A patient is seen by her physician every month; she complains of weight loss and confusion. She is given referrals to specialists and told to follow up. Month after month; the same story. The referrals sit in her purse because she cant ?gure out how to navigate the phone tree at the specialists of?ces. The weight loss and confusion continue, month after month. Shes lost over 50 pounds in 5 months and she now cannot ?gure out how to work her cell phone, much less make the appointments. Shes embarrassed to tell anyone that she cant do these simple things, so they go undone and her health continues to decline.What this patient needs is a case manager and the broad network of support the CM RN/SW can access to help this patient navigate through all the phone calls, appointments and paperwork. The case manager meets with the patient and her family, assesses the situation and creates a plan to most effectively support this patients needs. In this case, the physician agrees that home health services are in order; home health RN, ST, OT, PT and MSW are activated and community services are accessed for meals and transportation, pending more definitive diagnostics. The case manager coordinates care by working with the primary care and specialists offices; communicating the situation and schedules the necessary appointments for the patient with their input. All the while, the case manager keeps the lines of communication fl owing between patient and all care providers.As illustrated by this scenario, the Case Manager RN/SW is the key to reducing the fragmentation of healthcare. Case Managers are an integral, but underused part of the healthcare team. This is simply because the awareness of their existence is not in the mainstream.For Our Patients and Their Families: Anyone who has any form of health insurance can access a case manager by calling the number on the back of their insurance card and asking to be connected to a Case Manager. Case managers are embedded in hospitals, clinics, community service agencies. Every person deserves a case manager as their corner; they advocate, coordinate and collaborate for the good of their patient and their family. If you need help to find a Case Manager, please feel free to contact us at info@cmsa-chicago.org. We will be happy to connect you with resources to find a Case Manager.For the Healthcare Team: Just as Case Managers provide guidance and support for their patients/clients, one organization is providing more support, resources, forums, and outlets for the case management community more than any other, Case Management Society of America/CMSA. CMSA Chicago is the localprofessional organization, providing education, networking and support to the entire Case Management community from the CM RN and SW to the service providers supporting our patients in their individual situation and beyond, CMSA Chicago brings everyone together to make navigation of healthcare easier for the most important member of the healthcare team; the patient/family!CMSA Chicago is here to support the entire case manager community from Case Manager RN/SW in every setting, across the continuum of care to the myriad of service providers who offer a full spectrum of support to our mutual patients. We encourage you to attend an upcoming event and connect with your professional organization. More information is available atwww.cmsa-chicago.org.Editors Note: This article was submitted by Colleen Morley DNP RN, CMCN, ACM. Colleen is President Elect of CMSA Chicago. She can be reached at colleen.morley@cmsa-chicago.org.

SBB University Mental Health Series presents: Depression, Suicide and the Holiday Season. Today's speaker is Cassandra Cote', RN with WellBridge Hospital Greater Dallas/Kindred Behavioral Health.The video of this presentation may be watched at the bottom of this article. Cassandra reviews some of the content for you here.Society and the media have turned the holidays, especially Christmas in to a time of obligatory traditions and responsibilities, more than it ever was before. The pressures can be relentless this time of year to make the season merry and bright for all of those around you, often times at the cost of your own sanity and happiness!Think about this for a moment. Do you feel like you HAVE to do some particular tradition, event, party or dinner? Do you HAVE to put up Christmas lights even if they really arent in the budget this year? Do you HAVE to make cookies for the office, even though youre exhausted and have other things youd rather do? Do you HAVE to go to church with the family on Christmas eve, just because thats what we are expected to do? What about hosting family for dinners, or buying gifts for every boss, uncle or cousins girlfriend on the list?Do you feel anxiety just hearing this list of obligations that many of you can completely relate to? I know I do. For several years now starting sometime in September or October I will have occasional nightmares that it is Christmas eve and Im at the store trying to buy gifts for my whole list because I put it off out of dread and now theres nothing good left, the lines are around the buildings, its 8pm and the pressure is on! Im thinking of how Im missing out on Cocoa and Christmas stories, and will be up until 6am on Christmas morning just trying to get it all wrapped!! Its enough to give anyone ulcers.Let me ask you,Do we have to do all of these things? Do we want to do all of these things? What happens when we feel like we have failed our own expectations? We missed the candy canes for the Christmas morning hot cocoa and now its no longer perfect. Is it possible there is another way?Ive listed the 5 most typical reasons for holiday depression.We feel overwhelmed by all the things we are expected or expect ourselves to accomplish or participate in. Its too much, and the pressure becomes defeat, despair and depression.We long for what was before. Maybe there was a time in our lives when the holidays were everything you could have dreamt of. The right people, the right stage of life with motivation, the finances and the support to put together a season that was incredibly fulfilling for us.We feel an obligation we know we cannot oblige either because we do not have the capacity to put in the time or effort or perhaps we dont have the finances to do what we think is required or expected of us. Maybe that expectation is even self imposed.Finances have us in a spot where we cannot, or maybe SHOULD not do all the things we wish we could especially this year, when so many people have experienced lay-offs, cut backs or a long stint of illness because of the pandemic.Finally Family & friends Perhaps we are unable to be with the ones we want to celebrate with. This could be for so many different reasons for instance, the death of a loved one. Distance, Isolation. COVID is a glaring reason this year. This reason, isolation and the pandemic effects our elderly patients this year the greatest. Especially those being cared for in a facility setting.Memories of Holidays past One final reason for an increase in depression over the holidays for our elderly population especially is the memories of holidays from the past that come out the strongest at this time of year. These memories can create a longing for connection or a frustration knowing the connection is lost.Sometimes as we age, the holidays no longer seem very jolly, and we don't feel like celebrating much anymore. What used to be a joyous occasion can change and take on new meanings as life throws us curve balls.We think we're supposed to be exceptionally happy this time of year, but that expectation alone can cause people of all ages to become sad or depressed. Caregivers and older adults are especially susceptible to the holiday blues. As a caregiver, you can be prone to adopting your loved one's melancholy feelings or anxiety and vice versaWhile the holidays may not be the same as they were in the past, there can still be plenty of reasons to celebrate. One of the most important things to remember is that it's okay to enjoy the holidays as they are now. Old memories hold a special place in your heart, but there is always enough room to add new ones.Lets talk about some practical advise to deal with these holiday stressors we have talked about.Theres Too much to do!!! By definition caregivers (all of us) have too much to do already, let alone adding decorating, dinners, shopping and wrapping to that list!To keep from feeling overwhelmed and out of control,Be realistic!!Perhaps this year a 5 course dinner is not practical!Focus on what YOU and what those the very closest to you NEEDinstead of what others expect of you.Prioritize and Downsize Holiday tasksDecide which decorations are most important and compromise. For example put up the tree lights and the mantle decorations but skip the outdoor lights this year.Consider drawing names and each person, or each family buying gifts for only one person/family? IN my family the adults each get one gift and we all buy for the kids. This means I have about 8 gifts to buy instead of 29 gifts. I enjoy giving to the kids, so this makes me happy!Same idea applies to dinners. Dont make 6-8 dishes, instead choose the 3-4 most important dishes to your family. You could also try a new tradition this year and make it a potluck. If everyone pitches in it makes your job much easier!Speaking of pitching in Accept helpwhen others offer it and ask for help when you need it. It makes others feel great to help those that they care about. You may be blessing them in a roundabout way!!Make lists.It helps to see what exactly needs to be done, and it gives you a sense of accomplishment when you cross off completed tasksFinancial PressuresFinances are another notorious source of stress during the holidays. Money is often already tight for seniors and caregivers alike. Spending also tends to increase this time of year on things like gifts, holiday meals and basic necessities like heating, warm clothing etc..Be proactive!Set a budget. Making a budget frees you from contemplating over and over, Can I really afford this? It takes emotions out of your holiday shopping and allows you to remain objective. Either it fits the budget or it doesnt. It may seem like a bummer to live by a budget, but its far better than realizing after the holidays that you spent far more than you could afford.Remind your loved ones that less expensive gifts can be just as thoughtful and useful as more expensive ones.Make baked goods or create handcrafted gifts for family and friends.Have your family members draw one or two names for gifts, instead of having everyone buy presents for each person. This may help other family members save money as well.Dont wait until the last minute to mail cards or buy presents. Take care of a few items each day to complete tasks with minimal stress and expense.Remember that less can be more.. Sometimes a simplistic holiday with a small dinner and fewer, very heartfelt gifts is more gratifyingSocial Isolation due to the pandemic or other reasons:Make a concerted effort to reach out to the people you enjoy.Plan some online events for the familyNetflix has group watching partiesUse Google Hangouts or WhatsApp to have a family quiz night, caroling night or reminiscing night.Up your holiday/Christmas card game this yearFind a new tradition that is ALL ABOUT YOU (and your household) such as an outdoor event going to the zoo a nature preserve, having a game night or movie marathon.Dealing with Death:One of the biggest challenges is dealing with the loss of a loved one. Whether it was a recent loss or the loss occurred a decade ago. The holidays often highlight their absence and bring intense feelings of grief loneliness and emptiness. You may even battle guilt for enjoying moments of the holiday.Consider the following ideas:Place the person's picture in a place of prominence at home.Light a memorial candle.Begin a new traditionMake a photo album of previous holidays together to focus on positive memories.Set aside a time so that everyone who wants to can share a memory or a funny story about the deceased.Toast to your loved one.Go to a religious serviceVolunteer to help those in need.Talk with someone. A counselor, or someone who can empathise and let you process without judgment.Remember that not everyone grieves in the same way. There is no accepted norm. You may cry at the drop of a hat, while someone else is more stoic. Some people may grieve for weeks, and others mourn for years. Understand that the holidays won't be the same as they used to be, but recognize that the new normal can be fulfilling in other ways.Strategies for Avoiding Holiday Depression:There is no reason to wait until depression happens to act on it, because there are approaches that can help prevent and minimize the symptoms. Generally, what can help is not being too hard on yourself for the difficulty you may be experiencing. Try to:Keep a regular schedule and build in breaks. Adequate rest and self care is crucial, especially during the hectic holiday season.Schedule in times to pamper or care for yourself. Do something you love or do nothing at all but you HAVE to be purposeful about it!Set realistic expectations of what the holidays will be like and realistic expectations for yourself regarding your participation.Avoid feeling guilty for picking and choosing which holiday gatherings you attendMake sure you get regular exercise. It's typical for people to stop doing the healthy things they usually do because of holiday activities and the inclement weather. Make exercise a top priority, even its only twenty minutes each day.Avoid overeating at every meal. Save indulging for special meals, like the big family dinner or the pot luck at work. Balancing indulgence with light, healthy meals will help you feel less lethargic and improve digestion.Be careful about the amount of alcohol you drink, alcohol is a depressant.Depression may occur at any time of the year, but the stress and anxiety during the months of November and December may cause even those who are usually content to experience loneliness and a lack of fulfillment that leads to depression, anxiety and a decreased quality of life. If these symptoms persist after the holidays, or youve already had them and they worsen due to the holidays please see your doctor, a psychiatrist or a counselor to get some extra help.Consider medication if your doctor agrees that it is appropriate. It is not a sign of weakness and it will not FIX it but it can take the edge off, making it more manageable for you.If your feelings worsen and thoughts of suicide creep in, please visit your nearest hospital, get an evaluation at an ER or a hospital such as WellBridge in Plano or call the suicide help line at 1-800-273-HELP.Lets switch gears for a moment now and discuss Suicide and the holidays.First, let me tell you the good news Suicide rates actually drop during the holidays statistically! This is great news for society in general but means nothing to the individual who is experiencing severe depression, feelings of helplessness, loneliness and lack of hope and is considering ending their life.Suicide is the 10th leading cause of death in the United States. It was responsible for more than 48,000 deaths in 2018, resulting in about one death every 11 minutes. Internationally that rate climbs to 800K deaths and one death every 40 seconds.Statistically, 25 times more people consider suicide than actually die from it. In 2019 12 million American adults seriously contemplated suicide. 3.5 million made a plan and 1.4 million attempted to end their life.These are ONLY the reported cases. It is believed that the number of unreported cases if known would increase each of these numbers by 9x. Many accidental overdoses were intentional but not classed as such car accidents that may have been intentional or other accidents. Many people never report their suicidal thoughts or that they were making a plan or that they made an attempt because they are embarrassed and do not want to be stigmatized or cause their families heartache and worry. So instead they suffer alone, quietly.It is a mistake to think that elderly people dont consider or attempt suicide. Those over 75 years of age make up the largest group of people who complete suicide. At that age many feel there is no hope left, they are a burden and no one would miss them.What is the impact? In addition to the number of people who are injured or die, suicide also affects the health of others and the community. When people die by suicide, their family and friends may experience shock, anger, guilt, and depression. The economic toll of suicide on society is immense as well. Suicides and suicide attempts cost the nation almost $70 billion per year in lifetime medical and work-loss costs alone. People who attempt suicide and survive may experience serious injuries, such as broken bones or brain injury. These injuries can have long-term effects on their health. People who survive suicide attempts may also experience depression and other mental health problems.Many other people are impacted by knowing someone who dies or by personally experiencing suicidal thoughts. Additionally, being a survivor or someone with lived experience increases ones risk for future suicide.THE TAKE HOME MESSAGE:Pay attention to your loved ones silent and sometimes not so silent signals. Warning signs of suicidal thoughts or planning can include:Often talking or writing about death, dying or suicideMaking comments about being hopeless, helpless or worthlessExpressions of having no reason for living; no sense of purpose in life; saying things like "It would be better if I wasn't here" or "I want out."Increased alcohol and/or drug misuseWithdrawal from friends, family and communityReckless behavior or more risky activities, seemingly without thinkingGiving away belongingsDramatic mood changes especially from depressed to happy!!! Weird huh?Talking about feeling trapped or being a burden to othersThe number one mistake people make is they dont ask.The uncomfortability only lasts about 8 seconds, but the reward could be a lifetime.Ask, what do you mean by..?Then ask blatantly and boldly. Do not mince words. hurt yourself is not effective.It may not hurt them to end their pain and misery, it might be merciful in their minds!!You must ask, Are you considering ending your life? or Have you had thoughts of killing yourself?If the answer is yes do not leave them alone until you have delivered them to help.Possible resources for help:Locally Emergecny rooms!! 24/7MHMRs great for uninsured IF during business hoursWellBridge for 24/7 assessmentNationally:The suicide Prevention Helpline 800-273-HELP (68,680 calls first month!)If you have been affected by suicide, reach out to someone at NAMI or a counselor you deserve someone to walk by your side to help you sort it all out.View the video of the presentation.

Every year, 3 million seniors are treated in the emergency room for fall injuries. And, falling once doubles someones chances of falling again.Preventing accidents in the home, including falls, is one of the most important planning strategies for helping seniors stay independent. Fractures, head trauma and other injuries can cause long term mobility issues and have lasting physical effects. And, once an injury occurs, it can affect someones ability to live the way they want and enjoy the same lifestyle and activities.Health issues that occur more often as we age can also make seniors more likely to fall. These risk factors include: Muscle weakness Heart disease Parkinsons disease Alzheimers disease and other dementia Malnutrition Low blood pressure Poor vision Ear infections or inflammation Pain or sensitivity in the legs or feetThere are some precautions that seniors and their families can take to reduce the likelihood of a fall.Evaluating risk factors and taking preventative measures in a way that considers the unique lifestyle, needs and health of a senior can help. Minimize trip hazards Some fall hazards are obvious; flights of stairs, slippery shower floors or cords that are too far from a wall outlet. But there are less obvious features that can be an issue for someone with dizziness or vision loss. These can include loose rugs, certain types of carpeting, dimly lit hallways or a dog toy in the middle of the floor. Removing the hazard or installing safety devices, like grab bars and brighter light bulbs, can help. Evaluate footwear Footwear that has an open back, doesnt fit properly, is worn out or has a slippery bottom can all contribute to tripping or balance problems. There are a variety of safe shoe options to fit any activity and personal stylesafe shoes dont have to be boring! Know the effects of medication Seniors and their families should talk to a healthcare professional about how a persons specific medications both prescription and over-the-counter can have side effects that cause dizziness or balance issues. Nutrition and exercise Having healthy habits when it comes to diet and exercise can prevent weakness in the legs and feet, and can reduce pain. Seniors should always talk to their doctor about any diet and exercise plan, and can ask specific questions about how these things affect their fall risk factors. Focus on mental health Studies show that there is a correlation between depression in seniors and falls. According to one report, both depression and fear of falling are associated with impairment of gait and balance. Positive mental wellbeing can improve many areas of a seniors life, and reduced fall risk is another benefit. Connecting with loved ones, finding a sense of purpose, engaging in enjoyable activities and experiencing joy can improve physical and mental quality of life. Some families only think about fall prevention after a loved one is hurt. Taking precautions before an accident happens can help seniors maintain their physical health and their independence.Comfort Keepers Can HelpFor every client, our Comfort Keepers team does a thorough home evaluation to minimize hazards in the home including fall risk evaluation. Our caregivers can help with mobility issues, provide transportation to scheduled appointments, and support physician-prescribed exercise regimens and diets. And, our goal is to elevate the spirits of our clients and their families every day. As part of an individualized care plan, caregivers can also help with activities like cooking, cleaning and physical care. Whether a senior is recovering from a fall or needs help with fall prevention, we can provide services to help.To learn more about our in-home care services, contact your local Comfort Keepers location today.ReferencesCenters for Disease Control and Prevention. Falls Are Serious and Costly. Web.Better Health While Aging. Why Older People Fall & How to Reduce Fall Risk. Web. 2017.Mayo Clinic. Fall Prevention: Simple tips to prevent falls. Web. 2016.Canadian Institutes of Health Research. The Complex Interplay of Depression and Falls in Older Adults: A Clinical Review. Web. 2016Learn more about Comfort Keepers of Carrollton

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

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

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

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

LTACH's are focused on patients with serious medical problems that require intense, special treatment for a long time (usually about 20-30 days). These patients often transfer from Intensive Care units in traditional hospitals. It would not be unusual for a LTACH patient to need ventilator or other life support medical assistance.#listing_mgr{7 basic_search}#

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

The unprecedented circumstances brought on by the COVID-19 pandemic were unimaginably difficult for everyone to navigate; none more than for the senior population. Family members far-and-wide were advised to stay away for the safety of their loved ones. Precious moments and lifelong stories were tragically missed out on as holidays and social gatherings were spent behind cameras and broadcast on computer screens. When the world suddenly slowed down and each passing day featured new guidelines and increased separation, those who thrive on person-to-person contact and social interaction struggled most.As frontline healthcare workers trudged through uncertainty on a daily basis to ensure the safety of entire communities afflicted by the virus, an incomparable obstacle faced many others. Care team members who provide hospice, palliative, and home health care services across Southern Colorado were tasked with the arduous responsibility of providing care that is predicated on human-touch, without a human touch. Strict social distancing expectations and revised practices to include an abundance of caution inhibited caregivers from connecting with their patients with the same level of compassion that has come to be expected.In spite of the countless challenges and continuous changes, our dedicated team of miracle-workers tirelessly continued to care for patients, allowing family members to spend their loved ones final moments surrounded by those closest to them in the safest setting imaginable: home. Hospice care exists to afford families this opportunity regardless of circumstance, and while the circumstances were far from ideal in 2020, our mission never wavered.We were honored to care for our community during this unimaginable year, and we are committed to continue touching lives, even if we dont touch the people.Editors Note: This article was submitted by Trysten Garcia, Marketing & PR Specialist for Sangre de Cristo Community Care. He may be reached at 719-542-0032 or by email at: Trysten.Garcia@sangre.org

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

When older adults consider variations in assisted living facilities within Texas, it is important to be aware of the facility differences. The most important differentiating factor deals with the number of residents the facility is licensed to care for. A smaller assisted living facility will care for residents ranging between 3-16 in occupancy. While a larger assisted living can have dozens if not hundreds of residents within their care. A sought after alternative to commercial settings are smaller assisted living facilities called Residential Care Homes. These are licensed facilities by the state of Texas doing business out of a residential property.Do to sheer size of properties found with larger facilities, smaller assisted living alternatives have proven to result in both residents and family members feeling more in touch and connected. The benefits of a home-like setting for assisted living (or a residential setting for older adults) is the personal touch, and the attention to detail in set of choices and creative approaches towards senior care - working closely with the doctors, the families, and the residents. Within the homelike setting, owners and staff are known to be more hands on with all the day-to-day operations. As a result, there is a familiarity with the medication requirements, and personal needs of each resident.Being that the state regulations for assisted living facilities are moderate, it may surprise seekers to discover that there is a difference between the staff to resident ratio found in smaller versus larger facilities. It is not uncommon to encounter a Residential Care Home with a ratio of 1 caregiver to 3 residents. While at larger facilities they could surpass a ratio of 1:12 during shifts. Neglect and abuse are growing concerns due to the influx of new facilities simply meeting basic requirements. More than the frequency of contact between a staff and residents, an environment with a corporate feel can trigger unwelcoming emotions for someone wrestling with familiarity. Sometimes a larger assisted living facility will use linoleum floors, hospital style curtains in semi-private rooms, and cafeteria-style food services. Residential Care Homes have proved to be a solid option for older adults while seeking a welcoming place to call their new home under the assisted living umbrella.This viewpoint is not to say, necessarily that there aren't benefits of a larger, more corporate facility structure. Choosing an assisted living facility takes a great deal of research, and time visiting and interviewing different facilities and administrators.Editorial Note: Article written by Aaron Floarea with Garland Serenity Homes, www. garlandserenityhome.com. Aaron can be reached at ?214-952-3818 or aaronfloarea@yahoo.comSee add on page 213

The U.S. has the most expensive healthcare in the world, but it is last or near last on dimensions of access, efficiency, and equity. (Commonwealth Funds 2014 International Healthcare Review)Grayest States (those 65 and above) in proximity to St. Louis.14% or Greater Nebraska, Iowa, Missouri, Arkansas13-13.9 % - Ohio, Wisconsin12-12.9% - Illinois, Indiana, Michigan, Kentucky, TennesseeAverage Annual Growth rate of elderly population (U.S.)2010-2030=28%2010-2030=an increase from 40M to 80MThere is a mass migration of tens of millions (10,000-12,000/day) global citizens turning 60, with the Baby Boomer generation accounting for the bulk of this growth in the U.S. To put it another way one Boomer turns 69 every 8 seconds.50+is the fastest growing segment of society and will by 2018 will outnumber children under 5 in our country, thus there will be more walkers than strollers in America..this will be the first time there will be more older adults than children on the planet (Amy Hanson, 7) or as Ziegler states it: by 2015 there will be more over 65 than 15 in America, a fact that will never change.Some refer to this event as more dramatic than the industrial revolution. It is commonly referred to as the Silver Tsunami, Longevity Revolution, or the Aging Revolution, Age Wave, Coming Generational Storm, the Great Midlife Migration. In America alone this demographic is creating its own economy. At 7.1 Trillion, it is right behind the total economy of China and third only to the entire economy of the U.S. (Oxford Economics).On a global scale the number of people age 60 is expected to grow past 2 Billion by 2050 (United Nations Population Fund)Article submitted by: Michael Quirk, Publisher, Seniors Blue Book, Chicagoland, you can reach Mike at 708-515-8220 or mike @seniorsbluebook.com

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

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

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

Rehabilitation Facilities offer restorative therapies such as PT, OT, Speech and Respiratory therapies and can be offered in a variety of settings including clinical and office practices, hospitals, skilled-care nursing homes, sports medicine clinics., and some health maintenance organizations. See our Skilled Nursing grid for a complete overview of rehabs available and the services they provide.#listing_mgr{7 basic_search}#

As a Geriatric Care Manager, I have the honor of meeting so many interesting and different people! I always believe we can teach each other something new.One of my most recent lesson was on organization and humor. I was asked to help a couple with some organization of their legal and financial matters. This couple referred to their current filing system as their Exit File! This is a wonderful and to the point title for some very important documents. They were wise enough to have told their loved ones about what was in this file and where exactly it was located. This is a very good first step in being organized while also injecting a flair of humor.So, whats in YOUR Exit File? Here are some suggestions to what you will need to share with your loved ones. Final arrangements/wishes Power of attorney papers Where the original Will is located What and where the financial documents are located Safety Deposit information Passwords for accounts/on-line account informationThere is another very important file to share with your loved ones while you are still healthy and well. This file will have some important details that they may need to attend to while you are incapacitated. For example, if you are unfortunately hospitalized in the middle of the night and your daughter/ Medical Power of Attorney is called and notified, she will need a file of your health history, a copy of the Power of Attorney, your Living will, phone numbers of neighbors that will take care of your cat, as well as phone number for your primary care physician, general medications (and Pharmacy choice) and allergies. A very thorough file would also include for your Power of Attorney, a copy of: your insurance card(s), Social Security Card, and Photo I.D.Having this information may seem very over the top until your loved ones are put in the unfortunate position of finding this information without your help. Make it is easy for them because as you already know, they will be in a tough situation. Families are beginning to find it more normal to talk about these issues and to be proactive in their plan of care. This actually can be a very liberating feeling when you can be assured that your family knows, wheres the EXIT file!Editors Note: This article was submitted by: Paula McCormick LSW Licensed Geriatric Social Worker with Columbine Caregivers and Elder Quest Care Management Services. She may be reached at 970-985-5950 or by email at: elderquestgj@gmail.com.

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.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.

Picnicking and PavilionsWhether you prefer your al fresco dining under a tree or under an awning, you have several options available at Sugden Regional Park. Picnic tables and pavilions are available free of charge on a first come, first served basis, and pavilions can also be rented for parties and gatherings. To reserve a pavilion, call 239-252-4414.FishingBass and snook are two popular targets for anglers visiting the park. Whether you cast a line from the bank or from one of the docks, Lake Avalons shallow areas and deep drop-offs are sure to keep things interesting.Note: Florida residents over the age of 65 dont need a Florida fishing license, but you should be prepared to show proof of age and Florida residency.BoatingBoating and water sports are the most popular activities at Sugden Regional Park. Paddle boats are available to rent at the park and a large variety ofboating and water sport classesare offered throughout the year,Though water skiing and stand-up paddleboarding may not be your thing, the Sailing Seniorsclass just might be. This class is a refresher for seniors with previous sailing experience, even if it was years ago. Beginner sailorsand military veterans who want to learn to canoe or kayak can also take to Lake Avalon this spring.Annual Fourth of July CelebrationThis popular free event (due to COVID-19 restriction, check closer to date to ensure event will be taking place) at Sugden Regional Park kicks off with an ice cream social from 4-6 p.m., with food and beverages available to purchase. Entertainment starts at 6:30 p.m. and the evening wraps up with a fireworks display beginning at 9:15 p.m. Bring lawn chairs and blankets for seating. No coolers or pets are allowed in the park on July 4.Note: Only disabled permitted parking is available on-site during this event. Parking for all others will be available at nearby establishments.Sugden Regional Park and Lake Avalon are a great place for seniors to spend a day enjoying Naples perfect spring weather. So pack a picnic, grab your sneakers and your swimsuit, and get outside!Submitted and Written By: Barrington Terrace - click here for more information

A small child, ravaged by cancer, needs specialized treatment at a hospital 300 miles away.A senior citizen needs to travel to medical treatment not available at home. A father, separated from hisfamily during a disaster, wants desperately to be reunited. A domestic violence survivor longs to start a new life in another city, but cannot afford to leave. A young burn survivor wants to attend a special camp for other kids who understand her emotions. They can get there when theres an angel in the cockpit.For those whose lives are in turmoil, the financial, physical, and emotional burdens of travel can make ordinary trips difficult. Thats when they turn to Angel Flight West, a network of 1,200 volunteer pilots who fly their own planes and pay for all costs (which average from hundreds of dollars to thousands of dollars per flight) out of their own pockets. Angel Flight West pilots fly more than 3,500 of those every year.These pilots who give so much of their time and money to help strangers, come from all walks of life. But as different as these men and women are, they all have two things in common: The love of flying, and the desire to touch peoples lives.Not only have they earned the gratitude of their passengers, theyve earned the trust and respect of a long list of organizations of all types. Seventy one year old Larry G. needs to travel from his home to a major medical facility for treatment of his cancer. 120 miles away but several hours of driving in traffic, Larry isnt strong enough to make the drive. As pilot Tom Close noted about this particular flight The events around Larry and this flight are indeed emblematic of AngelFlight West. AFW puts in touch those in need, and those of us with the luxury of giving back, using the opportunities and capabilities in our lives where they can have the biggest impact. The passengers and their families, the healthcare organizations pay nothing at all, ever.At the Santa Monica, California, headquarters, a dedicated staff manages the complex system of matching pilots with passengers, coordinating the flights, spreading the word among referral agencies, and continually recruiting new volunteers among 13 western states. If you are a caregiver, a patient who needs assistance, or someone who would like to donate, please visit their website www.angelflightwest.org or call them at 888-426-2643.Editors Note: This article was submitted by Cheri Cimmarrusti, Associate Executive Director of Angel Flight West. She can be reached at 888-426-2643 or by email at cheric@angelflightwest.org.

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

Thinking about long-term care placement is never easy. The move into an assisted living facility or nursing home almost always means a loss of at least some independence, and for many people the cost can seem overwhelming.For veterans with a documented service-connected disability of 70 percent or greater, financial assistance may be available to cover the entire cost of long-term care. The key to accessing this Veterans Administration benefit is finding a VA contract nursing home or state veterans nursing home in your area. Some privately or corporate owned nursing homes have obtained contracts with the Veterans Administration to provide long-term skilled nursing care to these service connected disabled veterans, which is paid entirely by the VA. State veterans nursing homes, too, are able to provide the same service.For veterans with a service-connected disability of less than 70 percent who need long-term care specifically because of their service-connected disability, the same benefit may apply. In these instances, detailed medical records documenting the need for long-term care is directly related to the veterans service-connected disability is absolutely necessary prior to admission into a state veterans or VA contract nursing home.Veterans wanting more information about VA benefits for long-term care, or finding the nearest state veterans nursing home or VA contract nursing home should contact the Veterans Service Officer for the county where they reside. Typically, this information can be located in the county government section of the phone book.For qualifying service-connected disabled veterans, this VA benefit eliminates the financial concerns frequently associated with long-term care.Editors Note: This article was submitted by Lisa Seley of the Bruce McCandless Colorado State Veterans Home in Florence, CO. For further information, they can be reached at 719-784-6331

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

Click here to begin your FREE search!You may be eligible for nutrition assistance programs that gives you acash benefitso that you can buy nutritional foods to help you stay healthy. You can also get help fromfood/meal assistanceprograms which can be delivered to your home or at various community locations.Learn more about the program that can help you save money. Benefit programs include:MedicationsHealth CareIncome AssistanceFood & NutritionHousing & UtilitiesTax ReliefVeteranEmploymentCounseling AssistanceVision Loss ServicesRespite Care ServicesPension AssistancePark & Recreational DiscountsEducation ProgramsTransportation Assistance& More!HowBenefitsCheckUpWorks:Answer some questions. Review your initials results or enter more details to personize your report.Get your report. Provide more information to get a customized report of benefits youre most likely to qualify for.See how to apply. Review your custom report, learn more about benefits, and start enrolling in programs.Click here to begin your FREE search!

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Caring for someone with Alzheimers or dementia can be one of the most challenging roles any of us will ever face. Alzheimers can be a very long course of illness. It is the only one of the ten top causes of death in America with no treatment, prevention or cure. It robs the person living with the disease of their memories and basic social skills, which can leave the caregiver feeling isolated even from the person they care for daily. In addition, studies have shown that caring for someone with Alzheimers can impact the caregivers health and cognitive function. To help address the unique challenges of Alzheimers and dementia caregivers, the nonprofit ClergyAgainstAlzheimers has produced a book of meditations, Seasons of Caring available at www.seasonsofcaring.org where you can read excerpts of the book free of charge. Grouped by seasons of the year, the books interfaith meditations offer spiritual support and motivational insights to comfort and encourage caregivers. Edited by Dr. Daniel C. Potts, Seasons of Caring features watercolors by his father, Lester, who began painting after being diagnosed with Alzheimers. Dr. Potts writes, Alzheimers and other dementias are no respecters of persons. In this cold, dark reality, how do we share the warm hope of spring? We share our stories of having been there before, of having found faiths fire in our own cold reality. Another resource is the USAgainstAlzheimers Facebook Caregivers Community for those with Alzheimers, their family members and friends. Members share information and questions about caregiving and Alzheimer's/dementia, share family updates and the stresses of caregiving, and provide advice, understanding and comfort to others. The groups moderators have each been Alzheimer's caregivers and maintain a warm, safe and supportive environment, offering advice from their personal experiences. The closed community is at https://www.facebook.com/groups/usagainstalz/. Finally, please join USAgainstAlzheimers in demanding action to stop Alzheimers by going to www.usagainstalzheimers.org and adding your name. I hope these resources will bring you new insights, comfort, courage and inspiration. Caregiversparticularly for those with Alzheimers and dementiainspire us all.Author:Virginia Biggar

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

For the most part, Utahns are a healthy bunch. Average life expectancy in the Beehive State is 79 the third highest in the nation. But helping people stay healthy and independent as they age requires expertise.The Senior Clinics at Intermountain Healthcare are much more than a doctors office. These clinics specialize in helping people age 65 and older to maintain and improve their quality of life. Clinic staffers do this by paying attention to the needs of the whole individual, not just their medical problems. Senior Clinic employees are also on the alert for common risks, including the three main causes of premature disability and death:1. Difficulty in managing multiple chronic illnessesOften seniors find it challenging to manage multiple illnesses. Intermountain Senior Clinics are in a unique position to coordinate care for a variety of conditions, including arthritis, chronic pain, diabetes, heart disease, and memory loss.2. Problems managing medicationsSeniors may see several physicians and specialists who prescribe different treatments and medications. Some medications may actually counteract the benefits of other drugs. A Senior Clinic physician can evaluate all of a seniors medications and address these concerns.3. FallsWhen seniors fall, they are often hurt both psychologically and physically. Twenty-five percent of older adults lose confidence and avoid movement after a fall. That can lead to the development of other conditions, such as pneumonia. Fall prevention is a necessary part of treating seniors. The Senior Clinics assess a patients risk of falling at each visit.In addition to these services, the Senior Clinics also provide: Timely appointments Acceptance of Medicare and most Medicare Advantage plans Longer appointments to allow time for questions and a thorough exam A board-certified physician and a nurse practitioner trained in geriatric care Help with memory loss Diabetic management and instruction Laboratory services, including blood and urine tests Nutritional counseling for cardiovascular disease, diabetes, and weight loss or gain Assistance with community resources, memory screenings, advanced care planning, referrals for home healthcare, medical equipment, and moreTo learn more, visit www.intermountainseniors.org. Or call one of our clinics directly:Alta View Hospital Senior Clinic9720 S. 1300 East, Suite E240Sandy, UT 84094801-501-2025Intermountain Senior Clinic5770 S. 250 East, Suite 210Murray, UT 84107801-314-4544Editors Note: This article was submitted by Carol Wilcox, LCSW.Carol is the manager of the Alta View Hospital Senior Clinic and may be reached at 801-501-2025.

Signs of hearing loss include asking people to repeat what they have said, hearing but not understanding speech, and trouble communicating in the presence of background noise.Tinnitus is also a sign of hearing loss. Many people report hearing ringing, buzzing, humming and cricket sounds. Nearly 50 million Americans experience some type of hearing loss, with approximately 20 million dealing with some type of Tinnitus.Tinnitus is your brains reaction to a loss of signal from your ear, its not a disease in and of itself, but rather a symptom.Do you experience symptoms of Tinnitus, but have been told that you will just have to live with it? Although there is no cure, Susan has developed her own unique, proven treatment options. Over the past 20 years, Susan has had the opportunity to help hundreds of patients, by listening to each of their needs and treating symptoms individually. This article was submitted by Susan Baker. Susan is the owner/operator at Advanced Hearing Services and may be reached at (970) 221-5249 or by email at susan@advancedhearing.net with any questions.

Does your agency utilize an existing VA benefit called Aid & Attendance? Some agencies offer help to Veterans but its mostly just gathering paperwork necessary for the A&A... and thats it! Care typically doesnt start until the VA pays the agency, which can take months with those agencies unfamiliar with the process. If you call an agency and they dont know anything about the A&A benefit OR they do offer it and/or it takes longer than 2-4 weeks to START care move on! Instead, try and find an agency that understands the complexity of the A&A, can start care within 2-4 weeks and has no hidden costs to get started.Do you have experienced VA Accredited Agents within your office to help with this process? Some agencies will outsource this critical step to local Attorneys or Financial Planners that may have accreditation, but the A&A benefit is just one of many products they offer. Find an agency that has VA Accredited Agents on their team that are dedicated and focused only on capturing the A&A benefit and offer no other products or services.Are there any upfront costs to start the process? Again, some agencies work through an Attorney or a Financial Planner that technically can help you with this process; however, they have creative ways of collecting payment for other services so they can get paid up to an estimated $500 or more. Instead, try and find a Veteran-dedicated agency that offers this at NO COST OR RISK for those who apply. There is no reason for you to pay out-of-pocket for these services.How long will it take before I can start care? Most agencies dont start care immediately simply because they dont have the funds available to absorb the cost of labor for weeks or even months waiting on the VA to begin payment. So, they will process the paperwork and make you wait until the VA releases the funds. Try and find an agency that starts care within 2-4 weeks with no costs upfront and that offers a complete Veterans Program.Editors Note: This article was submitted by Steve Lee, Founder & CEO of Curantis Health Veterans Aide. He may be reached at 720-459-5907 or by email at Steve@CurantisHealth.com

Located in a beautiful Naples, Florida, Beach House Assisted Living and Memory Care focuses on providing unsurpassed service to seniors with a variety of amenities and support services.In our elegantly appointed dining room, residents can enjoy delectable meals prepared for them by our prestigious all star chefs. At the Beach House dining is considered an experience to savor.Our Chef, Ed Fischer, worked as the Executive Chef at Modestinos Lobster House. He has also served and managed several restaurants from New York to Connecticut and brings an East coast influence with his cooking. He has held executive and Sous Chef positions at corporate restaurants, country clubs, hotels and cruise ships. Last year, Ed moved to Florida where he is a chef instructor at Sur La Table in North Naples and has joined us at The Beach House.With years of combined experience in hospitality, our culinary team will delight even the most discerning palates with a wide variety of haute cuisine. Guests can expect the best and will not be disappointed.

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

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

Currently, women make up a larger percentage of the active force, are serving in all branches of the military, and are eligible for assignment in most military occupational specialties except for direct combat roles. The number of women serving in the military has increased and has significantly impacted the services provided by the Department of Veterans Affairs (VA). Projections show that women now comprise a higher percentage of the veteran population, and these numbers will most likely increase as time goes by.The biggest concern for most women veterans is the lack of women in counseling positions who are available to address their concerns and fears. The most frequently asked questions from women veterans, along with the answers, can now be found on the Center for Women Veterans website www1.va.gov/womenvet/. These 25 questions are the ones we hear most often, said the Director of the Center for Women Veterans. Too many women veterans dont know they are eligible for the full range of VA benefits and too many are unaware of special programs designed just for them.BENEFITS & SERVICES FOR WOMEN VETERANSAs a woman veteran, you may be entitled to one or more of the following benefits.Sexual Trauma and Assault CounselingDisability Compensation for service related disabilitiesDisability Pension for non-service related disabilitiesEducation Assistance ProgramsWork-Study AllowanceVocational Rehabilitation & CounselingInsuranceHome Loan BenefitsMedical Inpatient and Outpatient careSubstance Abuse treatment and counselingNursing Home careBurial BenefitsBurial in a VA National CemeteryEmployment AssistanceSurvivors' Benefit ProgramsFor more information on the above, please contact the Grand Junction V.A. Medical Center at 970-242-0731.Editors Note: This article was submitted by the Colorado state veterans Home in Rifle. They can be reached at 970-625-0842

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

To learn more aboutHome Care Assistance of Utah,CLICK HERE.Seasonal Affective Disorder, also known as SAD, can affect people of any age. From children to seniors,SAD leaves people feeling blue.It occurs most often in the winter months following the hustle and bustle of the holiday season. Knowing how to spot the signs that you might need to intervene and get help for a senior loved one is important.Symptoms of Seasonal Affective Disorder in Older AdultsIf the senior you love always seems a little down during the winter months, it might be more than just the post-holiday blues. The long grey days of winter and lack of exposure to sunlight may actually be the culprit.A few of the common signs that might indicate an aging parent or older loved one is battling more than a case of cabin fever include:Sleepiness and fatigueFeelings of sadness that dont go awayLethargy or a loss of energyProblems sleeping including both insomnia and sleeping too muchUnintended weight gain or weight lossFeeling worthlessWithdrawing from favorite groups, hobbies and organizationsDifficulty concentrating and maintaining attention spanChange in personal hygieneShort-tempered and irritableTearful or weepyIf the senior you love is exhibiting one or more of the symptoms listed above, it is likely time to talk with their primary care physician. He or she is the best one to be able to decide if it is the post-holiday blues or something more serious that requires professional medical treatment.Helping a Senior Overcome Seasonal Affective DisorderThere are steps you can take each winter to prevent yourself or a senior loved one from developing SAD. They include:Avoid alcohol or limit intake to just one or two glasses a weekEliminate sugary foods, sodas and sweets from your daily dietCommit to 30 minutes of daily exercise, like walking or swimmingAdopt a mindful form of exercise, such as chair yoga or PilatesEat a healthy diet consisting of lean proteins, fruits and vegetablesSpend time with family, friends and loved ones on a regular basisFinally, mental health professionals often recommend a device referred to as a light box. It helps people suffering from the winter blues by decreasing the amount of melatonin in the body. Less melatonin helps you feel less fatigued. Talk with your primary care physician to see if this might be an option for you or the older adult you are a caregiver for.

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

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.

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

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

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

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

It 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

Alzheimers disease is the sixth-leading cause of death in the United States and the fifth-leading cause of death for individuals age 65 and older. This devastating and debilitating disease is the ultimate thiefof memories, independence, control, time, and, ultimately, life.The disease is often dealt with in silence. Those facing the disease feel a stigma surrounding their diagnosis and often dont seek the support they need. At the Alzheimers Association, we hear from individuals daily that they feel alone. Family and friends stop visiting because of abnormal behaviora symptom of the diseaseand caregivers become more and more isolated.We want patients and their families to know that there is hope, and there is help, through the Alzheimers Association of Greater Pennsylvania Chapter. We are here to provide education and support to the millions who face dementia every day, while advancing critical research toward methods of treatment and prevention, ultimately to end Alzheimers disease. Our offices are located locally and support groups are available to attend throughout the region. To find one near you, please visit www.alz.org/pa or call our 24/7 Helpline at 800-272-3900.The Greater Pennsylvania Chapter also hosts the Walk to End Alzheimers. This is the Alzheimers Associations largest annual awareness and fundraising event, which occurs every fall. The Walk to End Alzheimers is a day of hope, an opportunitya day we all come together to see that were not alone in our fight.Some walk to honor and remember those they have lost. Some walk to share stories of living with Alzheimers or related dementias. Some walk so that future generations wont have to face the debilitating and devastating effects of the disease. Some walk because they want to help make a difference and bring this disease to the forefront. The money raised allows our chapter to contribute to research to find a cure. These funds also help support free programs and services that advance accurate and timely diagnosis of people with Alzheimers and other dementias.Help us break the silence and start the conversation today! Register today at www.alz.org/walk or call our Helpline at 800-272-3900.Local Walks include:Harrisburg September 16thAdams/Franklin County Walk - September 30thLancaster September 23rdYork October 7thThis article was submitted by Jeremy Bland. Jeremy is the Director of Marketing and Communications with the Alzheimers Association Greater Pennsylvania Chapter.

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

As our loved ones age, our concern with their ability to manage the tasks of daily life safely at home increases. Most seniors prefer to stay in their own home and maintain their independence for as long as possible. However, the idea of accepting help at home can be met with great resistance. One approach that can be very effective is to suggest that having a home care agency come in for a few hours a day, will give the rest of the family peace of mind knowing that their loved one is safe. Seniors are often willing to make a change that they feel will benefit others before they would consider their own personal benefit. It is usually a good idea to include a senior in making a selection on what agency to use as well. Including them in the process is empowering. In addition, presenting the idea that home care is a well- deserved luxury rather than a decision that is being forced can make a huge difference in the outcome.The good news is that there are many home care agencies to choose from that help make this all possible. When choosing home care, it is important to look for an agency that will focus on specific needs. Initially, a thorough client assessment should be made by the agency; including notes on specialized care with possible conditions such as dementia, Alzheimer's, stroke and post-surgical care to name a few. Careful thought should be given to arranging a caregiver with the right personality and skill set. Finding a good match will help to ensure success. Last but not least, ask about background checks on caregivers and make sure caregivers are bonded and insured.Often, after a few scheduled visits with a caregiver, the elderly family member will begin to look forward to the regular social interaction. They will find relief in no longer struggling with tasks such as bathing, dressing, incontinence issues and grooming. They will enjoy the new opportunities that come with a companion who can accompany them on walks, help them prepare their favorite meals and assist them in getting to medical appointments and to do errands. The family will have the opportunity to experience joy in their time together rather than dealing with stresses they were previously faced with.Editors note: This article was written by Robin Savoie Zack and Michael Savoie, owners of Executive Care located at 3476 Main Street in Stratford. Executive Care offers affordable hourly and live-in rates. They can be reached at (203)690-1963.

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

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

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

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

Keep hearing aids safe during spring weather and activities with these helpful suggestions.While spring is a wonderful time to enjoy nature and the outdoors, this seasonal change can also wreak havoc if you wear hearing aids. From sunlight to moisture, there are many potential hazards to hearing aids to look out for. In this guide, well explore how to protect your hearing aids in spring, with these helpful tips:Clean your hearing aids at least once a weekReplace or recharge your batteries frequentlyAvoid excess moistureKeep a hearing aid dehumidifier on standbyWatch the sunscreenLimit sunlight exposureStore your aids in a cool, dry locationLearn more about each of these suggestions below.Clean your hearing aids at least once a weekAs the weather turns warmer, itsimportant to cleanyour hearing aids every week or even more frequently to keep them running smoothly. Ear wax can split or break the tubing and earmolds of your aids, while excess pollen, dust and debris can also cause problems for your device. There are many great cleaning products and maintenance kits that can help you clean your hearing aids effectively. Consider asking your hearing health professional what they recommend.Replace or recharge your batteries frequentlyWhen batteries begin to run out, replace or recharge them as soon as possible to avoid any corrosion or rust build-up. You can check the power remaining in your hearing aid batteries with a battery tester. Leaving the door of the battery component open at nighttime is another way to protect and enhance the quality of your batteries and device.Avoid excess moistureExcess moisture is one of the leading causes of damage to your hearing aids. Thats why its important tolimit exposure to water, humidity, or perspirationduring the spring and summer months. Be sure to take your hearing aids off when youre showering, intensely exercising, or exposed to humid environments.Keep a hearing aid dehumidifier on standbyRegularly check the tubing and battery compartments of your hearing aids to see if there are any water droplets or accumulated moisture inside.Using a hearing aid dryer or dehumidifiercan help remove this excess moisture and condensation from your device. It will also help prevent bacteria growth that can cause itchy ears.Watch the sunscreenAs the temperatures begin to rise, many of us will apply sunscreen to protect our skin. However, sunscreen contains oils that can affect your hearing device. When applying sunscreen during these warmer months,take extra precautions with lotions and sprays. Before applying sunscreen to your ears, face, and neck, you may want to remove your hearing aids first to protect them from exposure and wash your hands before putting your devices back in.Limit sunlight exposureSunlight is another big culprit of springtime hearing aid problems. To prevent the plastic coating from melting, keep your hearing aidsout of direct sunlight. Dont leave them in a vehicle outside for an extended period, and look for shady areas when spending time outdoors.Store your aids in a cool, dry locationOur last tip to protect your hearing aids in spring is to store them in a safe, cool, and dry location when theyre not in use. As weve noted, sunlight and moisture can quickly damage your device, so consider placing your device in a cool and dry location at night and during other non-usage times.In this guide, we covered how to protect your hearing aids in spring. As the weather begins to warm up, cleaning and handling your hearing device with care can also help maintain peak performance.Written & Submitted By: CapTel- click for more information*Click Here for Original Blog*

Caregivers can undergo a large amount of physical and emotional stress. The stress often includes feelings of being overwhelmed, abandonment, irritation and anger, and losing interest in outside activities.We believe small acts of self-care can bolster caregivers mental and physical states, making them not only healthier but also more helpful to their loved ones. Short, consistent breaks can help caregivers feel more empowered and in control of their lives. At Hope Grows, the word empowerment resonates deeply with what we do for family caregivers. We provide training, tools, resources, and guidance to caregivers. Part of our mission is to encourage caregivers to seek wellness of the mind, body, and spirit. The other part of our mission is to inspire hope through nature. One way we want caregivers to empower themselves is by engaging in therapeutic respite. However, according to the National Alliance for Caregiving and AARP, 85% of caregivers do not participate in respite, although it is highly requested by family caregivers. Empowerment includes breaking down the barriers that caregivers have to accessing respite. Recognize Your Value Allow yourself to know you deserve time for respite, reflection and rest. Let Go of Guilt Living in the present, rather than dwelling on the past or worrying about the future, leads to empowerment. Acknowledge the guilt you may feel, and move past it. Know Yourself List some activities that truly bring you joy and peace. Then build regular time into your schedule for them. For some caregivers, though, empowerment is not enough. Weve realized over the years that caregivers often struggle to take a break for respite care and support groups. Generally, factors that impede the ability to access respite are out of the control of the caregiver. Those can include financial hardship, difficulty finding replacement care, respite opportunities, transportation, and many other social reasons. We created ThinkCaregiver as a way to transcend these barriers and reach caregivers. ThinkCaregiver is a free phone program that allows caregivers to take a short break and talk to one of our trained individuals, from their homes. Editors Note: This article was submitted by Hope Grows, they can be reached at 412-369-4673, by email at info@hopegrows.net, or by visiting www.hopegrows.net.

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

Heart n Home Hospice & Palliative Care was awarded The ?Best of Treasure Valley? 2019 in home care by Inbound Systems! ? ?The Best of Treasure Valley introduces a new way of identifying and recognizing the best businesses in the community. Using a combination of online reviews and community votes, winners were determined across nine categories and 184 subcategories. More than 18,000 unique ballots were cast during the voting round by Treasure Valley residents.Local businesses and attractions were nominated last fall and the top 10 nominees in each subcategory moved on to the voting round in October. In addition to votes, online reviews from Google, Yelp, and Facebook were included in scoring. Overall ratings and the number of 5-star reviews from the previous 12 months helped determine the winners.We were very humbled by not only the nomination and being a finalist, but to win best in class is truly an honor. Our staff Embrace Innovation so that we will be relevant in the future, on the cutting edge of cares, yet timeless in how we love and care for our patients and their families. Said Todd Stice, Heart n Home Co-President.Heart n Home, amongst the other category winners were announced at the Best of Treasure Valley Awards Banquet, held on December 4th, 2018 at the Zions Bank Ballroom.About Heart n HomeHeart n Home affirms life by providing emotional, physical, and spiritual support to our patients and to those who love and care for them. Heart n Home is a family owned and operated company and serves 11 counties across Oregon and Idaho.To learn more about our end-of-life services visit www.gohospice.com.

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.

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

Any one of the 15 million viewers who have watched the YouTube diaper-clad baby dancing to Beyonce's Single Ladies music video can see that rhythm ouses our bodies, while melody stirs our brains, even at an early age.Cara Webster, director and teacher of Kids Rock Music Class (KRMC), in Bonita Springs, readily validates this phenomena every day while singing, dancing, clapping and playing with her own son and several other children. The youngsters, ranging from babies to age 7, are all participating in The Music Class (TMC), an early childhood program designed to unleash the musical potential of young children.Webster, a former Florida Realtor, whose degree in music from Florida State University was gathering dust until two years ago, opened her KRMC studio after Internet research turned up TMC. "My son was a year old when the real estate market slowed down," says Webster, "and I wanted to be a stay-at-home mom, while still being actively engaged in something I loved."A desire to introduce her son to music during his earliest years proved to be the catalyst for finding a new career in music that caters to young children. "I found programs locally for grade school children, but not for the very young," advises Webster. "When I couldn't find what I envisioned, I researched, found TMC's award-winning music, engaging activities and CDs, became a certified teacher and opened my own studio."The music program, as enjoyable for parents as for children, piqued Webster's interest. "I wanted the classes to also be fun for parents, so that everyone would be inspired to sing together at home, as well as in the studio," notes Webster. Tonal patterns, rhythms and melodies are part of the entertainment frequently enjoyed by several age groups within a family."The songs are easy to sing, and the older siblings especially like to help the younger ones with their tonal patterns," explains Webster, whose enthusiasm is fed every time she is part of inter-family musical activities. "You should see what happens when a one-week-old baby is sung to by her older siblings," she relates. The youngest children may simply listen to the music and keep the beat with their hands, long before they can form words.Webster proudly cites information gleaned from This Is Your Brain on Music: The Science of a Human Obsession, by Daniel J. Levitin, a neuroscientist who runs the Laboratory for Musical Perception, Cognition and Expertise and holds the Bell Chair in the Psychology of Electronic Communication at McGill University. "Very early in childhood, most children start to spontaneously vocalize, and these early vocalizations can sound a lot like singing," writes Levitin. "Babies explore the range of their voices and begin to explore phonetic production in response to the sounds they are bringing in from the world around them. The more music they hear, the more likely they are to include pitch and rhythmic variations in their spontaneous vocalizations."While this information is impressive," says Webster, "the most important thing is that the fun we have making music together can translate into other things for children, beyond the class-like processing problems, reading, math and science."This article was submitted by Lili Marlene, Kids Rock Music Class, 26251 S. Tamiami Trail, #13, Bonita Springs. Call 239-498-5437 or visit www.KidsRockMusicClass.com.

To learn more aboutAshby Home Health and Hospice,CLICK HERE.Identify. Monitor. Proactively Manage.At Ashby Home Health & Hospice, our goal is to help you live the best life possible and avoid unnecessary rehospitalizations. We use cutting-edge technology to identify, monitor, and proactively manage our patients in real-time to avoid conditions and situations that could lead to a trip to the hospital.To learn more about our state-of-the-art solutions that provide today's best healthcare and protect you or your loved one, please call us for a free in-home assessment.Risk Management Is Our Middle NameUsing data points from over 3 million episodes, we utilize custom software to identify, monitor, and proactively manage every one of our patients. This gives us the ability to catch issues and correct them before they cause an unnecessary visit to the hospital. Patients are safer, hospitals are happier, and we wouldnt have it any other way.How Our Active Risk Management System WorksAshbys A+ Risk Management is like a compass. It points us toward the patients who are at high risk and need extra case management, extra visits, or extra care to stay out of the hospital. This program is our guide to those patients who need the most attention. Our active risk management is built around three essential components.IdentifyEvery day, our software automatically analyzes hundreds of data points from each of our patients records to accurately assess his or her current risk of hospitalization.MonitorThe results are displayed for our Lead Nurse on an easy-to-use dashboard that allows us to click into details and communicate with our clinical team to take preventative action.Proactively ManageEvery patient is managed proactively and individually. The results thus far have been truly amazing. With this solution, our agency is meeting the growing demands of home healthcare while also improving the lives of our patients.To learn more, please call us today!

My Grandmother, Meemaw was my mentor, my guide and my lifeline throughout my life. She was my North Star! She and my Grandfather Papa spent a great deal of time with my brothers and I and raised us throughout our childhoods. My Meemaw was smart, incredibly strong and my hero. I owe every success I have had in life to my Grandparents and they were my greatest inspiration. I was very fortunate to have my Meemaw live until she was 98 years old. She was very healthy and extremely independent until the last two years of her life when she was in and out of the hospital mainly due to old age. It was at that time that my brother and I had to start thinking about home care for her as we wanted her to age in place. We like most families knew nothing about the world of home care or home health and it came as an immediate shock trying to navigate. We were fortunate and were able to safely find her the quality care she needed and that allowed her to stay in her home. It was a very difficult time for my family. At that point I started thinking seriously about helping other families like mine with such difficult decisions with their loved ones.Prior to starting Gentle Shepherd, I had been an Executive in a Fortune 500 company running a large Region in the U.S. I was growing tired of Corporate America and wanted to move from success to significance. As time marched on my parents were in their 80s as was my Mother-In-Law. They all had various health issues and some dementia. We found ourselves once again being that family with aging parents who needed more care than we could provide. So, four and a half years ago my husband Scott and I made the decision to leave behind Corporate America and started Gentle Shepherd Home Care. It was personal and we knew we could help and guide families like ours! Thus, Gentle Shepherd was born! We have an incredible team with over 160 highly qualified professional caregivers and were just awarded Best of the Springs for Home Care in 2020! We truly provide compassionate care in the comfort of your own home and will love and treat your family as our own! Editors Note: This article was written by Kathy Miller, founder of Gentle Shepherd Home Care. She can be reached at 719- 359-8371 or by email at: Kathy.miller@gentleshepherdhomecare.com.

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

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.

This past year, my mother developed symptoms of heart disease requiring intervention and treatment. Like most women she ignored and hid her symptoms from those around her.Did you know? Americans suffer more than 1.5 million heart attacks and strokes each year? Heart disease is the leading cause of death for women in the United States One in Four women die from heart disease each year Almost two-thirds of women who die suddenly of coronary heart disease have no symptoms Ninety percent of women have one or more risk factors for developing heart disease Women are less likely then men to call 9-1-1 when experiencing symptoms of a heart attackSigns of a Heart Attack in Women Pain, pressure, squeezing, or fullness in the center of the chest, lasting more than a few minutes or that goes away and then comes back Pain or discomfort in one or both arms, neck, back, jaw, or stomach Shortness of breath with or without chest pain/discomfort Nausea, lightheadedness, or breaking out in a cold sweat The most common symptom of a heart attack is chest pain/discomfort, but women frequently experience some of the other common symptoms such as shortness of breath, nausea, vomiting and back or jaw pain.Call 9-1-1 immediately if you have any of these signs, so you can get to a hospital right awayHow can you improve your heart health? Weight reduction Maintain a normal body weight Eat a healthy diet Recommend the DASH eating plan. Eat a diet rich in fruits, vegetables, low fat dairy and reduced in fat. Lower your cholesterol by significantly reducing saturated fats, and avoiding trans fats. Exercise At least 30 minutes almost every day of the week. Dancing and walking are great at any age. Stop smoking Smoking raises your blood pressure, which increases your risk for heart attack and stroke Restrict sodium intake Limit sodium/salt intake to less then 1,500mg per day Moderation of alcohol consumption No more than 1 drink per day for women (2 drinks per day for men) Control your blood pressure Blood pressure measures the force of blood pushing against the walls of the arteries. If your blood pressure stays high for a long time, you may suffer from high blood pressure or hypertension. High blood pressure increases your risk for heart attack or stroke more than any other risk factor.Making life long changes is the key to preventing heart disease.Editors Note: This article was written by Kathleen Warshawsky, BSN, RN Publisher of Seniors Blue Book Greater Dallas and President of Dallas Area Gerontological Society. Kathleen may be reached at Kathleen@SeniorsBlueBook.com

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

The mission of the PA Link to Aging and Disability Resources is to improve access to long term services and supports for individuals, their loved ones and caregivers, regardless of age, income, or ability, through an integrated network of partner agencies committed to expanding the use of community based solutions, promoting person centered decision making, and enhancing the quality of services. PA Link provides a myriad of services including: Person-Centered Counseling (PCC) - Is a program designed to guide Pennsylvanians on the wide range of public and private resources available, based on an individuals needs, preferences, values, and strengths with a focus on an individuals prioritized goals. Information + Referral/Assistance -No Wrong Door access ensuring that linkages to appropriate services and programs are provided with minimal confusion to the individual. Benefits Counseling and Application Assistance - Assisting with awareness, understanding and access to public and private resources to obtain services to remain as independent as possible in a chosen setting. Partnership Development and Training's - Opportunity for professional networking to share ideas and best practices. Providing free or low-cost trainings to increase knowledge and skill sets of agency staff. Community Outreach and Education - Information and education provided to the general public to inform them of available resources, access to those resources and how to connect to long term services and supports. Person-Centered Transition Support - Transitions between systems, programs, settings and life stages, such as nursing home transition, youth transition and military reintegration. Quality Assurance - Collection of data vital for programming, grant preparation and service system improvements.To contact the PA Link just call 1-800-753-8827Editors Note: This article was submitted by Ginger Monsted. Ginger is the Link Cumberland Coordinator and Service Area 9 Coordinator.

Refers to respiratory patients and families who will be entrusted on the use of oxygen, nebulizers and breathing exercises and other treatments as ordered. Chronic Obstructive Pulmonary Disease (CDPD) emphysema, pneumonia, etc.Pulmonologyoften involves managing patients who need life support and mechanical ventilation. Pulmonologists are specially trained in diseases and conditions of the chest, particularly pneumonia, asthma, tuberculosis, emphysema, and complicated chest infections.#listing_mgr{1 basic_search}#

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

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.

Many times, families assume they know who the Next of Kin is and later learn they are wrong. Knowing who Texas law designates is important when making end-of-life arrangements. However, even more critical is knowing what to do if you want to designate someone other than your Next of Kin to handle your arrangements.Texas official order of Next of Kin The Texas Health & Safety Code outlines the priority order for Next of Kin. First on the list, and surprising to many people, is specific written instructions. A correctly executed written document takes higher priority than a spouse. The exact list according to Texas Health & Safety Code Sec. 711.002: (1) the person designated in a written instrument signed by the decedent; (2) the decedent's surviving spouse; (3) any one of the decedent's surviving adult children; (4) either one of the decedent's surviving parents; (5) any one of the decedent's surviving adult siblings; (6) any one or more of the duly qualified executors or administrators of the decedent's estate; or (7) any adult person in the next degree of kinship in the order named by law to inherit the estate of the decedent. Essential information if choosing cremation Although the code states the minimum requirement, most funeral homes request all parties at the same level of Kinship sign if cremation is chosen. This ensures everyone with a legal right to decide are aware of the cremation since the process is irreversible. Designating another person You can designate any competent adult to make your arrangements IF you meet State requirements. The best way to do this, and avoid possible issues, is to use the state provided form called the Texas Appointment for Disposition of Remains. This is ideal for families with a large number of children; for those not in a legally recognized marriage structure (including non-registered common law); and for those with estranged family members. In general, its a good idea for anyone wanting to designate who makes their arrangements. As always, if you have questions about the form or legal kinship, you should seek legal counsel.Editorial Note: This article was submitted by Frank Seddio, General Manager & Funeral Director at . He may be reached at 214-343-4040. See ad pages 26-27

The Dallas Area Gerontological Society's (DAGS) Annual Fall Forum was held virtually for 2020, with a fitting theme "The Year Everything Changed"!Opening Remarks from DAGS President, Kathleen Warshawsky, RN, BSN.The Dallas Area Gerontological Society was founded with the expressed intent to educate the community at large about Gerontology, advocate for elderly persons, and promote improved services for elderly persons, and in the year 2020 we have continued to do just that. When the COVID pandemic arrived to the Dallas area, the DAGS Board began meeting via zoom to devise a plan to continue with our mission.Educational programs were arranged as zoom webinars instead of in-person events; DAGS board members advocated to protect older adults, contacting the Texas Health and Human Services asking for transparency of COVID data in long-term care communities; and members of DAGS assisted long term care communities in locating much needed PPE such as mask, gowns, face shields, and antibacterial wipes.Although 2020 may be The Year Everything Changed, The Dallas Area Gerontological Society continues to educate, advocate and promote improved services for the older adult population in 2020 with the same passion as it had when it was founded in 1989.I am proud to be a member and the president of the Dallas Area Gerontological Society in 2020!The video presentations from this year's forum are available for viewing. Click on the links below to watch the programs.

To learn more about Cottonwood Creek MBK Senior Living,CLICK HERE.Managing Your Arthritis While Self-IsolatingFinding new ways to manage our day-to-day has become commonplace during this global pandemic. All aspects of our life including school, business, fitness, medical appointments, entertainment, church services, shopping and more are now being played out online through streaming services, apps and the Internet.So, in the midst of the coronavirus crisis with limitations on normal routines, restrictions to usual self-care plans and social distancing and self-isolation becoming standard how do we manage existing conditions such as arthritis?In honor of National Arthritis Awareness Month, here are few in-home ways:KEEP MOVINGKeeping your joints moving is important in managing arthritis pain. Practice gentle stretches that move your joints through their full range of motion. Or follow an online chair yoga instruction, such asthis onefrom the Arthritis Foundation.Just be sure you know your limits and dont overdo any physical activity especially if youre home alone.A CHANGE OF TEMPERATUREBoth heating pads and ice packs have benefits that help manage arthritis pain. Heating pads help to boost circulation that can help relieve inflammation and improve stiffness. However, its important to limit use to no more than 20 minutes at a time. If you dont have a heating pad, a hot shower or bath works well too.Likewise, ice packs can relieve pain and reduce inflammation. Dont have an ice pack on hand? Try some of these DIY options:Put a damp, clean towel or sponge. in a plastic bag in the freezer for 10-20 minutes. Take towel out of the bag and apply it to the affected area.Fill a sock with rice and place it in the freezer. Rice will get as cold as ice, but doesnt create a wet-mess.Fill a sealable sandwich bag with dishwasher detergent and freeze to make your own gel-type cold compress.RELAXWhether you enjoy relaxing by listening to your favorite music or following a guided meditation, taking time to pause and relax has big benefits, and is known to ease pain. Fact is, utilizing relaxation techniques regularly can increase blood flood and reduce chronic pain. And, these techniques can also ward off depression and stress two other side effects of these strange COVID times.

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

To learn more 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!

At some point in our life each of us will experience the loss of someone we love dearly. With loss comes grief. Although grief is a universal emotion it may be one of the most intimate and personal feelings we ever experience. Losing a loved one evokes anxiety and feelings of loneliness that we may have never known before. Even though we may be lucky to have family and friends to support us, we feel alone in our grief.There may be times when grief seems everlasting and the pain and discomfort feels like it will never dissipate. It is true that grief has its own life span, but there are identifiable stages of grief that can help individuals navigate through their journey. Immediately following a loss you may feel numb. The responsibility of focusing on medical care for your loved one, making final arrangements and managing the paper work that comes after a death may sometimes shadow the reality of your loss. When all of the housekeeping is complete you may even experience a feeling of disconnection wondering if your loved one is really gone. When the realness of the situation begins to seep through, an extreme sadness may overcome you. This stage is often the most difficult and most frightening. It may also be the longest lasting stage. Over time this sadness will decrease and you may feel a reluctant acceptance of your loved ones death. As this acceptance takes hold you will realize that life does move forward and you can return to living even without him/her present each day. Life will be different, but you will experience joy again.Our society has made great strides in understanding end-of-life issues as they relate to the patient we still have a long way to travel to understand the impact of loss on those who are left behind. Friends and family members may suggest you move on or get over it. Grief is not something you have control over. Sometimes the loneliness of grief causes us to forget that help is available. Supports groups and individual counseling are available. It is when you are experiencing your lowest moment, that reaching out is most important. With time and support you will be able to look forward to the future once again. Editors Note: Judith Pilchik Zucker, LCSW, is a Bereavement Coordinator and Counselor with the Saint Barnabas Hospice and Palliative Care Center (SBHPCC). For information about bereavement programs and services offered by the SBHPCC, please call 973-322-4817 or visit www.sbhcshospice.com.

Capitalize on a lifetime of learning If you are a life-long student still hoping to complete that dream of a bachelors degree, consider the Bachelor of Arts in Multidisciplinary Studies at Boise State University. This degree is designed to help adults successfully complete a degree while balancing life with school. Whether its to show your children or grandchildren that its never too late to seek out education or something that you want to check off your bucket list, we can help you get there. Our students average age is 42 years old, with our youngest students in their mid to late twenties to our most senior student at age 82, who is graduating this semester! If you prefer a completely online option, consider the Bachelor of Arts in Multidisciplinary Studies online degree. The Multidisciplinary Studies degree is designed for students with 58 or more college credits and at least five years of work/life experience. An individual customized degree completion plan is created by the student and approval is granted for course selections designed around personal and professional goals. Many of our students did not take the traditional four year plan through school opting for more of a scenic route through education and are now ready to get that diploma. With a little more time on their hands and the handsome fee waiver for Idaho residents that dream can become a reality. Idaho residents who are at least 60 years old may register for courses and pay $5 per credit hour, a $20 registration fee (per semester), and any special fees (such as for private music lessons, workshops, or laboratory fees). Give us a call and lets see how we can help you finish that dream of completing your Bachelors Degree, its just a phone call away!For more information, please contact mds@boisestate.edu or call 426-3721 and speak with Vicki Budd, Program Director, Alexis, or Rebecca for more detailed information visit our website at http//sspa.boisestate.edu/mds. Editors Note:This article was written by Vicki Budd, Program Director for the Bachelor of Arts in Multidisciplinary Studies. Visit http//sspa.boisestate.edu/mds for more information.

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

What is LIFE? LIFE is a program that allows seniors, 55 years and older, to live independently while receiving services and supports that meet the health and personal needs of the individual.Living Independence for the Elderly (LIFE) is an all-inclusive, comprehensive program that helps people maintain their independence in the community through supportive services.The program is known nationally as the Program of All-Inclusive Care for the Elderly (PACE). LIFE Pittsburgh is a local, nonprofit program that has served those most in need for over 21 years. LIFE Pittsburgh provides comprehensive and integrative care to seniors who need extra assistance to continue to live in the community independently and wish to stay in the community, instead of a long-term care facility.At LIFE Pittsburgh, older adults are treated with the respect and dignity they deserve. They receive the very best care from dedicated geriatric care professionals without sacrificing their independence. Primary care and community services are provided through the Adult Day Health Centers and through the in-home program based on an individuals needs. The continuous coordination of care sets LIFE Pittsburgh apart from any other care model, which ensures quality of life to its Participants. Each Participant is cared for by an interdisciplinary team of healthcare professionals including a primary care provider, social worker, dietitian, physical therapist, occupational therapist, recreational therapist, personal care assistant, etc. to ensure the participant is staying in the best possible health.This team approach has been proven throughout the United States to provide the most coordinated, proactive care, so that the participant can enjoy the best possible quality of life. Eligible participants are 55 years old or older, live in the designated service area, meet the states medical requirements for nursing facility level of care, and are able to live safely in the community.LIFE Pittsburgh has adapted their services over the past year to provide continual care to those in need during the COVID-19 pandemic. They are dedicated to continuing to provide care to keep our Participants safe and healthy during this time and beyond. While they are adapting their process, they are also committed to continuing to enroll new Participants into the program, as they are a valuable resource to those that need help.Editors Note: For more information about LIFE Pittsburgh, please contact them at 412-388-8050 or visit their website at www.lifepittsburgh.org.

To learn more aboutBig Brothers Big Sisters of Utah- Northern Utah,CLICK HERE.Youd be hard-pressed to find someone who doesnt have a social media account these days. No matter how we feel about it, the digital world looks like itll be sticking around. For an organization likeBig Brothers Big Sisters of Utah, which relies on volunteers, social media provides an opportunity to reach folks who might never have come across us otherwise. If you have been hesitant to use social media for your volunteer efforts, here are some reasons why you should try it.MORE EYES ON YOUBillions of people use some form of social media every day. That means there are so many eyes that could be looking at your content. The more people who look at your posts, the better chances you have of finding someone in your area who is interested in volunteering. However, to do that, you need to grab the users attention. Be thoughtful about how you present your organization and what images will stop someones scroll. Keeping up to date with trends andhashtagsis also wise.EASY WAY TO SHARE INFORMATIONSocial media allows your audience to take little bites of information at a time. Users can browse through your page and click on posts that interest them, learning a little bit every time.Social media also gives you the freedom to share information in lots of different ways. Fun infographics, videos, photos, and text can all be combined to provide potential volunteers with many other opportunities to learn what your organization is all about.TRANSPARENT COMMUNICATIONAtBig Brothers Big Sisters of Utah, we know about how important transparency is. Its a crucial component to building trust and buildinghappier and healthier relationshipsfor everyone involved. Social media gives you a chance to respond to questions and interact in front of the world, so everyone can see how great you would be to work with.Visitbbbsu.orgto see how social media has helped our efforts.

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

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

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

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

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.

For the last three years, Deborah Mills has been caring for her mother, who has Alzheimers and needs constant supervision. While Mills is happy to be in a situation in which shes able to help, the experience has been stressfulespecially given the high financial cost of caregiving. Kamilah Williams-Kemp, vice president of long-term care at Northwestern Mutual, has seen firsthand the struggles of family caregivers, having watched her mother-in-law care for a family member. Northwestern Mutual s C.A.R.E. (Costs, Accountabilities, Realities, Expectations) study found that expenses relating to caregiving made up around one-third of a caregivers monthly budget.What we saw in the study was that many of the people needing care had used up their assets to cover the costs of care, said Williams-Kemp.The Costs of CaregivingWhen it comes to the impacts of caring for a loved one, the financial burdens of caregiving were cited in the study as the second biggest impact after reduced personal time. Thats not surprising given the rising costs of caregiving.Many people dont expect these expenses, according to Williams-Kemp. In the study, only one in four potential future caregivers said that financial support was a key attribute of caregiving, but nearly two-thirds of caregivers actually end up providing financial support.How to Plan Ahead:Four in ten Americans are current or past caregivers, and one in five non-caregivers expect to provide care in the future. Still, a financial plan that includes long-term care can be a sensitive topic.Ensuring that you have a plan can give you more options to make choices about care and protect your family.How to Cope Financially if You Didnt PlanWhile the financial demands of caregiving can feel overwhelming, there are strategies that can help caregivers manage. The first thing youll want to do is work with the financial advisor and attorney of the person who needs care, Williams-Kemp said. Look at his or her assets to figure out how to best leverage them in caregiving situations.Planning Ahead Provides Certainty in Uncertain SituationsThose who do have a plan in place feel comforted, according to Williams-Kemp. Ive been told by people whom weve helped plan ahead that theres an incredible peace of mind to not having to worry about the financial aspects of their care or feel like theyre a burden to the family members who otherwise would have stepped in to help, she said. The full article can be found at www.northwesternmutual.com/life-and-money/long-term-care-should-be-a-part-of-your-financial-planArticle prepared by Northwestern Mutual with the cooperation of Bruce Mozinski. Bruce Mozinski is a Wealth Management Advisor with Northwestern Mutual, the marketing name for The Northwestern Mutual Life Insurance Company (NM), Milwaukee, Wisconsin, and its subsidiaries. Bruce Mozinski is based in Southborough, MA. To contact Bruce Mozinski, please call (508) 251-7223, e-mail at bruce.mozinski@nm.com, or visit brucemozinski.com.

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

A lot of people, medical professionals included, do not know the difference between home health and non-medical home care. Home health is provided by registered nurses, physical therapists, medical assistants, speech therapists and occupational therapists. These professionals make short visits, usually an hour or less, to the home of patients to conduct specific, medical procedures and tests.Non-medical caregivers whether they be family members or hired, professional home care providers, help older adults with non-medical activities of daily living (ADLs.) Activities of daily living include meal preparation, assistance with bathing, dressing, toileting, light housekeeping, medication reminders, transportation and much more. Independent Activities of Daily Living (IADLs) include going on doctors visits, meal preparation, shopping, household management and much more. Additionally, many older adults face the issue of being socially isolated because their ability to drive, walk and communicate are compromised by their illnesses. Children and spouses can feel a high degree of stress if this issue is not ameliorated by professional companion care.It is very important for discharge planners, patients and their family to identify, acknowledge and plan for non-medical home care for patients and their elderly spouses with chronic conditions such as Alzheimers, dementia, ALS and Parkinsons disease.Over 90% of the medical professionals in attendance at a recent continuing education seminar about caregiver stress reported that they would change their professional performance by both a) Making an effort to determine if the family members would be available to provide the home care that the patient needs; and b) Recommending that families use professional non-medical home caregivers if there is a need.So, when confronted with the problem of caring for an older adult, using a professional non-medical caregiver is an option that can enhance the lives and well-being of both family members and the older adult who needs extra care. Here are some examples of outcomes created by families who chose to use professional, non-medical caregivers:Martha arrived and the entire household spirit changed. Words cannot adequately convey the peace that Martha brought to Mum and the family as a whole.You dont know how much I needed you all. Thank you is not enough!Very personable service. The staff are very professional, courteous, and understood our needs. The help was outstanding and much needed and exceeded our expectations during a great time of stress.Editorial Note: This article was submitted by Jared Caplan, M.S./Administrator License #017091 with Home Care Assistance of Dallas and may be reached at 214-363-3400 or by email at jcaplan@homecareassistance.com. See add on page 101 & 105

How do I keep my Parents safe and at home?As my parents and grandparents age, I often compare the struggles they face now to the struggles I faced growing up. My safety and well-being were always first and foremost in their minds.Now that I am older, I find myself having those same feelings about safety and well-being. Only this time, its me worried about my parents safety. I finally understand what I put them through; I have the same loving concern for their safety that they had for me. Since the biggest concern for most older adults is staying independent and living at home for as long as possible, you must find the right home care agency that can help.As you or your loved ones are trying to navigate the complicated health care system, you must find a home care agency that is also an advocate and can help ask the right questions. In choosing the right home care agency here is a list of things to consider.Do they provide free care management/advocation to ensure you get the right help?Do they have a Certified Senior Advisor (CSA) on staff?How committed are they to the community? Do they volunteer? Do they donate back to the community?Are they a resource center? Can they help you find other services you might need or help you find the right senior living option if you cant stay home?How do they train their staff, how long is the training, and what benefits do they offer their staff?Can they help you find ways to pay for care other than you paying out of pocket? Do they take Medicaid? Can they help you easily get Veterans benefits?The biggest thing to remember as you or your loved ones are facing difficult health care challenges is that you are not alone. There are experts out there ready to help.Editors Note: This article was submitted by Jake Rankin, CEO Talem Home Care & Placement Services, MBA, Certified Senior Advisor (CSA), Certified Franchise Executive (CFE) He may be reached at 720-789-7350 or at Jake@Talemhc.com.

To learn more aboutGood Shepherd Home Care & Hospice,CLICK HERE.The laws regarding debt after death are defined by each state so there isnt a single answer to the question above for everyone. On most occasions, the only time a family member would be responsible for your debt is if they cosigned a loan with you. People generally do not inherit another person's debt.When we die, a new entity emerges, called our estate. An Estate represents your assets and your liabilities. Upon death, a legal process called Probate (which is the first step of administering the estate of a deceased person), will resolve your debts and distribute your remaining assets to your heir(s).Creditors may legally seize assets within your estate (money or property) in order to cure a debt owed to them. If you have no assets, your creditors may have to take a loss on your debts. Depending on the state you live in, a creditor has a fixed amount of time to make a claim against your estate for payment.There is a legal pecking order as to who is allowed first claim to retrieve money from your estate. The higher priority goes to funeral expenses, administrative expenses, and federal taxes. The estate may then pay off expenses from the last illness and state taxes. At the bottom of the barrel are unsecured creditors, like credit card companies.Generally, all debts must first be paid by the estate before any remaining assets are distributed to an heir. An outstanding credit card balance, for example, must be paid before any money or gifts can be distributed to an heir. If there are not enough assets to pay the debts, then all assets and property will be sold to pay down as much of the debt as possible and the heir will inherit nothing.In the case of secured debts (e.g. home mortgage or auto loans), property (which is collateral) may be distributed with its debt. For example, you own a car worth $15,000 and the loan on the car is $7,500. If you die and leave that car to someone, it will become that person's obligation to pay off the loan.Except for certain situations (which include joint property or joint debt), creditors are unlikely to go after surviving family members when a debt cannot be paid by your estate money. The majority of married couples have joint accounts and joint debt. In these situations, a surviving spouse will be held legally responsible for the debt of their deceased spouse even if they did not generate the debt themselves. This is something that will often cause problems for surviving spouses who financially cannot pay off old debt and meet their everyday needs.If a creditor contacts a surviving family member about a debt of a relative who has died, the family member should give the creditor the contact information of the decedent's representative. The representative is responsible for paying any outstanding debts from the estate. If a will exists, the representative is known as the executor; if there is no will, the representative is known as the administrator.In community property states (where married couples are considered to own their property, assets, and income jointly) credit accounts opened during marriage are automatically considered to be joint accounts. This could affect what your spouse will have to pay, depending on the debt that you incurred. The following states are community property states:ArizonaCaliforniaIdahoLouisianaNevadaNew MexicoTexasWashingtonWisconsinTo conclude, when you pass away, your estate is responsible for paying off any balances owed by you, not your family. If your estate goes through probate, your administrator (or executor) will look at your debts and assets and, guided by the laws of your state, determine in what order your bills should be paid. The remaining assets will be distributed to your heirs according to your will or state law.

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.

To learn more aboutBrightStar Care,CLICK HERE.Im just exhausted.Im irritable all the time, and I dont know why.I just want to be my mothers daughter again.Over the years, caregivers reluctantly have made confessions like these to our home health nurses and caregivers. Their feelings are completely normal and understandable, but many caregivers struggle with the idea that theyve failed if they need help managing a loved ones health.You havent failed youre simply overwhelmed. Caregiver fatigue can lead to a more serious condition that can affect your health and the well-being of the loved one in your care. Not seeking help can harm your relationship with your loved one, and in some cases can lead to physical or emotional abuse of the person for whom you are caring. However, there are signs that can alert you to get help before your stress gets to that point.Signs of Caregiver BurnoutProviding constant care for a loved one can be emotionally taxing. You might be burned out if you often feel:DepressedFatigued, or excessively tiredHighly emotionalIrritable without a clear causeResentful of your situation or your loved oneAs if you could hurt your loved oneWhen combined with physical symptoms, such as muscle aches, trouble sleeping, and loss of appetite, its understandable that caregivers can suffer a long time before seeking help. Often, caregivers have promised they wouldnt bring an outside person into the home to help with care or move a loved one to a nursing home. Sometimes cultural traditions of caring for aging family members factor in as well and cause immense feelings of guilt. All of these emotions can clash with feelings of love and responsibility for an aging relative.How Can I Find Relief from Caregiver Burnout?Many caregivers benefit from support groups. Local community centers, senior centers, and churches often offer caregiver support groups. Many online support groups also are available. In these groups, you can safely share your feelings without fear of judgment and get advice from people who understand what youre going through.There also may be adult daycare centers in your community that provide affordablerespite care. That respite can be a wonderful break for you and a chance for your loved one to socialize with other seniors. There are more than 600Area Agencies on Aginglocated throughout the United States that can connect you with support groups, adult day facilities, and other local resources for senior care.Hiring a home health nurse or in-home caregiver is another excellent way to find relief from burnout. Families might fear that theyll need to have in-home help around the clock and it will cost thousands of dollars a month. For most families, this is not the case. There are manyoptions availableto help caregivers. A nurse or caregiver come by a few times a week, usually just for part of the day. A home health nurse can help with medications or changing wound dressings as well as coordinating your overall care, and a caregiver or home health aide can help with bathing and other personal care as well as providing respite orcompanion care a break in your day during which you can run errands or simply relax.Support like this is vital to preserving your mental and physical health and also benefits individuals who need care. Aging adults can feel as if theyre burdens to their caregivers. This can cause symptoms such as depression, guilt, and physical pain. Additional care from an in-home nurse or caregiver provides your aging loved one a break from feeling like your patient and may help improve your relationship.Its important to remember that its normal to feel frustrated at some point in your caregiving journey and its not only okay, but important to seek help. You deserve it! You want to enjoy as much time as you can with your loved one. If your role transfers completely from loving relative to full-time caregiver, your relationship can suffer. But when you seek help, even once in a while, you get to be their daughter or son again.

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

Then, theres the follow-up question: How early should treatment begin? With todays advanced diagnostic testing, a patients hearing loss can be detected at the earliest stages when treatment is most important.The American Academy of Audiology (AAA), American Speech-Language-Hearing Association (ASHA) and American Medical Association (AMA) each consider hearing screenings as early as 50 important for your overall health.Many changes occur in the brain as we age. The impact of hearing loss on these changes can be detrimental yet possibly reversible and avoidable if caught early. We say: Ears and Rearswhen you turn 50! Even if the patient does not perceive a problem this enables the establishment of a baseline and treatment of hearing problems can begin as soon as they arise.Hearing loss, even at a mild stage, can be a serious problem. It can significantly increase the risks of developing cognitive decline, depression, social isolation and dementia.Even in your 50s there is a significant chance you may require treatment of hearing loss. As we age, the chances increase: nearly 50% of all seniors between 60-70 years young will experience hearing loss, almost 2/3 of people between 70-80 years young, and practically 80% of people aged 80 and higher.Age-related hearing loss is a silent disorder that occurs gradually and slowly over time without most people really noticing that it is happening to them. We recommend Catch it early and treat it early! The consequences of untreated hearing loss are real and can be devastating to the patient and family but avoidable if treated early.A recent report (The Lancet, July 2017) found that early treatment of hearing loss is the single most effective modifiable factor for the prevention of dementia.Initial symptoms that people may experience:Difficulty following a conversation in background noise (e.g. in a restaurant)Tinnitus (i.e. ringing in the ears)Decreased social interaction with othersIncreased television volumeDevelopment of depressionEditors Note: This article was submitted by Jacquie Elcox with Treasure Valley Hearing and Balance. For more information, contact them at 208-639-9111 or visit www.treasurevalleyhearing.com. See ad below.

Searching for the right adult day health (ADH) provider for your loved one is daunting. You have gone through the process of finding the right primary care physician, seeking specialists, and so many other supports that it may feel overwhelming to vet another service.This checklist is meant to help guide you in identifying the right person-environment fit when it comes to adult day health.Engaging programming. Each ADH center is unique in its size and structure. Would your loved one benefit from a smaller, more intimate group environment? Or a larger center with more space to roam and interact with others? Are there a variety of activities? Taking a tour during the middle of the program day can help to give you a firsthand understanding of what the day is like.Individualized approach. While these are group settings, ADHs should be working with your loved one as an individual. Are they asking questions about their hobbies, likes and dislikes? Do they mention modifying activities, so they can continue to be enjoyed? What about a personalized care plan?The location is right. Is it a quick drive around the corner from home? Or on your way to and from work? The location must work with your schedule and needs.Consider transportation. Regardless of whether the particular center is right down the road or not, your schedule may not allow for drop off and/or pick up. Does the ADH have a vendor? Do they have their own vans or buses? How does scheduling work?Cost is important. ADH programs are typically less expensive than other options, including home health aide services or nursing home care. What is your familys budget for this? Going in for a tour knowing this in advance can help make the decision easier.No two programs will be alike, and it can take time to find what works best for your family. Take a tour, ask as many questions as you need, and know that even when you find a provider you are comfortable with it can take time for your loved one to adjust. It is part of the process, and an ADH can help every step along the way.This article was submitted by Michelle Holmberg, MA, the director of services for Cooperative Elder Services, Inc., and may be reached at 781-863-1166 or by email at m.holmberg@elderdayservices.org.

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

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

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

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

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

It was 1970 and Ken and Sylvia Ringling embarked on a new adventure to Colorado Springs with their young sons Devin and Jeff. Sylvia was surprised and frustrated to find very few nursing jobs, and a pay rate of $1.75 for LPNs. After a few years, Sylvia answered an ad for as needed nurses through an agency called Medical Personnel Pool. This allowed Ken time to raise the boys while Sylvia worked nights and weekends. Because of their strong work ethic, it wasnt long before Ken and Sylvia took over operations of the agency, which at the time provided supplemental medical staffing and private duty home care, all with just 10 field employees and Ken and Sylvia. And the rest is history. Eventually, the Ringlings bought the agency and expanded service lines to include Medicare, Medicaid, and private insurance clients.Watching his parents build their agency, seeing their love of caring for others and providing jobs in the community, Devin couldnt help but start his journey into home care by working for his parents agency, of course starting at the bottom as a payroll and billing clerk. Eventually Devins wife Cynthia too worked for the agency as a home care nurse and supervisor. It was during these years that the company grew, adding multiple locations, service lines, and changing the name to Interim Healthcare.In 2011 and after a long succession plan, Devin and Cynthia bought the business from his parents. Interim Healthcare now provides both medical and non medical home care, Hospice, facility staffing and a CNA training school. Under Devins leadership, the agency now employs 82 office staff and over 200 professional and paraprofessional employees that care for over 500 people. And one of those office staff happen to be Devin and Cynthias oldest son Jeff, who shares in his dads vision for the future of Interim Healthcare and is working his way up the ranks in the office.We have been the longest family run home care agency in Colorado Springs for over 40 years, it has been a pleasure to take care of your family. We realize you have a choice when it comes to home care. We are honored you have entrusted your care to us and we look forward to continuing to provide quality care, from our family to yours, for generations to come.Editors Note: This article was written by Devin Ringling, CEO and can be reached at dringling@interimhealthcare.com or 719-632-9900

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

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

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

In Dental School, we shared a popular phrase with each patient. Only floss the teeth you want to keep. Improper care leading to periodontal disease and the loss of teeth is essentially giving up on your oral health.So, why does 50% of the population leave flossing out of their daily routine? Some of the excuses we hear are: I cant get the floss between my teeth, It hurts, or I have arthritis. Are these excuses just evidence of giving up?A few years ago while speaking to a group of healthy 90 year olds I asked if they were too old for dental care. Unanimously they said no! I then asked if there was a time they should give up because of age. They unanimously said no again! So, why do we still hear 70, 80, and 90 year olds as well as families and caregivers making age a reason for giving up on restoring their teeth?There must have been a time when giving up was not an option. Many seniors today still have almost all of their teeth. Some have dental restorations in varying degrees of health and failure. So, why would anyone choose to give up on something so important?Sometimes it is the family or caregiver who state that they just do not want mom or dad put through a lot of pain. It might be physician who fails to help families place oral conditions in a proper perspective. Giving up can actually come from dentists who say, if it doesnt hurt, dont fix it. Giving up can result from a lack of knowledge and poor advice.The lack of pain can no longer be the reason we give up. Pain with dental disease continues to decline as we age and research shows a direct relationship between oral and systemic diseases and their impact on total health and wellness. As we age, any infections in the mouth will create a lowered resistance to disease in the body.It is our job as dentists to make care accessible, patients comfortable, and improve the communication between the patients and the community in which they live. We recommend that when you are looking for a community in which to live, that you make sure that a comprehensive dental program is offered.So, when should a senior give up their teeth? These dentists say never: Bruce Hasenauer DDS &Bob Deloian DDSEditors Note: This article was submitted by Dr. Robert Deloian and Dr. Bruce Hasenauer. Both Doctors are practicing dentists with Access Mobile Dental and may be reached at 303-471-0346 or by email atinfo@seniordentalservices.com

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

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

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

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

Colorado law[1] provides that any adult with decisional capacity may make advanced written decisions about the use of medical or surgical procedures when he or she has a terminal condition or is in a persistent vegetative state (PVS).This written declaration is called a Declaration as to Medical Treatment and is commonly referred to as a Living Will.A Living Will is clear and convincing evidence of a persons wishes regarding end of life decisions. It provides advanced instructions if life sustaining procedures and/or artificial nourishment and hydration should be withdrawn or withheld at a time a person has a terminal condition or is in a PVS, and lacks decisional capacity. Decisional capacity is the ability to provide informed consent or refusal for medical treatment or the ability to make an informed health care benefit decision.If the attending physician is presented with a Living Will and believes the patient has a terminal condition or is in a PVS, and lacks decisional capacity, the law requires the attending physician to order the patient to be examined by another physician. If an attending physician refuses to comply with the Living Will, they shall transfer the care of the patient to another medical provider that is willing to comply with the declaration. After examining the patient, if both physicians agree, they shall certify such fact in writing and enter it into the patients medical record with a copy of the Living Will. The attending physician must immediately make a reasonable effort to notify at least one person that a certificate has been signed. After forty-eight hours, if no action to challenge the validity of the Living Will has been filed, the attending physician shall withdraw or withhold life sustaining procedures or artificial nutrition and hydration according to the terms of the Living Will.[1] This law known as the Colorado Medical Treatment Decision Act is found in the Colorado Revised Statutes at 15-18-101 et. seq.Editors Note: This article submitted by Jennifer S. Gormley, J.D., LL.M an attorney with the Law Office of Jennifer S. Gormley, P.C. who can be reached at 303-783-9600 or email info@elderlawsource.com

Many seniors and their families face two tough questions when planning a move to a senior community:1) How to plan for the costs when the length of stay is uncertain? and2) What to do with the house that is being left behind?For many seniors, maintaining ownership of the house as a rental property can be the smartest and safest way to ensure a long-term income stream to help cover retirement costs for an indefinite number of years. Your house essentially becomes the golden goose that can continue to generate substantial income for you year after year until the property is sold or passed down to the next generation.And what about the hassles of being a landlord? This is where professional property managers come to the rescue! A good, trustworthy property manager can make owning a rental property nearly as easy and worry-free as owning any other financial instrument like stocks or bonds.What Can Professional Property Managers Do for You?A full-service, professional property management company can take over the management of your home at any stage in your relocation process, and help you arrange everything you need to do to get your house generating income for you and your family. Services might include: arranging for removal of your furniture, painting, cleaning, and/or other repairs as necessary to make the house suitable for renters. The next step will be for the property manager to advertise the property for rent, provide thorough tenant screening and background checks, collect a security deposit, and sign a lease with the tenants. Once tenants move in, the property manager will handle all ongoing issues such as rent collection and response to tenant needs or repair issues. With a professional property manager at your side, you can enjoy the excellent financial benefits of real estate ownership (house appreciation plus a steady monthly income stream) without the hassles of being your own landlord.A Trusted Resource for Seniors and their FamiliesAll County Boulder Property Management is a trusted resource you can count on to provide excellent management services for you anywhere in Boulder County. All County brings over 20 years of experience managing residential properties for seniors and their family members. We promise to provide honest and competent professionals to ensure reliable care of what is typically your most valuable material asset. Our job will be to eliminate the hassles, enabling you and your family members to utilize the property's rental income to enjoy a relaxing and stress-free retirement. You will love the long-term rental income stream and be glad you didn't sell the golden goose!Editors Note: This article was submitted by Simon Heart, owner of All County Boulder Property Management in Boulder, Colorado. For more information, call 720-428-2100 or send an email to contact@allcountyboulder.com

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

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

Refers to persons specifically trained to help individuals with their personal care needs and activities of daily living (ADLs). These services include assistance with bathing, showering, shampooing, dressing etc. Other tasks may be assigned to aides per individual agency and family negotiations/contract. Home Health Aides are available for just a few hours per week up to 24-hour care on a temporary or long term basis.#listing_mgr{8 basic_search}#

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

For more information on the author Paul Andrews - ERA Advantage Reality Inc., CLICK HERE.FSBO (pronounced fizz-bo), or For Sale By Owner, is a way of selling your home without the use of a professional real estate agent or broker. The idea behind FSBO is that by selling your home yourself, you save the approximate 6% that would be the agents commission.6% may not sound like a lot, but it can add up, especially on more expensive homes. But before you run off and decide to sell your home FSBO, you must remember that to get a savings like that, there must be a cost. So whats the catch? Selling FSBO is hard. A lot harder.Only about 10% of sellers that decide to do FSBO are successful at it. And not all of them end up saving themselves money. FSBO sellers often end up accepting a lower price for their home than they would with an agent.There are of course other issues as well. Can you afford to make selling your home your full-time job? Because for a lot of FSBO sellers, thats exactly what it is. Do you have the time and capital to spend on the marketing, advertising, inspections, paperwork, phone calls, showings, and problems that come up when any home is sold?Selling with a professional agent also has other advantages. An agent can get your home listed on the MLS (Multiple Listing Service) and other popular websites where not only homebuyers but also other agents can easily find it. Professional real estate agents also have an extensive network that allows them to more easily find a buyer.So before you decide to sell your home yourself, thoughtfully consider just how much time and effort you can spare for selling your home, as well as how important it is that your home sell sooner rather than later.

Company Focused on Helping Seniors Thrive Now Managing Local CommunityDallas, Texas -- A company committed to helping seniors thrive has begun managing a local retirement community, bringing it a new name and a host of signature resident engagement initiatives. Watermark Retirement Communities now operates The Preston of the Park Cities, formerly called HarborChase of the Park Cities. The community, which is owned and developed by Silverstone Senior Living, has become a Silverstone/Watermark community. Featuring resort-style amenities and concierge service, it is located at 5917 Sherry Lane, Dallas, Texas, 75225.For more than three decades, we have focused on helping seniors live to their full potential and discover new opportunities, said Watermark President and CEO David Barnes. Watermark, based in Tucson, Arizona, operates more than 50 senior living communities nationwide. With The Preston of the Park Cities setting the standard for elegant boutique living, were excited about making this an even more extraordinary place for residents and their families.The Preston of the Park Cities offers assisted living and memory care. The latter is now provided through Watermarks signature program The Gardens, whose caregivers are trained and certified in partnership with the National Council of Certified Dementia Practitioners. The community also offers The Bridge, an assisted living option for residents with slight cognitive impairments who would benefit from guided support by specially-trained cognitive experts.Other Watermark signature initiatives coming to The Preston of the Park Cities include the award-winning Watermark University. It features engaging classes taught and taken by residents, associates and the general public. The Extraordinary Outings program takes excursions beyond the expected. Both initiatives seek to introduce residents throughout the community to new ideas and opportunities to thrive.More information on The Preston of the Park Cities###ABOUT WATERMARK RETIREMENT COMMUNITIES INC. For three decades, Watermark Retirement Communities has created extraordinary and innovative communities where people thrive. Watermark communities are known for highly trained associates, a lifestyle built on choice, and innovative programs including the award-winning Watermark University featuring a wide variety of engaging classes for residents and area seniors. Watermark has been named in the top 25 Best Workplaces for Aging Services in a national program conducted by the Great Place to Work Institute and published on Fortune.com. A privately held company with a reputation for service, innovation, integrity and financial stability, Watermark manages more than 50 retirement communities coast to coast. Based in Tucson, Watermark is ranked as the nations 13th-leading senior housing operator by the American Seniors Housing Association. Visit watermarkcommunities.com for more information.ABOUT SILVERSTONE SENIOR LIVINGSilverstone Senior Living develops high-quality senior housing communities which provide independent living, assisted living and memory care services in Texas, Florida and the Mid-Atlantic states. The principals of Silverstone have extensive experience and an excellent track record in the real estate industry. This experience includes designing, developing, managing, operating and owning premier properties throughout the nation and across all the major asset platforms for both public and private companies. Silverstone is committed to developing and operating best in class communities that are as comfortable as home, luxurious as a country club, and provide the highest level of care.Each of the principals has a firsthand story of loved ones requiring assisted living and/or memory care. Silverstone grew out of their personal passion to provide high-quality care, security and comfort for the residents they serve. For more information about Silverstone Senior Living, call (214) 561-2801 or visit www.silverstonehc.com.

Weight loss is a topic that has been discussed and debated for decades, and it continues to be an important aspect of overall health and wellbeing. With the rise of obesity rates and related health issues, weight loss has become increasingly vital as people strive to prevent and manage conditions such as diabetes, heart disease, and certain types of cancers. Many different methods for losing weight have been developed over the years, from fad diets to intense workout regimes, but the key to long-term success is adopting healthy lifestyle habits that can be maintained over time. This includes making dietary changes, exercising regularly, managing stress, and getting enough sleep. With dedication and commitment, weight loss is achievable for anyone seeking to improve their health and wellbeing.Looking to shed some unwanted pounds? Some of the best supplements for weight loss are:Caffeine: increases metabolism and suppresses appetite.Green tea extract: contains antioxidants that boost metabolism and aid in weight loss.Probiotics: improve gut health and aid in weight loss.Chromium: regulates blood sugar levels and reduces cravings for carbohydrates and sugar.Glucomannan: suppresses appetite and promotes a feeling of fullness.Conjugated linoleic acid (CLA): reduces body fat and increases lean muscle mass.Forskolin: increases metabolism and aids in weight loss.Bitter orange extract: suppresses appetite and boosts metabolism.Garcinia cambogia extract: blocks the formation of fat and suppresses appetite.Raspberry ketones: increase metabolism and promote weight loss.It's important to note that supplements should not be used as a replacement for a healthy diet and exercise. Always speak with a medical professional before beginning any supplement regimen.Article written by: Seniors Blue Book

Each year, between 3 to 10% of the total US health care costs have been attributed to medication nonadherencethis totals up to approximately $100 to $300 billion in health care spending! In fact, nearly half of all adults in the US have at least one chronic disease, with the number of adults taking three or more medications doubling between 2007 and 2010. In managing chronic disease, medication adherence becomes key.Taking your medications as prescribed, not missing doses, and close communication with your provider reduces the risks of hospitalizations and poor outcomes from medication nonadherence. This is a fact that we have all heard, but what makes it so hard? Maybe the medication is too expensive. Maybe you just cant get to the pharmacy. Or maybe you arent sure how the medication is going to help.This is where the hidden gem that is your local independent pharmacy may offer valuable assistancethey offer all the services of the larger chains plus more. Most of these independent pharmacies offer blister packing services that organize your medications, making it easier to take them correctly and on time. They provide delivery services bringing your medications conveniently to your doorstep and useful educational materials through Specialty Disease State programs. Many of these pharmacies are even moving towards Collaborative Drug Therapy Management agreements between the pharmacist and provider. Such practice agreements allow the pharmacist to be directly involved in managing patient medication therapies, serving as an accessible resource to the community.Frequenters will often speak of a personalized experience that keeps them coming back. The additional services, Specialty Disease State education, and co-pay assistant services are more than recognized to promote health and wellbeing within the community. So, the next time youre out in the neighborhood--look for these local gems that can provide a multitude of services reducing barriers to taking your medication and ultimately, help you better manage your health.Yung-En Fung, PharmD, RPhProgram ManagerV-Care Pharmacy and Surgical Supplies151 Cochituate Rd.Framingham, MA 01701P: 508-202-9993 ext. 3857F: 508-202-9343

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

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

Monitoring Solutions of SWFL provides GPS monitoring to the memory impaired, and those with other medical conditions. Services are available throughout the State of Florida, utilizing the S-911 bracelet - the most comprehensive tool available for caregivers and family members.The S-911 is a watch-style bracelet which tracks location via satellite and cell phone signal. The S-911 software also has geo-fencing capability. This means the caregiver is able to create both inclusion and exclusion zones for the person wearing the device. If the wearer needs to stay within a certain area, the instant the boundary is crossed a text message is sent. Conversely, if there is a danger area such as a lake, a text will be sent when the wearer gets too close.The S-911 is the only bracelet on the market featuring a built in cell phone. This is excellent for those in the early stages of memory impairment who find themselves lost, or when a fall occurs. The wearer presses the panic button & the bracelet will call for assistance right from their wrist. The S-911 also has an impact detector so that if the wearer falls, or is in an auto accident and is incapable of pressing the panic button, an alert is still sent & their caregiver will be instantly notified. We offer a solution to anyone who has an illness where precious seconds can determine whether someone receives the help they need quickly enough to save their lives, reports Zodia King, President of the company.The S-911 bracelet is available for purchase or can be leased. There is a monthly service fee for access to the tracking website and data transmission. Monitoring Solutions also offers monitoring service for families whose loved ones are local but live out of state.The highest level of service offered, which includes lease, website/voice andmonitoring service is still less than $5/day making it a very affordable solution for many applications.At Monitoring Solutions our mission is to assist families and caregivers by providing a dignified method of constant contact which enables prolonged independence at a low cost.

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

I was working with an Adult Protective Services representative just a few days ago, and she said something very profound. We were attempting to help a family whose mother was showing signs of either rapidly advancing dementia or some other medical issue. They had no powers of attorney in place; they had no authority to step in. She needed help, but they were stuck between not having any power of attorney documents and not being able to make the required showing to get a guardianship. The woman from APS said, "It's always to soon, until it's too late." How true.Many families keep putting off the very critical act of executing the proper set of documents to insure that they can legally pitch in to help, if a loved one needs assistance. Procrastination can cost - BIG TIME! A will, financial powers of attorney, medical powers of attorney, HIPAA releases, advance directives, declaration of guardians in the event of later need are essential for every adult member of the family. If there are minor children in the mix, there should also be a declaration of guardian for your children in the event of later need. People often assume that, just because they are family, they will be able to jump right in, take over the finances, help with medical decisions, etc. WRONG! And the consequences of not having the right authority when you need it can be dramatic. When a family member needs help, the bills don't just automatically stop! Imagine the anguish that results from not being able to access that family members finances. No one realized the need to plan ahead. It's frustrating, gut-wrenching and expensive, if you have to come out of your own pocket to pay those bills. Consult with an elder attorney. There are issues that you probably haven't thought of and questions that you don't know the answers to. Please do it NOW! Remember, it's always to soon, until it's too late.Editors Note: This article was submitted by J. Clarke Wilcox, attorney with Whatley Wilcox, PLLC. He may be reached at 888-593-5337. Article on page 39

The latest findings on the connection between Hearing Loss and Cognitive Function! Does your loved one constantly forget items that you know youve discussed with them, or is it possible that they didnt actually hear the message correctly? This question has been a concern for many families who suspect that a family member is showing signs of cognitive decline. Now, new research shows that hearing loss may not only be mistaken for signs of Alzheimers disease or Dementia but that hearing loss may actually contribute to cognitive problems!Research now shows that untreated hearing loss can significantly increase the risk of developing Alzheimers Disease and Dementia! CNN reports that The risk of Dementia rised as hearing ability declines! AARP quotes a study from Johns Hopkins and the National Institute on Aging that finds that Men and Women with Hearing Loss are much more likely to develop Dementia and Alzheimers Disease! They further state that Even mild Hearing Loss doubled the Dementia risk and the University of Pennsylvania School of Medicine links even early stage Hearing Loss to accelerated brain atrophy!The findings suggest that poor hearing is a "harbinger of impending dementia," says George Gates, M.D whose own research has demonstrated a link between the two conditions. We listen with our ears but hear with our brains," Gates says. " People with moderate hearing loss generally struggle to communicate even in quiet settings. People with severe hearing loss, the study reports, were five times more likely to develop dementia than those with normal hearing.Frank R. Lin, M.D., an ear surgeon at Johns Hopkins Hospital in Baltimore, says that hearing loss is such a slow and insidious process, it is often left ignored and untreated." Regularly scheduled Hearing Tests should be a part of Seniors routine medical testing, and hearing loss should be addressed as early as possible before these negative consequences begin to develop. If you are over the age of fifty and have not had a Baseline Hearing Test, I would encourage you to begin monitoring your hearing acuity the way you monitor other aspects of your health, states John Hoglund of Hoglund Family Hearing And Audiology. These tests are provided as a Free public service by our Practice, at our Bonita Springs and Estero Clinics, and you will also receive a copy of six different reports about the research mentioned in this article.Please contact John and Patricia Hoglund at (239) 498-7142 to schedule an appointment.Author:John and Patricia Hoglund

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

Staying calm, healthy, and productive may not be the first thing on your mind when emptying a home after a loss. But the better you feel, the easier a trying task will be to complete.While I am not a medical professional, I believe the healthy habits outlined in this article are what enable me to empty my Clients homes quickly and efficiently. If you are planning to empty a Loved Ones home yourself, perhaps you will find some of these tips useful.EATING While on the job, we like to increase our intake of high magnesium foods like organic dark green vegetables, chickpeas, and other beans. In our experience, because magnesium is a natural tranquilizer and muscle relaxer, its intake minimizes the aches and pains that can come with hard labor.BOOSTING THE IMMUNE SYSTEM Every home on the planet contains dust and germs. In our experience, an emotional time coupled with the stagnant air inside a home can put stress on the immune system. We find that eating onions and garlic (sulfur compounds) as well as organic multicolored vegetables (beta-carotene) help us prevent infection. To avoid respiratory illness, we like to take vitamin C and zinc supplements throughout the day. We also enjoy drinking a hot homemade beverage made of water, apple cider vinegar, lemon, raw ginger, and honey.INCREASING ENERGY If we are under a deadline and short on sleep, we eat Alaskan salmon omelets first thing in the morning to get a big boost of B12. We take B-complex and B12 supplements to maintain this high energy throughout the day.AVOIDING SUGAR AND ALCOHOL Sugar and alcohol provide the seemingly positive feelings that come with dopamine hits, but ultimately, these benefits are just temporary. In reality, sugar and alcohol have anxiety forming capabilities. Therefore, you may want to consider avoiding sugar and alcohol when cleaning the home of a Loved One who has passed away. We think that kombucha and stevia are great alternatives to alcohol and sugar. Weve also found that limiting our caffeine intake helps us maintain a calm composure in stressful situations.SLEEPING We have all had the experience trying to manage racing thoughts when its time to sleep. Magnesium citrate, tryptophan, and taurine have each helped us with relaxation and late-night anxiety reduction. *Other tips* Listening to relaxing music like Larraji or the Light in the Attics New Age collection while were working helps keep us calm. Finally, no matter how busy things seem to be, at least once a day, we like to take a break to stretch and then sit quietly in the fresh air for 20 minutes. Finally, organizers Marie Kondo and Margareta Magnusson highlight the importance of saving sentimental items and family photos for last when putting a home to rest. This is because these belongings tend to prompt feelings that may interfere with our productivity. Saving these items for last or better yet, removing them from the property and reviewing them later may hasten the process overall and allow you to concentrate on the larger task at hand: that is, preparing your Loved Ones home for rental or resale. Best of luck as you complete this task.Editors Note: Article Submitted by: Pamela Martin, Owner of Long World Services she may be reached at 312-286-0586.

Americans across the country celebrate Veterans Day on November 11, a special day to salute the men and women who have bravely served our country in the military.These fellow Americans have made profound sacrifices in defense of freedom and they deserve our heartfelt thanks and appreciation. Honoring our nations Veterans includes supporting them throughout their entire lives, especially at the end.As our nation marks Veterans Day on November 11, Heart n Home Hospice wants to share its commitment to increase Veterans access to compassionate, high quality hospice care for those who are facing serious and life-limiting illness. As part of this commitment, Heart n Home Hospice is a part of an innovative program, We Honor Veterans, developed by the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs. Through We Honor Veterans, we are ensuring that our organization is equipped to address the unique needs of our nations Veterans.It surprises many Americans to learn that every day, 1,800 Veterans die. Thats more than 680,000 Veterans every year or 25 percent of all the people who die in this country annually. A generation of World War II and Korean War Veterans are facing end-of-life care decisions now, and they are quickly being followed by younger Vietnam War Veterans, many of whom are confronting serious illnesses at an even earlier age.The liberty that we, as US citizens, enjoy comes at a price paid by these valiant men and women. Let each of us make sure we do our part to recognize and support them throughout their lives.If you know a Veteran who is in need of the special care hospice brings to people facing serious and life-limiting illness, please reach out and help them learn more about the services that hospice can provide. Contact us at gohospice.com to learn more about the ways we support our nations heroes.To all our nations Veterans, thank you.

I meet a lot of people as I work with them to make their homes safer, but there is a common thread to conversations.Im returning from rehab after a fall and cannot return home until I have safety changes made.I have fallen in the past and think it would be a good idea to look at what I might need.Its not for me I am fine, just something in-case we have visitors or for my spouse.A fall is not just a short term adventure, it can impact quality of life, bank balance, family, overall health and even longevity. BE PROACTIVE, saying youre fine even as you know its harder to do things, is moving you into the going to fall category. Here is a quick list of items to consider.Remove trip hazards, keep walkways clear, put frequently used items in accessible places.Install handrails on stairs, front of house, patio and garage, hallways as needed.Is there enough light for normal use and install night lights for extra security.Add grab bars in the shower/tub and by the toilet, use a shower bench and handheld shower.And NEVER use a suction cup grab bar or a towel rail as a safety bar they will fail on you.I hope you found this article useful and remember Prevention is No Accident!James Buffalin is the owner of Safety for Seniors based in Boise and a recognized expert in Home Modification and Safety.

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

Everyone knows suffering. Often, when we are the most wounded, and we need help the most, we dont know where to get it. Navigating the dizzying medical-care maze can be both time-consuming and confusing.This is where a Patient Advocate comes in. What does a "Patient Advocate" do? The simple answer is that they help people navigate the healthcare system. A Patient Advocate acts as a support structure, and if legally contracted to do so, may act as a liaison between a patient and their Health Care Provider and/or Insurance Company. The Patient Advocate does not compete with your healthcare provider, they offer assistance where the role of physician becomes limited. A Patient Advocate can help alleviate the pain and the frustration that goes with the worry of uncertainty, fear, and the unknown related to health care issues.The Healthcare system is changing dramatically. There are thousands of pages to read to keep up with the changes. To add to the complexity, each insurance plan and each insurance company have different contracts and rules for individual policies. Each insurance company has a different contract and payment schedule with individual hospitals and providers. It is easy to see how we find ourselves in a maze that is difficult if not impossible to navigate. The addition of long waits and runarounds add to this frustration.Do you need a Patient Advocate? Consider hiring an advocate if:You have several medical conditions to follow.You are unable to think clearly. Some people are in shock following a diagnosis. Some medications impact the patients comprehension and concentration, and some conditions are complicated to understand.You have been diagnosed with a progressive or degenerative illness. You have a chronic illness that requires follow up care.You have medical bills that you don't completely understand or have the time or energy to deal with. Each provider bills separately, even within the hospital, and there is a high percentage of bills with errors. An advocate can be a medical bill detective.The need for Patient Advocacy relates to people of all ages and life styles. It doesn't discriminate.Editors Note: This article was submitted by Patricia Horne, a Professional Patient Advocate with Patient Advocate Solutions, and may be reached at 801-698-0919 or by email at pat@PatientAdvocateSolutions.com

On a recent afternoon at Stepping Stones, participants created some cheerful crafts and joined in a game of bean bag toss. Then they sat down to sing some tunes. In between, they told jokes, shared stories about their love of dogs, and talked about jobs they had held, and their great grandchildren.The group was made up of the clients of McKee Medical Centers Stepping Stones program, the only adult day program facility in Loveland. Stepping Stones is located in a wing of the First Christian Church, 2000 N. Lincoln, in Loveland.Adult day programs have been called the best kept secret in long-term care, said Angel Hoffman, program manager. But weve been here since 1995 and work with as many as 30 families at any given time.The program is designed to give participants an opportunity to socialize, build friendships and enjoy stimulating activities in a safe, caring environment. It also gives families and caregivers a break from daily routines.A home health care nurse visits regularly to do health assessments and wellness checks, and a variety of volunteers provide music, assist with painting and crafts, or bring their pets as therapy animals.About half of our clients have Alzheimers or memory problems, said Hoffman. Others may have physical challenges as the result of Parkinsons, multiple sclerosis, developmental disabilities or mental health challenges. While most clients are older, some are in their early 20s.Hortense Tense Griffith goes to Stepping Stones five days a week. Her daughter, Nancy Griffith-Conklin, credits the staff with understanding her love for jokes and bringing out her personality, which keeps her stimulated and happy. Tense is 82 and has Alzheimers Disease.Each day is like the first day, but she recognizes the staff and when I pick her up, shes happy, Griffith-Conklin said.For more information about Stepping Stones, call 970-669-7069 or visit www.BannerHealth.com, Keyword: McKee Stepping Stones.This article was written by Lisa Bohlmann, public relations specialist for McKee Medical Center.

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.

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

Most people have heard the terms Assisted Living and Supportive Living, many people use the terms interchangeably and believe the programs are the same. While the programs are somewhat similar there are differences that anyone looking for a community should be aware of.Supportive Living is a program that is regulated and administered by The Department of Healthcare and Family Services. Illinois developed the program as an alternative to nursing home placement for low-income seniors, 65 or older, or persons with disabilities, 22 to 64. The program allows for these individuals to remain in a community setting, while focusing on health and wellness. Residents are responsible for the room and board costs of their apartment and are entitled to keep $90 per month out of their income, the remaining income is paid to the supportive living community. Medicaid then supplements the cost of care above and beyond the amount the resident paid to the community. There are communities that are licensed for the 65 and older population while there are a few in the Chicagoland area that are licensed for the 22 to 64 age group. Supportive Living requires a pre-screen know as a Determination of Need (DON) prior to moving in. These screens are completed by an independent agency. Assisted Living is a program that is regulated by the Illinois Department of Public Health. The intent of legislation for Assisted Living Facilities and Shared Housing Establishments was to provide residential environments designed to meet the ever changing needs of the elderly population, so that they can remain as independent as possible. Assisted living establishments have an age requirement of 55 or older and residents pay privately for their apartment and care needs. Cost per assisted living vary per community and it is important to get a full list of prices for room and board and care charges. A physician certification is required prior to moving into an assisted living community and should be completed by the potential residents primary care physician. Asbury Court located in Des Plaines offers; Independent Living, Assisted Living, Supportive Living, and a new Skilled Nursing facility scheduled to open in the first quarter of 2018. You can call (847) 228-1500 to inquire about services or to learn which program might be right for you or a loved one. Asbury Gardens in North Aurora offers; Supportive Living, Memory Care, and Skilled Nursing. You can call (630) 896-7778 to inquire about services and availability. Asbury of Kankakee in Kankakee offers Supportive Living. Please call (815) 963-1000 to inquire about availability. *sources for this article are: www.illinois.gov and www.illinoislegalaid.org Editors note: this article was written and submitted by Jennifer Niedermeier, Director of Business Development for Asbury Healthcare.

Skin cancer has reached epidemic proportions with the incidence of nonmelanoma skin cancer up 300% since 1994. Annually there are more new cases of skin cancer than the combined incidence of breast, prostate, lung and colon cancer. Given the gravity of this epidemic, seniors may find themselves asking, how do I recognize skin cancer and what can I do about it?What is skin cancer?The three most common forms of skin cancer are: Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), and Malignant Melanoma (MM).Although BCC and SCC are rarely fatal, they can be quite disfiguring if they are not detected and treated early. Malignant melanoma kills approximately8,790 people in the US annually and early diagnosis and treatment are essential to ensure the best outcomes.What can I do to prevent, detect and treat skin cancer?Being aware of your own skin is an important measure to aid in early detection and treatment of skin cancer. A monthly self-skin examination has been shown to reduce the risk of melanoma. Suspicious lesions should be evaluated by a dermatologist or other medical provider. Learn how to perform a self-skin examination here:http://www.aad.org/spot-skin-cancer/understanding-skin-cancer/how-do-i-check-my-skin/how-to-perform-a-self-examWhat to look for.-An existing mole that has changes: Asymmetry Border that becomes irregular Color that becomes varied Diameter larger than the head of a pencil eraser Evolution or changeOr.-A sore that does not heal-Any lesion that changes-A new lesion on the skinWhat should I do if I am concerned?A regular (often yearly) recurring full body skin examination performed by a dermatologist or other health care provider, regular use of sun block, sun protective clothing, and sun protective behavior (including sun avoidance and seeking shade) are essential additional important protective measures.If you have any questions at all, it is advisable to seek personal advice from a health care provider. At Swinyer-Woseth Dermatology we value your questions and would be happy to help you in any way.Editors Note: This article was submitted by Angela Brimhall, D.O., FAOCD,.Dr. Brimhall is a Dermatologist with Swinyer-Woseth Dermatologywww.dwoseth.com and may be reached at 801-266-8841

1. What is hypnosis?Hypnosis is a state of heightened focus and concentration where your subconscious mind is more susceptible to suggestions. When youre in a hypnotic state, youre more open to new ideas, suggestions, and possibilities.2. How does hypnosis work? Hypnosis is a deeply powerful tool that can get you to focus more efficiently, focus on issues that are more intently impacting your life, and find creative solutions. The brain rules over your body and through the process of learning, there are automatic transitions within the brain. These automatons process stimuli and input at a very fast rate, so that we can process information and make quick decisions.One of the brains most important automatons is the amygdala. This is the seat of emotional memory. Within the amygdala is the hippocampus, which is responsible for forming new memories.Hippocampus is responsible for the consolidation and storage of recent experiences and is the structure that contains the vast majority of the hippocampus. It integrates the information from all other memory components and makes presentable and dynamic memories. Richard Norris, The Hippocampus: Memory AccomplisherThere is an orgasmic aspect to hypnosis that you will experience every time you go under the influence of hypnosis. This unique state allows you to have a body massager to stroke and massage areas of your body that are currently causing stress.2. How does hypnosis work for pain relief?The way it works is that it helps to switch off the part of your brain thats responsible for paying attention to your body, and it helps to switch on the part of your brain thats responsible for paying attention to things that are happening outside of your body.3. How can hypnosis help with chronic pain?Hypnosis can help with chronic pain, and the first thing to understand is that hypnosis isnt sleep. Hypnosis is a deep state of relaxation and its not about the absence of thought but the presence of a focused, directed thought. Hypnosis is a state of focused attention and self-control while youre awake.Sleep, on the other hand, is a deep state of relaxation. It is a focus on falling asleep and waking up in the prescribed way. This state of deep relaxation is accompanied by low muscle tone in the body and frequent dreaming. The specific pattern of brain activity that accompanies sleep is different from the relaxation pattern accompanying hypnosis. In order to understand hypnosis, first you must understand the state of the brain because the link between the two is what causes hypnosis to work and why its better than sleep.Attention is the most basic state of being for your brain. It is good at doing two things staying still and focusing your attention. Dreaming is another state of being a quick sleep with lots of interesting dreams. Hypnosis is a deeper level of attention and self-control than sleep.A fascinating study from 2001 showed that American adults were more likely to believe in the paranormal when subjects were hypnosis than when subjects were awake. Similarly, a study by Sleep Research Institute, a division of Stanford University, showed that hypnotized people performed better on two types of programming tasks. While those who were hypnotized were more likely to do what the hypnotized were told versus the hypnotizer.Its very common for hypnotherapists to experience the common side effects of sleep because they are using the state of arousal to affect a deeper state of focus and awareness. Hypnosis takes practice to become proficient at and it takes a lot of focus and conscious effort.Hypnosis is filled with recovered memory techniques used under the guise of being healing or curing.4. How can you learn self-hypnosis?There are a lot of techniques available to learn self-hypnosis. One of the most popular is the Milton Method. It involves listening to a recording that guides you through a self-hypnosis session.Soaking in warm or cold water for a few minutes can calm your mind. Tapping gently on your wrist for a few moments helps you process how your mind works and relaxes your muscles. Light light can also help your visualisation process. If you dont like any of these methods, you can use your imagination. Any audio you find can be used as a Hypnotherapist would use. Whatever method you choose, you will have fun with it. Ill let you decide how much fun youd have with hypnosis.5. What are some other ways to relieve pain naturally?Some natural pain relievers include:1. Cold packs2. Heat packs3. Massage4. Acupressure5. Acupuncture6. Yoga7. Meditation8. Yoga9. Chiropractic10. Acupuncture11. Taking breaks throughout the day12.Yes, yoga 13. Energy balls14. Hot packs15. Light therapy

To learn more about how SYNERGY HomeCare,CLICK HERE.Love. Family. Home.These words are personal. They are the very words that drove your search. You came to our page hoping to keep a nurturing, safe environment for you or a loved one, wherever home may be. We are here to help you sort through all of this. And we consider it a privilege to do so.Like you, we at SYNERGY HomeCare, know that some of the most valued people in our lives require special attention and dedicated care. Trying to provide that all by ourselves is certainly not easy; maybe even unsafe. It can certainly be rewarding and fulfilling, but it can also be overwhelming and all-consuming. If you or a loved one, need assistance, we are here for you.

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.

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.

Your mouth is the gateway to your body. This being so, your overall health and well being depends largely on the quality of your dental health. Your teeth enable you to chew food, speak clearly and give you a winning smile. These are all things that can easily be taken for granted, until they are taken away. An active approach to oral hygiene can help you keep those things that you don't want to live without. Every day your teeth should be cleaned and protected from harm. Plaque is a filmy substance that accumulates on the teeth, which if not removed daily can soon harden and become tartar. Tartar can only be removed by a dental professional. Plaque and tartar buildup can cause cavities which erode teeth, and gingivitis, a gum disease that causes swelling and bleeding of the gums. The simple act of brushing and flossing your teeth will remove most plaque buildup; however, regular visits to the dentist are essential. The dentist can help you maintain good dental health by identifying problems and reducing the risk of them becoming worse. People should still regularly see a dentist even if they have no natural teeth and wear dentures. Dental health plans are designed to help people be proactive with their dental health. By identifying and dealing with dental problems before they start to cause pain, you will enjoy better dental health for a longer period of time. This article was written by Brian J. Anderson, Anderson Benefits. He can be reached at 801-363-9575

Remember when doctors use to make house calls? In those days, your family doctor had a much better view of your total health picture. In today's fragmented health care environment, who has that big picture? Is there one person who is aware of all the different treatments and prescriptions that you are receiving?There is someone who can do this. A home health nurse can be your health care advocate; helping you to achieve a higher continuity of care.Medical treatments and therapies delivered in the home have been growing in popularity. With shorter hospital stays, patients are discharged earlier to recover in skilled nursing facilities or at home.The nurse or therapist who administers treatments at home has an opportunity to see all of your doctors' prescribed treatments and medical prescriptions. The home skilled nurse is your health care advocate, ensuring that your doctors are working together and aware of the prescriptions and medical treatments you are receiving. Today's home health nurse can provide you with a higher continuity of care after a hospital discharge and take a preventative approach to problems that may arise during your home recovery.The Federal government recognizes the essential role of the home health professional. In the recent Affordable Care Act, there are directives for Medicare to provide for home-based nursing and therapy services. These types of services are essential for patients leaving the hospital. When combined with personal care, they can provide a "layering of services" that will make you safer and more comfortable in your home.Choose your health care advocate wisely. Find a home care agency that provides both medical and non-medical care for the most efficient layering of services. Choose qualified agencies, such a provider that has been awarded Accreditation for Quality by The Joint Commission, the most respected health care accreditation organization in the nation. Choosing a provider with these credentials will ensure that you have a home care advocate who will provide you with the continuity of care that you need.By understanding the need for a patient advocate, and by choosing your provider wisely, you can substantially improve your quality of life at home. Doctors may not make house calls anymore, but thankfully we have home health professionals who do.Editors Note this article was submitted by Kim Trabing of Salus Homecare. She may be reached at 801 556-1185

To learn more aboutApple Tree Assisted Living, CLICK HERE.While some of the realities of aging can be stressful for seniors or those approaching senior age, its comforting for many to know that there are several excellent care options for those who have certain needs due to age. And while there are several different programs or community types to consider among seniors who are considering a move to a location where they can receive assistance, two of the most common such communities are assisted living and independent living these are similar in some ways, but also have some notable differences that separate them.At Cozy Retire, were happy to offer high-quality, award-winningassisted living communityservices to numerous seniors throughout Ogden, Kaysville and Layton, offering several levels of assistance and personalized care plans depending on each individuals needs. How do our services compare with independent living communities, and which should you be considering if youre a senior or a caregiver helping with this decision? Here are some basics on each.Assisted Living BasicsAssisted livingcommunities for seniors are meant to combine themes of independence with the basic forms of support that some seniors require. This support will vary widely between individuals some may have physical needs in terms of dressing or grooming themselves, while others may have needs in healthcare, social engagement, bathroom usage, meal consumption and many other areas, and assisted living staff are here to help with all of them.Its important to note that assisted living communities arenotthe same as nursing homes. Nursing homes tend to refer to those for individuals with even more significant medical needs, including complex care programs that involve daily services. Those in assisted living communities may have some of these needs, but theyre generally less intense.Independent Living BasicsIndependent living communities, on the other hand, are meant for seniors who are still pretty active but want to be free of some of the burdens and responsibilities of homeownership while also having care resources on-hand if needed. Basic maintenance and household duties are carried out by staff, giving residents plenty of time to participate in various programs, enrichment activities and more, both on-site and off-site. However, independent living communities tend to have somewhat fewer specific care resources, and may not be ideal for seniors who have particular health or related needs.Choosing Between ThemTo be clear, there is no wrong answer here whether a senior chooses assisted living, independent living or even one of a number of other setups in this realm comes down completely to their needs and preferences. Seniors who dont have many health issues and just want to lessen their responsibilities while enriching their life may gravitate toward independent living; those with a few more care needs who want these maintained while also living an independent life may look to assisted living.

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

According to the Centers for Disease Control and Prevention, every year one in three adults over the age of 65 falls and 2 million are treated in the emergency room for fall-related injuries. Knowing the risk factors for falling is the first step in preventing an incident. The most common risk factors include: a history of previous falls, balance impairment, gait abnormalities, dizziness, reduced muscle strength and flexibility, visual impairment, medications, advanced age, peripheral neuropathy and recent hospital discharge. As we age, falling becomes of greater concern, however, it is not an inevitable part of aging. The following steps can be taken to help significantly reduce the risk.Meet with your doctor:Have a discussion with your doctor about your medications. Are there any that can cause dizziness, drowsiness or cognitive impairment? These may need to be discontinued or dosing may need to be modified.Keep moving: Many older adults lose their sense of balance or experience a decreased level of coordination, flexibility and muscle strength. With your doctors approval, consider activities such as walking, water workouts or tai chi. There are also exercise programs designed to specifically target strength, balance and flexibility. Physical therapy is advised after a recent hospitalization or while recovering from an injury or surgery.See your podiatrist: There are multiple foot and ankle conditions that can compromise balance during gait. Bunions and hammer toes can limit the ability to use your toes to purchase the ground and maintain balance. Calluses and corns or peripheral neuropathy can decrease tactile sensitivity, making it difficult to feel the floor under your feet. A podiatrist may be able to help reduce the risk due to these conditions.Wear sturdy shoes: Wearing slippers, socks or being barefoot has consistently been associated with an increased risk of falling. However, not all shoes are protective for falls. Avoid wearing high heels, flimsy shoes, shoes without adequate fixation (laces, straps, or buckles) and shoes with smooth tread.Have your vision checked: Older adults should have their eyes examined every year to evaluate for cataracts, retinopathy, glaucoma and other forms of visual impairment. Those with contact lenses or glasses should have the strength of their prescriptions confirmed and changed if necessary.Safety in the home: Remove fall hazards that could be tripped over and install better lighting and handrails where appropriate.Editors Note: This article was submitted by Dr. Kate Johnson, DPM. Dr. Johnson is a podiatrist at A Step Ahead Foot and Ankle Center and practices in Loveland, Fort Collins and Cheyenne. She may be reached at 970-493 - 4660.

Connecting compassionate, quality care to our communitiesNew Bridge Medical Center, a clinical affiliate of Rutgers Biomedical and Health Sciences, is a 1,070-bed hospital located at 230 East Ridgewood Avenue in Paramus, NJ. The Medical Center is both the largest hospital and licensed nursing home in New Jersey and the fourth-largest publicly-owned hospital in the nation. The hospital changed its name to New Bridge in October 2017 when the not-for-profit company, Care Plus Bergen, took over as the management entity. Care Plus Bergen brings together the expertise of Rutgers New Jersey Medical School, Integrity House, and Care Plus NJ, Inc., to form a groundbreaking collaboration that will revitalize and strengthen the high-quality, patient-centered care provided to patients, long term care residents, and the community served by the facility.The Medical Center, including its Long-Term Care Division, is fully accredited by The Joint Commission. Less than 6% of long term care facilities nationwide pursue and receive Joint Commission accreditation.Families trust New Bridge Medical Centerto provide comprehensive, high-quality long term care services for their loved ones. As a full service, accredited medical center, New Bridge provides a scope of services far exceeding those offered in a standard nursing homeenvironment. Highly-trained, skilled staff provide nursing care focused on individual resident needs 24 hours per day, 365 days per year, as well as access to onsite, specialized physicians. Comprehensive medical or mental health care is always only an elevator ride away.New Bridge Long Term Care specialty services include: Rehabilitation services, including physical therapy, occupational therapy, and speech therapy In-house respiratory therapy services 12-bed ventilator unit Surgical care Tracheostomy care Professional dietitians and chefs Hospice services Intravenous therapies, gastrostomy tube feeding, and advanced respiratory support services are available. A comprehensive wound care program Respite program Secure Alzheimer/dementia units Multi-faith pastoral care provided at bedside and in our interfaith chapel An onsite personal care salon with services offered in the salon or in the privacy of a residents room Diversified recreational therapy activities Greenhouse Community outings Flat screen TVs and Wii entertainment systems Library Game room Kosher meals provided upon request Dedicated Korean and Indian program meeting the cultural needs of those communitiesThe New Bridge LTC Admissions team helps families navigate the Medicaid process and are available to explain Medicare and other insurance coverage.For more information or to schedule a tour call 201.967.4073 or visit newbridgehealth.org

Oh weve all heard it, STRESS can kill.It can also create or contribute to health concerns everything from high blood pressure, digestive issues, migraines, skin irritations, depression, weight, sleep disorders, food and environmental allergies, and much more. Some stress can be good stress: weddings, birthdays, new jobs. Things we think of as bad stress: family conflict, pressure at work, dealing with family addictions, and health concerns.So what do you do about it? Some people find they can take a walk, talk to a friend, exercise, meditate, or take a vacation to regroup. BUT, what if none of those things are really giving you relief or they are not practical in your situation.Recently Ive had to deal with ugly family situations that have created a lot of anger, hurt, and resentment. Therapists are like the plumbers; they have time for everyone elses issues but their own. I had done some tapping, talked to my coach, but my anger was over the top and so was my blood pressure.After walking around with proverbial flames coming out I finally woke up to running myself on the SRT Stress Reduction Therapy (SRT) Software for anger. Keep in mind I had done some EFT Emotional Freedom Technique, some forgiveness techniques, and NONE of them were making a huge shift. Once I ran the software for anger the difference was significant. I could finally think straight and that allowed me to take appropriate action on my issues. Emotions like physical health and pain can prevent us from living optimally or making good decisions.So if youre not getting significant relief from your stress, please look for outside support before you create damaging permanent health conditions. That support can be counseling, forgiveness techniques, prayer, exercise, holistic therapy, or even a vacation. Find a solution that works for you.Editors Note: This article was submitted by Jodie MacTavish with Healthful Transformations. She may be reached at 360-624-3332 or Jodie.mactavish@gmail.com

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

Respite Care for the CaregiverRhonda Pepper was her mother, Vera Ruth Goodrichs caregiver. She was diagnosed with Frontotemporal Dementia (FTD). This is due to progressive nerve cell loss in the brains frontal lobes; it is the area behind the forehead or just behind the eyes.Rhonda started noticing some behavior changes in her mother. She started getting up in the middle of the night and getting dressed. She would set the table for the entire family. She was doing things out of nature financially, Rhonda said.She moved in with us in January of 2009 but we didnt get the diagnosis of Frontotemporal Dementia until May. Finallyeverything we had been experiencingthat just pulled it all together, said Rhonda, with a look that can only be described as bitter sweet. They finally had the answers to the why? but now what? Caregivers are so often put in this role or a position of a role reversal.Ruth was referred to palliative care and eventually found herself on hospice care. As a full-time caregiver, Rhonda was able to utilize hospices respite program. This allowed me some down-time. I could go sit at the park and read a book; go to my own doctor appointments; attend group meetings for caregivers; it just allowed me to remove myself from the environment and recharge my batteries, said Rhonda about her experience with the respite program.Rhonda shared the realistic views behind closed doors and what its really like to care for an ailing adult. Its like taking care of an adult infant. Every two hours I would take her to the bathroom; I would shower her; I dressed her; I would change her wet and soiled pants; I would feed her. Rhonda also said she was never fully rested, only sleeping lightly at night because she always had one ear on her mother.As an educator in the community, to physicians, people are often surprised to learn of the many additional programs hospice offers and how, sometimes one program can collaborate with another. Until or unless someone is in the position of being a caregiver, people dont realize the effects, physically and emotionally, it has on them. The term respite literally translates to a time of rest.Editors note: This article was written by Gina Paradiso. She is a Liaison with Arkansas Valley Hospice, Inc. and may be reached at 719-384-8827 or by email at gina.paradiso@arkvalleyhospice.org

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.

Living with Parkinsons disease presents many challenges and no one understands this more than Lucien Leinfelder. Lucien has been battling Parkinsons disease for almost 20 years.Mr Leinfelder is a noted concert pianist and artist who grew-up in in the Dallas area where he attended high school and Southern Methodist University (SMU). Lucien is known as being among the greatest classical pianists to come from Texas. He retired from performing on concert stages nationally and around the world, however he still practices several hours every day.Mr Leinfelder is still actively performing benefit recitals to support the National Parkinson's Association. He also volunteers at Texas Health Presbyterian Hospital Dallas to encourage fellow Parkinsons patients. He plays there weekly to the amazement and enjoyment of patients, staff and visitors.This debilitating disease has affected his ability to play at the level he once did and sometimes it gets him down. But when he sits down at hispiano and his hands move over the keyboard he forgets that he is afflicted with Parkinsons and his joy returns. The power of music is an amazing thing.Lucien is the subject of a new documentary film, "Lucien Leinfelder, the pianist who played through Parkinson's". A true story of passion, resolve and courage, The life story of Lucien Leinfelder, concert pianist and his courageous battle against Parkinson's, a debilitating neurodegenerative disease, affecting more than 10 million people worldwide. A true story of hope!Editorial Note: Article written by Kathleen Warshawsky, BSN, RN, Publisher, Seniors Blue Book Greater Dallas. Information and photos provided by David Douglas.

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

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

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}#

For patients and their families, a terminal diagnosis can produce spiritual pains that physicians cant treat.VITAS Healthcare, the nations leading provider of end-of-life care since 1978, employs a chaplain on every interdisciplinary team to meet the spiritual and emotional needs of patients and their families. VITAS chaplains draw from their own faith practices to provide support to patients and families regardless of their culture, traditions or belief system (or lack thereof).Hospice chaplains are equipped to navigate the complex issues of spirituality and mortality, even when answers are evasive: What is death like? Where do we go? Will we face judgment? Do we simply cease to exist?Im more like a coach, says one VITAS chaplain. I help the family find their own answers and their own release from fears and worries.Chaplains may share stories, pray with a patient or simply listen to their fears. It can be a slow, uncomfortable process full of long silences, but chaplains know the value of patience.When I first started as a chaplain, I found the silences hard. Now I honor those silences, because I know that Im not here to fix things, the chaplain says.The daily work of a hospice chaplain is demanding. A VITAS chaplain may have to visit several patients each day. They may be called to provide spiritual counsel or attend a death in the middle of the night. Before a death and during the mourning period, they help develop a plan of bereavement care for patient and family.Hospice chaplains create comfort in a world of mystery and paradox. They know that some of the most important questions dont need answers. Love, not doctrine, is the best remedy for spiritual ailments at the end of life.In the words of one VITAS chaplain: Every day, I ask the Lord to fill me up with love, and then I go out and give it all away to our hospice patients and their families.Editors Note: Article submitted by Cathy Carlson, General Manager for VITAS Healthcare in Chicago. For more information about end-of-life care options, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.

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

One of the VAs best-kept secrets, called Aid and Attendance, is an excellent source of funds for long-term care (either at home or in an assisted living facility) for a non-service connected disability.Most VA benefits and pensions are based on a disability which was incurred during a veterans wartime service; however, Aid and Attendance (A&A) is available for individuals who are disabled due to the issues of old age such as Alzheimer's,  Parkinson's and other non-service connected disabilities.For those veterans and widows(ers) who are eligible, these benefits can be a blessing for the disabled individual who is not yet ready for a nursing home. This benefit can be as high as $1,949 per month for a married veteran and $1,056 per month for a veterans surviving spouse. This money can be used for home healthcare or assisted living bills. The benefit is not generally used for the cost of nursing home benefits.To qualify for A&A, the applicant must be permanently and totally disabled. The applicant does not need to be helpless he only needs to show that he is in need of outside help on a regular basis. Someone who is housebound or in an assisted living facility and is over the age of 65 is presumed by the VA to be in need of A&A.The A&A program has strict qualifiers relating to the applicants income and assets. It is very important to meet with a knowledgeable veterans service officer or an experienced elder law attorney to determine whether or not you qualify for this amazing benefit. Filing for A&A is free; however, restructuring income and assets to qualify may involve a legal fee.To learn more, call (303) 409-3563 (Diana) to order the Colorado Guide to VA Aid and Attendance together with a 30-minute audio CD that brings this amazing benefit to life.Editors Note: This article was written by Richard Hughes of The Hughes Law Firm, Denver. He may be reached at 303-758-0680 or www.thehugheslawfirm.net

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

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

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

When you are not feeling your best, you dont have to wait for relief. Stop by Venice Apothecary where licensed pharmacists fill prescriptions within ten minutes.Venice Apothecary is your full-service, home-town pharmacy for fast, friendly, accurate, and caring services- including compounded medications for you & your pets. Committed to excellent customer care since opening in 2003, Venice Apothecarys services include free medication delivery and free pill minder services. These popular services offered at no charge, combine both safety and convenience for you and for others who may assist in your care. Pill-minders ensure that medications are taken exactly as prescribed by your physicians in color-coded snap-on lids organizers which are clearly labeled by day and time of day. Of course, complimentary counseling with a licensed pharmacist is always available.Compounded prescriptions are filled by trained and experienced pharmacists who work closely with physicians and veterinarians to ensure that customized prescriptions are promptly compounded to improve your health and your pets.You will also find over-the-counter products to help you manage flu season, cough, colds, and pain relief. Specialty vitamins and supplements are available to improve your overall health and wellness.Located just outside of Venice Regional Bayfront Health Emergency Room, Venice Apothecary is easy to find at 560 The Rialto in Venice. Owner and operator Sarah Young, R.Ph. And her team of licensed pharmacists and technicians offer the highest quality and personalized customer service that exceeds your expectations.At Venice Apothecary, we encourage you to take an active role in your healthcare through consultation and education .Stop by Venice Apothecary today to learn more about our services and meet the friendly staff!Editors Note: For timely, personalized pharmacy services, visit Venice Apothecary, 560 The Rialto, Venice, FL 34285, call 941-485-8205, email: info@veniceapothecary.net or logon to www.veniceapothecary.net.

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

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

Do you need guidance with an aging loved one and care decisions? Do you have a Grab and Go binder?Often, caregiving falls on the shoulders of the family members. In time, compassion fatigue is likely to occur because of the overwhelming responsibilities of caring for an aging loved one. Family caregivers are burned out, worried about losing their jobs, experience strained relationships with their spouses, siblings, and the aging parent, and are physically and emotionally exhausted. Care Right helps families with aging loved ones navigate the long term care industry.One would hope the aging process brings families together, but it often does not. Families dont know what they dont know, often times making mistakes in helping their aging parents with decision-making.Care Right conducts comprehensive assessments (what works well, what isnt working, what goals are needed and what resources are available)We facilitate family meetings, develop an Aging Plan (where will my loved one live, who will provide care, how will care be paid) and help families restore relationships and make informed decisions. Care Right then oversees this plan to ensure the best possible care is in place.Editors Note: Contact Annalee at 239.770.6322 to schedule your complimentary 30 minute consult. Plan ahead: save time, money, and stress for you and your family. Visit www.CareRightInc.com to learn more.

RSV is a highly contagious potential life threatening illness. We are now enrolling participants over 60 in our RSV vaccine research study.

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.

When the cold weather rolls in, it is common for people to be dehydrated more often because there arent the common signs that the summer weather provides. People usually associate being hot or sweating with dehydration or needing more water. A few of the signs of dehydration are:FatigueLoss of appetiteFlushed skinDark colored urineDry coughLight-headednessIt is important that we all are cognizant of consuming plenty of water during the cold months as well as the warmer months of summer.To avoid getting to the point of dehydration in the winter months, there are several steps you can take. First and foremost, hydrate the same amount this time of year as any other. According to the American College of Sports Medicine, to avoid dehydration, active people should drink at least 16- 20 ounces of fluid one to two hours before an outdoor activity. After that, you should consume 6 to 12 ounces of fluid every 10 to 15 minutes that you are outside. When you are finished with the activity, you should drink more. How much more? To replace what you have lost: at least another 16 to 24 ounces (2- 3 cups). One way to check if you are staying properly hydrated is to check the color of your urine. If clear or pale yellow it is ok.What are the best beverages to stay hydrated? Water is really all you need if you are planning on being active or even to just keep yourself hydrated. However, at times we want something a little different. Try adding lemon, lime, berries, or cucumbers to your water for a refreshing taste. There are also many sugar-free water enhancers now that can be purchased at your local grocery store. Avoid alcoholic, caffeinated, or sugary drinks. These can cause stomach upset and actually promote dehydration. You can also hydrate yourself and stay warm by drinking a low calorie hot drink like green tea. Lastly, set goals for yourself at the start of the day to drink a certain amount.Start every day with a tall glass of H2O. Keeping yourself adequately hydrated will make any seasonal activity more enjoyable and safe. Even if you arent sweating or hot, drink up!Editor's Note: This article was submitted by the PeopleCare Health Care team. They may be reached at 720-863-1500

Alzheimers disease is a national epidemic. The number of Americans living with Alzheimer's disease is quickly growing. About 5.5 million Americans suffer from Alzheimer's. The vast majority with Alzheimers disease are age 65 and older although those who are at high risk can frequently be detected and potentially treated earlier with new medications under development that aim to stop or delay disease progression.Alzheimers is believed to be caused by plaques that build in the brain between nerve cells from a protein called beta-amyloid. Additionally, tangles resulting from a second protein called tau damage and kill brain cells. The plaques and tangles interfere with normal brain function, resulting in Alzheimers disease symptoms and progression. Associated inflammation is also believed to play a roll. Many times, the plaques and tangles manifest and are detectable in the brain long before Alzheimers symptoms appear. To date, only symptomatic therapies for Alzheimer disease (AD) are available and thus do not act on the underlying cause of the disease.Fortunately, many promising new therapies are currently under development. These new generation therapies focus on early onset Alzheimers and are intended to treat the root cause by targeting beta-amyloid plaques and tau protein tangles. Treatments are also aimed at decreasing the inflammation in the brain associated with Alzheimers. Scientists hope that by reducing beta-amyloid plaques and tau protein tangles new therapies being developed will prevent or delay the progression of Alzheimers disease. Early screening is important. Data suggests that people who are proactively screened and diagnosed before Alzheimers progresses respond better to new therapies than people who are initially treated after symptoms have progressed. Anyone experiencing memory loss or cognitive impairment or has a history of Alzheimers in their family should be screened by a memory care medical specialist.A new treatment trend is the creation of community based Alzheimers disease treatment and research centers such as Healthcare Research Network in Flossmoor Illinois that are designed to integrate currently approved therapies with those under clinical development. Healthcare Research Networks novel approach utilizes direct clinical research collaborations with leading pharmaceutical companies allowing them to offer Alzheimers patients who live in south suburban Chicago and NW Indiana access to developing therapies. Healthcare Research Networks Principal Investigator is Dr. Marvin Zelkowitz, a practicing Neurologist with over 25 years of clinical and research experience.

Within the next 40 years, the number of those in the United States diagnosed with Alzheimers Disease will jump from five million to an estimated 13 million. It is hoped that treatments currently being developed and tested by pharmaceutical companies will ultimately change the course and symptomatic progression of this debilitating disorder. Of particular interest are treatments aimed at slowing or stopping the progression of cognitive decline rather than maximizing existing cognitive functions, as other treatments do.Before the Food and Drug Administration (FDA) approves any prescription or over-the-counter medication, it subjects the pharmaceutical to rigorous clinical trials. These double-blind, placebo-controlled, randomized studies are performed at research centers throughout the country, allowing those with Alzheimers Disease and other disorders to obtain new and potentially efficacious treatments before they are generally available.Through Neuropsychiatric Research Center of Southwest Florida, numerous Southwest Florida residents have participated in clinical research trials of pharmaceutical treatments that are now FDA-approved, includingNamenda, Aricept and more.What trials are currently enrolling and who can participate?Enrollment for clinical research trials is guided by diagnostic and other criteria. Each FDA-regulated trial is closely monitored by an independent institutional review board, with the safety and privacy of each subject paramount. Among currently enrolling trials are those seeking subjects who have been diagnosed with mild to moderate and moderate to severe Alzheimers Disease.This article was submitted by By Frederick W. Schaerf, M.D., Ph.D. Principalinvestigator, Neuropsychiatric Research Center of Southwest Center. He can be reached at 239-939-7777.

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

A Little Bit of Planning Goes a Long WayWeve heard that quote our entire lives, and in the area of Long Term Care, a little bit of planning. Even in a crisis goes a long way. It is estimated that over 40% of people over 65 will need some type of Long Term Care(LTC). Terms like Medicare, Medicaid, long term care insurance, trusts, life estates, transfers, gifts, annuities, and other strategies come to mind but having a qualified professional who can navigate a pathway to assistance based on your familys situation is critical. Its confusing, and to make matters worse, most of us dont address long term care issues until it is fully upon us either as a caregiver for a parent, or a caregiver of a spouse.Colorado has many resources for help. One such resource for financial help is Health First Colorado. This is Colorados Medicaid Program. Most Colorado elderly feel that they dont qualify for Medicaid because they have too much income or too many assets. In reality, many could qualify if they would engage a qualified Medicaid Planner, holding a Certified Medicaid Planner (CMP) designation. The role of a CMP is to help an applicant identify problems in obtaining eligibility and solve them. The goal of the CMP is to build certainty around how assistance with paying for LTC. This valuable planning can alleviate the stress of financial uncertainty.The rules around Medicaid eligibility are readily available on line. However, it is the proper application of the guidelines that is difficult causing most to think they dont qualify and therefore, overlook this valuable resource to assist in the costs of LTC.Planning will identify a legitimate means of preserving valuable or sentimental assets and income. Here in Colorado, to the surprise of many, Medicaid guidelines afford numerous opportunities to protect income and assets. Consulting with a CMP who specializes in LTC will help you and your family develop a successful pathway to LTC financial assistance.Editors note: This article was submitted by Stacy Osborne and Michael Sapp, CMP with Medicaid Consulting Group. They can be reached at 719-645-8350 or by email at info@medicaidconsultant.org.

Special needs trusts (also known as supplemental needs trusts) allow a disabled beneficiary to receive gifts, lawsuit settlements, or other funds without jeopardizing the disabled beneficiarys eligibility for certain government programs. These trusts are drafted so that the funds will not be considered to belong to the beneficiary in determining the beneficiarys eligibility for public benefits.Special needs trusts are designed not to provide basic support, but instead to pay for comforts and luxuries that could not be paid for by public assistance funds. These trusts typically pay for things like education, recreation, counseling, and medical attention beyond the simple necessities of life. Special needs can include medical and dental expenses, annual independent check-ups, necessary or desirable equipment (such as specially equipped vans), training and education, insurance, transportation, and essential dietary needs. If the trust is sufficiently funded, the disabled person can also receive electronic equipment and appliances, computers, vacations, movies, payments for a companion, and other self-esteem and quality-of-life enhancing expenses.Special needs trusts may be stand-alone documents or may be incorporated into a Last Will and Testament. Either way, these trusts may be a valuable vehicle for making transfers for the benefit of a disabled person.Donald D. Vanarelli, Esq., with offices in Westfield NJ, is a Certified Elder Law Attorney (by NAELA, accredited by the ABA), an Accredited Professional Mediator and an Accredited VA Attorney. Mr. Vanarelli, was selected as a Superlawyer in 2007, 2008 and 2009 and is a founding member of the New Jersey Elder Mediation Center. For more information, contact the Law Office of Donald D. Vanarelli, 908-232-7400 or visit his web site at www.dvanarelli.com.

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

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

To learn more about Intermountain Homecare and Hospice,CLICK HERE.The question of how to help a friend or loved one is being asked more frequently given the abundant grief and loss were experiencing. We so want to help others, give comfort, or reduce pain, somehow, someway. And yet, the best answer is to start by not saying or doing anything. The best answer is to start byauthentically listening.What is authentic listening?Authentic listening is a mighty tool of caring and service.Undervalued, listening is the ultimate love language. Its quiet, slow, modest, and requires our time and single-minded attention. Maybe thats why its underused. Loud, showy, busyness is much more valued today with quick fixes and a plentitude of platitudes.Authentic listening is often the only thing needed to help someone.When someone listens to our experience and our emotions in a safe space, we feel truly loved and validated. Often, saying our problems out loud illuminates the illusive solutions and because these solutions are custom-made, they are embraced more enthusiastically than to advice given by others.Authentic listening provides safe space.The listener lends themselves to us for a while, giving us their full attention, without distraction. Their purpose is to validate, not judge; understand, not fix. Hesitating at first, we relax into speaking truth as the person just listens without interruptions, unnecessary questions, or commentary.Authentic listening is a conscientious decision made in the moment.It doesnt happen by accident because it requires us to deliberately turn down the noise of our thoughts, questions, and advice while turning up our sensitivity to what this person is saying and feeling. Distractionsare turned off and quiet patience is turned on.Authentic listening is a magical experience.Consider the last time you experienced authentic listening, as the listener or the recipient. Youll remember it because they are rare, special moments. There is a heart-to-heart connection that can be transformative for both people. Given how good it feels and how well it works, we have to wonder why we dont make it happen more often.How do I listen authentically?Authentic listening uses these phrases:Tell me moreThis must be really hardI want to make sure I understandIs this what youre sayingWhat has this been like for youAuthentic listening avoids these phrases:I understand how you feelWhen that happened to me, IWhat you need to do is justHave you triedJust look on the bright sideAuthentic listening takes practice and it's worth it.Authentic listening doesnt come easily and requires intentional practice. The result is having the most precious gift you can give to others when there are no words to be said. And from your listening may come a very customized answer of what service can be done.Today, make a decision to authentically listen to one person close to you. Researchers find most of us listen for about 18 seconds before interrupting and taking over the conversation. Try to stretch that to 30 seconds or even a full minute. Observe what happens when you take your turn to truly listen before talking.

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

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.

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

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 wasn't 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 childs 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.

To learn more aboutHighland Cove Retirement Living, CLICK HERE.What are your first thoughts that come to mind when you think of social media? Is it selfies? Or Facebook marketplace? Keeping up with friends or old classmates? Or stalking old boyfriends?We asked, Jill Day, Executive Director atThe Bridge at Ooltewah, who has a strong presence on most social media platforms what social media means to her.I think, social media is your own personal online brand. Whether it is Facebook, LinkedIn, Instagram, or Twitter, what you post, what you like, and what you comment on are, in reality, what people judge you on.Are you one of those that focuses on the glass half full or the glass half empty? Are you looking for the latest gossip in the news or are you sharing something inspirational for others to read? Regardless of your preference, we all must realize that social media can have a positive and negative impact.Recruiters, job influencers, or fellow peers are checking out your activity all the while your acquaintances, aka friends, are also checking out your page.I manage my social media pages by being authentic. If I feel in my heart to share, then I share... but I'm prepared for the comments. If I am looking for advice, I ask for it... but I'm prepared for the comments. If I am looking for recognition... I will probably get it, but how does that make me feel? Do likes and comments really define who we are as a person?I have social media pages for several reasons. I use my Facebook to stay in the loop with acquaintances that I don't get to talk with much and I'm very active on my community's page that I manage. I support other communities as Facebook is now a strong marketing piece for senior living. I use LinkedIn as my online resume and promoting others on a professional level, and I use Twitter for information. Instagram is for connecting with the younger generation that thinks Facebook is for old people. My best gal, Lexi (my brown Labrador,) even has her own Instagram. Honestly, I'd rather look at her Instagram than my own personal page because it makes me smile.But what is social media really... a marketing tool, a conversation starter, an icebreaker, or entertainment? It's all of the above really. All of us as natural humans of curiosity need to take social media platforms for what they are... they are informative. Regardless, what you are using these platforms for, they are for information. This information doesn't define you, it's doesn't hold anything more than what you allow yourself to feel. There is no right or wrong when posting on social media platforms, however, be prepared to comment or ignore the opinions of others.Social media can share so much. It can share happiness, it can encourage positivity, and it can share helpful information, which is what you want your online presence to have as a lasting impression. But be authentic. Be honest. We all have bad days and deep thought days, but you don't have to dwell on those days. Whether it's personal or professional, when it comes to social media, quality over quantity is always best.When it comes to my social media, you will see I am a loyal wife, a proud dog mom, I care for my residents, I encourage my associates, and I support senior living. My permission is required for anything to be posted on my pages and I will give credit to those around me when credit is due.I feel that social media is a positive aspect in my life personally and professionally. It is also monitored. I don't love looking at it all the time. I have set my settings so that I do not receive any social media notification from 10 p.m. - 6 a.m. I value my time away from social media. And I enjoy my time checking out ideas on Pinterest. I spend only a few times during my work day looking at pages. When I do, it is intentional. I search "The Bridge at Ooltewah" or "Century Park Associates" while at work. I follow the majority of our sister communities across the country and do my part in liking, commenting, and sharing when it is authentic and I love something they have done.While social media can bring so many emotions to our attention, it can also link and support. Everything can be good in moderation. We must know our limits and set boundaries in all aspects. It's that simple. And don't rely on social media for all your pictures 10 years from now. You will be devastated when you get hacked and lose everything. Take it back old school and print them out, save to a photo book or file on your computer.Keep tweeting, posting, and sharing the great things in your life. Encourage others and remember, like all things, only in moderation.

When a nursing home or assisted living home collects a resident's income, depositing the same, deducts for rent and other services provided by the facility (haircuts, manicures, co-payments for medical/pharmacy expenses), and acts as a fiduciary for this resident to the extent of services provided by the facility. I do not know the ultimate authority to whom the facility is answerable. It seems that if a resident has no family or has not given POA to someone, the facility is ultimately answerable to the State.#listing_mgr{1 basic_search}#

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

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

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

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

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

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

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

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

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!

The American Health Care Association and the National Center for Assisted Living (AHCA/NCAL) National Quality Award Program provides a pathway for providers of long-term care services to journey towards performance excellence. A progressive program based on the Baldridge Criteria for Performance Excellence, participants move from Bronze Commitment to Quality, to Silver Achievement in Quality, then ultimately to the Gold Excellence in Quality. Whats that mean for consumers?Performance Improvement The Program provides a proven framework for long-term care facilities to improve their clinical, quality or operational outcome areas.Superior Outcomes Research shows that Silver and Gold recipients have superior performance in key quality outcome areas such as 30-day hospital readmission, off-label use of antipsychotics, Five-Star ratings and occupancy rate.Regulatory Demands The program criteria prepare long-term care facilities to meet their regulatory demands.Team Engagement The program brings staff together for one common goal by serving as a team building activity to engage staff across all levels of an organization.Esteemed Recognition The AHCA/NCAL National Quality Award provides national, external validation of high-quality care services.The National Quality Award is a significant achievement for residents, families and the community. Often, our long-term care facilities are centerpieces for employment, activities, fundraising and hubs for our community. Congratulations to the 2018 National Quality Award winners.2018 Silver Award WinnersOverlook Green, Five Star Senior LivingQuality Life Services Apollo, Quality Life ServicesSiemons Heritage Personal Care Center, Consulate Health CareSunrise of Exton, Sunrise Senior LivingSunrise of Granite Run, Sunrise Senior LivingSunrise of Lafayette Hill, Sunrise Senior LivingSunrise of Lower Makefield, Sunrise Senior LivingSunrise of McCandless, Sunrise Senior LivingSunrise of Newtown Square, Sunrise Senior LivingSunrise of Upper St. Clair, Sunrise Senior LivingSunrise of Westtown, Sunrise Senior Living2018 Bronze Award WinnersThe Brunswick at Attleboro, Wilmac CorporationThe Brunswick at Longstown, Wilmac CorporationChapel Manor Nursing & Convalescent Center, Genesis HealthCareThe Devon Senior Living, Five Star Senior LivingHanover Hall, Wilmac CorporationJuniper Village at Forest Hills, Juniper CommunitiesLinwood Nursing and Rehabilitation Center, Genesis HealthCareManorCare Health Services-North Hills, HCR ManorCareNaamans Creek Country Manor, Genesis HealthCareOrwigsburg Center, Genesis HealthCareQuality Life Services Sarver, Quality Life ServicesThe Quadrangle, Sunrise Senior LivingQuality Life Services Mercer, Quality Life ServicesRiverstreet Manor, Genesis HealthCareWellington Court at Hersheys Mill, Benchmark Senior Living__________________________________Editors Note: This article was contributed by Eric Kiehl, APR, Director of Communications/Public Affairs at the Pennsylvania Healthcare Association. See all the local award winners in the Housing Grids. The two award winners highlighted above, The Brunswick at Longstown and Hanover Hall are in our area!

To learn more about Boulder Community Home Care,CLICK HERE.Osteoporosis a bone-thinning disease is a major health threat for millions of Americans. In fact, about half of all women and a quarter of men will suffer a bone fracture because of osteoporosis. These fractures can be devastating and lead to chronic pain, loss of independence and, in some cases, death.Fortunately, treatments are available to prevent and manage osteoporosis, endocrinologistChristopher Fox, MD, said during a free online health lecture.Fragility Fractures: A Sign of OsteoporosisAccording to Dr. Fox, osteoporosis is a disease that makes bones thin and weak. This predisposes our bones to fragility fractures, he explained. These type of fractures result from an event that would not ordinarily result in a fracture, such as a fall from standing height or less. They are a sign of underlying osteoporosis.Fragility fractures can be painful and cause disability and loss of function. Dr. Fox said, The most feared is the hip fracture. Fifty percent of those who experience a hip fracture will not be able to return to their previous level of function and living the way they were before the fracture.Osteoporosis ExplainedUnderstanding osteoporosis begins with understanding how bones are made.Dr. Fox stated, Bone is living. Its alive and continually being remodeled. He explained that during a process called bone resorption, special bone cells called osteoclasts break down and resorb old bone, digging out a cavity. Once this occurs, other bone cells called osteoblasts lay down new bone until the resorbed bone is completely replaced.After about age 30, said Dr. Fox, we start to build less bone than we break down. For perimenopausal and post-menopausal women, the bone-breaking osteoclasts become more active and break down bones more quickly. The osteoblasts work to keep up, but the osteoclasts begin to remove more bone than the osteoblasts can create. Accelerated bone loss ends up occurring, increasing the risk of fragility fractures.Preventing Fragility FracturesThere are four things we can do to prevent fragility fractures.Calcium + Vitamin DBecause vitamin D helps our intestines absorb calcium from the food we eat, getting enough of both is important in helping to maintain our bone density. We know for postmenopausal women you should have at least 1,200 milligrams of calcium and 2,000 units of vitamin D each day, said Dr. Fox. Its best if your calcium comes from food versus supplements.He said you can find calcium in dairy, leafy greens and small fish such as sardines. Exposure to sunlight is one way to obtain vitamin D. Additionally, fatty fish like salmon, tuna and mackerel, and beef liver, cheese and egg yolks have vitamin D. Milk and orange juice have vitamin D added. All of these are good to consider adding to your diet.Magnesium, vitamin K, zinc and boron are also important. The best thing to do, said Dr. Fox, is simply eat a healthy diet.Weight-bearing exerciseBones love when stress or force is applied. This means biking and swimming arent as beneficial for maintaining bone strength as weight-bearing excercise such as walking, hiking, dancing and aerobics, said Dr. Fox. He added however, Its also important to be able to maintain our balance and muscle mass, so that the muscles around our bones are also strong. This makes us strong enough to avoid falling. Resistance training is important to build and maintain this muscle mass.Avoid tobaccoSmoking is never good for your overall health. Its also affects bone health.Avoid excess alcoholRegularly consuming more than two drinks each day raises a persons risk of developing osteoporosis.Assessing Osteoporosis RiskMost people receive their osteoporosis diagnosis through a bone density analysis, said Dr. Fox. A T-score of -2.5 or less results in an osteoporosis diagnosis.Dr. Fox recommends that the following groups have a bone density scan to understand their risk for osteoporosis:Women age 65 and olderMen and younger women with increased risk of fracture including those:With family history of osteoporosis/hip fracture.Undergoing steroid therapy.Who are using estrogen blocking medication.With low body weight.With a condition associated with increased risk (early menopause, low testosterone, diabetes, celiac disease, rheumatoid arthritis, etc.).Its important to understand your risk for experiencing a fracture. If you have already have had an osteoporosis-related fracture, a hip, pelvic or humerus fracture, or you have a parent who has had a hip fracture, you have a substantially increased risk of having a fracture in the future, Dr. Fox stated.Treatment for OsteoporosisTreatment recommendations are typically based on an estimate of your risk of fracturing a bone in the next 10 years using information such as the bone density test.Patients may want to consider medications if they have:Had a prior fragility fractureA T-score lower than -2.5A high fracture risk.Low bone mass and receiving steroid therapy.Medications can help maintain or increase your bone density. Some medications can slow further bone loss if youve already been diagnosed with osteoporosis.

A few weeks ago I was invited to a screening of the film Last Will and Embezzlement. The documentary, produced by filmmaker, Pamela S.K. Glasner, underscores the serious and imminent danger of elder exploitation and victimization after her own father, suffering from Alzheimers disease, was victimized. An individual, who befriended her mother, architected a series of events resulting in a bogus power of attorney which allowed the revision of wills and advanced directives eventually allowing complete control over her now-widowed fathers assets.Entertainer Mickey Rooneys plight with exploitation by a family member is also featured in the film. The 90 year old actor was granted protection from his step-children after he personally filed a case against them charging emotional and financial abuse. Through his civil action, Mr. Rooney was granted court-ordered protection and conservatorship of his estate. Later, in his testimony before the United States Senate urging for tougher laws to protect the elderly from fraud and exploitation he said If it can happen to me, it can happen to anybody.Frustration and anger over what happened to her father prompted Ms. Glasner to produce the film with the hopes of preventing exploitation of other vulnerable adults and those who care for them. Additionally, her hope is to bring exposure to the need for more effective legislation to protect the elderly. I came away from the viewing with a greater appreciation for the plight of caregivers trying to protect loved ones who may not be competent to identify financial exploitation and abuse. The law provides many new vehicles and methods people can employ to help safeguard against exploitation. However, many people have not reviewed their legal documents for years and they may be outdated or no longer effective in achieving long-term goals. Many of us are too trusting of others and not vigilant about keeping our private information safe from identity theft. The film impressed me as a valuable tool to help educate the public about the ever-present danger of victimization and abuse. With that goal in mind, Senior Choices purchased a copy of the film and is scheduling viewings to help educate and empower the public to combat financial abuse and exploitation. If your organization or community would like to schedule a viewing of Last Will and Embezzlement, contact Senior Choices of Southwest Florida toll-free at 1-866-413-5337. If you suspect elder abuse, neglect or exploitation call the Elder Abuse Hotline toll-free at 1-800-962-2873 (1-800-96-Abuse). Senior Choices of Southwest Florida is an area agency on aging which contracts and receives funding from the Department of Elder Affairs to provide services to people age 60 and over and those who are disabled.Editors Note: Submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator, Senior Choices of Southwest Florida.

To learn more about Plan Right Law,CLICK HERE.A family member has just passed away and now you are asked to make what feels like a million decisions, and quickly! Everything from writing an obituary, making the funeral plans, deciding on cremation or burial arrangements, and coordinating with relatives, clergy, friends, family, and more. There is barely time to grieve, let alone think about your duties as the new Trustee. Some may find the very task of gathering everything together overwhelming and wonder Where do I even start?The vast majority of Trustee tasks do not require an attorney, but professional advice will help as you get to work on things like investing trust funds, filing taxes, preparing reports, and moving property to the trust. Additionally, you may need help to establish sub-trusts for minor or special needs beneficiaries. All of these tasks will be much easier with the help of a trust attorney and a CPA.Trust administration can be completed in a matter of months depending on the trusts requirements and how quickly debts can be settled and distributions made. In other circumstances trusts must remain open and viable for a number of years and be maintained over that period of time by the Trustee. If you find yourself in the position of having to keep a trust open beyond a year, there are steps your legal team can take to streamline your tasks. These details and more can be ironed out in a few quick visits with your attorney, CPA, and financial advisor.Possibly, the Executor of the Will and the Trustee are one in the same. If not, it becomes important for you as the Trustee to work closely with the Executor to administer the estate. The Executor may need to probate the estate in order to settle claims and move assets to the trust that may have been left out either intentionally or accidentally.In most cases Trustee duties will not be emergent so take some time to develop an administration plan. Below youll find a list of initial tasks that will need to be addressed.TRUSTEE CHECKLIST Top 20 Initial TasksFind the original signed copy of your loved ones WillGet multiple copies of their Death CertificateFile the Will with the appropriate court if a probate is requiredNotify the Social Security Administration of the deathRegister the trust if required by your stateAcquire a tax number for the trust or estateIdentify and notify the beneficiaries and heirs (they are entitled to see the trust)Notify any state agency if the decedent was receiving benefitsMake an inventory of the trusts assets; accounts, real property, personal property, business holdings, etc.Get an appraisal of the assets as neededReview the estates financial information with a CPA (preferably the decedents)Secure and protect the estates property so things dont disappearDetermine if there are any outstanding debts or creditors of the estateCreate a payment schedule for debtsOften creditors will negotiate debts, so become a deal maker!Work with the Executor to move assets in to your name as TrusteeCalendar important payment deadlines like property tax paymentsPut together a filing system to organize all the documents youll be collectingSet a regular schedule for updating the beneficiaries and check for statutory minimum requirementsContact a Trust Administration Attorney to reduce your liability in your decision making

As we embrace National Physical Therapy Month this October, its the perfect time to shine a spotlight on the incredible benefits that physical therapy offers, especially for older adults. Physical therapy isnt just about rehabilitation; its a pathway to improved quality of life, enhanced mobility and a more active, pain-free existence. Here are five tips for making the most of physical therapy: 1. Embrace Preventive CareDont wait until an injury occurs or mobility declines before seeking the help of a physical therapist. Incorporate preventive physical therapy into your routine to identify and address potential issues before they become major concerns. Regular check-ins with a physical therapist can help you maintain optimal physical function and prevent future health problems.At The Carlisle Naples, an active retirement community, residents have access to EmpowerMe Wellness, an integrated healthcare provider specializing in senior living communities, to provide onsite physical, occupational and speech therapies.EmpowerMe offers our residents many screenings to prevent or mitigate problems, said Executive Director Bill Diamond. The EmpowerMe team is entrenched in our community and gets to know our residents. This relationship enables them to recommend proactive measures to prevent potential declines in residents health.2. Prioritize MobilityMaintaining mobility is the key to independence as we age. Physical therapy can help you regain lost mobility or improve your current level of function. Your therapist will design a personalized exercise program focusing on flexibility, strength, and balance, helping you stay agile and confident in your daily activities.EmpowerMe offers a variety of wellness programs designed to help Carlisle residents lead an active and more engaged lifestyle. An aquatics class, for example, is offered weekly and has been shown to improve flexibility, range of motion and stability as well as reduce fall risks.We strive to infuse our workouts with a sense of exhilaration and fun," said EmpowerMes Christopher Dietz. We transform the pool exercises into a lively dance or an invigorating game of beach volleyball. It builds excitement and boosts morale.3. Pain ManagementChronic pain can significantly impact the quality of life for older adults. Physical therapy offers non-invasive techniques to manage and alleviate pain. Therapists use a variety of methods, including manual therapy, modalities like heat and cold, and tailored exercise programs to reduce pain and improve comfort.EmpowerMe offers Carlisle residents comprehensive therapy and wellness programs personalized to address residents specific health requirements.  Access to onsite therapy services prescribed by residents doctors is available on a fee-for-service basis.4. Fall PreventionFalls can have severe consequences for seniors, often leading to injuries and loss of independence. Physical therapists are experts in fall prevention strategies. They can assess your risk factors, teach you balance exercises, and recommend modifications to minimize fall hazards. Taking proactive steps now can help you stay on your feet and avoid accidents.Research shows exercise is one of the most important things older adults can do to reduce the risk of falls and minimize injuries from a fall. In addition to the wealth of screenings EmpowerMe offers, including balance checks, The Carlisle offers 10 weekly opportunities for physical fitness. Residents can participate in low-impact exercises such as stretching to more robust workouts like Cardio Fitness. 5. Stay Active and EngagedPhysical therapy helps older adults stay active and engaged in life. Many providers may offer complimentary classes at senior living communities or senior centers. Consider participating in wellness programs and activities tailored to your needs.We have so many success stories here at The Carlisle, added Dietz. Our goal is to help residents continue doing the activities they enjoy and love doing.Physical therapy can be a valuable ally on your journey to healthy aging, whether you're looking to prevent health issues, manage pain, or enhance your mobility. Don't hesitate to consult with a physical therapist to create a personalized plan that supports your well-being and helps you lead a fulfilling life. Located at 6945 Carlisle Court in Naples, The Carlisle offers independent and assisted living lifestyles featuring spacious one-and two-bedroom residences, weekly housekeeping and flat linen services, basic cable TV, all utilities except telephone, and delicious dining with daily, chef-prepared specials. The community is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF), an important distinction that provides residents with the assurance that the highest standards of quality care, services and safeguards are maintained. For more information about the community, please call 239-249-3247 or visit www.TheCarlisleNaples.com.# # # 

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

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

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

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

For More Information on Coastal Orthopedics, CLICK HERE.What is Chronic Pain?The term chronic pain, also known as intractable pain, is used to describe pain that is ongoing, or intermittent, over a period of several months or even years. The pain may feel dull or sharp and cause an aching or burning sensation in the affected area. Sometimes caused by an old injury or disease, chronic pain can also occur without any apparent underlying cause.Living with chronic pain can take a toll on your mental and physical health. Ranging from mild to severe, chronic pain may limit your flexibility, mobility, strength, and endurance, and it can make getting through your daily activities more challenging. This, then, often leads to bouts of depression and anxiety, which can exacerbate the pain. Its important to learn how to manage chronic pain so you can still lead an active and healthy life.Four Main Types of Chronic PainThe different types of chronic pain generally fall into one of these four categories: Neuropathic pain:This refers to pain caused by a malfunctioning nervous system or damage to the nervous system. Neuropathic pain is often characterized as a shooting or burning pain, such as sciatica, which is pain affecting the back, hip, upper to lower leg, and heel stemming from damage or injury to the sciatic nerve.Muscle pain:Injury or deterioration of muscle tissue can cause pain in the lower back, shoulders, arms, neck, legs, hips, and feet. This type of pain is typically caused by injury or repetitive motion.Inflammatory pain:Arthritis, infection, and tissue damage all fall under inflammatory pain. Symptoms may include swelling, warmth, and redness in the affected area.Mechanical pain:Mechanical pain is caused by pressure or compression of the bones, discs, ligaments, nerves, and joints associated with thespine. Typically affecting the lower back region, mechanical pain could be the result of fractures of the vertebrae or disc degeneration.Treatment Options for Chronic PainThe goal of treating and managing chronic pain is to reduce the pain so you can stay active and perform your daily activities without a great deal of discomfort. Depending on the overall condition of health, and the severity and frequency of your pain will determine the type of pain management plan that will work best for you.Pain managementtypically includes one or more of the following:Medicine Such as pain relievers, anticonvulsants, or antidepressants.Therapy such as physical therapy, occupational therapy, low-impact exercise, behavioral therapy (meditation, stress reduction).Alternative medicine such as acupuncture or massage.Invasive treatments(for severe cases of chronic pain) such as surgery, electrical stimulation, or nerve blocks.In addition to the above treatment options, its also important to take a holistic approach to managing your pain by incorporating a healthy, well-rounded diet, fitness plan, and relaxation techniques into your daily routine.Managing Chronic PainLiving with chronic pain can be hard, but it doesnt have to keep you down. Its important to make sure your lifestyle works in tandem with your treatment plan to keep your chronic pain manageable. Stay active and exercise often, stick to a regular bedtime routine, dont smoke or drink too much, and maintain a healthy weight. Additionally, seek out friends and family for support and regularly enjoy your favorite activities to keep your mind off the pain.

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

If youre a caregiver and a perfectionist, you may be facing an uphill battle. Caregiving is a demanding job, and its critical to accept that not everything will be perfect. As a caregiver, there are many things you cannot control, and the most important thing to do is to let go of chasing perfection and simply aim to do your best.Throughout our entire lives, people, maybe even the person youre caring for, have told us that nobodys perfect. That phrase applies to caregiving more than nearly any other situation youll face throughout the course of your life. Learn from your mistakes, but also for-give yourself. If you ever practiced poor judgment, whether it was before your loved one got sick or while providing care, you need to let it go.Caregivers are under far more stress than the average person, and if you dont acknowledge that, youre far more likely to succumb to the causes of caregiver burnout. Being a caregiver is challenging and is often a role that is discounted and marginalized. If at any point you have thought or said some version of, I dont have time to relax due to your obligations as a caregiver, read on. Time is not your enemy, your to-do list is. Put it down and walk away. Really, walk away; just for a few minutes. No need to panic, it is not going anywhere. One powerful key to reducing caregiver stress lies in the wisdom of mindfulness. Being mindful is proving to be one of the most effective ways to take care of your loved one while fortifying yourself. Mindfulness is a necessary core competency for everyone. In the long run, creating space for yourself will keep you grounded and peaceful while allowing you to be of service. Small mindful changes over a period as little as a week can begin to yield positive results and include:Breath awarenessGratitude and journalingConnection to othersNurture and restFocusing on the present momentFor more tips on how to be mindful, visit our website at HomeCareAssistance.com.Editors Note: Home Care Assistance Mindfulness & Caregiver White Paper. For the complete guide, email us at hcachicagomedia@homecareassistance.com.

Addiction rates are increasing in older adults. 17% of this age group struggles with substances and by 2020 the number is expected to double. Prescription overdose deaths in older adults outrank heroin overdoses in young people.The term accidental addict is often associated with adults 50 years and older who develop problems with alcohol or other drugs. They may have prescriptions for prescription pain pills, sleeping pills or anti-anxiety medications. Mix that, with more free time, isolation, their usual one or two drinks along with a slowing metabolism and the potential for addiction becomes greater.Stigma, shame and denial prevent people from getting help. Sometimes, its difficult to distinguish between the signs of aging and those of alcohol or other drug misuse, delaying necessary treatment.While a personal decision is the first step in facilitating and maintaining sobriety, additional support from members of a healthcare team like prescribers, therapists, social workers and family members, go a long way in improving the odds of successful rehabilitation. Home health agencies are playing an integral role in providing these essential supports to a recovering member.At some home health companies like Middlesex Healthcare Services, one of the main objectives is to receive you in whatever state of recovery youre in and become part of your journey to rehabilitation. They can assist with medication management, extensive education on proper medication use, desired effects and adverse effects. They can monitor response to medication and offer much needed liaison with other healthcare professionals to ensure successful treatment.As part of the recovery process, they recognize the challenges of planning and adhering to the regular appointments with therapists, caseworkers, psychologists and prescribers. Some agencies offers two free rides every month for your appointments.If you are concerned about a loved one, or your own potential for addiction, please reach out to an experienced professional for guidance on a program designed specifically for the older adult. The good news is that people respond quickly when they get the right help.Please feel free to call us at (978) 655-4749 to discuss your rehabilitation needs and options available.Submitted by: Mercy Irura, RN, Middlesex HealthCare Services

Trying to manage a life-limiting illness can be challenging, both for individuals and those who care about them. Symptoms from treatment, medication or the condition itself can make it difficult to take part in everyday life, or even get out of bed in the morning.Palliative care is a medical specialty providing whole-person support to people with life-limiting illness. The overall goal is helping individuals feel better, so they can live better. Care can be provided at various locations, including a patients home, and can benefit people of any age with conditions such as: cancer, COPD, diabetes, heart disease, ALS and Alzheimers at any stage of an illness. Palliative practitioners work with a persons existing doctors, providing an added layer of care. They may see patients between specialist appointments, insuring continuity of support. Providers educate individuals (and family) about the patients condition and treatment options. They talk with people about their wishes, priorities and goals for care and help them plan for the time ahead.Palliative providers are expert at knowing how to alleviate symptoms so patients can feel more comfortable. Symptoms helped through palliative medicine include: pain, nausea, fatigue, shortness of breath, anxiety, depression, constipation and others that reduce a persons quality of living. The palliative practitioner provides care with a patients whole picture in mind, typically resulting in fewer out-of-home appointments, ER visits and hospitalizations.When is the right time for palliative care? For someone with an ongoing or serious illness, the answer is: today. Studies have shown that those receiving early palliative care not only have improved quality of life, but less depression and in some cases, longer overall life expectancy.Palliative care is typically covered by private insurance, Medicare and Medicaid. To access care, patients can talk to a physician, or get in touch with a palliative care provider in their area.Editors Note: This article was submitted by Autumn Rowland, FNP-C, Director of Agape Palliative Care. She may be reached at 720-482-1988 or by email at: arowland@agape-healthcare.com.

Knee replacement surgery is one of the most commonly performed surgical procedures in the United States with more than 700,000 knee joints being replaced each year. There are more than 5 million people in this country currently living with knee replacements. The first knee replacement surgery was done in 1968 and the medical community has been working since that time to make the procedure better and safer. Knee replacement today is a highly technical, highly successful procedure that looks nothing like it did 50 years ago, or even 5 years ago.So What Exactly is a Knee Replacement?A knee replacement (also called knee arthroplasty) might be more accurately termed a knee "resurfacing" because only the surface of the cartilage and bones are actually replaced. Arthritis damages these cartilage surfaces and then a knee replacement replaces these damaged surfaces with metal and high-grade plastics. The muscles and ligaments around the knee are retained so that the knee will still bend and move like a normal knee joint.How do I know if I am a candidate for knee replacement surgery?There is no one symptoms or test that can tell you if knee replacement is right for you. It usually will require a medical evaluation with an orthopedic surgeon who will take X-rays, perform a physical exam, possibly order some lab tests or more advanced imaging studies like a CT scan or MRI, before sitting down with you and discussing your options. Knee replacement surgery is considered an elective procedure, so the patient is always in charge of the decision making process the surgeon merely provides instruction about the patients individual condition, education about the various options and will make recommendations based on their training and experience.There are no absolute age or weight restrictions for total knee replacement surgery. Most patients who undergo total knee replacement are aged 50 to 80, but knee replacement surgery can be performed in patients of all ages if clinically appropriate.What Can I Expect From Knee Replacement Surgery?More than 90% of people who have total knee replacement surgery experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. But total knee replacement will not allow you to do more than you could before you developed arthritis.With appropriate activity modification, knee replacements can last for many years most studies report that knee replacements last between 15-20 years. When they wear out, they can be redone or revised.What Else Should I Know About Knee Replacement Surgery?Not all knee replacement surgeries are the same. There are major differences between surgeons and hospitals with regard to outcomes and costs. It is important to be an educated consumer and ask questions and do some research. We are lucky that in Central Pennsylvania we have a number of highly qualified surgeons and hospitals that can provide the latest techniques and highest quality knee replacement surgery that can be found anywhere in the country. It is perfectly appropriate to ask about your surgeons qualifications and the hospital where the surgery will be performed. There are differences amongst hospitals with regard to cost, complication rates, infection rates, readmissions and patient satisfaction.OSS Health is proud to be nationally recognized by multiple organizations including the Joint Commission, HealthGrades and Press-Ganey for excellence in joint replacement surgery and patient satisfaction. Editors Note: This article was contributed by Dr. Joseph Alhadeff, an orthopaedic surgeon with OSS Health.

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

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.

The Aid and Attendance Pension was initiated by Congress in 1951 to ensure that senior Veterans and spouses could conserve retirement dollars by receiving a pension benefit for health related expenses.Those that served the country deserve the benefits theyve earned to remain independent in their homes. The Aid and Attendance VA pension provides money to pay for assistance with everyday activities of daily living (ADLs). The pension is paid monthly to the Veteran or Widow to use at their discretion for the rest of their life. In five years this pension may provide up to $127,200, tax free, to help Veterans and their Widows pay medical expenses.The basic requirements for the standard pension are:1. Veteran at least 65 years of age (Widows can be any age)2. Served active military for 90 days continuous3. Served at least one day during a period of war4. No dishonorable dischargeIndividuals who exceed VA regulation asset limits may need the services of a VA Accredited Estate Attorney to receive the pension, while most veterans and widows will qualify without any attorney assistance. You do not need to be impoverished as this pension is not a welfare program.The application is filed by Veteran Service Officers (VSOs) who are versed in the application process and whom also interact with the VA as your advocate. Financial Companies that specialize in assisting Veterans and Spouses with Home Care expenses can cover the in-home care costs prior to the pension starting, and will work with the Veteran to keep them enrolled for the duration of their lives. This private financial assistance program allows for care to begin within days of the application being fully submitted and before the VA determines eligibility, which can take up to 12 months. These financial services carry no risks, costs or obligations to Veterans or Widows.This financial program has been reviewed by both the VA and the Utah Department of Veterans Affairs. It has been operating nationally for years and is now available in Utah! You served our country, claim your pension!Editors Note: This article was submitted by Dr. Mark O. Bowman. Dr. Bowman is the owner of Home Care Assistance of Utah which provides high quality in-home care for seniors. He can be reached at 801-733-6100 or by email at mbowman@homecareassistance.com

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

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 Utah Senior Care Providers, CLICK HERE.Its the holiday season, so dipity do and dupity dop. The holidays can be a stressful time and the most wonderful time of the year. If your family is preparing for a loved ones first holiday at their new assisted living home, there are a few tips that families should consider.Most communities will have a traditional thanksgiving dinner and Christmas gathering for families and friends to enjoy. Families should always RSVP. Some communities will charge families for special holiday meals, other communities dont. Usually there is a maximum limit of guests per resident. If not, please be respectful; dont turn the assisted living community dinner into your extended familys person reunion. As a guest, look for residents that are sitting alone, most of the time they would love to join your group. I always enjoyed when families helped me clean up after parties.Everyone loves gifts at Christmas time. Activities directors are always looking for male, female and neutrally directed gift donations for special events. Sometimes the activities department will create a resident gift sign-up sheet for employees, but every donation is appreciated. Many families give their loved ones clothes as gifts. As a family, make sure the clothes are properly marked before you let them leave your sight. Always keep the receipts for clothes and make sure they fit your loved one.The holidays are also a special time for serving others. If you are a community leader or business owner, ask assisted living communities how you can help to ensure everyone has a happy holiday. Most communities overlook New Years and the Super Bowl. If you parent enjoys football, lend a hand and contribute to a super bowl party.

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

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.

When the radio starts to play something with a beat, do you tap your feet and bob your headalmost without realizing it? Well, were here to say: Dont fight it! Let loose! Dancing is one of the best forms of exercise you can do to stay healthy. Dancing is an all-around workout that exercises all parts of your body and affects all of your major systems. Whether you like to waltz or samba or power down to a Reggaeton beat, you cant beat dancing for an all-around benefits smorgasbord. Plus, it just feels good! The best part is, you can enjoy dancing no matter what your age or body type. Do you like it slow and meditative? Try Yoga Trance/Dance. Or fast and rhythmic? How about Hip-Hop? Want to dance with a partner? Social Dancing is healthy, too. Whatever your favorite beat, theres a dance style out there ready for you. Following are just a few of the many benefits of taking to the dance floor:Dancing is Good for Your HeartCardio is where its at for most dance fitness routines! Even social dancing builds endurance and will have you breathing more deeply in no time. A study published in the journal Circulation found that, in a group of 130 patients with stable chronic heart failure, waltz dancing was a safe form of aerobic exercise. In the study, patients alternated 5 minutes slow and 3 minutes fast periods of dancing for a total of 21 minutes essentially, a safe form of interval training. After 8 weeks, dancers demonstrated increased endurance, stronger heart muscles, and expressed greater life satisfaction. Most dance classes contain elements of cardio, but if you want to go all-out, try Latin, Hip-Hop, Afro-Cuban, Zumba, Jazzercise, LaBlast, TurboJam, or Bokwaa program based on South African rhythms that blends high-energy cardio-respiratory, muscular, and flexibility moves, according to experts.Dancing is Good for Your Bones & JointsDancing is a weight-bearing activity; that means it is adding bone mass to your skeleton incrementally, making your bones and joints stronger. Combined with a healthy diet that includes calcium and vitamin D (talk to your doctor or a nutritionist), you might help yourself avoid osteoporosis later in life. Exercising your joints keeps them limber and strong, and regular exercise reduces joint pain and stiffness. In a small St Louis Medical Center study of 34 residents of a senior apartment complex (average age 80), participants were able to decrease the amount of pain medication they took by 39% after 12 weeks of a program of low-impact dance therapy.Dancing Helps You Breathe More DeeplyHow are you breathing right now? If youre sitting down reading this, chances are, youre taking small, shallow breaths. Most of us breathe like this all day, because we sit in the same position most of the time. Any type of exercise even if its just walking out to the mailbox! forces us to change our breathing pattern, and thats a good thing. When we dance, we have to breathe more deeply, drawing more rich oxygen into our lungs and into our bloodstream and exhaling more carbon dioxide. At the same time, were stretching our rib cage and back, swinging our arms and legs, and generally loosening up. Doesnt it feel good to take deep breaths and stretch once in a while?Dancing Improves Balance and CoordinationEveryones body changes as they grow older, and sometimes it takes time to adjust to our new body image. Do we even recognize the person in the mirror? Sometimes trying a different dance style helps with adjusting to a different body size or shape; for example, the Bollywood dance style is enhanced by curvier shapes. Dancing helps to improve self-confidence while improving balance and coordination. An 8-week study reported in Gerontology found that salsa dancing was a good way to help seniors improve postural strengthsomething that helps prevent falls. Ballet classes are another way to improve balance, as well as core strength and flexibility.Dancing Lightens Our Mood and Helps With InsomniaWhen you hear good news, you might feel like dancing with joy. Moving our body is a spontaneous expression of feeling good. Why else would we dance at celebrations such as weddings and graduations? Researchers are studying how dancing affects mood: A 2013 study published in The American Journal of Dance Therapy showed that participants who self-identified as depressed, anxious, or stressed improved after two weeks of tango lessons. The participants ranged in age from 18 to 73. At a one-month follow-up survey, participants were still feeling better. No partner? No problem! Many dance styles dont require one. Its the physical movement that makes the difference, not necessarily a particular dance step or style. If youre feeling a little blue, just turn on the radio to your favorite station and start moving to the music. [Note: Serious depression or anxiety always requires a doctors care. Dont try to diagnose or treat yourself. If youve been feeling sad or anxious or unable to sleep well for a couple of weeks or more, please talk to your doctor.]Dancing May Help Prevent DementiaThe workings of our brain are still a mystery in many ways, including what brings on the scary, complex patterns of memory loss known as dementia. Experts now believe that dancing may help prevent the onset of dementia, because having to think about complicated steps and making many small decisions in a small span of time helps to build new neural pathways. A study of 469 people over age 75 published in the prestigious New England Journal of Medicine confirmed that participating in leisure activities such as board games, musicalinstruments, or sports was important for reduced risk of dementia; dancing was the only physical activity associated with that reduced risk, beating out such common sports activities as swimming, golf, and tennis.Dancing Can Help You Lose WeightA 30-minute dance class burns between 130 and 250 calories, about the same as jogging. Your class might go higher or lower, depending on its intensity. Social dancing is a great activity for weight loss, because it is an endurance event! Any high-energy cardio dance class that gives you a full-body workout also qualifies, such as Zumba, hip-hop, pole dancing, or belly dancing. Ballet will target your lower body, while Afro-Cuban dance will target your shoulders and back.What to Expect in a Dance ClassAlways read the course description thoroughly before registering for a class, and if youre not sure whether its right for you, ask to talk to the instructor. Be sure to mention any physical limitations or recent injuries you may have. Ask about what to wear and any accessories you should bring, if that information isnt mentioned in the course description (for instance, some classes might require bare feet or socks with grips on the bottom). There are dance classes appropriate for participants of all fitness levels. Dont tough it out and risk injury if you feel ill or uncomfortable.There are four broad categories of dance fitness classes: Cardio dance: for example Latin, reggaeton, hip-hop, social dancing Barre workouts: such as ballet Mind-body dance: including yoga/trance, Nia Sensual workouts: like pole dancing, belly dancing, hulaDance teachers often change up their choreography to stay fresh and keep up with the times, offering new music and new steps to prevent boredom. Dance class often becomes not only a fitness activity but a social event. However, if you cant attend a class with others, check out YouTube or rent a DVD from the library. Theres no reason not to try a dance class today!Written by Patricia Rockwood, Instructor and Staff Writer, Adult & Community Enrichment (ACE), Suncoast Technical College, Sarasota County District Schools. For information about dance classes, visit our website ace-sarasota.com or call our office (941) 361-6590.

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

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.

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

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

As COVID-19 continues, organizations have been forced to adjust their practices and behaviors in unexpected ways. No one could have known when this pandemic started that we would be taking extra safety precautions to limit the spread of this unknown virus.Its been challenging to limit visitors and maintain safe distance between families and loved ones living in senior communities, care facilities like Saint Therese are working hard to ensure the health and safety of our residents. Were doing everything we can to ensure our residents feel loved and cared for.Here are benefits of living in senior communities during COVID-19:Safety and SecurityLiving in a senior community during a pandemic can feel scary and overwhelming, but there are often several protocols and procedures in place that ensure everyone is safe and secure. Visitors are likely limited, minimizing your exposure to the virus, and the staff are likely required to take certain precautions as well.Regular cleaning and disinfectingAt senior communities, the custodial staff makes sure all surfaces and spaces are properly cleaned and disinfected on a regular basis. Your care facility will have CDC-approved cleaning products and disinfectants available, so you can be sure your environment is always safe and clean.Trained medical professionals on siteWhen were facing a global health crisis like COVID-19, its comforting to know that there are trained medical professionals, and health care services available to those who live in senior communities. People who are over the age of 65, or who have underlying medical conditions are among the most susceptible to develop a complication from the virus.Safer socializationLiving in a senior community ensures youll have plenty of interaction with your peers and loved ones. From seeing your friends face-to-face, to utilizing your facilitys video and conference technology to get in touch with loved ones, there are plenty of ways to stay connected during COVID-19 in a senior community.If you or your loved one need the care provided at a senior community, contact us to learn more about whether Saint Therese is the right place for you.

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

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

Did you know that a Senior Citizens mental, or behavioral, health has positive or negative effects on their physical health? Whether its pain issues, cardiovascular health or some other medical conditions, maintaining good behavioral health can significantly improve recovery time from illness and 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 group therapy, licensed health professionals lead the group by setting appropriate topics for group discussion and encourage members of the group to participate. Group therapy is effective because a participant interacts with others in a structured setting that promotes a better understanding of geriatric behavioral health issues. Seniors share their thoughts and experiences, learning from each other with the guidance of the group leader. Social interaction helps the senior to 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 are available. 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 by behavioral health professionals and health care facilities. Your confidentiality is protected by law, so if you feel that you or a loved one may benefit from these services call a geriatric behavioral health provider today.

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

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

To learn more about Harmony Home Health and Hospice,CLICK HERE.Most people go through periods of time when they simply want to be isolated for a while with their thoughts, to think through concerns in their lives without any distractions, or simply to experience some downtime. For seniors, however, being isolated for an extended period of time may be indicative of a more concerning condition: depression.AtHarmony Home Health & Hospice, our caregivers in Orem and thesurrounding areashave shared the journey through depression with many older individuals, and want to offer help. The most important first step is to contact the seniors physician right away if you think he or she may be struggling with depression. Depression can be treated, and the sooner treatment is begun, the better.Be on the lookout for thesesigns of senior depressionin loved ones:Loss: A variety of kinds of loss can trigger depression or other medical concerns: losing weight, losing appetite, a loss of self-worth, a loss of interest in activities or pastimes that were formerly enjoyed, or a decrease in time spent with friends or family.Slowing Down: Notice if the seniors movements or speaking have slowed down, if it takes the person longer than before to share or recall memories, or if motivation or energy is lessened.Sleeping Changes: Depression can have dramatic effects on sleep patterns, such as trouble with falling or staying asleep, difficulty waking up, or issues with staying alert and awake during the day.Forgetfulness: Watch for changes in how the older person takes care of herself; for instance, if she was always careful about maintaining good personal hygiene and taking care with her appearance, but suddenly begins to ignore personal care, or any other crucial changes like forgetting to take medications, to eat a healthy diet, etc.Various other medical conditions tend to also make depression worse. Be particularly mindful if the older adult has been affected by any of the following:CancerStrokeHeart diseaseDiabetesParkinsons diseaseMultiple sclerosisDementia or Alzheimers diseaseThyroid conditionsIf you suspect senior depression in someone you love, its crucial to take action and not to shrug it off as just something the person will get over by herself. Depression is a chronic medical condition that calls for treatment in order to recover.And keep in mind, you are not alone! Harmony Home Health & Hospice, with experts inhome and hospice in Oremandnearby communities, are here to help seniors, and their family members, through depression or any other condition of aging. We offer skilled care that can help seniors maintain better health and feel more like themselves.

Everybody wants to be remembered.Remembered by someone. Remembered for something. Something theyaccomplished, a talent they had, avocation they achieved. Everyone hasunique stories to tell, momentoustimes to divulge, and bestow lessonslearned throughout their historiclifetime.Interviewing people that sharetheir stories is a humbling yetentertaining and delightful experience. Often people are hesitant andunwilling to share their life, thinkingits not important, its not interesting, its not entertaining.We, at Legacy for Family, knowdifferently because once the interview starts, theres a completeturnaround. People actually findthemselves excited, reflective,amused and take joy in reminiscingabout their life.Legacy for Family met with aformer nun that spent years teachingstudents in Costa Rica, a Navy Sailorwho served at Iwo Jima, an infantryman that bravely fought in WWIIunder Patton, a child of poor immigrants whose parents spent everyminute making sure she had an education, a woman who fell in love ather 12th birthday party to eventuallymarry that man, the love of her life,to name just a few. Romance, pain,intrigue, mischief, excitement andlove are all part of their narrative.How important is it to rememberthe past? Why does it make a difference? Does knowing the past make adifference in someone elses future?The definitive answer to that is YES!Imagine a star high school basketball player finding out his 5 1grandmother was a dominant basketball player on her high school team.Or take a college Political Sciencemajor realizing his grandmotherbumped elbows with John andRobert Kennedy while in the Senate.What great conversation starters thatcould help link generations!We believethat everyoneshould havethe opportunity to sharetheir storyand at Legacyfor Family, weprovide thatopportunity.Our hope isto connectgenerationsof the past with those in the present and future. Lets face it, weall love a great narrative, we craveentertainment, look at all the movieswe watch and books we read, whatbetter story than that of your family.After all, family is the gift that lastsforever.Editors Note: This article was submitted byBetty Giannasi. Betty is the owner of Legacyfor Family and may be reached at 847-338-3086 or by email at bagiannasi@gmail.com orlegacyforfamily@gmail.com; www.legacyforfamily.com.

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

Accepts Private Insurance. The term private health insurance simply refers to anyhealth insurance coveragethat is not offered by a state or federal government. Instead,private health insuranceis offered by aprivateentity, such as aninsurancecompany or broker. You can use these plans with certain housing, home health and non-medical home care agencies to help pay for services needed.#listing_mgr{8 basic_search}##listing_mgr{1 basic_search}#

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.

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

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

If you are an elderly mom or dad, or an adult son or daughter of an elderly parent and you live far apart from one another, you may like to know about a Geriatric Care Manager (GCM). A GCM is a professional with specific training and knowledge in caring for the elderly. Caring involves understanding the need for and application of social work, psychology, nursing, medical care, home safety and security, and home assistance. A GCM can assess an elderly persons condition and needs, recommend services, and be an advocate for wellness and independence while aging at home. Recently, a friend of mine received a call that his father fell in the bathtub and was being placed in an ambulance for a trip to the hospital. The call did not come from his mother, but from a professional care manager he hired to see after his parents who lived 525 miles away in a suburb of Chicago. His mother pressed her life alert button, the service called her, called an ambulance, then called her care manager who was there in less than 15 minutes. Our friend, her son, was assured his dad was being cared for and the care manager would keep him posted on dads condition. GCMs may be nurses, social workers, or geriatric specialists that are qualified in planning for aging and referring services for the elderly. Youve heard the term plan ahead to avoid problems ahead. Maybe its time to give attention to these things since aging, absent early death, is inevitable. One of these two things will happen and its better to be prepared either way. The website www.caremississippi.org can lead you in the right direction.

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

Advance care planningis a process that enables individuals to make plans about their futurehealth care. Advance care plans provide direction to healthcare professionals when a person is not in a position to make and/or communicate their own healthcare choices. The process of Advance Care Planning is important and appropriate for anyone 18 years or older.#listing_mgr{7 basic_search}#

In the perfect world, we all want to age in our own home. It is generally the setting where we are most comfortable. However, life often has different plans for us.As we age, our daily activities can get more challenging. Some warning signs are; it is unsafe to be at home alone, the amount of home care needed gets too expensive, family/neighbors/friends can no longer help enough, or loneliness or boredom is starting to set in. Senior Living such as Independent or Assisted Living can often help make life easier, more fulfilling, and provide any care that is needed.By being proactive about moving into Senior Living, we often find that there are several advantages of moving sooner than later. We get a lot more out of the community or home by moving in when we are more active. We make new friends easier, we get involved in the activities, enjoy the food, go on outings, and rekindle old friendships. Plus, time with family becomes Quality Time instead of loved ones simply helping with chores, transportation, etc.We often see thedownsides of waiting too long. For example, something happens as we wait to make the move; a fall, a broken hip, an accident due to dementia. The unfortunate thing is that when something like that occurs, Senior Living may not be an option anymore. We miss the window of opportunity and then only far more expensive options are available (i.e. a Nursing Home). A proactive search can save a tremendous amount of money, and also affect quality of life. Waiting for an event to happen that forces a move can be very stressful to ourselves and our loved ones. By moving into Senior Living earlier, the safer environment can often help avoid more intensive settings later, and quality of life is often enhanced, not diminished.We usually find a great place while we have plenty of time to look, and are not under stress because of a short time line. We have a better chance of finding the perfect place when we look earlier. Living at home can be a challenge as we age. A common phrase we hear is I wish I would have done this sooner.Editors Note: This article was submitted by Ed Wagner. Ed is the owner of Assisted Living Locators and may be reached at 303-981-5021 or by email at ed@assistedlivinglocators.com

A lot of us can relate to the unease of moving. Of all lifes experiences, it is one of the most stressful by far!If you or a loved one is moving to Assisted Living because of increased care needs, it can add even more things to your already large mental checklist.To ease this type of move, weve prepared a list of things to think through. That way, when you do make the transition, youll have the best chance at feeling at home again. Kavod has been providing Assisted Living since 1986, so we have a lot of experience and wisdom to share with you.Before you read on, however, take a deep breath.  Acknowledge the emotions that accompany this decision, whether it is for yourself, parent or friend. You might be having feelings of lossloss of what was, loss of physical ability, loss of perceived independence, loss of familiarity and loss of community. You also might be experiencing anxiety, stress, confusion, fear, sadness, anger, grief or depression.  We want to encourage you that these emotions are normal. Talk openly about what you are experiencing with others and seek professional help if needed. Over time, these feelings will ebb and flow, but you will have more time and tools to handle them.Once you feel you can think clearly through your emotions, take a close look at these four important areas to cover when in choosing a new living community. 1) Location. Think about what type of locations make you happiest, in general.  For example:How close do you want to be to friends and family? How far are you willing to travel to see them, or have them come visit you?What types of amenities are in the nearby area, such as stores, pharmacies or coffee shops? How close is the facility to medical and emergency services?If faith is important, which religious communities are nearby? Do you like a lot of green space around you, or do you like the excitement of an urban setting?Do you have easy access to hobbies you enjoy, such as golf, movies or bowling?Pro tip: Make an actual list of your needs and wants, so when you visit different communities, you will know which things they have and not get distracted by other amenities that you may never use. 2) Culture. It is important to visit a few facilities to get a feel of the surroundings and environment, what you might call the personality of the community.  For example:How do you feel when you enter the building, or buildings? Does it feel welcoming? Safe?How does the staff interact with you and the residents?Is it clean and tidy?Do the meals seem appealing and nutritious?  Can you sample the food or check out the daily menus?What kinds of on-campus activities and programs are available?If you have a pet companion, are pets allowed?Pro tip: Touring a facility can be overwhelming, so bring a friend or family member who can track questions, reactions, concerns, likes and dislikes for you, kind of like a note taker.  This will be helpful when you compare and contrast different places, as it may be hard later on to remember which location said what.3) Size. Think through both your living space and the building as a whole.Do you want a shared or private room? Do you need a separate bedroom or is a studio ample?Is the community on one or multiple floors? Can you take an elevator or stairs to all the places on campus?How long are the hallways? How far will you have to walk from your room to the dining hall or activity room?Take into consideration the number of residents. Do you like meeting a lot of people, or do you prefer a more intimate community?If using a walker or wheelchair, can you get to places you want to go, either with assistance or without?Pro tip: Ask about the staff-to-resident ratio in Assisted Living to ensure there is an adequate number of caregivers to address the needs of all the residents. Assisted Living facilities are regulated by the state, including staffing numbers, so you will just want to ensure they are in compliance.4) Cost: Assisted Living pricing can vary greatly depending on the type of residences, location and state, level of care and services that are provided.Does the community have the services you require, such as medication monitoring, incontinence support, or oxygen management?What services are covered in basic pricing? Which services cost extra, and how much for each one?Is there a community fee, and if so, how much is it?Do you have any assets you will be keeping or selling, such as your current residence, property or other items?Can you bring in private services to help with your care, if the community doesnt offer them?Pro tip: The average base cost in 2020 for Assisted Living in Colorado was $3,800 $4,000 a month, with additional fees for service of 20-30% for higher levels of care. Kavod Senior Life falls right in line with this pricing, and is one] of the most affordable in town! When determining affordability, it is important to prioritize your needs and budget to see which ones can accommodate you.We hope these tips have been helpful as you start to assess Assisted Living options. Once you work through them, you may feel a sense of peace. While moving is hard, knowing your needs and wants are being taken care of may actually remove stress and help you embrace your new home with happiness and joy. If Kavod Assisted Living can be helpful to you in your journey, please call us at 303.399.1146, or check out some general information HERE.https://health.usnews.com/best-assisted-living/articles/6-factors-to-consider-when-choosing-an-assisted-living-facilityhttps://www.forbes.com/health/senior-living/how-to-find-the-best-assisted-living-facility/https://www.payingforseniorcare.com/colorado

A HECM reverse mortgage loan is a way to turn a portion of the equity in your home into cash.The proceeds from a reverse mortgage can be used to pay for unexpected expenses, such as nursing home costs or long-term care. It could also provide you with additional cash flow for all the expenses you have. As long as all loan terms are met, the loan does not require repayment until the last surviving borrower permanently moves out of the home, or passes away.Maybe you have your house paid off or are close to paying it off. Maybe you are still working at 62 or have enough money in your retirement account. Utilizing a reverse mortgage with the equity that you have worked hard to create may be a great option to increasing cash flow in retirement. As many people say, the only thing certain about the future is that it is uncertain. The peace of mind that comes from knowing money is available no matter what is in your future is hard to place a value on.*Most, but not all, reverse mortgages today are federally insured through the Federal Housing Administrations Home Equity Conversion Mortgage (HECM) Program. This advertisement talks about HECM loans only.Editors Note: This article was submitted by Bill Niehus and Stacie Streets. They are Reverse Mortgage Planners with Fairway Independent Mortgage Corporation and may be reached at 719-650-2620 or 661-802-9111 or by email at bniehus@fairwaymc.com or stacie.streets@fairwaymc.com.Copyright2018 Fairway Independent Mortgage Corporation (Fairway) NMLS#2289. 4750 S. Biltmore Lane, Madison, WI 53718, 1-877-699-0353. All rights reserved. Fairway is not affiliated with any government agencies. These materials are not from HUD or FHA and were not approved by HUD or a government agency. This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates and programs are subject to change without notice. All products are subject to credit and property approval. Other restrictions and limitations may apply.

Assisted Living (AL) What is it? According to Google, it is housing for elderly or disabled people that provides care, housekeeping, and prepared meals as needed. Assisted living is ideal for seniors who need help with some taskssuch as bathing, meal preparation, and dressingbut who do not require constant care. Assisted living communities are not synonymous with nursing homes. At the heart of an assisted living environment is a thriving and vibrant senior community, as opposed to a nursing home facility that offers round-the-clock medical care from certified nursing staff.Other assisted living resources include staff members on-hand to help residents with eating, mobility, and medication reminders, also known as ADLs (Activities of Daily Living). Seniors enjoy three meals per day and snacks from a dietitian-supervised menu.Your loved one will have the ability to participate in a wealth of activities, including social, recreational, and wellness programs, activities and crafts, community outings, and outdoor activities such as gardening. Many assisted living communities include off-site transportation for shopping, banking, and cultural events.The benefits of assisted living can be many. Senior citizens can maintain their independence and dignity, while giving their adult children peace of mind, knowing that there are caregivers available 24 hours per day, for their parents or loved one. Peace of mind is priceless. Aside from nutrition, there are activities which will keep a person social. There are also spiritual programs, as well as creative, intergenerational and physical ones. Most assisted living communities will also allow pets.As you compare senior housing options, be sure to keep in mind both your loved one's current and future needs. For more information on senior housing options, you can visit www.alfa.org.

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

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

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.

Aging in place is a term used to describe a person living in the residence of their choice, for as long as they are able, as they age.This includes being able to have any services, assistance, or other support that they might need over time and as their needs change.As we get older, our bodies age and our health status changes. Aging in place initiatives help older people navigate these changes while preserving their quality of life and, most importantly, living at home or in the place of their choosing. Supports for people who are aging in place are designed to help with activities of daily living, such as getting around home easily, accessing transportation, maintaining health, performing home maintenance and upkeep, and other needs.Aging in place is highly beneficial to older adults it increases feelings of independence, contentment, comfort, safety, and security, and often helps to ensure that older adults remain in close proximity to family, friends, and loved ones. Indeed, most older adults will seek to age in place for as long as is feasible. After all, theres no place like home. Thats why initiatives that support aging in place focus on helping older adults maintain and improve their quality of life.Many of the programs offered by Area Agencies on Aging (AAAs) emphasize aging in place. AAAs are local government agencies that provide services and assistance to older adults and caregivers and theyre located across the state of Utah. One of the foremost goals of these agencies is to develop and sustain programming that supports the ongoing independence and autonomy of older people. AAAs typically offer in-home supportive services, nutritional programs such as Meals on Wheels, volunteer opportunities for people of all ages, and Senior Centers where older people can stay active and social. Connect with your local Area Agency on Aging to learn about what services are available to help you remain independent and living at home as you grow older. For more information visit: https://slco.org/agingEditors Note: This article was submitted by Afton January, Communications Manager at Salt Lake County Aging & Adult Services. Contact Aging & Adult Services: (385) 461

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

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

Retirement Communities typically offer Studio, 1 BR or 2 BR rental apartments with full kitchens, and private baths. Services can include meal plans, transportation, wellness clinics, housekeeping, laundry and maintenance. Amenities can be abundant and may include formal libraries, computer stations, swimming pools, gardens, indoor/outdoor bar areas and other social gathering spaces. Rates are monthly and based upon size, location and amenities offered.#listing_mgr{1 basic_search}#

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.

Advocate: A Person who publicly supports or recommends a particular cause or policy As many of us including our love ones are getting older, we will at least once in our lifetime have to navigate through the Healthcare System.We go through this healthcare system either by our own choice, when participating in Medicare Open Enrollment from October 15 December 7; or we are thrust into the system due to an Acute Medical Event, such as new diagnosis of Stroke, ALS, Parkinson or Dementia. Frequently, we are thrown into a world that is foreign to us, yet it is most critical to our welfare and well being.Having experienced my mother being thrown into the On the Spot Caregiver for our Dad, my mother now needed to learn how to work full time, care for her two younger Children at home and make the best multiple medical decisions for her husband with only with the information given to her at the time. I personally witnessed, how you can be highly educated, hold a full time job and manage your own household, yet be extremely overwhelmed by a simple question such as: Where do we place Mom, Dad or Spouse after this Hospitalization?Healthcare Advocate to the Rescue!An experienced Healthcare Advocate, can assist in not only emotionally supporting you and your family but can also educate you about the Healthcare System of all of the options available to you. Now you can make the best decision for the Right Level of Care at the Right Time. You will want to work with a company that has a seasoned Medical Social Worker and Financial Planner Advocate for you and your family. They will go through all the different levels of care from Long Term Acute Medical Hospital (LTAC) to home with Home Health Care and together work on a Care Plan that meets your Love ones needs. So often the Patient is pushed into a healthcare service because it meets the needs of the healthcare provider, by filling their quota, or bed, not the needs of the patient.We all want the best for our Love Ones and try to make the most optimum healthcare decision with the facts presented to us. By enlisting the services of a healthcare advocate, you can ensure that they can Age in Place with the Quality of Life they desire. You can maintain the Family Ties by not just by being an On the Spot Caregiver but also by having a healthcare advocate there to walk through this healthcare journey with you all.Editors Note: This article was written by Christina Waller, LBSW, Medical Social Worker and Case Manager with Piece by Piece Care Management.

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.

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

To learn more aboutHome Care Assistance of Utah,CLICK HERE.How to Know When Its TimeSometimes an elders need for help is sudden and obvious. More often, though, it becomes apparent gradually, experts say. So how will you know? Watch for changes in your loved ones behavior, such as ignoring favorite hobbies, missing dates with friends, or forgetting to pay bills. Not every change means danger, but when a shift happens, its important to understand why, says Claudia Fine, an executive at SeniorBridge, a geriatric-care management company. So snoop, Fine advises. Tag along to your loved ones doctors appointments and ask questions.Once you understand the persons situation, you can help develop plans, says Peter Notarstefano, director of home- and community-based services at LeadingAge, an association for aging-services organizations. Although you may not see yourself as a caregiver, thats the term for anyone who looks after a person who needs assistance with daily tasks. AARPs Caregiving Resource Center can help.Staying at HomeKeeping a loved one in his or her house, or yours, can be challenging if your loved one needs daily help with some tasks. Thankfully, there are services to make it easier.Adult day facilities offer meals, activities, companionship and some medical care. One popular program for frail people is the Program of All-Inclusive Care for the Elderly (PACE). Its free for those who qualify for Medicaid; others pay about $3,000 a month.Service programs such as Senior Corps send volunteers age 55 or older to visit elderly individuals at home and provide companionship.Occupational therapists can evaluate a home and its resident and recommend grab bars and other changes to improve safety. They also help clients develop strength and skills, such as balance, so they can manage more of their daily activities. Studies show that visits from an OT help older people stay in their homes longer.If you and your family member want to live near each other but not in the same house, you can now rent a fully equipped, backyard mini-apartment that attaches to your homes utilities. Some of these so-called assisted living structures come with monitoring systems.Assistive-technology companies have products that can ensure your relative is safe. SimplyHome offers monitoring equipment such as motion sensors and GPS watches, and QuietCare (careinnovations.com) has a motion-sensor system that can learn a persons daily patterns and send alerts when there is a significant change.In some areas nonprofit support networks called Villages help older residents stay in their homes. Volunteers perform some everyday tasks, and the Villages also arrange for discounted services, from plumbing to nursing care. Annual membership fees are usually $300 to $500. See whether theres a Village near you.How to Find Care1. Your local Area Agency on Aging (AAA) has info on living options near you. Find your AAA.2. Genworth has teamed with AARP to offer a free online caregiver search as well as affordable access to care coordination services.3. SNAPforseniors, a for-profit health care network, lists residential facilities.4. The National Association for Home Care & Hospice lists home-care agencies in your area.5. Medicares website ranks local nursing homes and home-health agencies.6. LeadingAge, a network of aging-services agencies, has a housing-locator service on its website.7. Geriatric-care managers can help with all aspects of caring for older adults. For more information visit caremanager.orgGetting Your Loved One on BoardEase into it: If possible, provide help bit by bit, in spoonfuls and not buckets, recommends Susan Johnson, former owner of Care Management Associates. For example, start by offering to hire someone for a task your relative doesnt like, such as cleaning house.Set a time line: Try presenting care, in whatever form, as something to try out for a little while.Make your relative the boss: Describe care providers as assistants to show that your loved one is still in charge.Tweak your language: Frame help in the way that will most appeal to your relative. Maybe its a deserved luxury; maybe its something recommended by a trusted doctor or friend.Dont command: Include your loved one in any decisions, and avoid telling her what she needs to do; this usually triggers resistance, warns Linda Fodrini-Johnson, executive director of Eldercare Services.Seek answers: If your relative is reluctant to accept care, try to figure out why, says Jackie Lapidus, executive director of Care Management Associates. Your relative may be assuming one scenario while youre imagining another.Turn the tables: Remind your loved one that by accepting help, he is easing your fears and making your life less stressful.Checking for QualityPeople fare better when they live near whats dear to them friends, family, congregation. But once you find a facility in the right spot, make sure its a good one.To begin evaluating a residential facility, schedule a tour. Quiz the manager on how the facility addresses a residents specific and changing needs. Then make unscheduled visits. Ask residents what they enjoy about the community and what goes on during the day. Will your relative fit in?Most states license residential facilities. To discover your states licensing requirements, start with the department of health.If its home health care youre seeking, look for an agency that hires its own employees, rather than using independent contractors, says Paul Hogan, chairman of Home Instead Senior Care and coauthor of Stages of Senior Care: Your Step-by-Step Guide to Making the Best Decisions. Make sure a supervisor occasionally visits your relatives home to see how everything is going, says Hogan. And dont expect a perfect match the first time. If you have concerns, tell the care provider and possibly the management, too. When hiring in-home care, patience and perseverance pay.For both residential facilities and home health care, ask about accreditation, a credential awarded by one of several private agencies.Also consider these two websites, both of which rank nursing homes based on Medicare inspection data: Caregiverlist Inc. and the Medicare and Medicaid Nursing Home Compare guide.What it Costs (and Who Can Help)The going rates for assisted living vary from state to state. For information on the rates in your state, visit longtermcare.gov. Nationwide, the average annual cost of a private room at a skilled nursing facility is $90,155. At an assisted living facility (ALF), its $39,528. The average hourly rate for home health aides is $22. Thats a lot of money, but some programs will help pay it.1. Medicare pays for short-term care after an injury or surgery. It does not cover long-term care.2. Medicaid helps people with a low income and few assets pay for nursing facilities and some assisted living and in-home care.3. Some states offer financial assistance for low-income residents to live in an ALF. Ask your Area Agency on Aging.4. The Department of Veterans Affairs offers certain veterans and their spouses long-term-care benefits.5. A reverse mortgage might provide income to pay for care.6. The National Council on Aging helps you find government aid.

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:

My doctor has a collage on one wall about the importance of Advance Directives, or Living Wills, regardless of ones age. An Advance Directive or Living Will is a document in which we each tell our loved ones how we want the end of our life to be handled when we are in a permanent unconscious or vegetative state, or have an end-stage of a medical condition, with no reasonable likelihood of significant recovery, do we we want to be resuscitated, tube fed, and such?How will our loved ones know our wishes on these matters if we dont tell them? Its best to create an Advance Directive now, while we can decide for ourselves. As the doctors display said, End of life decisions should not be made at the end of life, and, For human beings, life is meaningful because it is a story, and in stories, endings matter. Age is not a factor in creating a Living Will; tragedy can strike at any age. The expense is low, but the peace of mind in knowing that when our time comes, we control the quality of our passing on is priceless.Most of us know what medical decisions we want made at the end of our lives, but have we told our loved ones? If not, how will they know? As the display said: I have an advance directive, not because I have a serious illness, but because I have a family.We always point out to our clients the options in their Living Will of deciding what, if any, extraordinary measures they want taken at the end of their lives. Once they select those options, they then must decide, should their instructions be binding on their families and providers, so their loved ones do not have to make those difficult decisions during a crisis, or do they want their loved ones to be able to override their decisions? Either way, they have expressed their desires to guide their loved ones.So, start the conversation with your family. Communicate your wishes to them and have them communicate theirs to you. Then, go to an attorney and put those wishes on paper in an Advance Directive/Living Will, so that, when your time comes, all involved, including medical providers, know how you want the end of your life to be managed.__________________________________Editors Note: This article was submitted by Jeffrey R. Bellomo, Esquire, CELA

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

To learn more about Kevin A. Guttman Reverse Mortgage Specialists,CLICK HERE.Reverse mortgages are credit advances that allow the elderly to borrow against their home equity during their retirement years. Unlike traditional mortgages, borrowers dont have to make a monthly payment on their reverse mortgage. TheKevin A. Guttmanteam of mortgage professional are here to help you every step of the way.In fact, a reverse mortgage is a particular type of loan that converts some of your home equity into cash. This loan allows borrowers to retain ownership of their home as long as their other obligations are kept, such as property taxes, maintenance, and home insurance. In a reverse mortgage, the lender makes cash instalments to the homeowner rather than the other way around.Like any financial agreement, it must come to an end. A reverse mortgage matures when both homeowners die or relocate into a residence or new home. Even if your partner moves to a long-term facility, the reverse mortgage doesnt have to be paid until they move or die.What happens when homeowner dies in a reverse mortgageEssentially, a reverse mortgage inheritance kicks in after the death of the last borrower. At this stage, the loan provider will offer a settlement loan amount with accumulated interest. Depending on theequityleft on the property at the time of the loan maturity, children or non-spousal heirs have various options at their disposal.Paying back the mortgage can be complicated, depending on how much equity is left in the house or whether you want the place to stay in the family. Many believe that the home reverts to the bank upon death, but that isnt necessarily the case.After death reverse mortgage optionsAs a reverse mortgage heir, your responsibility entails deciding whether to sell the property and settle theloan agreement, retain the home or gain ownership and consider a sale in the future. Typically, upon loan maturity, the lender allows 30 days to plan your course of action and between 3 to 13 months for mortgage repayment. With an array of options, examine your possibilities carefully.Sell the property to repay the loanUsually, heirs choose to pay off the loan by selling the house. Any leftover equity after paying off the loan is yours, and you can invest the remaining proceeds in a home of your own or towards other financial obligations. Although rare, the home sale may fall short of the repayable loan amount. You arent liable to make the excess payment, and the provider cannot claim repayment through other assets.Deed in lieu of foreclosureSome reverse mortgage balances may be higher than the market value of the home. When you inherit an underwater house, the easiest option may be to provide the lender with a deed instead of going through the various time-consuming foreclosure costs. Turn over the keys and choose not to be a part of future dealings. Selecting this option will not hurt your credit score and let you move forward without the hassle.Take out a new mortgage.When you dont own another property or have sentimental value in the family home, you can keep the ownership by repaying the full amount with increasing interest and fees. You can arrange payment with your funds, refinance the mortgage or look into other financial options. If keeping the house is essential, consider paying off the debt with assets such as a life insurance policy or an investment account.When you decide to settle the loan, you wont pay any taxes to transfer the title to your name. Remember, you can choose to repay the loan amount owed of 95% of the current market value, whichever is lower regardless of the loan balance.Reverse mortgages are complicated loans. Borrowers and their hairs need to understand the repayment process when it comes due. Theheirs still have the responsibilityfor upkeep and taxes. Insurance and fees will continue to accrue while you try to figure things out.From complementing retirement finances to financing home improvements, this versatile mortgage can help seniors in various ventures during their lifetimes. Ideally, a healthy property market will increase the value of your home and thus increase the homes equity.

For more information on CapTel, CLICK HERE.Discover gadgets and TV hearing aid devices that make it easier to hear your favorite shows.Whether its a documentary, sporting event, or your favorite sitcom, diving into an interesting TV show or movie is a fun way to spend time at home. Hearing loss accessories for watching TV can ensure you dont miss any key plot points or dialog. Here are a few helpful gadgets and TV hearing devices that can help you and your TV-viewing companions enjoy the experience more comfort