are many factors that go into the decision to perform surgery or conservative treatment for a complete rotator cuff tear.Who is at risk?Rotator cuff tears are more common in older patients, specifically older than 40 years old. The risk of rotator cuff tears increases as we age. Patients that do repetitive lifting or reaching overhead are at increased risk for rotator cuff tears. Unfortunately, rotator cuff tears are generally a part of the aging process and can occur without significant overuse or injury. The best way to lower your risk of rotator cuff injury or tears is to do rotator cuff and shoulder strengthening exercises 2-3 times per week. There are specific exercises that isolate the rotator cuff muscles and tendons. Generally, normal upper body workouts and strenuous work or labor do not strengthen the rotator cuff.Editors Note: This article was contributed by Dr. Scott King, an orthopaedic surgeon with OSS Health.

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.

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

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

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

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

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

A geriatric assessment is a multidimensional assessment which is designed to evaluate an individuals or couples current functional ability, physical health, cognition and mental health, social environment, legal, financial status and environmental safety. Information is gathered from the individuals themselves and may be solicited from family and other key members in the persons life. The goals of the assessment are to maintain, improve, and enhance those areas which can be affected, and to minimize risk and potential harm to the individuals under assessment. Additional goals are to reduce the burden on the family caregiver(s) and provide support for the family.The Care Manager gathers the information needed for the geriatric assessment in the home of the individual or couple over several meetings. The assessment begins with comprehensive data gathering using interviews, screening techniques and instruments, data review and observation. The starting point is the gathering of personal information, medical history, review of medications, current medical concerns, including cognition, and client goals. The Care Manager also conducts functional assessments such as the ability to bath, dress, shop, prepare meals, handle finances, and live at home safely. They review the presence and completeness of advanced directives and powers of attorney as well as financial data; i.e., income, expenses, and assets.The initial meeting with the client(s) and whomever they would like present last 1.5 to 2 hours. We review our services, sign contract document and conduct the initial interview to get to know the client a bit. There are 2 to 3 additional meetings of 1.5 to 2 hours each to cover the topics outlined above. With couples, we may need an additional meeting. We can meet once or twice a week depending upon the clients schedule and energy level.After the assessment, the Care Manager organizes and documents all key information and identifies those areas that are going well and those that that needs to be addressed, or shored up. A plan is then developed in each area that needs to be addressed with goals, priorities, recommendations and potential resources.The final meeting of the assessment and care plan is with the client(s) and whomever they would like to attend to hear the summary and recommendations of our assessment; typically, 1 to 1.5 hours per person assessed.The Care Manager is available to implement or assist in the implementation of the recommendations agreed upon by the client. The care plan provides a roadmap for the caregiver and family about what needs to be done next and in the near future. When clients are working with a Care Manager, the assessment and care plan evolves over time as client needs change.At Life Changes, we provide exceptional care management services.LET US HELP YOU BE PROACTIVE!See ad on page 21

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

What is Nail Fungus Infection? Here are some very simple ways to recognize a toenail fungus infection:A discoloration of the toenail, white to yellow The nail becomes thick and disfigured Brown or black spots developing on the nail Parts of the nail crumble or flake Onychomycosis is the medical term for toenail fungus. Almost 12% of the population may be infected at some point in their lives according to the American Academy of Dermatology. It is estimated that fifty percent of people over the age of 70 have the infection.How Does a Nail Become Infected? Toenails come into contact with microorganisms that get onto the skin, the nail sheath and underneath the nail to the nail bed. Once you have contracted a fungal infection, it can be very difficult to cure.These microorganisms are fungal spores, and thrive in places that are dark and have high humidity. This makes the feet very susceptible to infection from wearing shoes. Wearing sandals helps the feet to get air circulation and light.Trimming your toenails too close to the skin can cause accidental cuts, providing another entry point for these fungal spores. Injuries such as dropping something on your toes can provide another point of fungal entry. All utensils used for pedicures should be disinfected in order to not spread the fungus. Tight fitting shoes can also be a cause of toenail fungus infection since they leave no room for your feet to breathe and they can cause the breakdown of the nail from rubbing, leaving an opening for the fungus to invade.What is the best treatment for toenail infection? Laser treatment can be effective 70 -84% of the time. The laser warms the nail and kills the pathogens that cause the fungus. Several treatments may be needed. The drug Lamisil has been used to treat the fungus, however, it has side effects causing possible liver problems in some individuals. Laser treatment along with a regular home foot care schedule is beneficial in the treatment of the fungus that causes Onychomycosis.Editors Note: This article was submitted by Paula Brady, L.E., C.L.S. Paula is a paramedical aesthetician and certified laser specialist with Spa Medica, LLC and may be reached at 720-379-3584 or by email at coloradolaser@gmail.com

Moving is stressful enough but moving a senior out of a home they love can be downright traumatic.Unlike traditional moving companies a senior relocation service isnt just a pack up and move them company. They also help clients with the grieving component of these moves and patiently calm fears by working alongside seniors and their families as a trusted partner in their transition.Families who have hired a Move Manager will tell you it was worth every penny even if you only considered the time and hassle they were saved. These services are much more affordable than you might think which is why seniors in other states have been hiring them for years.5 reasons you should call a Move Manager:1) Adult children are often busy or might live far away. A local senior move manager can take on the responsibilities of getting the move completed. This reduces stress on everyone allowing families to just be family.2) Most seniors have spent decades accumulating personal belongings. Hiring someone who is not emotionally attached can speed up the process & reduce tensions between family members.3) An unfortunate part of getting older is reduced strength, balance, and flexibility. Move Managers understand the special limitations of older adults which can reduce the possibility of injuries and accidents as they work together.4) Move Managers know the complexities of transitioning into a retirement community. They can design a floor plan to help with furniture downsizing decisions. Services also include unpacking, setting up furniture, hanging pictures and even hooking up electronics.5) They have a wide network of trusted professionals. Many families need help with things like finding the right retirement community, buying furniture, or emptying out a home and getting it ready to sell. Whatever your needs they can assist you in locating the right local person for the job.Editors Note: This article was submitted by Scott Meyer of CareMove who has been helping transition Utah seniors out of their homes for 7 years. Contact him at 801-820-2010 or by email: scott@care-move.com

While many clinical trials are being impacted by COVID-19 due to self-isolation, social distancing, travel limitations and site closures, fewer interruptions are being felt in the world of the virtual clinical trials and observational studies, many of which exist in the form of an online survey that takes 15 minutes or less to complete. We spoke with Dr. Matt Huentelman of the MindCrowd study and Dr. Rachel Nosheny of the Brain Health Registry (BHR) about how their online-based studies continue to collect important data related to Alzheimers and the brain during times of crisis.The Benefits of Remote Clinical TrialsWhile the COVID-19 crisis underscores the value of being able to conduct some trials remotely, there were already many benefits to going virtual. Harnessing the power of connecting virtually makes research participation more accessible to more people, such as those who dont live near a study site or cant afford to take time off from work to travel and complete lengthy, in-person tests, says Dr. Rachel Nosheny of BHR.While there are some aspects of in-person visits that cant be done remotely, such as PET or MRI scans, there are many things that can be accomplished successfully. Surveys about changes a person has noticed in their own memory and thinking, surveys about their ability to perform everyday tasks, and studies around genetics (through mailed saliva kits) all lend themselves well to virtual visits, Dr. Nosheny says. These types of tests can also be completed at a greater frequency than in-person visits, helping give researchers a more complete picture of brain health and how it changes over time.More than 70,000 people are enrolled in the observationalonline BHR study, which involves answering a few demographic questions and taking a 10-15 minute survey online, without ever being seen in person. We also have projects in which we are asking our participants to do more, such as get a brain scan at a hospital or provide a blood sample at a local site, once these are once again possibilities, Dr. Nosheny said. The online information provided, when combined with the in-person information, gives her team a unique opportunity: We will better be able to understand how virtually-collected data relates to the more traditional measures of brain health and disease.Dr. Matt Huentelman of the MindCrowd study agrees that the benefits of virtual participation in research are many. Like the BHR test, the MindCrowd test, an Internet-based research study of the brain, takes 10 minutes, which is far less time than it takes to complete an episode of that favorite sitcom youve been streaming. MindCrowd launched in 2013 and includes over 135,000 participants. Our goal is to use the Internet to engage the largest-ever research group that represents the widest diversity possible, says Huentelman. In just minutes, you will help us better understand how the brain works and learn ways that everyone might be able to best preserve their memory, helping us to match cognitive healthspan with human lifespan.The user-friendly MindCrowd website allows participants access through any desktop, laptop, or tablet, with a mobile phone option in the works. The site is also available in English, Spanish and Mandarin so you can participate in the study in the language that you are most comfortable using. Scientists still dont fully understand many of the factors that lead to differences in our memory, thinking and decision making. Our goal is to study all types of people and ultimately learn how to slow down the aging of our brains and prevent diseases like Alzheimers, Huentelman says.Data Informs Our FuturesInformation our participants provide is crucial for understanding how our brains change over time, especially during the aging process, Dr. Nosheny says. Moreover,participating in clinical trialshas the potential to help not only participants, but also those living with Alzheimer's disease or who are at risk of developing it. It allows individuals to gain access to potential treatments before they are widely available and receive care at leading healthcare facilities often free of cost while participating in important medical research.Now is absolutely the time to get involved, says Dr. Huentelman. One of the many beauties of an Internet-based study means that we do not anticipate a stopping point, he says. MindCrowd is in our seventh year. We are in this for the long haul, and you can be assured that we will be here continuing our research.Both Dr. Nosheny and Dr. Huentelman have seen many examples of researchers willingness to work together and share data during the current crisis. Now, more than ever, weve gotten requests to share our findings on virtual assessments so that other investigators can continue their research while many people are unable to come into clinics and hospitals during the COVID-19 crisis, Dr. Nosheny says. This collaboration between researchers and participation from people in communities across the country will help shape the future.Protecting The Next GenerationThere are varieties of reasons someone may want to get involved in this type of research, whether it is their own health, or their family history. Whatever the reason, Dr. Huentelman assures people that taking an Internet-based study should not be daunting. The Internet is open 24/7. We are able to engage with people who typically could not dedicate an entire day to an in-person trial and we are reaching people who haven't volunteered for scientific research in the past. If you have a few minutes to join us, please do. You can help brain research, whether you are 18 or 80 or even older, he says.Like many other families, Dr. Nosheny and her husband are juggling working from home with the world of e-Learning for their two young sons. Its a challenge, but we are safe at home together and I feel incredibly lucky to be able to continue my dementia research during this time.Ever since moving to the San Francisco Bay Area, Dr. Nosheny has loved running through the redwood forests near her home. There is something very comforting about running through these giant trees that have weathered storms, fires and droughts, for hundreds or thousands of years. It puts in perspective our collective ability to weather the next few seasons of hard times.Written By: Dr. Rachel L. Nosheny & Dr. Matt HuentelmanSubmitted By: Alzheimer's Association- Click for More InformationClick Here for The Original Blog Link*

Making it possible for one to age-in-place and live independently can be a challenge, but it is not impossible. CareAparent can help you live independently. One day at a time. One step at a time. 1. Make the Home Safe The most common injuries to seniors living at home are the result of falls. Precautions can be taken to prevent a fall such as removing rugs or having proper lightening. Taking time to downsize and organize can be helpful as well. 2. In-Home Services Whether a family opts to hire an agency to provide care depends on many factors, including economic. However, many agencies, including CareAparent, offer a complimentary consultation or assessment to identify the services needed and the cost for a custom plan of care. Call us today at 651.702. HOME (4663) to request a no obligation consultation! 3. Create a Resource List Having a list in advance reduces the risk of injury or exploitation and saves time later on. Helpful services that we recommend include household maintenance and weather-related services such as furnace or snow removal company. 4. Update Health Care Directives and Wills Having a Health Care Directive can be critical for you and your loved one regarding decisions of care. Other important information beyond the Health Care Directives should be placed in one location making it simple for others to find if needed. 5. Be Observant Be alert to subtle or sudden changes in mood, appetite, memory, or weight. CareAparents licensed professionals can assist by providing education based on client needs. Editors Note: This article was submitted by Lisa Lofquist co-founder of CareAparent, 2042 Wooddale Dr, Ste 200, Woodbury, MN 55125, Phone: 651-702-4663

Grow Your World and Green Your Community by Joining a GARDEN CLUB As nearly 200,000 men and women of all ages and backgrounds across the nation can attest, the rewards of belonging to a Garden Club go far beyond the pure pleasure of growing things. Joining a local Garden Club is a great way to green your thumb, but a membership also provides an opportunity to expand your interests and build lifelong friendships while bettering your community and the environment. A Garden Club will give you access to people who are experienced in gardening in your locality and you will find their assistance in valuable. Our National Garden Clubs Conservation pledge is: I pledge to protect and conserve our natural resources of planet earth and to promote education so that we may become caretakers (stewards) of our air, water, forest, land and wild life. Garden Clubs of Idaho, Inc. is a 501 3 nonprofit educational organization and a member of National Garden Clubs, Inc.. Garden Clubs of Idaho, Inc. is state wide organization associated with the Pacific Region of National Garden Clubs, Inc. and National Garden Clubs, Inc.. Garden Clubs of Idaho, Inc. has fifteen Garden Clubs and almost 500 members. Seven of the Garden Clubs are located in the Treasure Valley. Activities of our clubs include civic beautification funded through grants, charitable donations, and fundraising. Clubs annually sponsor horticulture education and seminars and regularly organize presentations about landscaping, cultivating and growing a wide variety of plants and vegetation. In addition we award annual scholarships to students for the study of horticulture. Flower Show Judges Schools and Landscape Design Schools are offered to our members. Clubs also compete for State, Regional and National awards on a regular basis. Garden Clubs of Idaho, Inc. encourages anyone interested in becoming a member of a Garden Club to contact any of the Garden Cubs listed below or the State Membership Chairman, Janet Petersen at janetnpeter@gmail.com. Go on; why not give it a try. Oct. 2013 Southwest District Garden Clubs of Idaho Garden Clubs of Idaho, Inc. State President: Karen Mallon 208-853-6108 mallonkl@gmail.com

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

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

Its hard understanding and keeping up with everything its overwhelming. You have to take responsibility for your medical care because no one else will. YOU are your own best advocate.Heres what you need to know:Know Your Medications Know your own body and the way you react to certain drugs. Dont be afraid to question your doctor when he prescribes a new medication. Each time a new drug is prescribed, remind your doctor of all the medications you are taking and ask if there are any contraindications, side affects, or adverse reactions. Get your pharmacist involved and utilize their knowledge. Be sure you understand the proper dosing and what to avoid with certain medications such as other drugs, sunlight, alcohol, or certain food.Keep Records Whenever you have a test, get a copy. If you change doctors get a copy of your entire medical chart. If you are in the hospital, keep a log of who did what, dates, where, how and why it was done. Always ask for a copy of any lab or test results. Save all receipts and statements from doctors, insurance companies, and pharmacy.Educate Yourself Research your conditions and learn as much as possible. Gather information from your doctor, pharmacist, medical books, educational pamphlets, or the internet (Note: when doing research on the internet it always pays to be skeptical of information until it can be verified by a professional or trusted source). The more you know and the better you understand medical terminology, the easier it will be to understand things your doctor discusses with you. Dont be afraid to get a second opinion if you dont feel your doctor is giving you the best care possible.Understand Your Insurance Benefits Know and understand all aspects of your medical insurance - your coverage amounts and limits, deductibles, co-pay amounts for doctor visits, lab tests, specialists, medications, and hospital stays, and the difference between in-network and out-of-network coverage. If you don't understand your coverage, call the insurance company and ask questions. Document your conversations, the date, who you speak to, and the outcome. If you send anything to your insurance company in writing always make a copy for yourself.__________________________________Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels of Lancaster, Hanover and York.

In 2020 there are several approaches to hip replacement. Some surgeons approach the hip from the back (posterior of the hip while others approach it from the side (lateral) or the front (anterior). While all approaches to hip replacement have good outcomes there are some distinct advantages to a direct anterior approach.1) No muscles are cutThe surgeon can get to the joint without cutting through muscles which leads to less pain after surgery and a quicker recovery. There is also less chance of long term limping because the muscles are preserved,2) Recovery is faster and there are fewer post-operative restrictionsBecause no muscles are cut, return to doing the things that you want to do is quicker. Patients who have an anterior hip replacement are able to return to activities much quicker than those with a posterior procedure.Because no muscles are cut, the hip is more stable and risk of dislocation is less. This means that after surgery you will have few to no post-operative restrictions.3) Leg length differences are minimizedIn the anterior approach, the patient is lying on their back enabling the surgeon to x-ray both hips. This allows your surgeon to reproduce equal leg lengths and position of the hip precisely.4) Anterior replacement is more complex with fewer skilled surgeons There is a distinct learning curve. It is important that your provider is not only a good orthopedic surgeon, but more imperative, that your surgeon is an expert at anterior hip replacement. You should ask how many he/she does the surgery per year, and for how long he/she has been doing the surgery.Because of the many benefits of the anterior approach it is the right surgery for most but not all patients. Be sure to ask your surgeon the best option for you.Editors Note: This article was submitted by Jason Weisstein, MD. Dr. Weisstein isa Total Joint Physician with Colorado Center of Orthopaedic Excellence, a Southern division of OCC. You may call to schedule a consultation at 719-623-1050, or you may check out our web site at www.ccoe.us

As family members, and as friends, many of us are called upon at some time to consider assisting those close to us in connection with an illness/surgery or aging. As we take on those roles, we often feel guilty if we become overwhelmed. According to experts in these fields, it is important to consider the family/friend caregivers own needs as well as those who are being helped.Common caregiver issues include:Feeling overwhelmed and trapped, by the situation and/or the time involved,Feeling like other family members are being abandoned,Feeling afraid of dealing with medical issues,Feeling as if self-care and other personal issues are suffering, andFeeling guilty for feeling any or all of the above!A recent web posting from AARP (American Association of Retired People) pointed out that family/friend caregivers have a lot of reasons for not arranging respite for themselves. Among them: guilt, money, being too busy in the present to plan for the near future and reluctance to change their loved ones routine. The site goes on to say, every caregiver needs a caregiver someone who will care for your loved one for a few hours, days or weeks, so you can take care of yourself.Many articles discussing home health care and aging at home discuss the need for a plan for the caregiving situation, which addresses these issues. The National Institute on Aging, at this site, https://www.nia.nih.gov/health/caregiving, provides several discussions regarding planning for the caregiving situation, as well as finding help when overwhelmed. Another page on the NIA site provides more tips for caregivers needing help taking care of themselves, https://www.nia.nih.gov/health/taking-care-yourself-tips-caregivers.One other site, dailycaring.com, has many resources for the caregiver who is feeling overwhelmed. This link, https://dailycaring.com/how-to-be-ok-with-getting-caregiving-help/,provides specific guidance on encouraging caregivers of older adults to seek help. They conclude with:Did you know that getting help will actually make you a better caregiver? That might sound crazy, but its true.If you get help, youll reduce stress, cut down your to-do list, and be able to regularly take time for yourself. This is guaranteed to improve your health and mood. When youre feeling better, youll be more patient and caring with your older adult.While much of the information here, and online, deal with caregivers for older people, much of the information equally applies to those providing caregiving after injury or surgery. For those caregivers, there are usually specific concerns about dealing with medical issues.While the need for a plan still applies, the caregiver needs to be up-front about their ability and/or willingness to handle issues from bathing to wound care.Professional assistance is available and can be provided for short periods of time.Just Like Family Home Care is proud to serve the community by providing short and long term assistance, including providing respite care to help the caregivers. As family/friend caregivers need assistance, we stand ready to be part of their team and plan.Most importantly, Just Like Family encourages family/friend caregivers to remember to take care of themselves.Submitted and Written By: Just Like Family Home Care - click here for more information

Maryann is 78 and living in her home with an abusive spouse. Maryann requires home health care during the day, and her husband provides her care throughout the night. Maryann confides in her home health care provider, Virginia, that her husband is abusive and that she needs help and would like to live in a safe place. Maryann says her husband pushes her down at night, and wont help her get up. She has had to visit the emergency room several times due to injuries from these episodes; but always says she just falls.Maryann has no income independent from her spouse. Her children, although aware of the decades of abuse, are unwilling or unable to assist their mother in relocating to a safe place.This scenario is real and it is real in Fremont County. Domestic violence does not occur only to younger, underprivileged people, or even just older, underprivileged people. Domestic violence knows no age, sex, religious or socio-economic boundaries. As in all family violence, their abuse ranges from the obvious physical and economic abuse, to the less obvious social isolation and emotional abuse. The tragic news is that there are an estimated 200 to 250 incidents of domestic violence among seniors in Fremont County on an annual basisand yet it goes virtually unreported.We now know that there are unique factors that pose a barrier to these individuals reporting the incidents to then seek assistance. Some of the key factors that contribute to non-reporting are shame (i.e. older victims feels they should know better), economic dependency, poor health, or they are too old to start over. But, it does not have to be that way.The Fremont County Domestic Violence Coalition is ready and available to help both individual victims and also offers informational sessions to groups and organizations.Author:Dee Hoza and Barb Topliss the District Attorneys office

There was a time when hospitals and skilled nursing facilities (SNFs) would welcome you to their facilities with open arms, and gladly keep you there for as long as: 1) they thought they could help you, 2) your insurance (Medicare or Private) would pay for your stay. Keeping the heads in the beds was considered good business. Then along came the Affordable Care Act, with the intent being to: 1) Reduce Costs, 2) Improve Quality of Care, 3) Increase Access to Care for all Americans. Love it or hate it, the 2010 law is continuing to affect the way hospitals and SNFs behave. While the understanding of the changes and the adoption of new policies has been slow, it is happening and we all must understand how it impacts our lives.Many know that today, hospitals are being increasingly penalized for re-admissions, defined as a patient getting re-admitted within 30 days of discharge for the same condition. Hospitals are also getting very heavily scrutinized on what is called Medicare Spend per Beneficiary (MSPB), a comparative measure that evaluates how much a patient costs starting 3 days before, and ending 30 days after their discharge! To address some of these new challenges, many new payment model reforms have been introduced, such as Bundled Payment for Care Initiative (BPCI), using HMO-like tactics to manage care and costs.Bottom line, EVERYONE will be impacted. How? Patients will be moved quickly to the setting offering the LOWEST COST OF CARE, this is almost always to the HOME environment. To do this successfully, a hospital and SNF must work in concert to ensure successful discharges, earlier than they historically have, but with a much more effective COORDINATION OF CARE. This approach to TRANSITIONAL CARE places a premium on finding the best Home Health (medical), Home Care (personal care) and/or the best Assisted Living or Memory Care Community. If done correctly, the costs are kept down while the quality of care is increased, keeping the individual out of the hospital and SNFEVERYONE WINS! Even more importantly, patients MUST ACCEPT the help, to transition home or into a supportive community swiftly and smoothly. The statistics speak for themselves. those that accept help at home, or to move into an appropriate Assisted Living or Memory Care community, are much less likely to head back to the hospital or SNF! Isnt that what we ALL want after all?Submitted by Colin Preis, Owner of AMADA Senior Care specializing in Transitional Care. See their advertisement in Senior Blue Book to learn more about their services.

Home Health Care and Home Care ServicesHome health care is provided by skilled medical professionals, such as nurses, therapists and medical social workers, and includes a wide range of services that are provided in your home to treat an illness or injury. The focus of home health care is to help you get better, regain your independence and become as self-sufficient as possible. Many times, home health care is less expensive, more convenient than and as effective as the care you would receive in a hospital or a skilled nursing facility. It often follows a doctors visit or a stay at a hospital or rehabilitation facility. For Medicare beneficiaries, doctors orders are needed to initiate home health care, and you must be considered temporarily homebound. If your doctor or referring health care provider determines that you are a candidate for home health care, they should give you a list of agencies that offer these services and allow you to choose the one you would like to use. A home health care agency will make an appointment to visit you at home, ask pertinent questions about your health and do an assessment of your medical situation. The home health care professional will talk to your doctor about your care and coordinate services. Examples of home health services include monitoring of serious illness or unstable health, wound care, intravenous therapy, injections, pain management, medication management and physical, occupational or speech therapy. Your home health care provider will regularly check what you're eating and drinking, monitor your blood pressure, heart rate, breathing and temperature, make sure you are taking your medications correctly, ask if youre having any pain, check your home for safety precautions and teach you about self-care to encourage you toward greater independence.Home care services are the non-medical services that can help maintain your quality of life while living at home in a comfortable environment. Assistance can range from companionship to hands on care, depending on the need. This can be accomplished by regular weekly visits or by a 24/7 live-in caregiver. Help which can be provided includes assistance with dressing, bathing, mobility, feeding or meal preparation, medication reminders, light housekeeping, shopping and errands. Often this kind of assistance allows a person to remain in their own home, with appropriate help, as an alternative to relocating to a residential facility. Some home health care agencies can provide both medical care and non-medical home care services for their clients. Other agencies offer non-medical home care services exclusively. Both home health care and home care agencies have the goal of keeping you safe, comfortable and healthy at home.Submitted by Theresa Santoro, MSN, RN, CHCA, President & CEO, Ridgefield Visiting Nurse Association.

To learn more aboutThe Charleston at Cedar Hills - MBK, CLICK HERE.With a focus on wellness, functionality, and fun, MBK Senior Living residents find an environment where they do more than live they thrive! MBK's inviting environments, combined with exceptional signature programs and key partnerships, support residents completely and provide families with greater peace of mind.Take, for example, our partnership with ONR Therapy. ONR is seamlessly integrated into our communities, providing residents easy access to services delivered by certified physical, occupational, and speech therapists. What's more, ONR works directly with MBK Team Members in offering group exercises and partners with our caregivers to provide resident care or additional in-service training to elevate care delivery.There is a tremendous benefit to having ONR onsite. Residents no longer have to arrange transportation to get to appointments. They're not limited to a prescribed number of sessions. They form personal and ongoing relationships with therapists in the community, who can assess living environments and provide assistance that helps them feel engaged and connected.But, best of all, therapy services are an extension of what we do care for residents and enable them to be more independent. ONR therapists help residents improve their strength, flexibility, and mobility, manage chronic pain and perform everyday activities with greater confidence and success.According to Julia Collier, PT, DPT, ONR's Director of Rehabilitation at MBK's Citrus Place community in Riverside, California, she and her therapists have more flexibility to assess and provide real-time help to residents. Screenings do not cost residents, and often therapists can see what others can't."We're often the extra pair of eyes that residents and their families need to evaluate a situation and can offer practical solutions to help them with functionality," said Julia. "We can come to their apartments to assess a situation in their home versus simulating a situation.""A resident's daughter expressed concern when her dad was using the back of furniture to walk from room to room and had fallen twice," said Julia. "We found when we assessed the situation that his walker didn't fit well with the living room set up. By rearranging some furniture, he could utilize his walker safely and move more confidently around his apartment."With or without injury, falls can be detrimental and result in a senior limiting their activities and social engagements, which can also result in further physical decline, depression, social isolation, and feelings of helplessness. By assessing fall risks, range of motion, and mobility, ONR therapists help residents physically and keep them engaged socially and mentally. Since beginning our partnership with ONR, MBK communities have seen a 30% reduction in resident falls."By being in the community and building relationships, we often know what activities residents enjoy," said Julia. "If we notice a resident is staying home more, and not joining in on activities they love, we can help identify reasons why even offer to walk with them to the activity if that makes them more comfortable.Comfort is just what they find in ONR's personal touch, individualized treatment plan, and continued support. Plus, since ONR is considered an outpatient clinic, services are covered by Medicare B and most other insurances. So, residents can utilize services more regularly than what is typically prescribed.In general, ONR services available to residents include balance/walking difficulties, cardiac/respiratory conditions, fall prevention, orthopedic injuries, osteoporosis, pre-and post-surgical rehab, and the performance of everyday activities. In addition, ONR can develop programming to the needs of residents.At The Bellettini, MBK's community in Bellevue, Washington, several residents have been diagnosed with Parkinson's. To support their needs, ONR's Director of Rehabilitation, Theresa Revamuntan-Dragotti PT, DPT, offers a program called "Move Big." The weekly exercise class emphasizes big movements to help improve posture and mobility. Theresa is also completing a Parkinson's certification to further support residents.We don't want any resident to feel left behind or unable to participate in activities, said Theresa.According to Theresa, Bellettini seniors who have hip or knee surgery often have to go to a skilled nursing facility for rehab before returning home. Another benefit to having an onsite rehabilitation office is that residents can usually come home directly and receive services in the comfort of their community. Plus, ONR therapists can also help residents manage pain, so they do not need to rely heavily on narcotics for post-surgery or chronic pain.The bottom line, the benefits of having ONR onsite and available to MBK residents are significant and far more than pre- or post-surgery help. They are a partner in the community that residents and families can count on to help increase functionality, independence, and enhanced quality of life.

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

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

Geriatric care management focuses on the unique needs of the senior. Typically, the senior needing care management will have some typeof problem with their memory which may be the early signs of dementia. The Care Manager is a skilled professional, often times anurse or social worker, who completes an initial assessment and develops a Care Plan to guide in the needed support services. The Care Plan focuses onaddressing medical and nutritional status, safety, memory, and support needs.Care managers are aware of the many different funding sources and can save you money by making smart choices the first time.They work with Medicaid planning and can help with placement and creating a Care Plan that is within your individual budget.The National Association of Professional Geriatric Care Managers (NAPGCM) recommends using certified care managers. For moreinformation you can review the web sites www.caremanager.org and www.westerngcm.org. This article was written by Karen Buchanan RN, BSN, CMC,RG who can be reached at Colorado Elder Care Solutions 303-791-3155 or directlyat www.coeldercare.com.

Many people yearn for the days of yore when their personal physicians used to pay them a home visit when they became ill. Some, even including doctors, still remember this eraas the golden age of medicine. Since then, times have changed and care has become fragmented, impersonal and uninspired... until now.After personally seeing challenges that their patients and also their loved ones have encountered, two physicians Dr. Bob Rahmanian and Dr. Jim Liu have taken the challenge to bring personalized care back and created a new service called Zumedic.Their mission to bring back the traditional house call with full integration of all the advancements modern medicine has to offer. Doctors are on call 24 hours a day, seven days a week, staffed with medical professionals that include physicians, physician assistants, nurse practitioners, and associated medical personnel to provide you personalized health to the comfort of your home.The process of receiving medical care is convenient and unbelievably easy with Zumedic. Based on an affordable membership model, Zumedic is pushing thecutting edge of modern day medicine by offering unequaled care. Membership ensures a better quality of care by providing an exceptional medical platform for its members. By joining Zumedic, you receive quick and responsive service either by picking up the phone or through a smartphone app for about the price of a utility bill.The Zumedic smart phone app works similar to the on-demand car service Uber and Lyft, but instead of a car, a doctor or allied health professional shows up at your door.Zumedic arrives with a highly skilled medical assistant or nurse and a tool kit stocked with the latest high-tech health gadgets, including tools needed to take your vitals, x-rays, blood draws. If thats not enough, how about having your medication ordered to you before the doctor even leaves your home! Telemedicine gives doctors a new channel to enhance communication with you. Zumedic even utilizes robotic technology to assist in medical care.Zumedic has a roster of doctors highly skilled that come from elite backgrounds such as Wayne State University, Harvard, University of Pittsburgh just to name a few.We care about giving quality, personalized care to people. Our team of allied healthcare professionals is bringing REAL change to the way people access healthcare through innovations in technology and logistics, Dr. Bob Rahmanian said, Partner and chief medical officer of Zumedic.

For more information on the author Good Life Healing Center, CLICK HERE.In the United States, an estimated 300,000 people a year die from obesity.In several studies over the last five years, researchers have shown patients who receive regular acupuncture treatments see faster weight loss results than those who do not. In each case, the acupuncture treatments were combined with dietary and lifestyle changes also aimed at weight loss, but the patients who got acupuncture saw better results than those who focused on dietary and lifestyle changes alone.In traditional Chinese medicine, obesity is linked to energy or qi stagnation, especially around the stomach and spleen. TCM teaches that the energy imbalance caused by stomach and spleen qi stagnation affects digestion, the function of the pancreas, and the insulin-glucagon pathway. Each of these mechanisms is an important part of our bodys ability to take in nutrients, cycle them through our body, and get rid of unneeded waste.There are many acupoints and combinations of acupoints that have proven successful for people who are trying to lose weight. It depends on the particular qi stagnation they are exhibiting and other body type characteristics.Clinical research has shown acupuncture treatments have the ability to restore bodily balance, improve physical well-being and promote healthy weight loss. In one study in Taiwan, researchers conducted a trial of 100 patients. Each patient received three months of acupuncture treatments, after which their body mass index (BMI) was an average of three points lower than before the treatments.The researchers highlighted they saw the most success when they selected personalized acupuncture points based on each patients individual needs.It can be frustrating and challenging to complete a weight loss regime, and there are so many kinds, each telling you theirs will be different and bring you success.In TCM, any dietary or lifestyle change is recommended based on underlying causes, not surface symptoms, and with a well-rounded view of your health in mind. An acupuncturist will never analyze your health solely based on the reading of a bathroom scale. However, if you are looking for support on your weight loss journey, acupuncture may be a great thing to add to your routine.

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

For centuries, the benefits of Curcumin and Tumeric have been used and practiced within Ayurvedic medicine. Using medicinal plants and spices for healing was the first true medicine available to our ancestors. A type of ginger plant, Curcuma longa contains the turmeric rhizome within its roots. Turmeric powder contains curcumin, the antioxidant and anti-inflammatory agent responsible for most of its health benefits.Is Turmeric truly an Anti-inflammatory?Ongoing studies and research continue to show significant benefits in using turmeric for conditions characterized by muscle and joint pain, arthritis and joint pain, inflammation and fibromyalgia as well as back pain.  Back pain is often referred to as Sciatica, which is pain radiating down the sciatic nerve traveling from your lower back through your mid-section and then down each leg. In many cases, Sciatica will only affect 1 side of the body at a time. Sciatica can originate from bone spurs, herniated discs, or the narrowing of the spine (spinal stenosis) compresses some part of the nerve. When the nerve is compressed, or pinched, this causes a tremendous amount of pain, numbness, and inflammation in the affected leg.Several risk factors may raise your chances of developing sciatic nerve pain. They are Age, Obesity, Occupation, Prolonged Sitting, and Diabetes. Excess weight increases spinal stress and can trigger changes in the integrity of the spine. A weight loss regimen can help prevent this particular risk factorIs a Herniated Disc associated with Back Pain?A Herniated disc is described as pain in the rubbery cushions, or discs, between the vertebrae that comprise the spine. A spinal disc contains a jelly-like center (nucleus) surrounded by a tough and rubbery exterior called an annulus which can often be referred to as a ruptured disc or a slipped disc. These refer to the same condition where the nucleus protrudes through a torn annulus and irritates a nearby nerve. A herniated disc may lead to uncomfortable symptoms such as arm or leg pain, numbness or tingling, and weakness.Is Turmeric Curcumin Right for You?Research has shown that using turmeric for inflammation may help reduce the pain for both upper and lower back pain by reducing the bodys natural inflammatory response. Turmeric is also a powerful antioxidant capable of improving our immune system response. Its important to note; that curcumin will not repair herniated discs, sciatica, or physical problems with the spine. But, it may reduce inflammation, improve oxygen and nutrient flow, and promote the healing process.

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

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.

Idaho Power offers two weatherization programs for our customers. Both of these programs provide energy efficiency improvements to customers electrically-heated homes, apartments and manufactured homes so less energy is used and homes stay more comfortable. If you own or rent your home, you may be eligible to participate for free. The primary difference between these two programs is the amount of a customers annual household income.Weatherization Assistance for Qualified Customers (WAQC)Through the WAQC program, Idaho Power partners with Idaho and Oregon Community Action Partnership (CAP) agencies to weatherize electrically-heated homes of income qualified customers.Upgrades to your home may include things like new insulation, furnace tune-ups, weather stripping and sealing air leaks. These upgrades help keep cold air out during the winter and hot air out during the summer. CAP agencies in Idaho and Oregon have trained and certified weatherization crews and contractors to ensure improvements meet standards set by the U.S. Dept. of Energy. To see if you qualify for this program, contact your local CAP agency.Weatherization Solutions for Eligible Customers ProgramCustomers whose income is slightly too high to qualify for WAQC, may qualify for Weatherization Solutions. The Weatherization Solutions program serves Idaho Power customers in Idaho who heat with electricity and meet the income guidelines below:Number of people in homeMonthly income range1$1,733 and $2,4752$2,336 and 3,3383$2,940 and $4,2004$3,544 and $5,0635$4,148 and $5,9252016-2017 GuidelinesIf you would like to see if you qualify for this program call these contractors in Idaho: Power Savers (serving Ada, Elmore and Owyhee counties) at 208-377-0700 or Metro Contractor Services (serving Adams, Boise, Canyon, Gem, Payette, Valley, Idaho and Washington counties) at 208-459-0066.Benefits Youll AppreciateThese weatherization programs focus on the entire house. When a home is weatherized, it is weatherized entirely to save energy and provide a healthy and comfortable living environment for eligible customers.Through these weatherization programs, customers learn how to use energy wisely, where they might save additional energy to help reduce their heating costs, and how to use new equipment such as a digital thermostat in their home. This one-on-one education is a good time to have questions about energy efficiency answered by professionals.These home improvements make a real difference in the lives of Idaho Powers customers. We dont get cold, and we dont hear the wind blowing through the house like we did before, said Donna Blay, a participant in Idaho Powers Weatherization Solutions program. Energy efficiency upgrades to her familys all-electric, manufactured home included: a new heat pump, new ductwork, a programmable thermostat, compact fluorescent lamps (CFLs), and ceiling, floor, and pipe insulation.We hope you take advantage of these no-cost programs. Were sure youll be glad you did!This article was written by Idaho Power.

Health care costs have been on the rise over the past few years, with health spending for Americans costing more than $8,680 per person, according to 2011 data from the Centers for Medicare and Medicaid Services.1Making matters worse, about 80 percent of older adults have at least one chronic condition, such as heart disease, cancer or diabetes, driving up the need for prescriptions and treatments that can add up over time.2However, saving money on your medicine and your overall wellness doesnt have to be a pain-staking endeavor. Here are some tips you can use to help lower your health care costs while still maintaining your health.Ask your physician if there is a generic version of your medication, said Dr. Richard Smith, Medical Director of Senior Products for Humanas Intermountain Region. Generics, which are typically 30-80 percent less expensive than brand name drugs, are equivalent in dosage, form, safety and strength.3, 4 Each year, generic alternatives for top-selling brand name drugs go off patent, helping you save money on common medications, including blood thinners and cholesterol fighters.Another way to cut costs is to see if your health plans pharmacy benefit manager offers a mail-order pharmacy service. An alternative to traditional community pharmacies, mail-order prescription delivery provides 30, 60 and 90-day supplies of your medications shipped directly to your home, usually with significant savings off the regular retail price.The Centers for Disease Control and Prevention (CDC) estimates health care costs for chronic disease treatment account for more than 75 percent of national health expenditures.5Be proactive and get regular checkups and screenings from your physician, Dr. Smith said. These visits are usually covered by most health insurance plans, which can help monitor for and prevent chronic conditions before they become too serious and require treatment.In fact, the Patient Protection and Affordable Care Act has made preventive screenings more available and more affordable than before. Under the act, Medicare and new private-insurance policies are required to either completely or significantly cover the cost of 45 medical tests and services currently shown to be most effective in early disease detection and prevention, such as mammograms, diabetes, colon cancer, prostate cancer and cardiovascular issues. For a complete list covered by Medicare, visithttp://www.medicare.gov/coverage/preventive-and-screening-services.html.Health care plans often provide a number of health and wellness discounts from deals on nutritional supplements to discounts on vision care to help members keep their costs down. For instance, health benefits company Humana Inc. offers its members various deals through its online Savings Center, including discounts for everything from colds to heartburn medications.The key to saving on health care costs and using these tips effectively is planning, Dr. Smith said. It might take a little bit of scheduling to order your medications ahead of time or make an appointment for a screening; however, the payoff, in terms of the impact on both your health and wallet, is worth it.Editors Note: This article was submitted by Humana. For more information on Humanas senior products in Utah call 1-800-884-8328.1 https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html2 http://www.cdc.gov/chronicdisease/resources/publications/AAG/aging.htm3 http://www.gphaonline.org/about/generic-medicines/4 http://www.fda.gov/drugs/resourcesforyou/consumers/questionsanswers/ucm100100.htm5 http://www.cdc.gov/workplacehealthpromotion/businesscase/reasons/rising.html

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

Facing the reality of finding a caregiver and a Home Care agency that can assist us with an aging parent, loved one with disabilities or someone who cannot be left alone can be stressful.None of us want to face that reality however, it does and will come for many of us. The first thing we must do is evaluate the needs for our loved one and determine what kind of services they will need and how often will they need them. A few examples are:Company, conversation and companionshipEnsuring that medications, etc. are taken on timeFun activities and community engagementLight housekeeping and similar household taskPersonal care, bathing and related supportPreparing meals and ensuring proper nutritionShopping, laundry and similar errandsMost of these tasks are basic but for loved ones who had lived independently in the past, these basic tasks present a challenge. Do your research when choosing a home care agency are, here are some tips for making your decision:Look for a reputable, well established company.What kind of benefits does the company offer to its workers. Larger, more established companies offer great benefits which bring long term satisfied employees.Does insurance cover caregiver services? Or what governmental programs are there to help.24/7 Availability.Availability of caregiver staff (days off, holiday coverage, backup caregiver if needed).Does the agency employ Family Members to take care of loved ones?Also, make sure that you talk to your loved one. Their opinion counts too. Allow yourself and your loved one to build trust in the company and the caregiver. The agency is there to help you and the needs of the one you care about.Editors Note: Submitted and written by: Garry Aronson, Director of Communications, Patriot Home Care. For more information contact Kelly Cope, Branch Manager at Patriot Home Care, Beaver Falls PA, 724-506-8911 or visit https://www.patriothomecare.org/locations-beaver-falls.html

For more information on Senior Housing Solutions,Click Here.COVID-19 How are Assisted Living communities adapting?Theres been a number of local and national news stories covering virus concerns at Nursing Homes. For the most part, these stories deal with issues at skilled nursing facilities. Still, this has prompted a number of calls asking about the status of Assisted Living properties.First, lets do a quick refresher lesson on two types of licensed senior living.SKILLED NURSING SNFSkilled Nursing Facilities (SNFs) provide medical care and employ nurses 24/7. Many of these SNFs house residents and, generally, accommodate the most frail of our senior population. A typical arrangement in skilled nursing is a shared room with at least two patients per room. SNFs are often referred to as long term care facilities. The majority of Covid19 cases are occurring in SNFs.ASSISTED LIVING ALFAssisted Living communities and homes are licensed as Assisted Living Facilities (ALFs) . Heavy medical care is not provided in Assisted Living, although some companies do offer some nurse coverage. In fact, ALF licensing requirements restrict residents who require substantial medical care. In larger communities, a typical living arrangement is a single resident apartment, although sometimes the apartment is shared by a spouse. In smaller facilities and memory care, shared rooms are more common.SO WHAT IS HAPPENING AT ASSISTED LIVING PROPERTIES?No part of our world has gone untouched by the virus including Assisted Living. But, the good news here is that Assisted Living providers recognized in early March that significant protection strategies needed to be put into place. The Florida Department of Health Services(http://www.floridahealth.gov)has put out special COVID-19 Guidelines that all ALF facilities must adhere to. In both small homes and large communities, visitation has been strictly controlled. Except for staff, you wont see many people coming and going. In a way, just like our homes, each property has become an island. Obviously, where possible, social distancing and curtailing of activities has become the norm. Meals delivered to rooms, allows large dining areas to go unused.New residents are being considered by many of the properties, now. Virtual Tours are common. Of course, there will be questions about exposure and other scrutiny to try to prevent any new infection from entering. A physicians report and thorough assessment will be required. But, even with expected virus-free residents, they may move into their apartment directly on a quarantine. Visitations will remain restricted for a while.It is important to know the Assisted Living professionals are taking the safety of residents very seriously.Please contact Senior Housing Solutions if you are ready to start exploring the move or just want to start the conversation.

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

According to research conducted by the Home Instead Senior Care network, two in five adult children (39%) surveyed in the U.S., and more than one-third (36%) surveyed in Canada, have at least one barrier that prevents them from having conversations with their parents about aging or end of life.Barriers and hurdles can get in the way of candid family conversations about a variety of topics such as living choices, health, driving and end of life.Here are a few concerns that could create problems for families. Some are from a seniors perspective, others from an adult child or family. Do any sound familiar?Living Choices Seniors fear loss of independence, which could include giving up on certain freedoms such as driving. Families are concerned about the cost of receiving assistance at home or moving to a care community. Seniors are afraid they will be forced to leave their home. Families are not aware of what their options might be.Health Medications are expensive. Can I afford them? Who will pay? Reluctance to bother family members. My doctor and I are dealing with it. My kids dont need to worry. The attitude: Im old anyway, so why should it matter.Driving Seniors fear they wont be able to get around if they have to quit driving. Adult children worry that seniors will hurt themselves or someone else. Older adults could have an inaccurate perception of their ability to drive. Adult children could feel its disrespectful to ask a parent to give up his or her keys.End of Life People think they still have plenty of time to address end-of-life issues. Im afraid talking about this will lead to a family fight. I dont want to worry my kids. I dont know where to start the conversation.If youre dealing with any of these issues, consider completing the 40-70 Rule: An Action Plan for Successful AgingSM at www.4070Talk.com to help develop a plan for tackling the sensitive subjects of aging.Editors Note: This article was submitted by Jerri Schomaker, is an Owner/CEO of Home Instead Senior Care, Colorado Springs and may be reached at 719-534-0908 or by email at jschomaker@homeinstead.com

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When preparing to make changes to your current living situation, you need to consider everything from legal, financial services, packing, moving and real estate disposition. And it doesnt need to be overwhelming. There are trusted advisors available for you, in fact, some of these services are complimentary.Deciding what to do with a long-loved home can be a challenge.The good news is there has never been a better time to sell. While the inventory is low, local buyers are out in droves and more are coming to Colorado from densely populated areas. As of this writing, interest rates are under 3%, the lowest we have seen in decades.The option of a reverse mortgage enables you to stay in your home using the equity in it for retirement. In a reverse mortgage, the equity you have built up over the years is accessed to use the money any way you want and your heirs are still entitled to the home and remaining equity.Whatever your needs, be assured you have trusted professionals who will answer your questions and help you plan for your best future.Editors Note: This article was submitted by Marie Jacobs, Seniors Advisor and Seniors Real Estate Specialist, specializing in One Stop Shopping for Seniors In Transition. You can reach her at 303-919-4122 or email: marie.jacobs@sothebysrealty.com.

Many older Veterans never look into their VA Healthcare benefits, believing they are reserved primarily for the most disabled veterans or those with the least amount of money. Please dont make that mistake.Talk to your fellow Veterans at the VFW, The Legion or to the VSO at your town hall or senior center. The VSO, your local Veterans Service officer, is an added benefit for Massachusetts Veterans (See article on why you should contact your VSO.)For a second opinion, seek out Veterans who get their care at the VA. The VA can provide access to an entire Primary Care Team. That team will communicate with each other on a regular basis about YOUR care and how to help you reach your health goals. You can go to the VA and still continue with your community based Primary Care Provider or choose to get all your medical needs from the wide assortment of services available at the VA Boston.According to the 2012 U.S. Census, there are in excess of 12.4 million Veterans age 65 or older. As Veterans age, the VA is ready to address a variety of issues including your changing health risks. Veterans, like most older Americans, wish to stay in their home independently as long as safely possibly. The VA has resources focused on making this a reality, including: Home Based Primary Care, intended for Veterans that have difficulty keeping and maintaining their medical appointments, is a unique benefit that brings the entire Primary care team to your home to provide medical care. Telehealth, a great option for Veterans that have cardiac concerns in addition to other medical issues, is a daily monitoring of vital signs through a nurse who keeps in telephone contact with you providing support and guidance if there is a change in your blood pressure, weight or blood sugar. Mail order medications In home respite and in patient respite.The VA will pay for attendance at an Adult Day Program with other Veterans in the community contracted by the VA. This gives Veterans socialization opportunities and provides respite for caregivers to attend to their own needs while their loved one is getting care.The VA also provides glasses, hearing aids, orthotic shoes and medical equipment such as scooters, wheel chairs walker, canes, a life alert button that when pressed calls 911 and possibly a chair lift, if eligible.The VA has a robust Mental Health clinic for older Veterans. As people retire many look back on their life and make meaning of it or try to resolve things that have been troubling them. The VA has several time limited groups and longer term groups on Brain Health, Insomnia, Acceptance, and Commitment Therapy and Mindfulness. These groups are a great way to meet other older Veterans, retired and living at home looking to meet other people and find healthy activities.The Brockton VA has an awarding winning Creative Arts Studio where participants can take art or music lessons or participate in Yoga.. You might be surprised at what you are missing. Come and check out your options at the VA Boston Healthcare System.Submitted by Gayle Clark, LICSW, Geriatric Mental Health Outpatient Clinic, US Dept. of Veterans Affairs, VA Boston Healthcare System. For more information, contact David Hencke, VA Boston Outreach Coordinator, at 857-3364-5934

Are you struggling withfinding the right assisted living communityfor your loved one?Has your senior care research process been overwhelming and time consuming to the point of frustrating you?Well, dont give up yet as with theright knowledge and approach, you will find the process easy and fruitful.In this post, I will show you some of the most common assisted living mistakes you may be making and how to avoid them.1. Visiting only one facilityThis is one of the most common mistakes people searching for senior care make. Probably its because they find the search process to be sick and tiring and therefore jump to the first option they come across. You have to avoid this trap.Visiting several facilities opens your mind and presents you with several options from which you can make a choice. You cannot have a basis for comparison if you only visited oneassisted livingfacility.It may be that one has some appealing amenities that are within your budget, while another could be having even better amenities that are still within your budget. You can then make the best choice depending on the requirements of your loved one.One way to avoid this mistake is by taking the time toresearch and visitat least three facilities. You can even search on the internet or make phone calls and visit them in person.2. Basing decisions on the outward appearance of a facilityNo one will dare take their father or mother to a rundown, dilapidated, and unhealthy looking kind of an assisted living facility. Most people tend to incline towards the new, shiny and pretty facilities. This is because the outside appearance says a lot about the facility.You must, however, not base your decision on the shininess of the buildings. Most people tend to think the newer and shiny, the better, but this is not always the case as luxuries do not determine the quality of life. With assisted living, the aspect of quality living is what matters most, and for your loved one, this can only be through the quality of care he or she receives.You should, therefore, make your decision based on how caring a facility is. This you can tell by looking at the residents of the facility. What are their faces saying? Do they look happy or sad? What about the staff, are they friendly? Do they handle others loved ones roughly? These, among other things, are the real indicators of the experiences your loved one will have there.3. Choosing what appeals to you rather than your loved oneThe decision to take a loved one to an assisted living facility is often made by the seniors adult children or grandchildren. The decision-maker if not considerate enough, may make a choice based on what they think is good for the senior. This is not always the case.For instance, you can choose a center because it has a heated pool for its residents or because it has a large backyard. While these are some great and appealing amenities, they would mean nothing to a loved one who cant physically make use of them. For example, what advantage would be a heated pool for a senior who cant leave their bed?When making your search, ensure you take into consideration the desires of your loved one and not just your own. If possible, have them describe to you their desires and then use that as the basis of your search.Your loved one may also not manage to tell of their desires. In such a case, then you, together with your family members or close friends, can deliberate on what you think he or she would love.4. Not including others in the search processThe process of searching for an assisted living facility can be overwhelming. But some people would rather bear the pressure alone than bringing other people on board. While its still possible to do it alone, it would be much better, quicker, and easier if you involved experts and professionals in the industry.To move a loved one to a senior care facility should not be a cause of embarrassment for you. Instead, you should be glad that he or she will continue to enjoy quality life as they continue to age gracefully.Talking and consulting with knowledgeable people about your intentions arms you with the right knowledge and attitude. Your mind will be opened to different experiences others have had, and in the process, you will know what to prioritize and what to avoid.There are organizations and advocates whose main mission is to help people navigate the waters of assisted living for loved ones. They can prove to be very helpful, especially if you have a loved one with special needs. This is because being in the industry, they will help you to make the right choice based on your requirements.Note, however, that not all people can give you the right direction. For instance, your doctor may be an expert in health matters, but his or her recommendation for a facility for you will be based on what he has heard through word-of-mouth. This is because such people rarely take time to research such matters.You should, therefore, take it upon yourself to visit and assess each facility recommended to you5. Failing to read and understand the facilitys policyMost people fail to fully read the contract or policy of the center they choose. While the contract may not be as detailed as a life insurance policy, you should not breeze through it but instead, read keenly and internalize. Where you dont understand, ask for clarification.By reading the contract to the last detail, you protect yourself and family members from exploitation or paying for unnecessary fees. It also arms you with knowledge of what your loved one can expect from the facility and what is expected of them by the facility. You can, therefore, ask for an explanation should expectations fail to be met.Other than that, you can know if it is possible to have food, medical supplies, laundry, etc., done for your loved one at an e