Finding the right setting for your loved one is a weighty decision. Sometimes you may find the perfect place but its only perfect for a few months. For some people, a large apartment setting is exactly what they want. They can take advantage of amenities like a swimming pool, theatre, beauty shop, and community room. However, as needs increase, a large setting isnt right for everyone. Here is a story of a life changed by a move to a smaller setting. Frank had lived in a large facility in the locked memory unit. He was an artist at escaping, telling unsuspecting family members can you hold that door? He didnt look or sound impaired in the least, and there was an endless supply of uninformed visitors. Frank was a generous and appreciative man. When someone served him a meal, he was so grateful that hed reach into his pocket for his wallet to give a tip. However, due to the risk of financial exploitation in the big facility, he was only allowed to carry a quarter. Every time he reached into his pocket, many times a day, he was humiliated. When he moved to our 6-person home with a 1:3 staff to client ratio, he was easily redirected when he didnt know what to do next or where to go. We discovered his love of counting coins, and we always needed his help to get our coins counted. We knew there was no exploitation going on, because his coin collection steadily grew as staff and families emptied their pockets into his container! For the bigger bills, we established a system whereby staff counted his money and at beginning and end of each shift, so he could carry a lot of money. He was able to give staff big tips, and he felt great about it. Sometimes wed get a $20 tip for serving him dinner. When Frank wasnt looking, wed slip the money back in his wallet. In spite of his memory loss, the positive feelings he gained from being a generous and needed person stayed with him all day. He was an absolute delight to serve, and like all of our clients, we came to cherish him. If you think your loved-one would benefit from a smaller setting, look into Residential Care Homes. They may be just the alternative for which youre looking.Written by Deb NygaardArthurs Senior CareAdmissions DirectorDeb.nygaard@arthursseniorcare.com651-294-4798www.arthursseniorcare.com

For more information on the author Family Spine Care Institute, CLICK HERE!Arthritis in the Lower BackArthritis, specifically in the lower back, typically originates within the spine. A lot of patients suffer from this chronic pain in the Venice, Florida area.Most patients describe it as a deep, gnawing pain that never goes away. It may even create stabbing pains throughout the day. It is usually worse in the morning before there is a chance to move around and loosen up the joints, but it is a pain that is always there.Treatments to Try on Your OwnExercise and movementA heating pad applied to the painful areaAlternating hot and cold compressesA heating patch that stays on the skin all-dayIf the pain does not subside with these treatments, or if you have had the pain for a long time, there are some treatments we can do in the Family Spine Care office.Lumbar Facet InjectionFacet Joints are what connect the spinal vertebrate together. They prevent the vertebrate from rubbing together. When the Facet Joints wear away, then there is a bone-on-bone rubbing action That creates the pain.The Lumbar Facet Injection is injecting a numbing medication (such as lidocaine) into these facet joints. Cortisone, an anti-inflammatory, may be used as well.The relief lasts anywhere from a week to a year.If the relief lasts very little time, then you may consider another treatment.Radiofrequency AblationA medial branch nerve wraps through the spinal column and facet joints. Under X-ray, Dr. Omar Henriquez uses a special needle with a heated tip to deaden this nerve which was causing pain.Pain relief from a Radiofrequency Ablation typically lasts six months to two years. Then the nerve wakes back up, at which time we can do the same treatment again. The treatment only takes about 20 minutes, and its done completely in our Family Spine Care office, just like all of our other treatments.

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

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

Primary care providers (PCP) are the foundation for your medical care. As such, we lead the team of healthcare professionals and other specialists that provide you comprehensive care. So, we like to think of ourselves as the quarterback of your team.A PCP can be a MD, Doctor of Osteopathy (D.O.), Physician Assistant (PA) or Nurse Practitioner (NP). Your PCP will diagnose and treat common illnesses and medical conditions while teaching you about safe health behaviors, treatment options, preventative and self care skill as well as provide necessary screening tests and immunizations.PCPs detect undiagnosed health issues and start treatment promptly, ultimately resulting in better outcomes. We manage chronic disease, utilizing evidence based guidelines in order to achieve mutually agreed upon health goals. Evaluating the urgency of your medical condition and directing you to the best place for care, which may be referring to other medical specialists, is a key role your PCP plays as quarterback of your team.Communication is the key to success on any team. You need to take an active role with your healthcare team. Keep your quarterback PCP up to date on immunizations, surgeries, visits with specialists, family history and active medical illnesses. Schedule regular appointments and keep them. Keep a list of all current medications you take, including over the counter medications and vitamins. Share that information with your quarterback PCP and include why you take the medication, how often you take it and what the dosage is.If you have any concerns about your health, contact your PCP initially, they are the main healthcare provider in any non-emergency case. Regular visits to your quarterback PCP will reduce costly emergency room visits by catching problems early.Don't have a PCP? Parkview Adult Medicine Clinic serves patients ages 15 and above. We are staffed by four board-certified Internal Medicine Physicians, 21 Resident Physicians, one board certified Family Nurse Practitioner, and one board certified Psychiatric Nurse Practitioner. In addition to providing comprehensive and compassionate care to our patients in our state of the art clinic, we offer sports physicals, CDL medical exams, and Assisted Living Facility visits. To make an appointment, call 719.595.7585.Editors Note: This article was submitted by: Marian Heesaker, Family Nurse Practitioner at Parkview Adult Medicine Clinic

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

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

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

The southwest suburban PLOWS Council on Aging wants to shed light on elder abuse this World Elder Abuse Awareness month to better serve seniors age 60 and older and others age 18 to 59 living with disabilities.The not-for-profit, which marks its 45th year on Thursday, enables clients in 20 communities within Palos, Lemont, Orland or Worth townships to live independently by connecting them with supportive resources. PLOWS also investigates cases of suspected abuse.Elder isolation has been a major concern during the pandemic, said Elaine Grande, director of program development. Were actually seeing a decline in reporting of abuse cases, but were concerned thats not necessarily an accurate picture of whats going on. It may be because seniors are sheltering in place and people are not seeing them.Grande said seniors rarely report abuse themselves. Doctors, librarians, police, social workers, people working at senior centers and grocery stores regularly encounter seniors and more likely to report signs of abuse.For more than 20 years, PLOWS has drawn upon the expertise of individuals working in these settings, as well as professionals with grounding in disciplines serving seniors and younger adults with disabilities.The PLOWS multidisciplinary team of volunteers includes 15 experts who maintain professional affiliations in banking, law, mental health and social work, or who belong to faith-based, medical and housing organizations. Some M-Team members work for police departments, libraries, villages and townships. The group meets eight times a year to share perspectives and resources.Serving on the M-Team has been really interesting because we sit down and problem-solve to get people services they wouldnt otherwise have, said Lynn King, who has volunteered for six years.King manages intake for developmental disability programs at Sertoma Center, Inc. in Alsip. That organization empowers individuals with mental disabilities to achieve personal success. King serves as Sertomas liaison to the state office of inspector general which manages allegations of abuse and neglect.My involvement in PLOWS as a volunteer offers an added layer of access to services for seniors struggling with mental health issues, King said.In keeping with social distancing requirements ordered by Gov. J.B. Pritzker, PLOWS has had to conduct its abuse investigations through by phone and computer. Under normal circumstances, trained workers would make onsite visits and do screenings on behalf of the Illinois Department of Aging.Right now, its more challenging to get to a client and prepare them with info about services that might help, said Sue Spear, who works with PLOWS Adult Protective Services. We cant close a case until we physically see them in person.Elder abuse can take many forms, including physical abuse, sexual abuse, emotional abuse, neglect, willful neglect and financial exploitation, officials said. Those with weaker support networks are more likely to suffer. The abuse may be intentional but can also be a sign that caretakers are overwhelmed.The pandemic is taking toll on caretakers who may still be shopping for seniors and preparing meals while juggling other responsibilities and trying to not to spread the virus, King said. Spear agreed."With some cases, its passive neglect, where the caregiver may not be aware there are services out there that can help, she said. In many cases, connecting seniors with proper support takes away some of the burden and situations can improve.One indication PLOWS is still managing to reach elders needing help is that meal delivery services have risen significantly during the pandemic. In Palos and Orland townships, the number of meals delivered in January was 4,100. In May, PLOWS delivered 5,400 to clients in those areas.PLOWS also has maintained a steady effort to conduct wellness checks on its 16,000 existing clients by making 400 weekly telephone calls, officials said. The purpose of the calls is to determine if clients have adequate food and medications, and whether additional services may be needed.PLOWS also has begun posting resources and contact referral numbers on its Facebook page, and is providing libraries with informational flyers for insertion in book bags distributed to readers. For July, PLOWS will establish virtual support groups that can be navigated via Zoom, they said.To contact PLOWS for services or to request assistance addressing possible abuse or neglect, call 708-361-0219 or go towww.plows.org. Suspected abuse also can be reported anonymously to the state hotline at 1-866-800-1409.

To Learn more about About Sunrise of Boulder - Memory Care, CLICK HERE.Art makes the world better. From the enjoyment that comes from looking at a watercolor painting to creating your own work of art, creativity has a variety of health benefits. Research also shows that engaging in the creative arts improves the lives of adults with dementia.Here are a few of the many benefits the creative process provides seniors with memory impairment:Reduced agitation and anxiety: Among the difficult behaviors caused by dementia are anxiety and agitation. When an adult with a memory impairment participates in art projects, they are more likely to remain focused and engaged. It gives them something tangible to do. The end result is often a reduction in anxiety and a boost to mood.Sense of accomplishment: Short-term memory loss is common among adults with dementia. This can make it more difficult to stay on task and complete activities. Art projects can be empowering because it is the actual process of creating, rather than the finished project, that provides a sense of accomplishment.Opportunity for self-expression: Dementia impacts different areas of the brain, including those linked to language skills. This can reduce a persons verbal skills as well as their ability to communicate effectively. Because art utilizes a part of the brain that is different from that used for language, it gives people an ability to express themselves. That means a senior who has some form of dementia that affects their speech, can benefit from having a creative outlet as a means for self-expression.A chance to socialize: Depending on the stage of a seniors dementia, they may be able to participate in art classes. It might be ones you create for them at home or as part of an adult day program or memory care community. This gives the senior an opportunity to socialize with peers that can otherwise be tough to come by.Easy Art Projects for Adults with DementiaIf you are looking for a few creative art projects for a senior loved one with memory loss, here is a list of ideas to explore:Paper flowers: These can be as simple or as complex as you choose. Its also an inexpensive project that requires few supplies. DIY Paper Flowers has step-by-step instructions for creating a variety of different floral designs. If you prefer to learn by video, 6 Easy Paper Flowers and How to Make a Flower Out of Paper are several to try.Adult coloring books: Coloring is another easy art project that is especially great for relaxation. You can purchase these at bookstores and craft stores, along with colored pencils. Simple designs that are larger and easier to see might be best.Handmade note cards: One easy idea to try is making note cards. You can make watercolor cards, stamp and ink designs, or cards made from pasting photos cut from magazines.Decorating cookies: Another activity that has both aromatherapy and art therapy benefits is baking and decorating cut-out cookies. You can make seasonally themed cookies, such as for spring or Valentines Day.Stepping stones: You could also purchase stepping stone kits from the craft store. They come in a variety of themes and designs, and can usually be completed in the course of an afternoon.It may be a process of trial and error to determine which art projects your senior loved one most enjoys.Art and Memory CareAt Sunrise communities, we know the important role art can play in the lives of people with dementia. Along with fitness programs and social activities, art is a part of daily life in our memory care Reminiscence Neighborhoods. We invite you to call the Sunrise nearest you to schedule a time for a personal tour!

Any provider can elect to provide day/night services on a short or long term basis. Rates typically include a place to rest, one or two meals and snacks and activities for the day. Licensed communities are prohibited by law to promote these services without a specific license.#listing_mgr{1 basic_search}##listing_mgr{7 basic_search}#

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

Older adults fear the possibility of developing Alzheimer's disease even more than death and with good reason: five million Americans have Alzheimer's disease, approximately 350,000 are diagnosed with the condition each year and it leads to death more often than heart disease, stroke, HIV and breast and prostate cancers combined! In the next 13 years, the number of Utahans with Alzheimer's disease will increase 127 percent making it the state with the fastest growing incidence of Alzheimer's.These startling statistics lead one to ask: Can Alzheimer's disease be prevented or delayed? Here is the good news yes. A new study shows that half of the cases might be caused by factors people can control: exercise, smoking, obesity, diabetes, high blood pressure and high cholesterol. Additionally, advanced imaging techniques now can diagnose Alzheimer's years before symptoms are noticed giving people a jump start on a treatment plan.What is Alzheimer's Disease?Alzheimer's disease is a progressive, degenerative disease of the brain that causes dementia. Dementia is the deterioration of memory, language, personality and the ability to process information. Other conditions that also lead to dementia include stroke, chronic alcohol abuse, vitamin deficiencies, and Parkinson's disease.What Causes Alzheimer's Disease?When we are younger, the body makes amyloid plaques (clumps of protein, like a goo) that surround the brain cells but the brain is able to clear it out. As we grow older, oxidative stress on the brain cells increases inflammation which contributes to making too much amyloid plaques and to the inability to clear it away. Additionally, patients develop neurofibrillary tangles (nerve cells that become tangled and dysfunctional). The tangles and goo prevent brain cells from communicating with each other which creates the forgetting in Alzheimer's.What are the symptoms?Alzheimer's disease usually comes on slowly, with a gradual loss of memory and difficulty learning new information. The patient develops problems in carrying out familiar tasks, understanding concepts, and taking care of grooming and household chores. Depression may also be one of the early symptoms. Personality changes, restlessness, and disorientation may also occur, and as the disease progresses, these symptoms become more pronounced. In later stages, there is a characteristic lack of concern for appearance or body function, significant sleep disturbances, extreme irritability, and loss of the ability to speak. Gradually, the patient stops eating or drinking regularly.What Can Be Done?The closest we have to a cure for Alzheimer's is prevention. But this is good news. This means that people have control over their chances of developing this deadly disease with exercise, a diet high in omega 3 fatty acids, colorful fruits and vegetables, spices such as turmeric, oregano and garlic, vanilla beans, and a moderate amount of caffeine. New imaging technology now allows people to get screened decades before any symptoms begin, enabling early intervention to protect the healthy brain and a delay in the onset of the disease. Drugs are being tested that may someday offer even more hope for patients and families, especially for the one percent that may be genetically at greater risk.Editors Note: This article was submitted by Denae Bybee, LPN and owner of Senior Helpers Utah and may be reached at 801-912-8400 or by e-mail at dbybee@seniorhelpers.com. For more information visit www.seniorhelpersutah.com.

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

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

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

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

From the cramped cabin of the aircraft, VITAS Healthcare patient Kim peered out through the open door and took in the landscape.In the next moment,shewas dropping from 10,000 feet, reminding her senses: You are alive.Kimcouldnt help but smile. She had made a habit of seeking these reminders throughout her 64 years on Earth. Now, as she neared the end of her life, the message seemed to come through with renewed clarity as her wish to fly through the atmosphere one last time came true, thanks toher VITAS hospice team.It takes a lot of coordination, but when you have a whole team coming together, you can make anything work, says Daily, VITAS volunteer services manager.ToKim, cirrhosis of the liver seemed at first like a challenge waiting to be overcome. After all, she had raised a son as a single mother, worked on a farm, and been involved in community politicsshe understood perseverance. But after receiving a terminal prognosis and beginning care with VITAS,Kimstarted to focus on what she could feasibly achieve in the time that remained.Id been seeing Kim for about eight months, and one day she mentioned that shed been skydiving in the past and wanted to do it one last time, says Tammy,Kim'snurse.Dailysuggested that virtual reality (VR) could offer a simulated version ofKims desired experience without the risks associated with jumping from a plane. The VITAS team manager and physician agreed.On the day of the skydive, Kim was joined by Tammy, Daily, and other members of the VITAS team in her home. One of the nursesstood ready with the fan asKimsat down and donned an Oculus Rift VR headset. What followed was a beautiful experience for everybody.At one point,Kimstood from her chair, ecstatic with the sheer sensation of it all. After landing safely on the ground, she immediately began showering the team with appreciation.ForKim, the experience was clearly a dream come true, but not quite a replacement for the real deal:Tammysays that her patient still jokes about skydivingand bringing her favorite nurse along for the ride.Written By Bob Johnson, RN, general manager for VITAS Healthcare in Collier County- click here for more information**

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

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

Hello. My name is Cathy Carl and both of my parents reside at Arden Courts of Lely Palms in Naples, FL. What makes my situation unique is that my parents divorced when I was in high school and now their dementia has brought them back together again!In 2010, Mom and I researched facilities in the Cleveland area for my stepfather who had Alzheimers disease. We settled on Arden Courts in Bainbridge, Oh. My stepfather was a resident there for two years before he passed away in November of 2012, one week before his 92nd birthday. He was able to stay at Arden Courts, with the help of Hospice, to the very end of his life.Fast forward to 2014. With Moms health now beginning to decline, my husband and I knew that we needed for her to live closer to us. Once again, I found myself touring facilities, but this time in southwest Florida. We visited many nice places, but based upon our wonderful experience with Arden Courts up north, we decided that Arden Courts of Lely Palms in Naples was the best place for Mom and she became a full-time resident in February of 2015.Little did we know that only nine months later we would be making arrangements for my dad to move into Arden Courts as well. Having accompanied me on numerous occasions to visit Mom and taking advantage of Arden Courts day program, Dad had grown very comfortable with the staff and surroundings at Arden Courts and looked forward to participating in the many activities they have to offer. This made for a smooth transition when Dad became a full-time resident in November of 2015.What I most LOVE about Arden Courts, and experienced in both OH and FL, is the atmosphere of caring! Every staff person at Arden Courts is professionally trained in working with dementia or memory impaired patients. Their expertise is evident in every department from the front office staff, to the programmers, the caregivers, the nurses, the kitchen staff and even maintenance. In my opinion, another distinctive that sets Arden Courts apart is the 10 hours of daily planned activities for the residents, seven days a week. These activities range from exercises to trivia games, Bingo, animal therapy, Bible study, Communion, snacks, singing, movies, live entertainers, field trips and holiday celebrations.In addition to all that Arden Courts offers their residents, Arden Courts provides families like us with endless resources. I now have the peace-of-mind of knowing that my parents are safe and in good hands if I need to be away for a period of time.I would be remiss to not mention the good Lords hand in ordaining all of the details of our lives, including leading us to Arden Courts, and for that, we are most grateful!

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

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

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

A group of local dentists have organized themselves to offer seniors an affordable alternative to dental insurance.Traditional dental insurance is one method for individuals to pay for dental care. However, seniors are at a disadvantage when losing access to dental insurance that an employer may have previously provided. Data now shows that only 50% of the population has dental insurance. Patients feel that dental insurance is limited and costly and are looking for alternatives. The other 50% of the population feel on their own when it comes to paying for dental services and simply dont seek the dental care they need to maintain their dental and overall health.In response, independent dentists in Idaho have organized themselves to offer a non-insurance alternative. Its called, The Dental Benefit Program. Here is how it works and specifically, why it works.Most dentists become network providers and accept discounted contractual fees to be included on a dental insurance plan. In this fashion, they receive new patients steered to their practices. In like fashion, a group of local dentists are willing to accept similar discounted fees to reach the many patients who do not have access to dental insurance. The Dental Benefit Program has been available to employer groups and individuals. You only pay for the dental services you receive at the published, discounted rates. There are no premiums to pay, no annual maximums, no waiting periods, no deductibles, no age limits, and no claims to process! Every type of dental procedure is included for general and specialty dentistry.Simply go to www.DentalBenefitProgram.com and choose GET STARTED - NO COST. Enroll using the Group ID# SBB01. It takes minutes and its free.

Meals on Wheels of Boulder is offering a new service to Boulder area residents:Project Homecoming, a short-term meal delivery program designed to help patients make the transition from hospital to home.A 2006 study conducted by UC Berkeley Health Research for Action (From Hospital to Home: Improving transitional Care for Older Adults) found care transitions to be an increasingly critical health and social problem for seniors and their caregivers. In addition, some seniors are at very high risk for rehospitalization and increased morbidity and mortality after discharge a situation which puts added and unnecessary stress on the health care system.Hospital homecomings can be stressful even under the best conditions, perhaps in part because a surprising number of all patients may not know where their first meals will come from once theyre home. Many are sent home with new dietary restrictions which may be difficult and confusing. Receiving healthy meals can help smooth the transition, relieve anxiety and help patients get well faster.While the study cited refers to seniors, the service from Meals on Wheels of Boulder is designed for patients of any age or income level being released from hospitals or rehabilitation facilities to their homes in the Boulder area, specifically those who do not have immediate plans to provide food for the first five days. It includes a hot meal, delivered at noon, prepared to meet any dietary restrictions delivered by Meals on Wheels volunteers for five days. Frozen meals are available for weekends.The cost of the service? Its free for the first five days with absolutely no strings attached!We plan to add an educational component this year, said Francea Phillips, executive director. Well be working with a dietician to prepare guidelines for patients with some of the most common restricted diets, such as no added salt, no concentrated sugars, low fat, low calorie, and high protein, to name a few.Meals on Wheels of Boulder was founded in 1969 and has delivered more than 1.5 million meals in the past 40 years. Demand for services has increased steadily at about 15% for the past four years, with an enormous increase in need for food among those in the lowest income brackets. Meals on Wheels of Boulder has no waiting list and will not deny food regardless of age or income to any qualified individual in Boulder.For more information about Project Homecoming or any services, please call 303-441-3908, visit www.mowboulder.org, or email info@mowboulder.org.

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

Did you know that medication management issues are the primary reason people can no longer live independently?Millions of Americans take daily medication. In the 65+ category, 90 percent do, and almost half of these take five or more drugs each day. Especially for this age group, dealing with multiple medications every day can be challenging and result in serious complications. Older adults experience the most significant problems from the improper use of medication and put themselves at risk for dangerous drug interactions and cognitive impairments. Problems with medication management are the primary reason people can no longer live independently. There are strategies that can make managing multiple medications easier and safer: 1) Keep an up to date list of all medications taken and dosages, including over-the-counter supplements. Go over it with your physician regularly and especially when a new medication is added. Keep a copy of the list at home and give a copy to a loved one or friend. 2) Use a pill dispenser or other reminder system with enough compartments to keep track of medications taken throughout the day. Take medications at the same time each day and as prescribed. 3) Refill prescriptions early before they run out. 4) Check expiration dates on existing drugs and discard any that are out of date. 5) Use one pharmacy for all prescriptions. It makes getting refills easier and it can also help to prevent drug interactions when the pharmacist is aware of all prescriptions. 6) Be sure to ask your physician or pharmacist any questions you have about potential side effects, whether medications are taken on a full or empty stomach and any possible drug, food and alcohol interactions. 7) At your annual physical, take all your medications and supplements with you so that your physician can do a comprehensive review. With age, changes in drug type or dose may be warranted. Taking these steps can provide more assurance that medications will be taken properly and provide the greatest benefit.Editors Note: This article was submitted by Theresa Santoro, MSN, RN, CHCA, RVNA President and CEO. She may be reached at 203-438-5555.

To learn more aboutApple Tree Assisted Living,CLICK HERE.Inpart oneof this two-part blog series, we went over three of the broad cause categories when it comes to senior malnutrition. Some seniors struggle with parts of their nutrition due to various physical, psychological or social issues, but caregivers or family members along with seniors themselves can take several prudent steps to work around these concerns.At Cozy Retire, were proud to offer numerouscaring assisted living services, including nutritional assistance and several related themes for any of our residents who need some help here. Weve assisted many seniors who have struggled with malnutrition in the past, often with assistance from their family or caregivers. Todays part two of our series will go over some of the possible results ofmalnutrition in seniors, plus some important themes for preventing this from happening.Common Results of Senior MalnutritionIn part one, we went over many ofthe causes of senior malnutrition. If such conditions are allowed to persist, some of the negative results seniors may experience include:Healing: Seniors with improper nutrition often will not heal normally, whether were talking wounds or some other issue.Immune system: Down similar lines, the bodys immune system is impacted by malnutrition, often leading to increased disease and infection risk.Weakness: Both muscles and bones will weaken as a result of malnutrition, and when combined with additional senior risks in these areas, the potential for falls and injuries is far higher.Hospitalization and death: And when seniors withpoor nutritionbecome sick, they are more likely to be hospitalized or even for their life to be at risk.Preventing Senior MalnutritionIf youre a caregiver or family member of a senior who may have malnutrition concerns, there are luckily several steps you can take to prevent such risks. Many of these themes are also observed by our assisted living staff, and they include the following areas:Observation: Without invading on personal space, observe basic nutrition areas like how much food is eaten, habits and other areas.Meal plans: For seniors who struggle to make their own food or stick to consistent eating habits, help promote schedules, shopping lists and advanced planning. There are many at-home services that will also assist with this, such as food delivery or others.Weight: Help a senior loved on check their weight, plus track it over time.Medications: As medications may impact nutrition in a few areas, you should also track these the proper dosages, schedules and how various medications may affect appetite.Exercise: Wherever possible and realistic, encourage physical activity to trigger the appetite and keep bones and muscles healthy.Nutritious ChoicesDown related lines, family members or caregivers can also play a role in promoting nutritious food choices. A few themes:Nutrients: Things like fruits and veggies, whole grains, lean meats and fish all have high levels of quality nutrients.Snacks: For those who like to snack between meals, consider low-fat dairy or various fruits and vegetables first.Flavor: If your loved one prefers more variety in meals, utilize herbs and spices to mix it up.Supplements: For seniors who struggle with calory intake or certain nutrients they dont get enough of, various supplements or nutritional drinks are a great resource.

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, younger persons with disabilities, and caregivers. Estimates show a 63% increase in the number of people serviced by adult day centers 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 River House, offer both. According to the National Adult Day Services Association (NADSA) the average participant that attends a day center is a 72-year-old female who lives with adult children or their spouse. A little over half of those utilizing day service centers 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. Medical model centers offer added benefits by providing health monitoring and individualized care.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 that 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.Editors Note: This article was submitted by Donna Spellman, MS, Executive Director, River House Adult Day Center. She can be reached at 203-629-0079

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

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

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

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

We see the word prepare used throughout the stories in Sacred Scripture. Whether John the Baptist voices it or even Jesus Himself, it is offered and given as a gift of love to another person.It is presented by one loved one to another loved one, as a visible sign of true concern and care for anothers well being and has the ability to offer the recipient inner peace, comfort and consolation.It is through this ministry of preparedness that a Catholic Cemetery is not only about manicured grounds or architecturally awesome buildings nor is it about ornate entrances or fences. Many local private or public cemeteries may have the same. It is about the cycle of being through Baptism one of Gods people.The Catechism of the Catholic Church asks the question: Why did God make us? It answers it both simply and so well: He made us to know, love and serve Him in this life and to be happy with Him forever in eternity.A Catholic Cemetery embraces the mortal remains of Gods People whom we love. There are the rich among the poor, those who were old and those who were young, the famous and the unknown, husbands, wives, mothers, fathers, brothers and sisters, friends GODS PEOPLE. Thus burial in a Catholic Cemetery gives them ALL, and will give YOU a recognized IDENTITY.The identity of a CATHOLIC cemetery gives you a voice of difference without verbal words for all eternity that tells everyone who visits and passes byYES MY BELOVED BROTHERS AND SISTERS I was and I am THE LORDS!Editors Note: This article was submitted by Deacon Glenn Tylutki,BS,MA,CCE - Outreach Coordinator Catholic Cemeteries, Archdiocese of Chicago. Deacon Tylutki can be reached at 708-236-5441 or gtylutki@cathcemchgo.org

Dementia is a serious diagnosis. It is a chronic, progressive illness that affects every aspect of a person's life. It is important to get a second opinion. A thorough evaluation is essential to eliminate other possible causes of confusion, word-finding difficulties, personality changes, getting lost, inability to complete every day responsibilities, or other signs of dementia.The neurologist is the medical expert in brain diseases. They will identify any reversible causes of the changes; or if they confirm the diagnosis, they can identify the type of dementia. The common forms of dementia (Alzheimer's Disease, Vascular Dementia, Frontal Temporal Dementia and Lewy Body Disease) each have a unique set of symptoms and different trajectories. Only with an evaluation by a specialist including history-taking, a physical exam, lab tests, brain scans and neuropsychological tests can an accurate diagnosis be made. The truth of a diagnosis is your friend, and this truth will guide you in making the best decisions for your future. Expect this process to take a few weeks.The person with dementia should be told their diagnosis so they can participate in legal and financial planning. An elder care lawyer helps them plan for their own future and make decisions for their future self while they still have capacity. There will come a time that the person with dementia will no longer be able to make health care decisions for themselves. 75% of people with dementia will need the type of care and supervision that is mostly found in nursing homes. Planning for long term care is essential.A dementia diagnosis is life changing for the family as well as the person with the disease. As the disease progresses, families typically provide care 3-6 hours a day or more. A geriatric care manager is an expert in helping people with dementia and their families discuss difficult topics and face complex issues. They help make short and long term plans, coordinate medical services, evaluate in-home needs and alternative living arrangements. They can provide emotional support and reduce caregiver stress.With this team in place, the person with dementia and their family will know what to expect and understand their options. And, with ongoing, expert support, they do not have to face the future alone.Editors Note: This article was submitted by Malka Young, LICSW, C-ASWCM, Director of Allies in Aging, 800-655-9553 or help4elders@jfsmw.org. Allies in Aging is a program of JFS of Metrowest in Framingham.

For more information on the author Medical Marijuana Specialists, CLICK HERE.Cannabis 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. 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.Modern research suggests that cannabis is a valuable aid in the treatment of a wide range of clinical conditions. These include chronic pain relief, particularly neuropathic pain, spasticity, glaucoma, and Alzheimers. It is highly effective in treating the side effects of chemotherapy including nausea and vomiting. Cannabis and THC, are considered incredibly safe for human consumption. There has never been a death recorded from the use of cannabis. In fact, many studies show it is physically impossible for a human to die from acannabis overdose.One common misconception among aging adults is that they have to smoke marijuana to gain the medicinal benefits. Actually, it is illegal to smoke marijuana in Pennsylvania. The dispensaries offer a variety of products including, lotions, capsules, patches, tinctures and vaping oils. If I could get the medical benefit from the plant without the high, Id consider it. said many of the seniors weve spoken to. Cultivators are currently producing potent CBD genetic strains that have minimal to no psychoactive effect. CBD, or cannabidiol, is tremendous for inflammation, eases pain, stimulates bone growth, suppresses muscular spasms, reduces anxiety, and increases mental focus.Medical marijuana is often a safer alternative to many prescription drugs like opioids and antipsychotics, and has far fewer severe side effects. It can also be more cost efficient, too. A senior spends close to$3,000 per yearon prescription drugs alone. The national average of how much a person spends on medical marijuana per year is about $650. It is a more cost-effective option, too. The stigma around medical marijuana use is fading. Seniors are the fastest growing population of new medical marijuana users. If you are in discomfort or chronic pain, speak to a Medical Marijuana Specialist to discover if medical marijuana may be right for you.Editors Note: This article was submitted by Nurse Shelly Hutchison, RN, ACNA with Medical Marijuana Specialists. She may be reached at 833-667-4655 or shelly@mms4relief.com.

Providing care for a loved one can be difficult and many caregivers find themselves feeling trapped by the responsibility and dont attend to their own needs. Conversely, those receiving care may feel guilt for being a burden or anger over their loss of abilities. Because it is such a difficult time for you and your loved one, it is important for you to take care of yourself as a caregiver. Some caregivers reach the point of burnout where they may find themselves feeling hopeless, resentful, or impatient. Below are some tips on how to avoid caregiver burnout:Know your sources of support. Dont be afraid to ask your family for support. If you are reluctant to ask for help, ask yourself, If my family knew what I was trying to do by myself, would they feel that they had missed an opportunity to serve their loved one?It is also helpful to know the resources in the community that can take some of the burden away. Aging Services provides in home assistance to seniors and also provides support to caregivers. Home Health and Hospice agencies can also provide supportive care and have social workers familiar with community resources.Meet your emotional needs. Caregivers often report feeling anger, grief, guilt, helplessness, fear, worry, loneliness and shame. Are there friends that will lend a listening ear? Would joining a caregiver support group be beneficial?Consider the care-giving relationship as a partnership. This Eden philosophy of care suggests that regardless of a persons physical or cognitive function, everyone can participate in their own care in some way. Helping your loved one feel needed and independent improves the relationship and can minimize the stress and frustration around daily tasks. Find time for activities that rejuvenate you. This can be as simple as journaling, taking a walk, or curling up with a good book. You need time to get away.Recognize all that you ARE doing. We often have a tendency to focus on our shortcomings and discount or discredit the positives. Keep in mind there is no such thing as a perfect caregiver. Recognize what you are doing is difficult and acknowledge the many things you are doing well.For more information on caregiver support and resources, contact Andrea Morgenegg, LCSW, HPMT, MT-BC, Dignity Home Health & Hospice (801) 492-4892. For more information on The Eden Philosphy, contact Diedra Kearney, Director of Community Education at Dignity Home Health & Hospice (801) 860-3801

Today more than ever, families find themselves caring for aging loved ones, known today as the aging family.Many of these aging families are overwhelmed with trying to manage the care of an aging loved one along with duties in their own lives, work and family. In their attempt to manage the care of aging loved ones, stress, anxiety and feeling of being overwhelmed can all lead to caregiver burnout, pre-mature placements or re-hospitalizations of aging loved ones. Living out of state creates additional issues and concerns in managing the care of an aging loved one.Satisfying an increasing critical need of the aging family is becoming progressively more prevalent today. It is important that the aging family understand professional support services are available and can help immensely in the overall care management of their aging loved ones. This professional support is Geriatric Care Management (GCM). GCM is hired by the aging family or representative to provide specialized professional services focused on safety and well being of the aging person via Geriatric Care Managers.GCM helps the aging family to make decisions and implement solutions that provide assurance for quality of life and care for aging loved ones. This will reduce stress, anxiety, and feelings of being overwhelmed, taking time off work or away from their own families. GCM is able to do this by providing: Comprehensive assessment and on-going monitoring Care plan development, problem-solving with solutions Advocacy, education and being a liaison Family caregiver assessment and coaching Relocation, level of care assessment and referrals Implementing in home non medical assistance Attending medial appointments to assure information is provide and gathered properly Verbal or written up dates to families or representatives And much moreGeriatric Care Managers are professionals who have graduate degrees in Social Work, Psychology, Gerontology or Nursing and are Certified or Licensed.GCM is private pay, costs for these professional services range from $25 to $250 per hour as national averages and vary by geographical area.Editors Note: This article was submitted by Valerie Rios, a Care Manager Certified with Aging Solutions Geriatric Care Management and may be reached at 801-615-9360 or GCM@agingsolutionsutah.com

Its very difficult when your loved one has been diagnosed with Dementia because there are so many questions surrounding that news. And now you find yourself in the position of caregiver which can be difficult and overwhelming especially if youre still working and have a family.One of the most important things to remember is youre not alone. In 2017, 16 million caregivers of people living with Alzheimer's disease or other dementia's provided an estimated 18.4 billion hours of unpaid care (Alzheimers Association). There are many places you can gather information, professionals you can speak to, support groups to attend and services that are available to assist.Some important steps in providing care: Use a positive approacho Give short, simple informationo Simple choiceso Ask them to helpo Always say thank you so they know you appreciate what they are doing Break tasks up into small stepso By doing this you eliminate the frustration for both of youo Give one task at a time Use music its great therapy and provides relaxation Reminisce about the times they remembero Know their history so you can talk about ito Laugh with themo Use words they usedo Create a memory jar where family and friends write down their favorite memories and you can read them to your loved one Ask for helpo Friends, other family, home care agenciesBeing a caregiver is a very difficult job. You cant take care of someone else if youre not taking care of yourself. Its so important to make sure you have time off and step away from caregiving to relax. Caregivers who do not take a break have high levels of stress, health issues and become angry. Schedule time for dinner, shopping, a movie date or a long weekend away. Allow your family and friends to help or use a local agency that provides dementia-trained caregivers.One of the more difficult things to do is leave your loved one with someone else when youve been the primary caregiver. Take the time to interview local agencies and find the one that you feel can provide the care your loved one needs. Ask if their caregivers are trained in providing dementia care. Find an agency that can provide you peace of mind so you can truly relax and take a break.The caregivers at Visiting Angels of Lancaster, Hanover and York are trained in providing dementia and palliative care and other specialized care, call us we can help!__________________________________Editors Note: This article was contributed by Sandy Sferrella-Taylor, Public Relations Manager at Visiting Angels of Lancaster, Hanover and York.

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

Youre thinking about selling your home. Maybe youre retiring, downsizing or a major life event has made you consider a move. A Seniors Real Estate Specialist (SRES ) has unique training and experience in helping home buyers and sellers in your situation. Why ask a Seniors Real Estate Specialist to assist you?An SRES understands that the decision to sell can be difficult. Selling a home can be an emotional time, potentially involving other life decisions. An SRES understands the issues facing older adults. By taking a no-pressure approach, they can help you navigate your choices and may be able to suggest alternatives that help you stay in your home. An SRES can patiently support you through each step. Your SRES will take the time needed to make you feel comfortable with the complex selling process. Your specialist understands the demands a sale can make on you and works hard to minimize them. They will tailor the marketing process to your specific needs. An SRES will stick with you throughout the entire process. Your SRES is interested in looking out for your best interests through all aspects of your transition, not just the sale of your home. Theyve invested time in becoming an SRES because they enjoy working with clients in your situation and helping others. An SRES can draw upon a network of other professionals focused on 50+ clients. Theyve already identified other helpful experts, including tax counselors, financial advisers and estate planners who can help you understand the financial consequences of selling your home, and interior staging specialists and trade contractors to get your home prepared for showings. An SRES also has ties throughout the 50+ community. Theyre familiar with active adult and community service organizations in your area. Your SRES can provide referrals to a variety of resources at the local, state and national level, and on the Internet. Theyre knowledgeable about local senior housing options and can refer you to another SRES if youre planning to move outside the area. Editors Note: This article was submitted by Kim Henderson, Realtor, SRES, Coldwell Banker Real Estate. She can be reached at 412-848-3907 or by email at kim.henderson@pittsburghmoves.com. Visit her website at www.yourpittsburghrealestateagent.com

Many retirement communities offer a continuum of care services to meet the varying needs of their residents. From maintenance, medications, meals, and more, there are many ways that communities serve their populations. But although services and amenities help us quantify the value of a retirement community residents most often choose a community based on the way they feel about it. This is often how we imagine that we will fit in with, and relate to, the other residents that live there. Why? A largely under-emphasized reason why people choose to move to a life-plan community is because of the social aspect that it offers. Its been proven that having friends, loved-ones, and companions that care about you increases overall satisfaction in life, and even increases longevity! A life-plan community offers an almost-instantaneous group of friends and neighbors who are in the same boat as you, and who become your new family to learn, grow, travel, and enjoy life with.Below are some common hesitations that people have, and some suggestions for how to think through these concerns as you consider your future:1. I love my house and Im never leaving it: As a veteran sales counselor, Ive heard many stories about how people are very attached to their house and the memories in it. However, the once beloved house becomes a major factor in that persons isolation whether its having to cancel plans with friends in order to mow the yard, shovel snow, or simply because the once familiar neighborhood is changing and new families are moving in to replace your long-time friends and neighbors. A transition to a life plan community is a time to make a new home and new memories and you are taking positive action to not allow your once-loved home to become your biggest burden.2. Thats where old people go: This comment always makes me smile because its usually coming from someone touring the community who is 99 years old, and cant imagine that they themselves are even remotely in that category. I always respond with age is just a number and quip that some 45-year-olds act like they are 100, and some 100-year-olds act like they are not a day over 30! Many life-plan communities have a minimum age of 62, and many people are choosing to move to the communities in their 60s because they can enjoy the services and amenities, and new friendships for a better-third of their life.3. I already have friends, how will I meet new ones?: A major aspect of most life plan communities is their life enrichment programming. There are often dozens of clubs, activities, trips, or interest groups that you can become part of. Like to sing? Join the chorale! Like to golf? Join the team! Like to volunteer at charitable organizations? Often communities will organize outreach programming. Becoming involved in your new community is a great way to meet new like-minded friends, and build your sense of belonging.If youve already made the decision to move to a life plan community congratulations! Your new adventure awaits you! If youre still on the fence, try to explore what hesitations are holding you back. Once you make the move, youll be glad you did! Your new friends are waiting for you!______________________________Editors Note: This article was submitted by Christina Gallagher. Christina is the Director of Marketing with Homestead Village Enhanced Senior Living.

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

This program is a partnership between Iowa Vocational Rehabilitation (IVERS) and Connections Area Agency on Aging. You must have an open case with IVRS to be referred to our Employment Specialist.Our Older Worker Employment Specialist works with adults age 55 and older who have a verified disability and are working with Vocational Rehabilitation Services. Their disability is a barrier to finding or obtaining employment. The Older Worker Employment Specialist's role is to work with Job Candidates to identify barriers and work towards their job goal. In the process of working with Job Candidate, the Job Candidate receives help to build on job-seeking skills, completing applications, practice with role play for interviews, creating resumes, and contacting employers.Our Older Worker Employment Specialist also networks with local employers and businesses within the 20 counties served by Connections, sharing information about the program as well as identifying jobs, and matching Job Candidates with jobs/employers for the best fit - always advocating for businesses to hire work-ready candidates.The goal of the program is to secure and main successful job placement of each Job Candidate, working with both the employee and employer. The Older Worker Employment Specialist works during this time to help the Job Candidate learn about the job and provide mentoring as necessary. Contact is made at least twice per month by phone, email, face to face visits, etc. depending on individual need. Once placement is made and the Job Candidate is confident in the position (90 day time frame) they are closed successfully with IVRS but OWEP will provide follow along for 1 year!Older workers bring experience, skills and lifelong knowledge into the workplace, making them valued, work-ready employees.Eligibility CriteriaOlder Worker Employment Program QualifiersMust be age 55 and olderMust have a disability that is a barrier to employmentIs off the Vocational Rehabilitation waiting listDoes not required Supported Employment ServicesIs not currently working with a Senior Corps Senior Employment Program (SCSEP) such as Experience Works, AARP, Senior Services of AmericaJob Candidate ProcessThe Job Candidate comes off of the waiting listThe Job Candidate's information is reviewed for the Older Worker Employment Program qualifiersThe Vocational Rehabilitation Counselor completes and sends the referral packet information to the Older Worker Employment SpecialistThe Employment Specialist will contact the Vocational Rehabilitation Counselor to schedule a meeting with the Job Candidate and the Counselor.The Older Worker Employment Specialist RoleThe Older Worker Employment Specialist assists Job Candidates in the following ways:Completing various vocational assessments and identifying a job role.Enhancing job seeking skills, completing applications, preparing for interviewing, writing resumes, and contacting employers.Working with employers to create positions that may be otherwise difficult to fill.Matching positions with the expectations of the employer and with the skills and abilities of the Job Candidate in mind.Advocating with businesses to hire work-ready job candidates.Helping employers identify job-ready candidates in an effective manner and offer options for hard to fill positions.Tracking and ensuring training of job candidates who are newly hired, so that they become familiar with and understand the workplace culture, expectations, and how to handle situations on the job.Discussing how the job candidate is adjusting to the new job and providing guidance as needed.Providing follow-up contact for up to one year after an individual is stable in employment.Establishing successful and effective networks of connections with business customers and the Aging Network.Communication and collaborating with Iowa Vacation Rehabilitation Service (IVRS) staff to provide assistance to job candidates.Informing the IVRS Counselor of the job candidates 'progress at least twice per month and sending case notes on a monthly basis.Article Submitted by Connections Area Agency on Aging

Choosing to Remain at HomeLet our advance worryingbecome advance thinking andplanning. Winston ChurchillSome of us worry about the future but do nothing about it; some of us ignore it and hope for the best; and some of us are committed to a vision of the future and plan for it.As we grow older, most of us would like to remain in the comfort of our own homes and communities, having services brought to us. But that is often not viable without planning to make it a physical and financial reality. And planning is often avoided as we fear the possibility of losing our independence and needing support services.Until recently, aging adults had very few options to remain independent purchasing long term care insurance, moving to a retirement community, or paying out of pocket for care. Fortunately, things are changing and new models of long term care and planning have emerged.There are Stay at Home programs which offer support, advice and referrals for services. They do not provide care which leaves a client on his own to arrange for needed services and health care. This becomes particularly difficult with an illness or a health crisis. However, there is an alternative called Continuing Care at Home programs which combine asset protection with guaranteed care across all services. There are options that offer full spectrum services for those without long term care insurance or services that can be combined with existing long term care insurance.The programs provide a care manager who can help arrange for services when needed, either on a planned or unexpected basis, and who can serve as an advocate when navigating the health system. The programs also provide social and cultural activities in the local community rather than within the walls of a traditional retirement community.Senior Choice at Home is one of the first programs in Connecticut and the only one in Fairfield County to provide this option. Senior Choice at Home is a membership-based, long-term asset protection and healthcare services program eliminating the need to move to a retirement community. Senior Choice at Home members are enjoying the benefits of social and cultural activities as well as peace of mind that services they trust are there when they need them.and they will not need to burden their children down the road.Depending on your situation, there may also be tax advantages of joining. To learn more about Senior Choice at Home and how it might fit with your plans to remain in your home and community, please call 203-365-6491 or email SeniorChoiceHome@jseniors.org

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

If the COVID-19 pandemic has taught us anything over the past year, it is that no matter who you are, or how old you are, it is important to get your affairs in order. Life can throw a curve ball and you want to be prepared.The best place to start is to contact an attorney who specializes in elder law to discuss what the best estate planning documents are for you. Estate planning is not one-size fits all, so it is important to discuss with an attorney how to best accomplish your goals. Do you have a spouse or child that you want to provide for? Are you concerned about the possibility of probate when you are gone? Are you worried about long-term care planning? All of these questions and more can be addressed in your estate plan.An elder law attorney will likely recommend a package of documents that address who can help care for you while you are alive and who inherits from you when you are gone. These documents include either a Last Will and Testament or a Revocable Trust, Durable Financial Power of Attorney, Designation of Health Care Surrogate, HIPAA Release, Living Will, and/or Declaration Naming Preneed Guardian.All of your estate planning documents are essential, but one of the most important documents is the Durable Financial Power of Attorney (DPOA). The DPOA lists who can stand in your shoes for your financial affairs while you are alive. Not all DPOAs are created equal. It is important to have an elder law DPOA with specific Medicaid planning powers, especially if you are concerned about paying for long-term care in the future.With the right estate planning, you can rest easy knowing that your affairs are in order.This article was submitted by Attorneys Kathleen Flammia and Stacey Schwartz with the Flammia Elder Law Firm. They can be reached at (407) 478-8700 or assistant@flammialaw.com.

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

For more information on CapTel, CLICK HERE.Follow these steps to get captions during a Zoom callIn light of social distancing, many families and businesses are using Zoom or other video-conferencing tools to hold virtual phone calls. The benefit of a Zoom-type of meeting is that multiple people can participate and you are able to see everyone on the call.You can use your CapTel phone to call into a Zoom meeting, as you would with any other phone, and get the benefit of reading captions during the call.Instructions:On your computer, click on the link provided in the Zoom invitation to connect to the meeting.On your computer, after electing to join the Zoomwith video,select Join with Computer Audio.Next, on your CapTel phone, lift the handset anddial aphone number provided in yourZoom invitation. (Please be aware that there might be long distance charges associated with calling the Zoom phone numbers.)Watch the CapTel signal meter and display to know when your call has connected.Once connected, use the CapTel dial pad to enter the Zoom Meeting ID number (andif necessary, enter the Participant ID number) and press #.Lower the Volume as much as possible and press Mute on the CapTel phone, and then rest the handset down somewhere without hanging up.You will be able to see the participants on your computer screenwhile reading the captions on yourCapTel phone.Once the Zoom meeting has ended, hang up the CapTel handset and increase the Volume so that the CapTel is ready for the next call.You will be able to see the participants on your computer screen while listening to the call, and then read captions on your CapTel phone.Tips:The time-out allowed for entering your Meeting ID and Participant ID can be brief. Be ready with the numbers you need before you place the call.If there are multiple people on a call, you may ask participants to state their name before speaking so that the captions can indicate who is talking.These same instructions apply to using CapTel with other video-conferencing options, such as Skype, GoToMeeting, Google Meet, etc.

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

To learn more aboutDanville Support Services,CLICK HERE.Fall is such a beautiful time of the year especially along the Wasatch Front. Its a time to drink cider, reflect and take in the colors. Fall is also the perfect time to prepare for Winter, and that means preventing senior citizens from falling.According toCenters for Disease Control and Prevention, one in every three adults ages 65 or older falls and two million are treated in emergency departments for fall-related injuries each year. The long-term consequences of fall injuries, such as hip fractures and traumatic brain injuries, can impact the health and independence of older adults. Thankfully, falls are not an inevitable part of aging. In fact, many falls can be prevented.The ability to maintain your balance is, of course, central to staying on your feet. whatever your age. To improve balance and leg strength, develop an exercise routine that includes stretching and walking. Also, exercise programs such as Tai Chi can increase strength and improve balance, making falls much less likely.Vision is another key aspect in the prevention of falls. When you dont see the obstacle, you cant avoid it! All adults need an annual eye exam. This is especially true for people in their 40s and 50s, as vision deteriorates with time. Most seniors rely on corrective lenses to read, to drive or for all day use. By keeping up with eye health, youre doing yourself a favor in more ways than one.Medications are another area to monitor, as many medications successfully address one condition, but can also increase the likelihood of a fall due to dizziness, drowsiness, or other side effects of the medication. You dont want to be lightheaded on an icy sidewalk this Winter, so please check with your doctor or pharmacist to adjust medications, as needed.Finally, there are several things you can do around the home to help prevent falls.Remove things you might trip over from stairs and places where you walk.Install handrails on all staircases.Remove small throw rugs or use double-sided tape to keep the rugs from slipping.Keep items you use often in cabinets you can reach easily without using a step stool.Put grab bars inside and next to the tub or shower and next to your toilet.Use non-slip mats in the bathtub and on shower floors.Improve the lighting in your home. Hang lightweight curtains or shades to reduce glare.Wear shoes both inside and outside the house.Danville Supports Services is here to help you and your aging loved ones stay safely in their homes for as long as possible. Our services range from personal care, running errands, shopping, light housekeeping, transportation, laundry, meal preparation, all the way to respite and in-home nursing care. Call me (Lynn) today at 801-363-1521 to set up a free home assessment, or to discuss how we can work together to keep your mom and dad healthy and happy at home.

Cancer is the second leading cause of death in the United States. For every 100,000 people, 438 new cancer cases were reported and 159 people died of cancer. Prevention is the best way to fight it, as many types of cancers can be prevented, while others are more easily treated when diagnosed early. Cancer screenings are an important part of early diagnosis, prevention and treatment.Colon Cancer Everyone age 50 and older needs to get regularly screened for colorectal (colon) cancer. When found early, colorectal cancer can be treated. Screening helps find abnormal growths that can be removed before they turn into cancer. Almost all colorectal cancers start as polyps, or abnormal growths in the colon or rectum. Screening can help find these polyps so they can be removed before turning into cancer. Breast Cancer Breast cancer is the second most common cancer among women, after skin cancer. The risk of developing breast cancer increases as women get older. Current recommendations are for women ages 50 to 74 to get a mammogram (an x-ray picture of the breasts) every two years. Cervical Cancer Pap tests are recommended every three years for women ages 21-65. There are other screening options for cervical cancer, too. Lung Cancer I urge you, if you smoke, to quit now. Lung cancer, one of the many risks from smoking, is the leading cancer killer in women. If you are over 55 and a current smoker, or someone who has quit within the past 15 years, ask your doctor about lung cancer screening. Skin Cancer Nearly 5 million people are treated for skin cancer every year in the U.S. Skin cancer can be serious, expensive, and sometimes even deadly. Fortunately, most skin cancers can be prevented. Protect your skin when you go outside. Use sunscreen, wear protective clothes, or hang out in the shade when you can. Prostate Cancer Men who are 55 to 69 years old should make individual decisions about being screened for prostate cancer with a prostate specific antigen (PSA) test. Men who are 70 years old and older should not be screened for prostate cancer routinely. Learn more about cancer screening and prevention at: www.cdc.gov/cancer.Editors Note: This article was written by Kathleen Warshawsky, BSN, RN; Publisher, Seniors Blue Book; President Dallas Area Gerontological Society. She may be reached at Kathleen@SeniorsBlueBook.com Article on page 23

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

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

The New Biology of Music, Sound, and Emotion.Pause for a moment. Imagine one of your favorite songs. How does that song make you feel? Music has a powerful influence on emotion and can also influence improved health, learning, and physical functioning. The new biology of music and sound is music and sound that literally affects human biology by improving physical functions such as sleep efficiency, pain and stress management, and mind awareness.From my early association with great musicians, like Harry James and Buddy Rich, to my professional career as a keyboard player for billboard top 20 bands in the 70s and 80s, I witnessed the power that music and sound have to move an entire audience. In 1985, my career dramatically changed. For the next seven years, I worked in a clinical setting at a regional medical center designing therapeutic music to assist individual patients with their specific physical and psychological needs. It was there that I witnessed musics direct power to affect the body and mind and to help people heal.The new biology of music and sound is grounded in audio science and confirms that what you hear is as important to your health as proper diet and exercise. What this science demonstrates is that musical frequencies, rhythmic patterns, and musical structure have a direct affect on brainwave activity, emotional stability, and bodily functions. By changing the structure of the music or sound, you can directly influence a desired health outcome.Scientifically designed music and sound have many applications. The combination of a beautiful arrangement with a scientific structure creates a powerful tool that can be used to facilitate change and promote specific improvements in your health and well being. It is a fast, safe, and effective method for promoting good health throughout your life.Nuphonics creates music and sound products that improve peoples lives. Allow it to help yours. See our ad below for more information.Editors Note: The article was written by Wayne Musgrave, musicologist and partner of Nuphonics and audio science consultant for First Choice Home Health and Hospice. He can be reached at 801-373-0552

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

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

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

We are often asked about payment options for private-duty senior care, which is not covered by health insurance.This is a typical question, since were all concerned about protecting our finances. Nevertheless, when the need for help arises, Amada Senior Care can recommend several options.Many people have long-term care insurance, which can absorb the expense of senior care, either in their home or at a care community. Since these policies were usually purchased years earlier, many seniors and their families struggle to understand the intricacies of what types of services or facilities are covered, the criteria for claim eligibility, or how to initiate the claim process.At Amada, weve available to help guide long-term insurance activation and provide FREE consultations, even if a senior doesnt become our client. Additionally, we can help seniors identify other financing options such as: Veterans Aid and Attendance Benefits, life insurance conversions for cash, and home equity tools.Amada provides this service at no obligation or cost to help seniors receive excellent service with screened, licensed, insured, and professional caregivers.Editors Note: Call us today for a free consultation at: 239.676.1635.

For more information on Comfort Keepers- Sarasota, CLICK HERE.More seniors are spending time online than ever before. Technology can benefit seniors in so many ways it can help them connect with loved ones, get essential goods and services without leaving their home, and provides opportunities to stay in contact with their communities.Anyone can be a target for cyber criminals, and there are a variety of ways that attacks can occur. Avoiding scams and predators online is critical for anyone that spends time online, but even more for seniors. Older adults need to be aware of potential scams and know how to stay diligent while online. According to Cybercrime Magazine, estimated losses from scams on the elderly are thought to cost families 36 billion annually.Like all powerful tools, the internet and mobile technologies come with some risks. These risks can be managed if users follow some basic rules: Here are five ways that seniors can stay safe online:Security software There are a variety of anti-virus and anti-spyware software options that can help protect a senior online. Ensuring the program is installed properly is critical and running updates on a regular basis ensures that new threats are mitigated. It is also important to make sure to update software on computers, tablets, and mobile devices to the latest version when those updates are released. These updates protect users from bugs and provide software patches to protect from hackers.Limit access to accounts Scammers often try to steal the personal and financial information that seniors access online. To keep this data secure, users should enable two-factor authentication where it is offered and never send personal information to those they dont know. Most importantly, users need to be mindful about creating smart, strong p@$$w0rdz!. Seniors should never use names of loved ones, birthdates, or common words. Strong passwords also include a mix of upper/ lower case, numbers, and symbols.Evaluate emails Email is one of the primary tools that people use to steal information from older people online. Remember that financial institutions will never ask for account information through email, and sending account numbers, passwords or personal information is never a good idea. If a senior is not sure whether their financial institution is trying to reach them about a problem, they can always call and discuss any issues with their bank.Shop online and access social media safely One common way that information can be stolen online is through fake shopping sites. Shopping trusted vendors is helpful and there are often online reviews for merchants that will alert shoppers to potential scams. Seniors should also remember to use a credit card instead of a debit card when possible, and monitor accounts regularly for fraudulent activity. The same goes for social media accounts. Fraudsters use quizzes and faux profiles to gain access to users social media accounts by posing as another person within the network or by using the information a user has posted to try to guess secret question answers.Ask for help Seniors should not be afraid to reach out to their trusted loved ones or friends if they feel uncomfortable online or need help navigating security measures. For those concerned about the seniors in their life, they can help educate them about known scams and tactics for staying vigilant, and can help with software updates. Calling customer service at a bank or store can help clear up confusion if an email, communication or transaction looks wrong. Having a trusted team of people that can help with online issues can give seniors more confidence using the technology available to them.Comfort KeepersCan HelpOur goal is to provide uplifting in-home care that benefits seniors and their families. The individualized care plans we create for our clients consider physical goals as well as non-physical mental health needs. Our caregivers can provide companionship and support physician-prescribed exercise regimens, provide transportation to appointments and help to families that want to stay connected through technology. We strive to elevate the human spirit through quality, compassionate, joyful care.To learn more about our in-home care services, contact your local Comfort Keepers location today.

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.  

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.

For more information on the author Heart, Mind & Body Home Care, CLICK HERE.Parkinsons disease is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. It affects about half a million people in the United States although the numbers may be much higher. The average age of onset is 60 years, and the risk of developing Parkinsons goes up with age.Parkinsons disease was first described in 1817 by James Parkinson, a British doctor who published a paper on what he called the shaking palsy. He described four major symptoms.Four Main SymptomsParkinsons disease belongs to a group of neurological conditions called movement disorders. The four main symptoms of Parkinsons are: tremor, or trembling in hands, arms, legs, jaw, or head rigidity, or stiffness of the limbs and trunk bradykinesia, or slowness of movement postural instability, or impaired balance.Parkinsons symptoms usually begin gradually and get worse over time. As the symptoms become more severe, people with the disorder may have difficulty walking, talking, or completing other simple tasks. They also experience non-motor, or movement symptoms including mental and behavioral changes, sleep problems, depression, memory difficulties, and fatigue.Parkinsons disease not only affects the brain, but the entire body. While the brain involvement is responsible for the core features, other affected locations contribute to the complicated picture of Parkinsons.Parkinsons disease is both chronic, meaning it lasts for a long time, and progressive, meaning its symptoms grow worse over time. It is not contagious.Diagnosis Can Be DifficultAbout 60,000 Americans are diagnosed with Parkinsons disease each year. However, its difficult to know exactly how many have it because many people in the early stages of the disease think their symptoms are due to normal aging and do not seek help from a doctor. Also, diagnosis is sometimes difficult because there are no medical tests that can diagnose the disease with certainty and because other conditions may produce symptoms of Parkinsons.People with Parkinsons may sometimes be told by their doctors that they have other disorders, and people with diseases similar to Parkinsons may be incorrectly diagnosed as having Parkinsons. A persons good response to the drug levodopa may support the diagnosis. Levodopa is the main therapy for Parkinsons disease.Who Is at Risk?Both men and women can have Parkinsons disease. However, the disease affects about 50 percent more men than women. While the disease is more common in developed countries, studies also have found an increased risk of Parkinsons disease in people who live in rural areas and in those who work in certain professions, suggesting that environmental factors may play a role in the disorder.Researchers are focusing on additional risk factors for Parkinsons disease. One clear risk factor for Parkinsons is age. As mentioned above, the average age of onset is 60 years and the risk rises significantly with advancing age. However, about 5 to 10 percent of people with Parkinsons have early-onset disease which begins before the age of 50. Early-onset forms of Parkinsons are often inherited, though not always, and some have been linked to specific gene mutations.Juvenile ParkinsonismIn very rare cases, parkinsonian symptoms may appear in people before the age of 20. This condition is called juvenile parkinsonism. It is most commonly seen in Japan but has been found in other countries as well. It usually begins with dystonia (sustained muscle contractions causing twisting movements) and bradykinesia (slowness of movement), and the symptoms often improve with levodopa medication. Juvenile parkinsonism often runs in families and is sometimes linked to a mutated gene.Some Cases Are InheritedEvidence suggests that, in some cases, Parkinsons disease may be inherited. An estimated 15 to 25 percent of people with Parkinsons have a known relative with the disease. People with one or more close relatives who have Parkinsons have an increased risk of developing the disease themselves.Yoga and Tai Chi for ParkinsoniansHeart, Body & Mind Home Care offers wellness services in addition to in home personal care. We believe that engaging in the right activities under a customized care plan can offer significant health & wellness benefits to our clients.Research suggests that practicing yoga or tai chi with a trained instructor such as those available at Heart, Body & Mind Home Care may improve balance and stability in older adults and reduce the risk of falls. Importantly, there is also evidence that yoga and tai chi are the most beneficial complementary therapies to help improve balance impairments in people with mid-to-moderate Parkinsons disease. Yoga can assist with posture, loosen tight muscles, build confidence and as a result, enrich quality of life.Call Heart, Body & Mind Home Care today to receive free information about our holistic in-home personal care & wellness services, including Parkinsons care.Ralph B. LaughtonPresident of Heart, Body, & Mind Home CareFort Myers Home Health CareHeart Body & Mind Home Careis committed to the principle that it takes more than just effort to provide care to another human being it takes heart. Our hearts are in all that we do. If you are interested in learning more about our compassionate home care and wellness services in Southwest Florida, click the link above.

To learn more aboutAMG Senior Medical Group - Home Visits by Physicians, CLICK HERE.Our comprehensive medical group includes a team of doctors, nurse practitioners, medical assistants, and practice managers. Our goal since our inception is to provide the most trust worthy comprehensive mobile medical care in the business.With our integrity, clinical knowledge, and amazing practitioners we have done that. In just a few short years we have grown to be the largest mobile medical group in the state.Whether we visit you in your residential home or in an assisted/independent living facility, we offer a complete service program to keep you healthy and strong.Mission StatementThrough our philosophy of unity, kindness, and professionalism, we inspire an environment of compassion and wellness, where holistic care is given and received.

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

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

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

Written authorization to represent or act on another's behalf in private affairs, business, or some other legal matter, sometimes against the wishes of the other#listing_mgr{7 basic_search}#

Incapacity planning is simply a collection of legal documents that you create in anticipation of possibly becoming unable to express your wishes or make decisions.What exactly is incapacity and why does it matter? Lets take a look at some basic concepts you should understand before you begin making an incapacity plan.Legal IncapacityUnder Colorado probate laws, and incapacitated person is someone who cannot effectively receive or evaluate information. That persons inability to make or communicate is so significant that he or she can no longer provide self-care or look after their needs for health and safety even if reasonable technological assistance is available.In simpler terms, an incapacitated person is someone who has lost the ability to make choices or who can no longer care for themselves.Incapacity DeterminationWhen the court is asked to determine if someone is incapacitated, there is no single test the court uses to make its decision. Instead, the court looks at each case individually and determines what the adults capabilities are. In some situations the court might determine that the person is entirely incapacitated and will appoint someone to make all decisions on that persons behalf. In other situations it might determine that a person is only partially incapacitated, and will appoint someone to make limited types of decisions, such as managing the persons property or finances.Incapacity PlanningEvery capable adult in Colorado can make his or her own incapacity plan until a court deems the person incapacitated and unable to make choices. These plans allow you to make your choices in advance of becoming incapacitated, even though this may never happen to you.Through such a plan you can, for example, give someone else the ability to manage your finances, property, and day-to-day concerns. Should you ever become incapacitated this person will gain the right to make these decisions without the necessity of a court having to step in and appoint someone to do them on your behalf.You can only make an incapacity plan if you are currently capable. If you wait too long and lose your ability to make choices, you leave it up to a court to make the choice. As you wont be able to express your wishes at the time, this could mean that the court will appoint someone of whom you do not approve.Editors Note: This article was submitted by Catherine Hammond. Catherine is an attorney with Hammond Law Group and may be reached at719-520-1474 or by email at info@coloradoestateplan.com.

To learn more about AccentCare Hospice,CLICK HEREMany older adults enjoy a glass of wine with dinner or a beer while watching the game on TV.Having a drink now and then is fine. But dont overdo it. As an older adult, alcohol may affect you differently than it does younger adults.Alcohol and agingAs you age, you become more sensitive to alcohols effects. After age 65, your lean body mass and water content drop. Plus, your metabolism slows down. Alcohol stays in your system longer. As a result,the amount of alcohol in your blood is higher than it would have been when you were younger.Older adults also are more likely to have hearing and eyesight problems. They have slower reaction times, too. This puts them at higher risk for falls, broken bones, and car crashes tied to drinking.Some health problemsin people older than age 65, and the medicines used to treat them,can worsen with alcohol's effects. These include diabetes, high blood pressure, and ulcers.Heavy alcohol use can also lead to other health problems, such as cancer and liver disease.It's also linked to depression and suicide.Medicine interactionsMedicines taken by older adults are more likely to have serious interactionswith alcohol and other medicines. These include many prescribed and over-the-counter medicines and herbal products. Medicines and alcohol can interact even if theyre not taken at the same time. That's because the medicine may still be in your blood when you have a drink.Whats a safe amount?The National Institute on Alcohol and Alcoholism advises that people older thanage 65 who are healthy and who do not take any medicineshave no more than 7 drinks a week. And no more than 1 to 2 drinks on any 1 day. One drink equals:12 ounces of beer, ale, or wine cooler8 ounces of malt liquor5 ounces of wineOr 1.5 ounces of distilled liquorHow to cut downIf you want to limit your drinking or yourhealthcare providersuggests it, try these steps:1. Write down your reasons for cutting back. These might include wanting to improve your health or to sleep better. Other reasons may be to improve relationships and to stay independent.2. Track your drinking habits for at least 1 week. Write down when and how much you drink every day.3. Set a drinking goal. You may decide to cut down to 1 drink a day. Or not to drink at all. Write your goal on a piece of paper and put it where you will see it every day.

Recently, the State of Colorado implemented new licensing regulations for home care providers providing services within the state. There are definite and defined distinctions between Home Health Care Agencies and Non-Medical Home Health Care Agencies. Below are definitions directly from the Colorado Department of Health's website:Home Care Agencies provide medical and non-medical care services in homes or alternative community settings. The Health Facilities and Emergency Medical Services Division is responsible for monitoring and evaluating the quality of health care services provided by licensed and certified home care agencies. Home care agencies provide a wide range of health and social services to persons recovering from an illness or injury, or persons who are disabled and/or chronically ill. They may provide medical services such as nursing, social services, and therapeutic treatments (physical, speech, occupational therapy). They also may provide non-medical services like help with bathing, dressing and eating.Non-Medical Home Care Agencies include two programs that can be certified by the Home and Community Based Services Medicaid waiver, specifically: In-Home Support Services and Personal Care Homemaker (IHSS). IHSS include attendant assistance with health maintenance activities, support for activities of daily living or instrumental activities of daily living and personal care and homemaker services. Medicaid-eligible clients direct, select and train their own attendants. A clients attendant is employed by the In-Home Support Services provider agency of the clients choice. Agencies provide independent living core services in the areas of cross-disability peer counseling, information and referral services, independent living skills training and individual and systems advocacy. Providers also must provide 24-hour back-up services and a health professional that will be responsible for the attendant training, including assistance with health maintenance activities and skilled nursing care. Personal care services are furnished to meet the clients non-medical physical, maintenance and supportive needs, including bathing, grooming, hygiene, and assistance with ambulation. As these services are non-medical, they do not need to be performed by a certified home health aide as an extension to care provided by a nurse or therapist. Homemaker services are provided to Medicaid-eligible clients when the individual ordinarily responsible for these activities is temporarily absent or unable to manage the household activities. These services include housecleaning, meal preparation and laundry. It is important to know the distinctions between these two services when making a decision for you or a loved one to find the right level of care for your needs. Editors Note: This article was submitted by Maria Deuth of In-Home Companion Care. She can be reached at 720-862-5656. 

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

The emotional roller coaster of guilt, concern, regret, and the plethora of other feelings that go along with being a caregiver for someone with dementia and realizing that their continued health, welfare, and yours is in jeopardy is one of the most difficult realizations.Once the decision has been reached to look for a memory care community the next questions is what criteria to look at. In Massachusetts, there are many residential options where an individual with dementia can receive regular medical care as well as other personal services that will help them have a good quality of life.There are several specific criteria to consider when exploring a community. Some of the most pertinent are the medical expertise of the staff and staffing levels, the programing or activities, and the less empirical, but as important first impression.Every licensed community should be able to provide you with a document called the Disclosure of Rights and Services. This document outlines in detail the nursing staff on each shift and the ratio of staff to resident. The ratio is a good start when evaluating a community, but also look at the individuals providing the care. What experience do the nurses and aides have with caring for individuals with dementia?Next, ask for the program calendar. Are there any trips or outings? How often? How are these trips supervised? When considering a community be sure to try and meet and spend time with the program staff. Ask them about a typical day for residents.A memory care community should be visited several times. Things to look for:How do the residents look? Clean cloths, hair combed, etc.How does the area they are living in look? Carpets and floors clean, walls and paint in good repair?How are you received when visiting? Cordial greeting, offered a beverage, made to feel welcome?Talk to other residents family members. Ask them how they like the community.Finally, listen to your gut.Written by Mike Myers, Director of Sales and Marketing for The Commons in Lincoln

When you or a loved one needs to find senior housing or senior housing with care, the possibilities can be overwhelming, and most folks and their families don't even know where to begin. While you can conduct all of your own research and make all of your own phone calls, it can be an exhausting and time-consuming chore, especially if this is being done by someone from out of the area. That is where a professional senior living advisors like The Right Senior Living Solution can become an invaluable asset to seniors and their families when searching for the right senior living option that fits your needs, budget and desired location.  A seasoned senior living advisors will sit down with their clients or do a video chat to determine what is the best way to assist them. Not all the seniors and their family members have someone in the local area to assist mom or dad in their search for a community. They will have to rearange their daily lives to travel and search for a community in an area they are most likely unfamiliar with, which can be costly and time consuming. This is where a NO COST TO YOU senior living referral agency becomes so beneficial to everyone involved in making this monumental change in lifestyle a smooth and easy transition.How Do Senior Placement Agencies work?   An advisor will meet with you and or your family member(s) to discuss your needs (Type of senior living facilities and medical needs) and desires based on affordability and style of living. Community/Facility recommendations will be made to the family based on the information provided. The ultimate goal is to find a new home that provides a safe and warm environment that meets all of your needs and desires.The most important information an advisor will gather is:Medical Conditions and RequirementsFinancial AffordabilityLocationReligion and Cultural RequirementWork on Additional Funding When Available (Long Term Care Policies, Life Insurance, Bridge Loans & VA Aid and Attendance Benefit etc.)When the advisor has finished with your consultation, he/she will have an informed sense of what type of living situation is suitable for you or your loved one based on all 5 pieces of information listed above. Once everyone has agreed on what type of community/facility is ideal for their current need, the advisor will schedule an in-person or video tours with the type of community or facility that meet your needs. Usually, several communities are chosen starting with the top 3 or 4 communities that are best suited in order to compare and decide which one is ideal for you. The advisor will schedule all your appointments and tours of all the selected communities for their clients, and then will negotiate with the communities on behalf of their clients, securing the best available discounts and incentives. A good referral agency will have long standing relationships within the senior living community and have a little more influence when it comes to getting the best incentives available that fit their financial situation.After you have felt that you have made enough visit to either make a comfortable and confident decision on a new home, or your desire to continue looking. You will reconvene with your advisor and discuss what your choice of community is or will you need to continue the search for the right living situation.  Once a decision has been made, the advisor will work with you and the community/facility to determine a financial date and physical move in date. Some referral agencies like The Right Senior Living Solution will go the extra mile and schedule a moving and downsizing company, help you apply for benefits, provide transportation to tours and visits for seniors who do not or are incapable of driving.You will need gather the required documents ID, Medical Cards etc. and will meet at the chosen community and sign the required documents and paperwork. This can in most cases be done with DocuSign for clients working from a distance. In some cases, this process can take a little time but be patient and understand that the Advisor is working hard to locate the best and most economical living situation available. having to go through this once is hard enough so we want to be as diligent possible in the search and to make sure you have made the most comfortable and educated decision as possible.After youve made your decision on your new home, the senior living advisor can provide you with partner referrals to assist you with downsizing, moving and filing for VA Aid and Attendance Benefits if applicable.  A referral agency like "The Right Senior Living Solution" recognizes that this decision is not an easy one to make and should not be taken lightly and rushed.  After youve moved into your new home, an advisor will almost certainly contact you during the transition to ensure that there are no issues and assist accordingly. The referral agency will want to ensure that you have made the correct and appropriate selection and that you are at ease with your choice.There are numerous advantages of having an experienced advisor working for you!!!They include but not limited to:Providing Local Support:Meeting and interviewing families to gain a thorough understanding of their social preferences, demographics, healthcare needs and financial situation. In order to narrow down and deliver the finest living experience and treatment options as possible with the funds available.Provide Resources:Community amenities, pricing information, occupancy rates, payment resources, relocating and downsizing, veteran's benefits, and elder law attorneysAdvocating for Family and Loved OnesAn Advisor will save you time, money and in some cases a big headache by setting up tours to the appropriate communities and facilities and accompanying the families on their tours.  An advisor will advocate for them on the tours and help them understand the answers to their inquiries and get them the best incentives available.Follow-Up Care:Once the ideal living situation has been identified and you have made your move, we will check-in on a regular basis to confirm that everything is going according to their expectations and that we will always be available if their journey requires it.The Right Senior Living Solution is a Florida based and operated Referral and Placement Agency. Our services are FREE to our clients except for our Travel Concierge Service, which is used when a travel companionship is required. For out of state clients and for seniors looking to travel on the Travel Concierge Service, the fee is based on a case-by-case evaluation. The big national on-line referral companies have no clue of what the communities that they are sending you are like or what quality of care is offered. There are so many factors that go into choosing the right senior living community like culture, diversity and religious requirements.  National online advisors have never visited any of the communities they are sending you to and the feel of the community is an important factor to consider when making a recommendation. Sending you on a wild goose chase with a fist full of communities and facilities to visit and let you figure it all out on your own. You are never alone with "The Right Senior Living Solution" if you have any questions or just need to talk, please feel free to callGeorge at (941) 705-0293 orAdele at (570) 848-2507www.therightseniorlivingsolution.com A Resource you can finally count on!

For more information on the author, Good Life Healing Center, CLICK HERE!For over 20 years, Acupuncture has been recommended by both the National Institute of Health and The World Health Organization for over 90 health conditions.Most major health insurance providers offer plans that cover acupuncture treatment, including the Veterans Administration (VA).In July 2020 Acupuncture was added as afirst-time trial to the list of covered services for Medicare and MedicareAdvantage plans. Medicarebeneficiaries are eligiblefor up to 20treatments per year. Most recently, on July 29,2021, HR4803 Acupuncture for Our Seniors Act was submitted to the House ofRepresentatives. When approved, acupuncturists will bepermanently classified as Medicare Providers, makingthis effective treatment universally available to all Medicare beneficiaries.

To learn more aboutOasis Senior Advisors in Ogden,CLICK HERE.Sleep Awareness Week, March 14-20, highlights new findings and research to help those battling a variety of sleep disorders. As youve likely experienced within your community, studies show that older adults arecommonlyaffected by difficulties and interruptions in their nightly sleep. The most frequently reported issues are:Having trouble falling asleepSleeping fewer hoursWaking frequently in the night or early morningDifficulty getting quality sleepDisrupted or restless sleep can lead to greater health concerns for seniors including increased risk for falling, daytime fatigue, and even cognitive impairments.Sleep disorders in the elderly generally fall into two categories: Primary sleep disorders and sleep issues caused by other medical conditions. A primary sleep disorder means there isnt another medical or psychiatric cause that creates the sleep issue.Primary sleep disordersCommon primary sleep disorders in older adults can be:Insomnia or difficulty falling asleep, staying asleep, or restless sleepSleep apnea or brief interruptions in breathing during sleepRestless leg syndromean overwhelming need to move your legs during sleepPeriodic limb movement disorder, or involuntary movement of the limbs during sleepCircadian rhythm sleep disorders or a disrupted sleep-wake cycleREM behavior disorder or the vivid acting out of dreams during sleepInsomnia is both a symptom and disorder. Conditions like depression, anxiety, and dementia can also increase risk for sleep disorders, especially insomnia. However, there are many other medical conditions that can cause sleep disruptions.Medical Conditions That May Disrupt Sleep:Parkinsons DiseaseAlzheimers DiseaseChronic pain such as arthritis painCardiovascular DiseaseNeurological conditionsGastrointestinal conditionsLung or respiratory conditionsPoor bladder controlMany older adults are also on medications that can disrupt sleep. Antidepressants, H2 blockers and adrenergic drugs are leading causes of interrupted sleep or difficulty in maintaining consistent restful sleep for weeks at a time. Of course, outside of a controlled medical or care environment, substances like caffeine, alcohol, and smoking may also contribute to sleep problems.Managing sleep issues in seniorsIn contrast to most younger people, many older people report having troublemaintaininga good nights rest, but not so much falling asleep. These ongoing sleep disorders can lead to larger concerns like depression and risk of falling. Most studies conclude that behavioral therapies for better sleep are preferable to medications, which can have unwanted side effects. This means developing good sleeping habits through sleep education, stimulus control, and time in bed restrictions. Changes can take up to six weeks or more.If behavior therapies dont work, then a doctor may prescribe medication or other treatments. However, the medical community advises that sleep medication isnt a long-term solution. The best therapies and strategies for your sleepless residents include:Going to bed and waking up at the same time each dayUsing the bed only for sleep, not other activities like reading or watching TVDoing quiet activities, like reading, before bedAvoiding bright lights before bedKeeping a soothing and comfortable bedroom environmentAvoiding napsA study about managing sleep disorders in older adults also suggests limiting liquid before bed, avoiding caffeine and alcohol, eating three to four hours before bedtime, and exercising regularly (but not right before bedtime).Getting an adequate amount of quality sleep is important to maintaining the health of your residents. Further information and ideas for helping those in your care can be found on theCenters for Disease Control and Prevention website.Oasis Senior Advisors refers older adults to communities like yours that will meet their care needs, budget and geographical preferences every day. To learn more about how a partnership with your local Oasis advisor can benefit your community, call us at (888) 455-5838.

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

What is a Senior Move Professional?Hiring a Senior Move Manager Professional is the answer for a growing number of older adults, families, and caregivers. Recognizing the complexities of later life transitions, seniors are benefiting from the cost effective strategies, expertise, and compassion of Move Management Professionals. The emotional and physical impact of moving on older adults should not be underestimated. The move manager stands in the gap for the senior client, without taking away the control, partnering to bring about a coordinated and seamless move experience.Benefits of hiring a move manager:*Provide Pro-Active SupportMany seniors have lived in their home for decades, surrounded by memories and belongings that tell their life story. The concept of moving can be understandably overwhelming! The older adult is now navigating through unchartered waters, perhaps alone, children often across the country. The magnitude of the task ahead often leads to delay, which can lead to a crisis-driven move later on. By shouldering the physical and emotional burden of the move, the process stays on course.*Provide Needed ServicesMove Managers start with a free consultation in the home to listen, determine what services will be beneficial, and design a personalized plan for the task ahead.Move managers use floor-planning tools that help clients visualize their furnishings in the new home and avoid the costly mistake of moving too much. Considerable downsizing is often needed as most clients are moving from larger to smaller residences. Sorting, organizing, and disbursement of belongings are what move managers do best. They have the expertise to properly recommend a course of action using consignment, estate sales, gifting, and tax-deductible donations.Other services provided include packing, moving, unpacking, and settling-in services for the new residence. Move managers are skilled at recreating the personality of the original home. Everything is unpacked and put away, beds made, kitchen recreated, and electronics set up.*Provide Cost savingsSenior Move Managers partner with Senior Living Communities, realtors, attorneys, financial planners, and other professionals. Hiring a move manager brings access to a host of proven resources that have been prescreened for the best quality at best pricing.Often the largest lifetime asset, the home, will need to be sold to fund the next residence. To bring in top dollar, homes most likely need de-cluttering, removal of furniture, staging, repairs, updating.Senior Move Managers partner with their clients and reduce the vulnerability that comes with change.Editors Note: This article was submitted by Darcy Barnhill, President/Owner of Senior Life Space, LLC Certified Senior Move Manager, Member of NASMM and NAPO. She may be reached at 720-272-1789 or by email at seniorlifespace@comcast.net

Cost is a major factor in any senior living search.But sometimes, the anticipated cost is such a deterrent that seniors and their families decide that staying at home is best, without taking the time to compare costs. Before you start your senior living search, be sure to take these hidden costs of aging in place into consideration.1. Home Health CareFor a lot of seniors, help with things like bathing, dressing, and medication management is a must. Although the cost of services vary, average cost tends to hover around$19/hour, or $44,497 a year.If your loved one needs daily assistance, be sure to get several local home health quotes.2. TransportationScheduled transportation is a staple in Assisted Living and Memory Care. Although the price of transportation fluctuates per family, the average American spends$2,000 a year on gas alone. The cost of gas, coupled with maintenance, insurance, and any unanticipated repairs, adds up quickly.3. UtilitiesUtility bills, including electric, water, sewer, and gas, can really pack a punch, especially in the winter. Americans spend an average of$2,000 on electricity each year,not to mention other utilities, (yikes!) so finding a senior living community that includes some utilities with the monthly rent payment can lead to big savings in the long run.4. MealsAccording to a Gallup poll, Americans spendan average of $151 on food a week, or over $7,800 a year. Most Assisted Living or Memory Care communities offer meals as part of the monthly rent cost. When touring, be sure to ask what meals are included, if meal plans are flexible, and if you can see a sample menu.Because senior living communities offer things like 24-hour emergency aid, weekly housekeeping services, and social engagement, comparing the cost of senior living to the cost of aging in place may never be apples to apples. But, factoring current living costs into your senior living search will help your family make the decision thats right for you.Editors Note: This article was submitted by Northglenn Heights. The Northglenn Heights team may be reached at 303-452-0501 or by email at marketing@northglennheights.com.

Youve may have heard the phrase use it or lose it in reference to certain types of learningperhaps speaking a foreign languageor maybe regarding physical fitness. But did you ever stop to think this might be relevant for your brain as well?The human brain is the largest muscle in our bodies. And research indicates that the more we work it, the better it works! Mentally stimulating activities are associated with a variety of brain health benefits including lower risk of Alzheimers disease and other forms of dementia, higher levels of memory and recall, and increased ability to perform all sorts of thinking tasks.This is great news! We can have a positive impact on our brain as we age! In addition, the harder we work our brain, the more it benefits. If you wish to create your own brain workout program, here are some guidelines to keep in mind: Do new things. That which is new is typically more difficult and thus a better workout for the brain. Take a new route home, learn to play a musical instrument, or learn a foreign language. Do things that are mentally difficult. The more mentally challenging the activity, the better. Play chess rather than tic-tac-toe. Do things with other people. Social stimulation is important for mental health. Attend lectures with friends or join a book group. Make it fun. If it is drudgery, it wont be sustainable. If you find something you like, that continues to be mentally challenging, stick with it!If you take exercising your brain seriously, you may reap the benefits for many years to come!Editors Note: This article was submitted by Zane Robertson. Zane Robertson is the President of Active Minds, a Denver based provider of educational programs for seniors and adults. He is a frequent speaker on lifelong learning and senior education and has served on the Denver Commission on Aging and the board of the Denver Coalition for Seniors. Active Minds programs are available in most Denver senior residential communities as well as a variety of public venues. For more information, contact Mr. Robertson at 303?320?7652 or visit www.activeminds.com. Copyright 2016 Active Minds. All rights reserved

Big discussions now save bigger headaches later.Last Will and Testament, Power of Attorney, Advance Directives these are all intimidating concepts. Its no wonder many people avoid, or put off for too long, the execution of these important legal documents. These are necessary items for folks of any age, but even more so it is important to keep them current in the age of a global pandemic. Yes, COVID-19 has brought along new considerations for people facing severe complications. Lets break it down.End-of-life guidance protocols are set forth in an Advance Directives document, aiding care providers and family members in implementing your final wishes. You write your directives consistent with your beliefs and values, your ethics, and your desires for care in your final phase of life. Topics such as when to administer or stop life support, heart resuscitation, respirator use, or coma-care management are examples of what is included. Selecting a health proxy is part of it. This is someone who can act on your behalf when you are not able to make decisions on care. This is someone who knows you and your preferences and, ideally, with whom you have discussed your advance directives wishes.You can see how the onset of COVID-19 would impact such decisions in ways you may not have previously considered. Going to the hospital is a typical reaction to severe illness. However, during the time of COVID, this results in certain isolation and the inability to be with family during what may be your last days. Where do you stand on that balance of seeking potentially lifesaving care, and dying peacefully amongst loved ones?We know that COVID-19 effects people of age more severely, and people with underlying health disorders are at higher risk of extreme cases or death. These are all components to factor into your decision making.If you have a current Advance Directives in place, it is recommended that you create a COVID-19 specific addendum to address the progression of care that may occur with this virus. This is a new virus, so there is not much clinical outcome data to guide your decisions. We know that it may present more severely than acute respiratory distress syndrome, making the time on a ventilator longer, and recovery more difficult. But with COVID-19, recovery is possible, possibly more so than with other causes of ventilator use. You may want to schedule a tele-consult with your physician to discuss any underlying health concerns and how it might impact your end-of-life decisions should you contract the coronavirus.Check your insurance for coverage of such discussions. Medicare does provide for two advance care planning telehealth session of up to 30 minutes each. Reimbursement codes are 99497 and 99498. For patients with cognitive impairment the reimbursement code is 99483 (1). Also, be sure to check your state laws to see what they require as each state has different guidelines and terminology.In addition to your Advance Directives, you need to put into place your Power of Attorney. This goes above and beyond your health proxy. Your Power of Attorney has the ability to make transactions, on your behalf, of a health and/or financial nature. There are several types of Power of Attorney. In case of medical incapacitation, you will want a Durable Medical Power of Attorney, which remains in effect even if you become incapacitated. You can download a free form at Law Depot:https://www.lawdepot.com/contracts/power-of-attorney-form/?loc=US#.Xw3aUUVKhPZ. And having a Last Will and Testament in place is always a good idea. Without one, you leave your assets to the courts to distribute as they see fit. Law Depot also offers free forms for this or to be sure you have factored in all considerations for your family, consult with a legal professional.Aside from all the legal documentation, a good place to start is with your family plan (2). The CDC offers some tips to help families establish a plan for the situation where one of your family members contracts COVID-19. Take steps such as identifying an isolation room in the house for anyone who gets sick, putting preventative measures in place to protect everyone, especially members at a higher risk, such as disinfecting common areas and frequently touched items like refrigerator doors, microwaves and faucets regularly.In the time of COVID, making tough decisions now, with a clear mind, not in the hour of need, is the best path to take. There are many resources available and we are here to help should you need long term care or rehab options for someone in your family. Submitted By: Care Patrol- click for more information*For Original Blog Link Click Here*

Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.#listing_mgr{7 basic_search}#

Can a person care too much? Caring for others can be stressful. Caregivers can experience a reduction or loss in their caring capacity after repeated or prolonged exposure to persons suffering physical pain, emotional or social distress. Thus, compassion fatigue is considered the cost of caring for others in emotional pain.Compassion fatigue differs from burnout in that compassion fatigue derives from the stresses experienced in the relationships with patients and families. Burnout is a physical and emotional response related to workplace stressors that results in a withdrawal or detachment from the workplace. Caring individuals are at risk of both burnout and compassion fatigue when they do not take care of themselves.Compassion fatigue is not a disease. It is a response to a secondary stress exposure to pain and suffering and considered a post-traumatic stress disorder. Individuals who are at risk for compassion fatigue are often other-directed, have an overdeveloped sense of responsibility, lack good boundaries, personal and professional skills, have a history of prior trauma.Compassion fatigue affects the physical, emotional and spiritual health and the functional ability of the caregiver.Physical symptoms of compassion fatigue include: headache, increased blood pressure, weight gain, diabetes, gastrointestinal conditions, and immune dysfunction.Emotional manifestations include: forgetfulness, emotional outbursts, insomnia, recurrent nightmares or flashbacks, sadness, apathy, impulse to rescue, substance abuse, persistent physical ailments and a lack of self-care practices, social isolation, loss of interest in activities, and spiritual questioning.Compassion fatigue can be prevented and combated with strategies that involve self-awareness, workplace or community resources and self-care practices. Self-care practices have been shown in recent studies to successfully overcome compassion fatigue.Self-Care practices involve proper nutrition, regular cardiovascular and strength building exercise, adequate sleep and rest and mental health and self-compassion strategies. Practices that reduce chronic stress include: mindfulness, meditation, centered prayer, massage, yoga, Tai-Chi, Nia, dance, music, hobbies and creative arts.Also, remember to nurture healthy emotional, spiritual and relationship practices. Exercise personal choices that promote health, energy, joy and compassion. Plan to continue to learn more about compassion fatigue and share with others. Editors Note: This article submitted by Vivienne Armstrong, MSN, RN; a volunteer with Ed-U-CARE Dallas. She may be reached at 972-239-9230 or educaredallas@gmail.com

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

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

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

Moving. That single word strikes fear in most people. Moving is not fun. Moving is stressful. Knowing that moving is no small feat, now add moving into a retirement community and you have what can possibly lead to a meltdown of all parties involved. Sure, there are professionals that will help guide you in this process. They will help arrange the move and they will help find you a place to live as long as that community is on their preferred list of companies who offer a commission if you move in. They might even pack a few boxes for you. What happens though after you move in?You would think that one would choose a community based on care or amenities or even because of the activities. In the end the decision is usually made based on location; as it pertains to relatives or children in the area and the feel of the community. When it is all said and done we make a life changing decision based on our gut instincts and how that community makes you feel while you are standing in the entry way.You want to have that feeling. You want to have choices in where you move and what care you receive. Sometimes one might not fit into a specific category. Assisted Living might not offer all of the care you need. Memory Care might not offer the stimulation you need. We have found that a transitional floor, which acts as a bridge between the two, can provide more care and more socializing. A Transitional care area gives options that might not be found elsewhere. Where do you fit in?Editorial Note: This article was submitted by MacArthur Hills, 469-521-1123. See ad page 211.

Theres one thing that is certain in this world, yet its the one thing no one wants to think about, let alone talk about. Dying and death.Death is the only thing in life that is guaranteed. Death is the only absolute. We dont know how it will happen or when it will happen, but we all acknowledge and understand that it will happen. So why dont we want to think about it? Why is it so challenging to talk about? The answer is that it is both a difficult and emotional concept. Perhaps our brains think that if we dont think about it, it wont happen, but we all know that is not true.Lets reframe the discussion. Rather than thinking about death and dying, lets think about life and living. It may be more palatable to talk about how we want to live at the end of our life. It can be empowering to share our wishes for end of life care with our loved ones. If your loved ones dont know what you want, and they have to make your end of life decisions for you, its quite probable that they will have feelings of guilt wondering if they made the same decisions that you would have made.Conversation Ready NTX is a local, grassroots organization focused on getting people to think about and share their end of life wishes. We want to help people answer the question what matters most to you at the end of your life. These are not discussions about funeral arrangements or medical interventions but rather discussions about the time period before we die. During our interactive discussions, people have mentioned things such as not being alone at the end, being near nature, having a beloved pet nearby, making sure their glasses are on, praying with family and much more.Having the conversation about your end of life wishes is a gift to your loved ones. It provides a roadmap for those who will be making these tough and emotional decisions based on what you want and what youve shared with your loved ones.It wont make death any less sad, but it will help guide your loved ones to make decisions about you knowing what you want.Have the conversation today!Editors Note: This article was submitted by Laurie Miller, founder of Conversation Ready NTX. She may be reached at 469-619-547. See article on page 146.

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

Within many uncertain moments of the pandemic, palliative care has been the hidden tool to face the multifaceted issues that arise. It is being utilized as it should: for patients with serious illness where medical intervention can cause more harm than good.Palliative care offers more than meets the eye. It provides a window to deliver quality at such a delicate and crucial time. Advocacy in areas of goal making, legal, financial, social, psychological, spiritual and physical concerns are accomplished through palliative care.Its a safe place for patients and families to be heard and valued, and foster collaboration among medical teams. Coronavirus can cause rapid deterioration, so advanced care planning is imperative. Palliative care hotlines and mobile units became new innovations to address the surge of consultations.Stockpiles of comfort medications such as morphine, scopolamine, and midazolam are supplied together and essential. COVID-related pneumonia, and the variable clinical manifestations we are seeing in different populations, requires expert management of fever, dyspnea, upper airway congestion, nausea, anxiety and delirium.Telemedicine has reduced infection and improved efficiency of healthcare delivery. With symptoms managed we can then address caregiver grief and better support patients with marginalized populations, those most at risk for being underserved. During this pandemic, equital healthcare and autonomous decision making are threatened in the realms of election of life prolonging therapy in all healthcare settings.Palliative care also lowers societal and healthcare costs by $3K per palliative consultation. My palliative care teams have led to $7 million dollars of cost savings, reduced readmission rates from 22% to 6% in nursing homes, and compassionately served thousands of patients toward quality of life and dignity, regardless of their illness progression.People start feeling better right away when they can make well informed decisions and have their symptoms managed well. Palliative care is a human right and serves humanity well when integrated into hospital systems.Editors Note: Dr. Kuljit Kapur is the Chief Medical Officer for Transitions Hospice serving northern Illinois and northwestern Indiana. For more information on Palliative Care or Hospice, please call 877-726-6494 or visit www.transitionshospice.com.

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

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

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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.

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

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

What is a Medicaid Waiver?In 1981, Congress passed legislation allowing states greater flexibility in providing services to people living in community settings.This legislation, Section 1915 of the Social Security Act, authorized the waiver of certain Medicaid statutory requirementsThe Waiving of these mandatory statutory requirements allowed for the development of joint federal and state funded programs called Medicaid 1915 Home and Community Based Services WaiversThe New Choice Waiver programPurposeThis waiver helps eligible individuals to move out of nursing facility settings. Services are designed to help people transition out of a nursing facility and re-establish themselves back in the community.EligibilityMust be 21 years plus 1 month old;The primary condition must not be attributable to a mental illness;The individual does not meet Intensive Skilled level of care criteria; andThe individual does not meet level of care criteria for admission to an intermediate care facility for people with mental retardation (ICFMR)In addition, eligible individuals must be:Receiving Medicaid reimbursed nursing facility care on an extended stay basis of 90 days or more;Currently receiving Medicare reimbursed care in a licensed Utah medical institution (that is not an Institution for Mental Disease), on an extended stay of at least 30 days, and will discharge to a Medicaid certified nursing facility for an extend stay of at least 60 days; orReceiving Medicaid reimbursed services through another of Utahs 1915 waivers and have been identified as in need of immediate or impending nursing facility care.Waiver ServicesAdult Day Care Adult Residential ServicesAssistive TechnologyAttendant CareCaregiver TrainingCase ManagementChore ServicesConsumer Preparation ServicesEmergency Response SystemsEnvironmental Accessibility AdaptationsFinancial Management ServicesHabilitation ServicesHome Delivered MealsHomemaker ServicesInstitutional Transitional ServicesMedication Assistance ServicesNon-Medical TransportationPersonal Budget AssistanceRespite CareSpecialized Behavioral Health ServicesSpecialized Medical EquipmentSupportive MaintenanceEditors Note:This article was submitted by Blake Minardi. For more information contact: Vicki Ruesch (801) 538-6148 or Blake Minardi (801) 538-6497; UDOH Bureau of Authorization and Community Based Services 288 North 1460 West (PO Box 143112) Salt Lake City, Utah 84114-3112.

Written by Patricia Rockwood, Instructor and Staff Writer, Adult & Community Enrichment (ACE), Suncoast Technical College, Sarasota County District Schools. For class info, pleasevisit our website ace-sarasota.com or give us a call at (941) 361-6590.Everyones heard the old saying Use it or lose it.There is some truth to thatadage: Our brain has a wonderful ability to adapt and changeeven as we age. This ability is called neuroplasticity, and it means that we can keep learning for as long as we want to. But just as with any other muscle, our brain needs regular exercise.According toexperts, agood brain workoutis one thatis a bit challenging and teaches you something new. Maybe youve always wanted to try your hand atphotographyor throwing a pot. Or maybe youre planning a trip toItalyand youd like to brush up on your Italian.Have youbeen working on your memoirs?You could join a class to get tips on how to organize yournotes,andshare your journey with others. If you long for something moreenergetic,there are many types ofdance classes. Any activitythat keeps you challenged and focusedwillstimulate your brain andimprove your memory.Manylifestyle factors affect memory. Experts recommendtakingthe followingstepsto improve memory andbrainhealth:Get regular physical exercise.The best thing for memory is exercise, says RickHuganir, PhD, director of the Johns Hopkins Department of Neuroscience.Researchers arenot clear exactlyhowit works, butit has to do withgetting more blood to your brain.Physical exercise also helps prevent diseases that can be damaging to memory, such as diabetes and hypertension.Aerobic exercise is the best kind: if its good for your heart, its good for your brain,is a good mantra to follow.Try takingexercise breaks throughout the day, whether you are still working or retired; even a few minutes of getting your heart rate going will help reboot your brain. Activities that require hand-eye coordination (such asany racket sportandmany dance classes) are particularly good for the memory circuits.Housework and yardworkmayalsocountas aerobic exercisesometimes.Also, if youre pressed for time,you coulddo a power walk through the grocery storeor the mall and complete errands at the same timeas youfill yourexercise quota.Handle any medical problems,especially circulatory diseasessuch as high bloodpressure,highcholesterol, diabetes, and strokeall ofthese conditions can damage the brain and affect your memory.A nationwidetrialcalled the Sprint-Mindstudyshowed that intensive lowering of blood pressurereduces the risk for mild cognitive impairmentwhich isa risk for dementia.Hormone imbalance in both women and men, including thyroid problems, may also be of concern.Get enough sleep. Sleep apnea and stress are two sleep disruptions that can damage brain functions, includingmemory.Experts believe that 95% of adults need 7.5 to 9 hours of sleep, whereas many of us are getting by on 6 or less. Sleep is necessary for the essential function ofmemory consolidation,which occurs only in the deepest stage of sleep. Youmay haveheard some orall ofthe following suggestions before, but they really are the best way to begin sleeping more and better:Turn off all screens at least an hour before bed; the blue light emitted by TVs, phones, and computers causes wakefulness and interferes with the hormones that cause sleepiness, such as melatonin.Go to bed and get up at the same time every day, even on weekends and holidays.Cut back on caffeine if you suspect that it's interfering with your sleep. People react differently to caffeine;you may beso sensitive that even one morning cup of coffee can keepyoufrom sleeping at night,or it may haveno effect at allon you.Review your medicationswith your doctor; some, such as anxiety meds, can affect memory. Other medications may also have side effectsthat affectmemory as well asother brain functions.Your doctor should also check for possible drug interactions.Be sure to also tell your doctor about any supplements that you take regularly.Stay social!Crosswords and sudoku are great for keeping you sharp, butitseven bettertoplay Bridge, Scrabble, or other challenging games with friends.Keeping your memory healthy is as good an excuse as any for getting out and getting together!Now that more and more people have been vaccinated, social rules in more places are being eased somewhat. A 2008 studyfrom the Harvard School of Public Health found that people with the most active social lives had the slowest rate of memory decline. Remember to get your hearing tested at least yearly, as it often declines gradually and can contribute to social isolation.Manage your stress. Stress is not something you can avoid; in fact, stress is a part of life. Rather than try to avoid stress itself, the key is to look at how you react to it,physically and emotionally. Over time, poorly managed stress reactions can destroy brain cells, damaging the areas in the brain that deal with memory, making it harder to make new memories or retrieve older ones. Here are a few ways to manage stress:Learn to meditate.Meditation is easy to learn and has wonderful benefits, both physical and mental.Besides helping you with daily stress relief, meditation can help improve memory and focus, and reduce anxiety. On the physical side, a regular meditation practice has been scientifically shown to help with chronic pain, high blood pressure, and diabetes.Learn to say No.If your to-do list is one of the sources of your stress, take steps to shorten it.Learn how to play. Finish this saying: All work and no play If you can learn to bring joy and spontaneity back into your life, you might feel a little happier and more relaxed.Simplify. Step outside the Rat Race and slow your life down a bit. If you can stopor at least reducemultitasking, youll enjoy the peaceful Zen feeling of focusing on one thing at a time.Laugh more. Laughingand responding to funny situations or jokes requires several areas of the brain to work together, stimulatinglearning and creativity, according toHelpGuide. Laughter also relaxes you physically, by alternately tensing and relaxing your facial and stomach muscles. Dose yourself with your favorite radio or TV comedyshows, orlook up on-demand programs on cable. As the saying goes, Laughter is the best medicine!Eat healthy.Is there a memory diet?Not exactly. But some foods are better for a healthy brain than others, and some foods aredefinitely NOTso good for your brain. The best overall diet, as you probably know, isbased on fruits, vegetables, whole grains,healthy fatsolive oil, nuts, fishandlean protein. Here are some additional pointers:Getomega-3 fatty acids, either fromcoldwaterfatty fish such as salmon, trout, herring, andtuna;or from walnuts, flaxseed, winter squash, pumpkin seeds, kidney beans, and soybeans.Limit calories from saturated fatit increases the risk of dementia and impairs concentration andmemory.Eat more fruitsand vegetablesthey are full ofantioxidants, important in protecting brain cells from free radical damage, thus improvingmemory.Drink green teait containspolyphenols, which protect against free radical damage and may enhance memory andalertness.Have somered wine (in moderation), or grape juice, or eat fresh grapes and berriesall of these containresveratrol, an antioxidant which boosts blood flow tothebrain and in doing so may improve cognitive function, including memory, according to several recentstudies.ResourcesJohns Hopkins Medicine: Memory: Five Ways to Protect Your Brain Healthhttps://www.hopkinsmedicine.org/health/wellness-and-prevention/memory-5-ways-to-protect-your-brain-healthHelpGuide/Healthy Aging/How to Improve Your Memoryhttps://www.helpguide.org/articles/healthy-living/how-to-improve-your-memory.htmMedical News Today: Social Activity in Your 60s May Lower Dementia Risk by 12%https://www.medicalnewstoday.com/articles/326064National Institute on Aging: Cognitive Health and Older Adultshttps://www.nia.nih.gov/health/cognitive-health-and-older-adults

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

Helping someone realize they are at risk You've probably heard someone say I'm worried that my mom will fall and no one will be there or my mom got lost while walking her dog or my client forgot to take their medication or my client over dosed on her medication because she could not remember if she had taken it. Don't you wish there was something you could do for them? The following approach can be used to assist your discussion with them in any situation including fall prevention, diabetes, medication errors, safe driving, memory issues etc. Remember, this is about them; so include their thoughts on the subject. The first question is to ask is if they think they are at risk? If they flat out say no, its time to move to another subject and approach the topic again at a later time you do not want them to become entrenched in their thinking and you want the opportunity for a positive discussion. The next time you ask the question, bring up a specific event to engage their thoughts and help them to identify things they can do to help themselves to remain safe. They forget their medicine or take too many sometimes. Remind them that not taking their medicine makes them feel worst or causes them more pain and taking too much medicine caused them to go to the hospital. Solutions may include putting a note on the fridge to remind them when its time to take their medicine and helping them to prepare their medication for the week. They have fallen before and are at a risk for falls. Ask them if they have fallen or almost fallen in the past. Ask them if no one was there would they be able to get up on their own. Solutions include identifying ways to prevent them from falling and ways to call for help. While they are thinking about risks, provide more information to help them face their illness or problem. Its important to listen. The more they feel they are in control and making the decision, the more likely they will follow through with it. Get a professional involved who can offer additional information. Most importantly, respond positively and support them in their decisions so they continue to communicate with you. With an open line of communication, you can help them to identify and prevent risks. Editors Note: This article was submitted by Bonnie Resnick-Destruel with Family Care Services, Inc. Contact Bonnie at 972-668-8242 or bonnie@familycaresrv.com

SBB University Caregiving Resources | Caregiver Burnout and Stress Management presented by Dr. A Randazzo, PsyD, LicensedPsychologist with AR Psychological Services.Doing it all for someone you love can be beautiful and fulfilling, but it can also cause fatigue. As Americas population ages and the number of those with severe health issues increases, caregivers find themselves in similar situations, especially during the pandemic. Join SBB University, the Senior Source and Dr. A. Randazzo as we explore stress, surge depletion, caregiver burnout and stress management in this interactive seminar.CLICK TO VIEW THE VIDEOSBB University Caregiving Resources is provided courtesy of Kathleen Warshawsky, BSN, RN, Seniors Blue Book, and Kare Works.

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

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

Subsidized housing is government sponsored economic assistance program aimed towards alleviating housing costs and expenses for impoverished people with low to moderate incomes. Forms of subsidies include direct housing subsidies, non-profit housing, public housing, rent supplements, and some forms of co-operative and private sector housing. Subsidized housing is often called "Affordable Housing."#listing_mgr{1 basic_search}#

To learn more aboutNamaste Alzheimer Center - CHI Living,CLICK HERE.Because people often spend a lot of time in the kitchen preparing meals, eating and socializing with friends thats a great room to start making modifications for aging-in-place comfort and safety.Safe kitchens for seniors include:Task lighting in key locations, such as the sink and stoveArrangement of most-used items at or just above the waistA hot-proof surface near the oven, with potholders or mitts nearbyPressure-balanced, temperature-regulated lever faucetsExpanded countertop spaceA clean hood rangeColor contrast of cabinets and counter surface edges for those with vision challengesA sturdy step stool with a hand rail, plus one appropriate for your weightD-type cupboard door handles that making opening and closing doors easierPull-out shelving for easy access to under-counter storageSwitches and outlets located at the front of the counterWith additional safety modifications made in other areas of your home, including your bathroom and bedroom, you may extend the time youre able to enjoy your home!If you want to begin learning about other senior living options available to you, including Independent Living, contact one of our trusted advisors who can offer the information you need to ensure you remain safe, comfortable and close to loved ones as you age.

There is something that happens when a dog enters a room. Strangers suddenly want to share stories, laughter and smiles fill an emptiness, and a camaraderie instantly develops amongst people who are drawn together by the dogs presence. As weve visited hospitals, Ive seen how our therapy dogs can literally stop a bustling group of doctors and nurses in a busy corridor, as they stoop to meet and pet one of our dogs. In senior communities, weve seen residents who may often spend time in their rooms, come out to socialize. Some who are known to never be vocal, suddenly utter some words. Others who eagerly wait on their floor for the visits because the calendar shows the dog is coming that day.There is power in the presence of a therapy dog, beyond such anecdotal stories, which are supported by empirical research and statistics.A groundbreaking study presented in November 2009 found that adults recovering from total joint-replacement surgery and receiving visits from therapy dogs needed 50% less pain medications than those not receiving therapy dog visits (Plunkett 2009). Past research has shown that interactions with a dog can decrease heart rate and blood pressure (Steed & Smith 2002). Cases have been cited where the use of dogs with seniors can increase mental stimulation and social interaction (Buettner & Martindale 2008), elevate positive mood levels (Lutwack-Bloom, Wijewickrama, & Smith 2005), and reduce loneliness (Banks & Banks 2005). These beneficial effects have also been documented with those affected with Alzheimers Disease (Buttram, D. 2004).So what exactly is a therapy dog? A therapy dog is trained to give affection and to comfort people around them. They must be friendly, patient, gentle, and love human contact with both strangers as well as with those familiar to them. Whether it is a motorized wheelchair whizzing by or a confused resident yelling down the hall in an Alzheimers community, a therapy dog should be able to walk into all sorts of unpredictable settings, remain calm and display good behavior. Though some of these skills come from training, a large part of what makes a therapy dog is the dogs temperament and personality. These dogs may visit hospitals, senior communities, facilities or private homes. The goal is to connect the person with such a dog, thereby resulting in a plethora of positive side effects.There is no doubt that the human-dog connection is powerful. Dogs are loyal companions that shower us with unconditional love. There is no judgment and no expectation except to want to be your lovable friend. As the increased use of therapy dogs makes inroads into the medical community, it is my hope that therapy animals will be seen as an integral component of a persons recovery process, care plan and overall well being. Weve seen firsthand how therapy dogs enable seniors to gain a sense of acceptance, self confidence, and comfort. Weve seen how these benefits can often surpass even those that come from the use of prescribed medications a priceless value that will hopefully become a standard care for seniors.Editors Note: References for this article are on file. The article was submitted by Susan Oh, Owner of OHomeCare, providing non-medical home care and therapy dog services throughout Denver Metro. She can be reached at 303-350-3085 or by email at susan@ohomecare.com

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

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

In our fast-paced technology-driven world, an abundant amount of information about each and every one of us is readily accessible. Information like addresses, professional licenses, criminal history, property holdings and bankruptcy filing is legally gathered by interested parties and organizations and then shared with others. This open access to personal information does not mean that as savvy consumers we cannot take sufficient precaution to prevent our prized personal information from being stolen. Here are some simple, basic tips to help prevent being victimized by identity theft.Be sure to shred all unsolicited applications received in the mail for pre-approved credit cards rather than just discarding in the trash. Dumpster divers retrieve the applications and complete them, cash the blank checks or simply steal your personal information from your trash. Shred all personal information. If you don't have a shredder, look for a shredding event in your community or suggest to your financial institutions that it would be a great service to provide for its customers.If someone posing as your bank calls and asks for your account number, social security number or any personal information, try to secure the callers phone number, hang up, and then report the call to your bank. Reputable businesses, and all human service agencies like Medicare and Social Security, never make unsolicited calls to obtain any personal information. Be sure to balance your checkbook monthly and review all credit card statements as soon as you receive them to assure that all charges and balances are correct and no one is illegally accessing your accounts. To prevent telemarketers from obtaining your phone number, sign up for the Federal Trade Commission Do Not Call list. To sign up, simply call 1-888-382-1222 from the number you wish to register, or register the phone number(s) on line at www.donotcall.gov.Many of us use the internet for emailing, shopping and financial transactions. It is very important to change your computer passwords often and assign passwords that are secure and difficult to decode.Take advantage of free credit reports to verify that no one is using your credit. Free reports (1 per year) are available from Equifax (800-525-6285), Experian (1-888-397-3742) and Transunion (1-800-680-7289) or online at www.annualcreditreport.com. If you suspect you have been a victim of identity theft, report it immediately to law enforcement, file a complaint with the Federal Trade Commission (1-877-438-4338) and contact your financial institution and all credit card companies.Editors Note: This article was submitted by Marilyn Gregory, Elder Abuse Prevention Coordinator Area Agency on Aging for Southwest Florida, Inc. 239-652-6900 Ext. 240. gregorym@elderaffairs.org

For More Information on VITAS Healthcare inCollier County, CLICK HERE!ByBob Johnson,RN,general manager for VITAS Healthcare inCollier CountyAs the family of patient Jos Pacheco gathered at his home for a veterans recognition ceremony, the elderly veteran began talking about his service during World War II.Some ofMr.Pacheco's family members had never heard his stories, including a grandson who had asked to be excused from school that day to be at his grandfathers side.Everybody knows how few and far between our WWII veterans are, VITAS nurse Nancy explains. "Its almost like youre witnessing something indescribable. You know each veterans time will be short, yet here we are in the presence of an American hero. It makes everyone really emotional.Driven bydutyVITAS Healthcare, the nations leading provider of end-of-life care, honors veterans every day. Driven by a sense of duty and empowered by veteran-specific care, we help Americas treasured servicemembers navigate their final days, weeks, and months in comfort and dignity.With over 40 years of experience providing hospice and palliative care to the nations veterans, VITAS has the expertise to guide dying servicemembers toward closure and peace of mind.Bedside salutes, Veterans Day ceremonies,and individualized care plans that honor veterans unique experiences and needs near the end of life are core components of VITAS hospice care.VITAS also supports the families of veterans by helping them secure benefits from the Department ofVeterans Affairs, arranging military funerals and burials, and recording the details of their loved ones lives in touching Life Biographies.Well-deserved honorsTo recognizeMr.Pacheco and his family,Nancypresented the veteran with a certificate of appreciation, a pin, and a red-white-and-blue volunteer-crochetedafghan. She read lines from one of her favorite poems, It Is a Soldier.It is the soldier, not the minister, who has given us freedom of religion...It is the soldier, not the reporter, who has given us freedom of the press...It is the soldier, not the lawyer, who has given us the right to a fair trial...It is the soldier, not the politician, who has given us the right to vote...Then she saluted her patient, gave him permission to stand down, and thanked him for his service.His family kept saying that no one ever honored him the way we did,Nancysays, and that always makes me feel good.

Clients frequently tell me they want to add a child as a joint owner on their accounts and assets for convenience. There are numerous reasons why this should not be done, and why it is probably the most inconvenient thing that you can do. The biggest reasons people want to do it are to avoid inheritance tax, and the money will transfer automatically to the child, and not get frozen, upon the parents death. Although technically true, most people dont realize that if the child dies first, the parents will have to pay inheritance tax on their own money.In Pennsylvania, the inheritance tax to lineal descendants is 4.5%; thus, the parent would have to pay 4.5% on half of all the assets on which that the parent and child are joint owners. It is not pleasant to have to pick up the phone, as I have had to do, and tell a parent who lost a child that, although they are grieving, unfortunately, they have pay tax on their own money. The shock and dismay on the other end of the phone is palpable. Why? I only added my child to the account because the bank teller told me to, etc.Yes, when a person dies, accounts in that persons sole name are technically frozen. However, it only takes a few days or a week to be able to open an estate account, and the process is relatively simple, after which the executor can start paying bills. A week of a little inconvenience is certainly worth avoiding all the risks that are associated with joint accounts with children.When a person ends up in long-term care and looks to qualify for Medicaid to be able to pay the bills, having joint-owned accounts is often anything but convenient. For the parent, the caseworker is going to look at who contributed the money into the account, and oftentimes the caseworker will then try to count 100% against the child who had access to it. There are so many issues with joint accounts with children that it does not pay to have do it. At Bellomo and Associates we offer weekly workshops, and a good portion of the workshop is directly around this concept of the reasons not to do it, from the different perspectives of tax, long-term care, and estate planning. Sometimes, it pays to be a little inconvenienced to avoid a catastrophe.Editors Note: This article was submitted by Jeffrey R. Bellomo, Esquire, CELA of Bellomo & Associates.

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

What is the Veterans Benefits Administration Pension?A Veterans Administration (VA) Pension is a benefit for low-income veterans with wartime service and Non-service connected disabilities. A VA Pension is a needs-based benefit for which veterans might be eligible. This is not an entitlement. The annual income requirements to qualify for a VA pension are below poverty rates.How is eligibility determined?To be eligible, veterans must have a character of discharge which is other than dishonorable, and served on active duty for 90 days with at least one day during a war time period. Veterans must be 65 years old or older, or be permanently and totally disabled if under age 65. Veterans must also meet established income and net worth requirements. An accredited Veterans Service Officer can determine benefit eligibility.What are Aid & Attendance and Housebound Benefits?Aid & Attendance and Housebound Benefits are not benefits you can file for by themselves. These Special Monthly Pension rates which are higher than the basic pension rate, and may be granted to applicants who demonstrate a higher level of medical need. Veterans must qualify for pension first, before determining eligibility for Aid & Attendance or Housebound benefits.In order to qualify for Aid & Attendance, veterans must require assistance in performing daily living activates such as dressing, eating, attending to hygiene needs and managing medication.Veteran must be confined to their home and unable to travel without assistance in order to qualify for Housebound benefits. These benefits cannot be applied for individually.Where to go for help?Due to the complexity of various VA Pension eligibility guidelines, please speak with an accredited Veterans Service Officer who can help determine benefit eligibility.The Jefferson County Veterans Service Office provides FREE assistance to veterans and dependents, and helps obtain all eligible benefits. The Veterans Service Officers are certified and accredited nationally and recognized by the VA to assist veterans and dependents in the preparation of claims.For a comprehensive review of VA benefits call the Jefferson County Veterans Service Office at 303-271-4574. The VSO office is located at 3500 Illinois St, Golden, CO 80401 in the Laramie Building. Were here to serve you!

Cancer is ideally treated by a multi-disciplinary team of oncologists, in addition, the team usually includes a pathologist, a diagnostic radiologist and an oncology nurse. The advantage of the team approach is that it combines the unique skill sets of several different disciplines into one consulting group, as cancer treatment frequently involves a combination of surgery, chemotherapy, and radiation.#listing_mgr{7 basic_search}#

Throughout your life, your need for physical and emotional closeness and your sexuality undergo changes. Some of these changes come with maturation and others reflect changes in life circumstances, such as a diagnosis of dementia. As the disease progresses, your relationship with your spouse, domestic partner, family member and friends will change. Learn how individuals with dementia and their care partners can still make their relationships fulfilling.Speakers:Jane Hunley, MSSW, LMSW | Caregiver Support Specialist | The Senior SourceHollie Glover, MA, LPC, NCC | Director of Education and Family Support Services Dementia Care Specialist Certified Grief Counceling Specialist | James L WestA G Black, MA | Long Term Care Ombudsman | The Senior Source

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

You may think of arthritis as a condition that primarily affects older adults. While many seniors live with a form of the disease, according to the Arthritis Foundation, two-thirds of people with arthritis are under the age of 65.Arthritis frequently occurs with other chronic diseases. The Centers for Disease Control and Prevention (CDC) reports approximately half of U.S. adults with heart disease or diabetes and one-third of those who are obese have arthritis.There are two common types of adult arthritis:Osteoarthritis the most common form in which joint cartilage breaks down.Rheumatoid arthritis - an autoimmune disease that causes inflammation of the joints.Arthritis symptoms often include joint pain, swelling, stiffness and loss of range of motion. The specific symptoms vary depending on the type of arthritis.Arthritis can make it difficult for a person to get around to climb stairs or walk long distances or do self-care activities. According to the CDC, over 43 percent of the 54.4 million adults with doctor-diagnosed arthritis are limited in their usual activities as a result of arthritis.Treatment for arthritis may include management classes, physical therapy, weight management, medication and exercise. However, anyone with a chronic illness or condition should consult their physician and seek approval prior to beginning an exercise program.Benefits of ExerciseExercise can alleviate arthritis pain and stiffness and also may improve muscle strength, mobility and range of motion. It also helps with weight control and stress reduction.Walking, swimming and programs that focus on balance and gentle stretching such as yoga and tai chi are effective forms of exercise that are easy on the joints.The only equipment necessary for walking is comfortable clothing and supportive shoes. You can walk outdoors when the weather permits and move indoors to a gym or shopping mall during inclement weather.Most communities have a public pool where people can swim laps or take aqua aerobics classes. A local fitness center may have a pool available for members.Yoga and tai chi also only require something comfortable to wear, and shoes are usually optional. Many community centers offer affordable classes, or you can do these exercises at home with a DVD.Get moving, take a deep breath and manage your arthritis better.This article was submitted by Nicol Rupolo, owner of ComForCare of Lower Fairfield County, in collaboration with ComForCare Holdings, LLC. Nicol may be reached at 203-705-0220 or Nicol@ComForCare.com.

TREND WATCH: AGING IN PLACEAn increasing number of elders are choosing to remain at home as they age. Called Aging in Place, this growing trend reflects the value seniors place on being in control of their life choices. The healthcare industry is rising to meet market demands with a range of solutions to meets every persons needs.If you or a loved one is evaluating the option of remaining at home with the help of a home health aide instead of moving to an independent or assisted living facility, there are a few factors to consider:Health. If you need help with medication reminders, scheduling doctors appointments or help planning and preparing healthy menus or getting regular exercise, a home health aide can help keep you on track.Safety. Is your home easy to navigate in case you need to use a walker or other assistance? Is the lighting sufficient? Falls are a serious risk for people as they age; a home health aide can help you as your needs change.Household help. Do you need help with housework or managing household tasks? A home health aide can lessen the burdens of daily life and give you time to engage in activities that you enjoy.Companionship. Isolation and loneliness are challenging to people who may not have as much social interaction as they age. A home health aide can provide companionship and accompany you to cultural and community-based activities.Trust. A reputable, licensed agency carefully screens and provides on-going training to their caregivers, ensuring that they are reliable and well-suited for the position. Regular supervision by an experienced Care Manager ensures that the relationship meets your needs.Cost. The costs of aging in place vary depending on the individual needs and the hours involved. The majority of home care services involving personal care are not covered by Medicare; however some long-term care insurance policies may cover some of the associated costs.Choosing to remain at home can be very satisfying solution that enables you to maintain your lifestyle in the comfort of your own home. Finding the right service provider is key to a successful relationship that will give you confidence and keep you safe as your needs change.This article was submitted by Jennifer Christensen from Osborn Home Care. Shemay be reached at 914-925-8372 or jchristensen@theosborn.org.

Robert Anderson had started to zone out.The retired Army colonel began having a hard time hearing conversations about two years ago.Being in a crowd while talking to friends made it worse for Anderson, wholl be 80 in February.It was like I had earplugs on, he said. I couldnt hear. If the noise wasnt controlled and hada lot of free talking, that was really hard.I just started turning everyone off.Wife Joanne also started noticing at home.If he was in another room, he couldnt hear me, he said. Id ask, Dont you remember? And hed say no.Adding to Joannes concerns was that her husband of 40 years was diagnosed with dementia.I almost thought dementia was worse than advertised, she said. But then we found out part of the problem is the hearing loss.After getting hearing aids four months ago, Anderson said he feels about 85 percent better. He engages in conversations again. Life isnt perfect but Joanne feels like she has her old Bob back.Submitted and Written By: Hogland Family Hearing and Audiology Centers - click here for more information

Heres a New Years resolution that puts you in control and takes a huge responsibility off your loved ones shoulders: Talk to your family about your end-of-life wishes Document your decisions in an advance directive, also known as a living will. Get them to think about, talk about and document their own wishes for the end of their lives.Illness and death are not easy to discuss, but taking the initiative today means others wont have to struggle to make those hard decisions for you later on. And while theres no wrong time to address advance directives, milestone events like the holidays or the new year are opportune times to hold what-if conversations with the people you are closest to.Questions to Ask Yourself and OthersHere are some conversation starters: If you had a terminal condition and there was no reasonable probability of recovery, what kind of treatments or life-saving measures would you want? What would you refuse? If you werent able to speak for yourself, would your loved ones know what you want? Who would you want to speak for you?Writing Down Your WishesThere is lots of online information to help figure out what you would want and put those wishes in writing. Search for advance directive forms to find free or low-cost forms that you simply fill out and sign. You dont need a lawyer, a notary, or any government agency to make your advance directives legitimate. Three great places to start: AARP.org Carinfinfo.org agingwithdignity.orgFor more information about advance directives and end-of-life care, visit VITAS.com.

To learn more about Welcome Home Assisted Living, CLICK HERE.Bountiful Utah Assisted Living is a Level 2 facility located in Davis County. We are across the street from Lakeview Hospital and within a 1/2 block of several dentists, chiropractors, hospice and homecare, podiatrists, and other medical professionals. Close to Salt Lake City, the Salt Lake Airport, and only 5 minutes from the freeway. Providing home cooked meals, church services, daily entertainment, and private rooms. Activities include games, bingo, piano and singing, movie nights, holiday celebrations, and outings to the Bountiful temple. We have a 24/7 emergency call system that gives you peace of mind. Reserved private apartments complete with a full bathroom, kitchenette, and maintenance services. Housekeeping and laundry services. Cable TV, phones in every room, 24 hr staff, Incontinent care, medication management and assistance, and more.If youve been searching the Bountiful region for assisted living homes, choose a trusted provider. At Welcome Home Assisted Living, our facilities offer all the comforts of home while furnishing a level of supervision and care thats sure to provide peace of mind for our patients and their extended families.Welcome Home Assisted Livings mission is to provide personalized, high-quality care on an as-neededbasis. We have created a practice that we believe in and choose for our own family members.

Have you considered assisted living for you or your loved one but worried that now is not the best time? Locating communities on your own can be extremely overwhelming. To add to this, COVID-19, has created additional challenges when navigating through the waters of assisted living. Working with a senior living advisor can help lessen the burden of doing this alone.So, how can a senior living advisor help?A clinical senior living advisor will conduct a high-level assessment that will narrow down options based on needed level of care, location, budget, and amenity preferences. Therefore, saving you time and money while avoiding unnecessary frustration.The senior living advisor will then schedule and accompany you on tours to ensure all of your questions are answered and essentially act as your liaison between you and the community to avoid feeling pressured during what is already an emotional time.A reputable senior placement company will also ensure communities are checked for abuse and neglect while closely monitoring safety protocols based on guidelines from the CDC, Florida Department of Health, and the Florida Agency for Health Care Administration to keep you better informed during this process.Staying home may not always be the safest option, especially for those with Dementia or a higher acuity of care as they may decline quicker if help is prolonged. Falls or isolation can also be detrimental to ones physical and mental health.Assisted living can be a great option for seniors that need additional support through the day as they provide assistance with activities of daily living like bathing and dressing, socialization, three meals a day, and much more. If your loved one has Dementia and can no longer live at home safely, memory care, similar to an assisted living, is a beneficial option as they provide a secured environment with more oversight.Planning ahead for you or your loved one is essential to reduce stress and ensure safety. Call North Star Senior Advisors today to have an advocate on your side. Our services are always complimentary to you.This article was submitted by Savanna Chrostowski, Marketing Director, CDP with North Star Senior Advisors and may be reached at 407-796-1582 or by email at savanna@northstarsa.com.

A small kitchen with limited functionality to support the resident in preparing simple meals for themselves. Kitchenettes typically include a sink, small refrigerator and stovetop; it often does not include an oven.#listing_mgr{1 basic_search}#

Sliding scale or income qualifying food resources for seniors and also list of congregate meal sites.#listing_mgr{7 basic_search}#

We recognize and have heard time and again that the key to staying healthy is proper diet and exercise. But exercise can be quite vague to those who encounter age-related physical obstacles or have never been part of a fitness regimen. Few activities are more important to senior health than those which help improve balance, flexibility, strength and endurance.Simple practices around the house can help improve balance or strength without disrupting daily routine. Standing up from a chair or walking up stairs can improve a sense of balance and build muscle strength when practiced and repeated. Even bending over to pick something up can be beneficial.In addition to building strength and balance, endurance exercises are important to maintaining heart health and metabolism. This can mean anything from raking leaves to going for a bike ride its simply important to increase the heart rate. And for individuals with joint problems, swimming allows seniors to access all of the challenges and benefits of exercise while easing strain on problematic areas.Its also good to remember that keeping the mind active and attentive is just as important as physical health, often driving the bodies overall health. Some of the best exercises for both body and mind are derived from Eastern cultures. Tai chi is an excellent practice for older adults. Yoga has many different forms, but all include a two-fold approach: holding and maintaining a series of postures while focusing on breathing. Before attending just any yoga class, make sure it is specifically tailored for older adults to ensure comfort and safety.I can say over and over how important it is to our physical wellness to practice balance, strength, endurance and stretching, but perhaps the ultimate benefit of exercise programs is an increase in self confidence. This helps alleviate several fears seniors may have, whether its of falling or of not being able to complete a task.Editors Note: This article was submitted by Karyn P. Leible, MD, FACP. Dr. Leible is a geriatrician with CHPG Church Ranch Senior Care and may be reached at 303-925-4040

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

Transitions Hospice was founded with a very simple and basic philosophy- Keep People at Home. The concept of hospice care is a mystery to many. It is something no one wants to think about until they have to. However, people do have basic expectations about the type of service they would want to receive from hospice care. Being able to stay at home, surrounded by loved ones, having nurses, aides, social workers and spiritual counselors present at the times that they need them to be there, hospice staff being present when a person passes are just a few examples. Many hospices dont live up to those basic expectations. Research has shown that the national average for hospice staff being present when someone passes in a home setting is under 18%. That means 82% of families handle this delicate and emotional situation without the support of the team that was hired to do just that.At Transitions, every day is focused on helping patients and families live life to the fullest. We have nurses and support staff available 24/7 365 days per year because we know that health care is not a convenient 9 to 5 service. It is individualized around the clock care, meeting patients and families whenever and wherever they need it most. Jim Palazzo (founder of Transitions Hospice) puts it this way Most people working in health care are compassionate. But we have people that are passionate. They come to work every day with one goal in mind- making every patient feel like they are the only patient youll visit that day. At Transitions, we have a core belief that no one should die alone. Weve translated that belief into action by being present at over 90% of patient deaths last year. We know that this layer of support and comfort is what families expected when they sought out hospice care. Transitions offers a wide array of community based services, including home health, palliative care, physician services and private duty caregivers.Our philosophy is to empower patients and families by providing medical, emotional, and social service support that is necessary to embrace life. That philosophy fuels all the services that we provide and guides our company mission. Transitions operates under three fundamental principles (Our Commandments):Commit to CaringEach Patient Is UniqueAlways Do the Right ThingIts About LivingEditors Note: This article was submitted by Jim Palazzo. Jim is founder and owner of Transitions, a community based health care organization providing services throughout the states of IL and IN. He can be reached at 847-515-1505 or by email at info@transitionshospice.com

CareAparent Receives 2022 Employer of Choice AwardTwin Cities Home Care Agency Receives Top Award from Home Care Satisfaction FirmWoodbury, Minn. February 9, 2022 CareAparent announced today that it has received the 2022 Best of Home Care Employer of Choice Award from Home Care Pulse. The Employer of Choice Award is granted only to top-ranking home care providers based on caregiver satisfaction scores gathered by Home Care Pulse, an independent satisfaction research firm for home care. CareAparent is recognized among the best employers in the in-home care industry.Were excited to congratulate CareAparent for their well-deserved achievement: earning the Best of Home Care Employer of Choice Award, says Todd Austin, President of Home Care Pulse. Since this award is based on employee feedback, it shows the dedication CareAparent has to providing their employees with a great working experience, ensuring clients have well-trained, compassionate caregivers.Best of Home Care Employer of Choice award-winning providers work with Home Care Pulse to gather feedback from their field staff via live phone interviews each month. Because Home Care Pulse is an independent company, it is able to collect honest and unbiased feedback.We are honored to be named an Employer of Choice by Home Care Pulse, says Lisa Lofquist, CareAparents Home Care Administrator. We strive to be the best workplace possible for our employees so they in turn can provide excellent care to our clients. This award is an outstanding recognition of these efforts, and we are motivated to continue empowering our team to serve others.At Home Care Pulse, our mission is to help home care businesses create an experience that goes beyond client and caregiver expectations, says Todd Austin, President of Home Care Pulse. When we see agencies like CareAparent that provide a truly outstanding employment experience, we know were on the right track. CareAparent has worked extremely hard to provide high-quality care and employment, and their work hasnt gone unnoticed. This award allows them to provide proof of quality to potential clients and caregivers.To find out more about CareAparents commitment to excellence to employees and clients alike, please visit CareAparent.com or call 651.702.HOME (4663). If interested in joining the CareAparent team, visitCareAparent.com/Careers.CareAparent provides in-home care for independent living. Licensed by the Minnesota Department of Health, accredited by The Joint Commission, and certified by Medicare, CareAparent offers comprehensive home health care solutions throughout the Twin Cities so clients can continue to enjoy life while living independently and safely at home. For more information, visit CareAparent.com or call 651.702.HOME (4663).Home Care Pulse leads the home care industry in experience management, online training, and review management. Through its Care Intelligence Platform, HCP empowers home care providers to attract and retain caregivers even during a historic caregiver shortage. HCP also conducts the annual Home Care Benchmarking Study, the most comprehensive survey of home care providers in North America and administers the annual Best of Home Care awards to agencies that achieve best-in-class client and caregiver satisfaction scores. For more information, visithttps://www.homecarepulse.com/.

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

To learn more about, Morey Law, CLICK HEREAs they say, The only sure things are death and taxes. An estate plan can help you with both. Well, it wont help to keep you alive but it will help your family and loved ones have a smoother transition. A loss is hard enough to deal with; dont make it more difficult by procrastinating with your estate planning.There are two estate planning methods: Will Based Plans and Trust Based Plans.Will Based Plans provide the Probate Court with your instructions regarding the beneficiaries of your estate, guardians for your minor children and any other instructions you may make. Will Based Plans are economical and sufficient for those with simple estates.Trust Based Plans are more expensive but also offer advantages a Will Based Plan cannot. The one most people are interested in is Probate Court avoidance. What we feel is a larger advantage is additional protection if you are ever incapacitated. Trust Based Plans can also offer tax savings for larger estates. While any plan starts with a Will or a Trust, it is not completed until you have Powers of Attorneys, a Living Will and a HIPPA release. All estate plans from Morey Law include these documents.

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

Whether to place your loved ones in a facility or leave them their home is a difficult decision. Where do seniors want to live? A recent AARP study indicates that 83% of those over 65 would like to stay in their current residences for as long as possible.Yet, as seniors age, to stay at home becomes increasingly difficult for the senior and the seniors adult children. At least half of the 85+ age group need some type of assistance with their activities of daily living. Providing that care comes at a cost. Sixty-two percent of caregivers, generally adult children, have found that caregiving has affected their jobs, ranging from reporting late for work to giving up work entirely. In one study, 40% of caregivers reported that they lost an average of 17 days per year without pay to care for a disabled elder.According to an AARP/Met Life Study in 1997, the number of Americans struggling with this issue is growing: 54 million Americans are caregivers to an elderly parent or relative; 64% of caregivers are employed; 15 million workdays are missed annually because of elder caregiving; and employers lost $12-29 billion as a direct result. With the aging of the baby boom generation, these numbers are undoubtedly much higher today.The solution to the problem is home care through a licensed personal care agency. They provide skilled caregivers who have been screened and are bonded and insured. Personal care agencies provide a range of services, from one hour visits to 24/7 live-in assistance. This allows seniors and their families to choose just the right amount of care needed to keep the senior safe in her home and keep it within her budget.What both seniors and their adult children want is quality time together. Seniors don't want to burden their children with caregiving responsibilities. A licensed personal care agency can help seniors with bathing, dressing, meal preparation, light housekeeping, errands, medication reminders, and all other activities of daily living. Taking the chores out of caregiving for adult children gives seniors what they need the most: time with their children.Submitted by: Kevin Whatcott is the owner of Homewatch CareGivers in Utah. He is an attorney and Certified Senior Advisor. Homewatch CareGivers has been caring for seniors in their homes for over 30 years. If you have any questions about home care or other senior issues, give Kevin a call at 801-746-1080

Making the decision to move, whether downsizing to a smaller home or moving to one of the many beautiful retirement communities in the area, the process can be both exciting and stressful at the same time.With so many things to consider.What will I do with all of my stuff, What is my home worth in todays market, Who will help me the next logical question becomes Where will I begin?Scott and Kelli Nolds personal experiences with transitioning their own parents from hundreds of miles away left much to be desired and they immediately recognized the need for a very well thought out and efficiently organized transition plan in our local market. They needed a local Realtor, mover, clean-out and hauling services, liquidation services, landscapers, a handyman and the list went on. The countless tasks involved were time-consuming and stressful. There was not a single person/organization in the area that could provide intelligent answers. There are many challenges, emotions, and legal issues that can accompany transitioning and moving, and the unfamiliarity with the process only compounded the stress.Based upon this experience, the Nolds immediately forged a complete service plan to provide their transitioning clients with advice and resources tailored to fit each of their personal objectives, as opposed to simply one-size-fits-all suggestions that some others offer. Getting the best advice possible at the start makes all the difference. All clients will have access to market research and experience-based analysis and are provided with several possible outcomes and opportunities for diversification by representatives who are willing to put their years of experience to work for you to help you to make prudent financial decisions.From Clean-out to Close, The Nold Groups well-established, full service Real Estate sales team is designed to address any challenges and keep you fully informed throughout all aspects of the transaction. Rest assured you will receive straightforward and timely answers throughout the process from people who have walked in your shoes and will advocate for your needs.Editors Note: Article provided by the Nold Group, Scott and Kelli Nold. They can be reached at 941-400-6877. Visit us online at www.seniortransitioningexperts.com

Once upon a time... mental illness was thought to be on a par with leprosy, and appropriate treatment was deemed to be relegation to a sanatorium or leper colony. While both have dispelled most folklore, myths and misconceptions, mental illness is still subtly saddled with an unwarranted and obstructive silent demon: Stigma.Stigma erodes confidence in our knowing that mental disorders are real, treatable health conditions. We have allowed this culprit to erect attitudinal, structural and financial barriers to effective treatment and recovery. It is time to slay the dragon.Interesting to know, one in four families is affected by mental illness. It is not the result of low intelligence, lack of character or personal weakness: Abraham Lincoln, Ernest Hemmingway, Patti Duke, Terry Bradshaw, Mike Wallace and Jane Pauley are but a handful of notable examples.Most importantly, mental illnesses are treatable. Most people diagnosed with a serious mental illness such as depression, bipolar disorder, and schizophrenia can experience relief from their symptoms with the proper treatment plan. The Collier County National Alliance on Mental Illness (NAMI), 239 434-6726, among other organizations, can direct and assist in support of this process utilizing a variety of their SW Florida programs and resources.Understanding mental illness, appreciating the cause and supporting its programs bring awareness and success and along with it, an effective weapon to remove the mask and expose mental health stigma for precisely what it is: A fairy tale.Author:The Collier County National Alliance on Mental Illness

Homes that are built entirely in the factory under a federal building code administered by the U.S. Department of Housing and Urban Development (HUD). The Federal Manufactured Home Construction and Safety Standards (commonly known as the HUD Code) went into effect June 15, 1976. Manufactured homes may be single- or multi-section and are transported to the site and installed. The MHINCC distinguishes among several types of factory-built housing: manufactured homes, modular homes, panelized homes, pre-cut homes, and mobile homes. They can be rentals or Buy Ins, many times Seasonal rentals. These communities generally offer a clubhouse , pool, social activities for their residents.#listing_mgr{1 basic_search}#

For more information on the Alzheimer's Association, CLICK HERE.This post was provided by R. Clinton, a care consultant with the national office of the Alzheimer's Association.UTIs, or urinary tract infections, can cause changes in people living with Alzheimer's disease and other dementia. As a care consultant with the Alzheimers Associations 24/7 Helpline, I often speak to people about possible urinary tract infections (UTIs). UTIs are common among people diagnosed with Alzheimers and other dementia. This is attributed to age and partly due to increasing difficulty with hygiene and personal care.Since the launch ofALZConnected, more than 98,000 individuals have registered for this free, online community for people living with Alzheimers and other dementias and their caregivers.If you search the Caregivers Forum on ALZConnected and type in UTI, you will pull more than 8,000 posts on our message boards.Here is a sampling of some of the posts on the topic:For me, falling and hallucinations always mean check for UTI.Our compromised elders, especially females often develop, "silent" urinary tract infections. These UTIs are called "silent" because they usually have no symptoms of pain, no burning, no odor, no frequency, etc. BUT there will often be profound changes in behaviors.UTI, UTI, UTI, UTI, UTI! When my mother has a UTI she sleeps all day. We can't get her out of bed, she will also stop eating. Have the doctor check her for a UTI."UTI and dehydration!!!!! I've never been so happy to get that kind of diagnosis. They have her on IV antibiotics. The interesting thing was that her urine was clear and they were pretty sure she didn't have a UTI. Luckily the testing came back positive.With my aunt, I could always diagnose the UTI because she started acting crazier than her current norm. (When she picked up a glass of water and threw the water over her shoulder, I called it right away UTI.)Signs of a UTIThere are various signs and symptoms of a UTI, which can occur in women and in men. People with a UTI may experience burning when they urinate as well as a frequent intense urge to urinate. They may also have back or abdominal pain.The Alzheimers Association free 24/7 Helpline (800.272.3900) is available around the clock, 365 days a year.Family members and caregivers may notice difficulty urinating, change in urine smell, darkening urine color, and fever. However, some UTIs present without clear symptoms.Detecting UTIs can be difficult, particularly with someone whose communication may be impaired due to dementia. Sudden changes in behaviors and an increase in symptoms may indicate that your loved one has a UTI.Behavior changesand causes that seem to affect ones personality may include sleeping issues, anxiety, depression, confusion, aggression, delusions, hallucinations and paranoia.Getting HelpWhen UTIs wreak havoc, we sometimes see message threads in which caregivers are in a state of panic about the symptoms. And for good reason the symptoms are powerful and can actually mimic the end of life for some people. Getting a urine test may not be the first thing you think of when your loved one starts behaving so differently, but these changes often occur with a UTI due to fever and increased pain. When you see sudden behavioral changes, it is important to rule a UTI out and consult with a doctor.Typically the natural progression of Alzheimers and other dementia diseases is gradual. Generally, once the UTI has been treated with antibiotics, the person returns to their baseline and no lasting harm is done.If you have questions or concerns about changes you are observing in your loved one, don't hesitate to reach out to us at the Alzheimers Association 24/7 Helpline: 800.272.3900.

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

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

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

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

The role of family caregiver is filled with emotions. Family caregivers often tell me that they feel overwhelmed. When I ask them to explain this to me using other words, I typically hear things like, I never feel like I'm on top of everything or If its not one thing its another or I have no time to myself. Caregivers say things like I'm scared that I wont do the right thing (or enough) or Im angry that my siblings have dumped this on me and don't help. Fear, anger, and feeling overwhelmed are the most common caregiving emotions I hear about.I've developed a method to help. The first step involves internalizing two very important things to stop doing trying to fix things making assumptions or projecting your needs onto your caregiving recipient. The second step requires the caregiver to answer a series of questions that can help her to start doing things that will make those caregiving emotions more manageable.LifeBridge Solutions helps adult children and their aging parents to navigate life's transitions. We offer nationwide family transition coaching services along with daily money management, medical billing advocacy, and estate administration support. Sheri Samotin, President, is a certified professional coach with more than 25 years of business and management experience. Reach us at 239-325-1880 or www.LifeBridgeSolutions.com.

LIFE TRANSITIONS, SUCH AS DEALING WITH HEALTH ISSUES, getting divorced, taking care of aging parents, and becoming widowed are part of all of our lives. Everyone is likely to go through at least one of these life changers. The real key to successfully navigating lifes transitions is being ready for them, and then understanding what is happening while its happening.Just like getting ready for a camping trip or a tour of Italy, getting ready for life means being prepared.Taking the time to think about things before they happen so you are ready for what might be is the most important step you can take. We all know that the root of most stress is feeling like we are out of control. Its the unknown that does us in. When we know what we are dealing with, or have thought about What happens if then we feel like were in charge. But, most of us tend to procrastinate and avoid preparing.Because we avoid preparing for life transitions in advance, we often feel overwhelmed as life happens. A family transition coach can be helpful whether you and your family are planning ahead or, as is so often the case, dealing with a transition as it is unfolding. As an objective third party, your coach will provide focus and have experience with others who have gone through similar transitions. Your coach will be knowledgeable about the many resources that are available to you. A family transition coach can be engaged by the family or by one family member, and coaching can occur by phone or in person.Some situations where a family transition coach can be of service include when an adult child realizes that his or her aging parent can no longer stay in his own home due to health and/or memory issues. Or, a coach can be helpful when a decision has been made to divorce and there are many decisions to be made in a short period of time. Often, when a spouse has died, the surviving spouse is serving as Personal Representative and is uncertain about the many steps and decisions required to settle the estate and move on with his or her life.LifeBridge Solutions provides family transition coaching, along with specific services including daily money management, insurance claims advocacy, senior move management, and estate administration support.For more information, visit www.LifeBridgeSolutions.com.Author:LifeBridge Solutions

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

The fact is that many seniors are waiting this pandemic out from home. Nervous about making a move to a senior living community, they are sheltering in place until the virus subsides. Yet, these at home seniors also need to ward off isolation and loneliness. The following are ways they can continue to stay connected, courtesy ofEra Living.Schedule virtual visits with friends and family Skype, Zoom, and Facetime provide a great way to see and catch up with family and friends without having to leave home. If youre looking for a more straightforward solution, a quick phone call works as well.Play your favorite games online Whether you like cards or board games, its easy to now play online. Websites likeArkadiumoffer a variety of card and board games that you can play with others or on your own. You can also download apps on your phone to play games with others.Join an online discussion group or book club You can find groups on sites like Senior Chatters or Buzz50.com that provide a way for seniors to talk about different topics online.Communicate the old-fashioned way If you dont have a smartphone, a tablet, or a computer, consider sending a hand-written note or cardin the mail. You can also volunteer to write letters to spread messages of hope. The nonprofitLetters Against Depressionallows people to write hand-written letters of support to people suffering from depression. And, check your localOasis Senior Advisorsto see if they have created a letter-writing campaign to keep in touch with seniors.Article Submitted By: Oasis Senior Advisors

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.

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

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

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

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

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.

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

Innovations in Aging Collaborative, along with the City of Colorado Springs and AARP Colorado are proud to launch the Age Friendly Colorado Springs initiative!In March of 2016, Colorado Springs joined the AARP Network of Age Friendly Communities, and in June of 2016, officially became part of the World Health Organization Network of Age Friendly Cities and Communities. An Age Friendly city is one that is welcoming for people of all ages, that promotes health and wellness, helps sustain economic growth, and helps increase access to key services and resources. The idea of a community that is livable for people of all ages, or livable communities, describes an inclusive approach to community organization and design, an approach which intends to create communities, both physical and virtual, in which people of any age or ability can live a healthy and fulfilling life. Livable Communities are places where people have accessible and affordable homes, necessary services like grocery stores and pharmacies located nearby, convenient, affordable and comfortable transportation that takes them to a variety of opportunities for socialization and civic engagement and live in a cultural climate where their contributions and participation is valued throughout the lifespan. Livable Communities are also walkable, and have a range of outdoor opportunities such as parks and trails that promote health and wellness for everyone, especially those with physical limitations. In a Livable Community, our elders can age in place, continuing their lives within the community that they know and love, pursuing the opportunities and activities that make life worth living.With 100+ recommendations in the Age Friendly Colorado Springs Report and Action Plan, were working hard to make Colorado Springs livable for people of all ages. Many of the recommendations from the plan are already in the works! Check out the Age Friendly Business Designation from the Better Business Bureau of Southern Colorado, or the Old North End Neighborhood iVillage (intergenerational village) for Age Friendly IN ACTION! Visit www.innovationsinaging.org to learn more about Age Friendly Colorado Springs.Editors Note: This article was submitted by: Claire Anderson,Executive Director with Innovations in Aging and may be reached at 719-602-3815 or by email at agefriendly@innovationsinaging.org and Teelin Lucero, Community Outreach Program Director who may be reached at 719-602-3815 or agefriendly@innovationsinaging.org

Adult children and their aging parents often find information about senior housing to be confusing, frustrating and overwhelming, but it doesnt need to be. Most people agree they want to maintain their privacy and independence. However, adult children often need confidence in knowing their parent is not only safe, but also has a support system in place should they need it in the future. Before you begin pounding the pavement to find a compromise, it may be helpful to ask yourself a few questions: Are you looking for a community that meets your current active agenda, but can also accommodate future health changes with support through the end of life? Are you recovering from an injury, illness or event and not really sure what long-term setting is the right fit for your loved one? Are there increasing concerns about personal care, nutrition, isolation or safety? Are you managing challenges related to progressive memory loss, age related dementia or Alzheimers disease?If you answered YES to any question above, a whole new world of senior living is waiting for you to explore! Here are a few tips to consider: On your first visit, keep the conversation simple and focus on the uniquely different qualities of each location you visit. Stay in a 30-minute radius of the family hub. Let the community feeling guide you to plan or opt out of a second visit. Often visitors are encouraged to stop-in and join a resident program/activity, plus a meal. Societymay separate by age and category, but the care provider you select should embrace theopportunity to know each resident as a unique and complexindividual. This approach provides aroadmap forperson centered care services and long-term success. Select a solution provider that rejectsassumptions based on resident categories or behavioral challenges. Senior communities should commit to the hard work of "doing the right thing"by embracing the importance ofheartfelt, personal connections and extraordinary hospitality.Editors Note: This article was submitted by Bobbi Kelley, Executive Director, Clarendale of Mokena. For more information about this article or senior living lifestyle questions, please email info@clarendaleofmokena.com . You are invited to explore the Whole New World of Senior Living at Clarendale of Schererville (219) 322-8855 in Indiana or Clarendale of Algonquin (847) 458-6800 & Clarendale of Mokena (815) 464-4418 in Illinois. Operated and managed by Life Care Services: www.LCSnet.com for more information.

Lori Siegesmund runs a construction company that offers a range of services everything from framing and insulation to drywall and specialty ceilings.But shes especially excited about a new service that not only further diversifies the operation, but also helps customers with unique needs. This empowers people to make choices.As owner and president, Siegesmund oversees 579 Construction based in Grand Junction and a new division called SafeSpace Builders.SafeSpace Builders designs and installs modifications and equipment in residential and commercial spaces to better accommodate people with disabilities as well as help seniors stay in their homes.The firm recently received designation as a Medicaid contractor. That means it receives referrals and can directly bill Medicaid for services provided to people enrolled in the program.Sue Hayes, director of marketing for SafeSpace Builders, says the operation is at once a business and needed public service. I see it as giving back to our community.Siegesmund launched 579 Construction nearly three years ago as a new iteration of TP Acoustics, a business her late grandfather, Howard Perry, operated for 25 years. While that firm installed acoustic ceilings, it also provided other construction services.Siegesmund worked with her grandfather for nearly 12 years, handling everything from accounting and payroll to estimating and project management.Today, 579 Construction operates divisions for commercial framing, thermal and moisture protection and commercial drywall and acoustic and specialty ceiling installation and finishing.Operating out of the Business Incubator Center in Grand Junction, 579 Construction works on a variety of projects throughout Colorado. The company employs a staff of 27.SafeSpace Builders will serve Western Colorado, Siegesmund says, sending crews to various locations to handle multiple projects.Those projects begin with a free assessment to determine whats needed whether thats a full remodel; renovations in a bathroom or kitchen; or the installation of ramps, lifts and other devices. The firm also works with doctors, physical therapists and other health care providers to tailor services to their patients.Modifications often are made to bathrooms and kitchens to make them more accessible and safer for people to use, Siegesmund says. That might include barrier-free showers and grab bars in bathrooms as well as lower cabinets and pull-out shelves in kitchens to accommodate people in wheelchairs. Lifts and ramps also are popular additions, she says.Siegesmund says its important for her crews to remain sensitive to customers and their needs. Its definitely a more sensitive type of work.After a project, crews offer training on using new features and equipment to make sure customers know how to use them safely.The projects make a difference in customers lives, Siegesmund and Hayes say.Hayes she knows firsthand the benefits of modifications because of the assistance they offered her mother in dealing with the effects of a neurological disease.Hayes that instilled in her a passion for helping others facing similar challenges. Before joining SafeSpace, she served as director of a nonprofit organization providing mobility support for people living with physical disabilities.Modifications and specialized equipment can help people remain safely in their homes for as long as possible, in turn avoiding the expenses associated with skilled care, Hayes says.Siegesmund says she hopes to open a showroom in Grand Junction to display the various ramps, lifts and other equipment that can improve accessibility.But for now, she says shes excited about new services that will help customers with unique needs.Hayes agrees. Its a lot of excitement. The community has really embraced what we do.For more information about SafeSpace Builders, call (970) 462-9472 or visithttps://safespacebuilders.co. More information about 579 Construction is available athttps://579construction.comor

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

LTC Diversion or Medicaid Waiver is amount Medicaid pays to a facility which is dependent upon a resident's income.= #listing_mgr{1 basic_search}#

Private Duty Home Care Buyers Guide. 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. 1)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? 2)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? 3)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.

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

During World War II, the United States Merchant Marines and their ships lent their support by delivering cargo and providing logistical assistance while their ships were under enemy attacks. The Mariners also transported innumerable loads of wounded American Marines to off-shore hospital ships. Thousands of Merchant Marines died in assaults during the war, but they were never recognized as Veterans until 1988, almost forty-five years after their service in World War II.Increased awareness amongst Americans had been a very long and slow process, especially after World War II when the Merchant Marines were not considered Veterans. Thousands of hours were spent and thousands of letters were written to Congressmen and Senators, seeking fairness and just compensation for these World War II heroes. Magazine, newspaper articles and books were published and there was public radio and television coverage that increased awareness around the nation. Over $2 million was spent on these efforts through the years, and eventually they paid off for the American Merchant Marines.The AMMV (American Merchant Marine Veterans) organization celebrated its 25th anniversary in 2011 and continues to be an influential group for Merchant Marine Veterans who served in war zones during World War II, the Korean, Vietnam, Gulf War and other conflicts where Mariners went into harms way.To this day, efforts continue toward educating the public, and in the true spirit of the American Merchant Marine Veterans, they must continue to expand their reach. There are still many Americans who do not understand what an integral part the AMMV have played during war and peace times.Editors Note: This article was submitted by The Colorado State Veterans Home in Rifle. Lisa Adams, Marketing and Jessica Strong, Admissions, can be reached at the Colorado State Veterans Home in Rifle 800-828-4580 or by email Jessica.strong@state.co.us lisa.adams@state.co.us.

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

For more information on the author, Aston Gardens at Pelican Point, CLICK HERE!Everyday activities may become challenging to do for many older adults who have been diagnosed with dementia or Alzheimers. But, just like the rest of us, they have the need to feel productive too. This is why failure-free activities for people with dementia are so important. They will always be able to accomplish something in these activities no matter what. Being engaged in a satisfying activity will reduce challenging behaviors and even decrease the need for medication. To help your loved one feel more productive, here are some simple activity ideas for coping with dementia!Fold TowelsGetting your loved one to help you to fold the laundry is a wonderful way to keep them occupied. This is an activity they can be successful at and allow them to contribute to the household too. The goal is to keep them engaged. No matter how the towels are folded, the whole point is to make sure they feel good while doing the activity.Create A Memory BoxCreating a memory box will help them feel more connected to their previous hobbies and past career. Get a box of any kind and fill it with items that they would have used in the past at work, keepsakes, photos, or objects from their hobbies. This will work for any kind of job or hobby. Just be creative about looking for objects that are safe to handle.Thread Pasta With YarnLook for some dry pasta with big holes and also some thick yarn or string. Make a needle by taping around the end of one string and allow it to be longer than the piece of pasta. Let your loved one string the pasta using the needle and thread.Make A DIY Picture PuzzleYou can print a copy of your favorite family photos or scenery that means a lot to your loved one. You could also choose a photo or image they particularly like such as some fruits or a car. Laminate the photo and then cut it up into puzzle-shaped pieces. This will create your very own personalized DIY picture puzzle!Cut Pictures from Old MagazinesSome older adults might enjoy looking through old magazines and cutting out the images which they like. It is ideal to use magazines that are in line with their hobbies and interests. If they want to, they could also paste the pictures into a notebook, thus creating a fun little scrapbook to keep.

As a Caregiver Advocate, this is one of the most important tips I give caregivers...put your oxygen mask on first! When you are on a plane one of the first instructions is to put your oxygen mask on first, so that you can then help others that depend on you.This applies to caregivers as well. You must find time for yourself every day. It could be going for a walk, reading, listening to music, exercise or anything that calms you or thatyou enjoy. If you need help as a caregiver, you don't have to do it alone. Learn more at our website https://www.caregiverchampionadvocate.com/

Through the course of your life, you work hard to build your assets. You spend a substantial amount of time, energy, blood, sweat, and tears to build up a foundation you can be proud of. While life certainly doesnt just revolve around money, one of your biggest accomplishments is seeing all the hard work that has been put in come to fruition. On the other hand, one of the toughest challenges in life can be asking for help, especially help with things that you have worked so hard to create and have put so much of yourself into. Eventually, however, there comes a point when you need a hand and simply are not able to efficiently manage the financial affairs you once so confidently could. These challenges can be even further complicated when you dont know who to turn to for help. Whether you simply dont have the people accessible to you that you would trust to fill those roles, you would rather an independent approach to avoid family conflict and maintain fairness, or you would just prefer someone who has the knowledge and experience to navigate and handle those roles expertly and professionally, this situation happens more commonly than one may think. A professional fiduciary has experience and knowledge to navigate the laws and regulations relating to management of assets and provides you with a resource you can trust to make clear, logical decisions when it comes to your financial well-being. If you find yourself in a situation where management of your financial needs is simply too big of a burden to bear, the bills are stacking up and you just dont know where to turn, it might be time to utilize a professional fiduciary to help alleviate your financial stress.Editors Note: This article was submitted by Joshua Lowenguth. Joshua is a professional fiduciary with Longs Peak Fiduciary Services LLC and may be reached at 303-651-9330 or by email at jlowenguth@longspeakfid.com

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

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

Many times after a serious injury or illness, the need for additional 24-hour medical assistance is needed to help a person heal, properly rehabilitate and ensure that he or she is in stable condition before returning home.What most people dont know is that there are different options when choosing a continued care provider after your primary acute hospital stay. Each organization can vary by the length of stay, therapy intensity and type of medical personnel.Your medical provider can help you choose, but it is also important for you to be informed of your options in order to determine what care is best for you.Long-Term Acute Care Hospital (LTAC)If a person is in need of intensive medical care for a longer period of time (an average of 25 days or more), they should consider a long-term acute care hospital. This facility is best for patients who have just been released from an intensive care unit, who need to be monitored closely and more frequently by nurses and doctors.Long-term acute care hospitals focus on stabilizing a patients medical condition rather than providing comprehensive rehabilitation.In-Patient Rehabilitation HospitalIn-patient rehabilitation hospitals focus on short intensive medical rehabilitation, with the goal of getting the patient home as soon as possible. Patients who choose an in-patient rehabilitation hospital have daily doctor visits, receive specialized rehab nursing care and undergo more significant rehabilitation.These facilities specialize in intensive rehabilitation teams to include physical therapists, occupational therapists, speech language pathologists, psychologists and more. Each patient receives at least three hours of rehab therapy per day, five days per week.The average length of stay at an in-patient rehabilitation hospital is 12-16 days.Skilled Nursing FacilityA skilled nursing facility offers long-term care for patients who are medically stable, but still need professional medical care and supervision. Although nurses are available 24 hours a day, doctors are only required to visit patients once each month.The skilled nursing facility requires that the patient stays at their primary acute hospital for three days to qualify for admission.Whatever your medical needs are, there is a 24-hour medical facility that is right for you. Always consult your family and medical provider to help you make the best possible choice for you.Editors Note: This article was submitted by Julia Cowan with Spalding Rehabilitation Hospital and may be reached at 303-367-1166

In this day and age having quality medical treatment can be a heavy expense, especially for older patients.Most older patients may deter from going to the doctors office or even the hospital because they fear they will not be able to pay for the medical bill after the service.In-home doctors visits can help to decrease medical cost for older patients and give them a way to stay healthy in the best possible way right in the comfort of home.Not only do in-home doctors visits reduce medical costs up front, they can reduce the overall costs by keeping patients out of the hospital.Patients can benefit from practices like HOUSECALL DOCTORS PC who make house calls for patients in Lake, Porter, La Porte, and St. Joseph counties.HOUSECALL DOCTORS PC, directed by Dr. Saket B. Sinha, MD, gives a more intimate doctor-patient relationship in the comfort of home, providing ongoing medical care and treatment for chronic issues such as diabetes, heart disease, and dementia-related illnesses.Dr. Sinha is always accepting new patients. If you or someone you know would benefit from an in-home primary care provider, please call 219-750-9497 today to sign up as a new patient. HOUSECALL DOCTORS PC strives to see new patients from 48-72 hours of enrollment.As an internist based in Highland, IN, Dr. Sinha is skilled at the diagnosis and treatment of a large array of ailments and diseases in aging adults.Dr. Sinha has over 28 years of diverse experience, especially in Internal Medicine and General Practice.Dr. Sinha has been making house calls all over Northwest Indiana for over 10 years, making receiving medical treatment easier, more comfortable, and more accessible for his patients.

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

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}#

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

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

The Alzheimers Association MA/NH Chapters Power + Purpose program is for people living with mild memory loss. While you are facing what may be the biggest challenge of your life, we want to help you live your best life. Research has clearly shown that staying active is the most powerful way to manage your disease.Education:Knowledge is power. Learn more about Alzheimers disease and related disorders by attending an education program in-person or online. Education programs are open to people living with a diagnosis or those who are concerned about their memory, family members, and friends. Consider attending Coping with Early Memory Loss, where you will learn about ways to actively manage your disease and develop coping strategies to live life today. Legal and Financial, presented by elder law attorneys in the community, offers information on organizing and managing finances in order to best prepare for the future.Consultation:Sometimes it is difficult to know what questions to ask and where to start. Speak with a trained Care Consultant to address your unique concerns and prepare for the future. Consultations are confidential and free of charge.Alz Meet Ups:Staying active is a powerful way to manage your disease. Alz Meet Ups offer a unique and enjoyable opportunity for you to connect with others who are also living with mild memory loss. Give yourself the benefit of new experiences by joining with others for art, nature, lectures, fitness or coffee.Advocacy:No one understands this disease like the person who is living it. You can be a powerful voice for research and programs that will make a difference. We can help you to become an effective advocate for Alzheimers issues.The Alzheimer's Association is working towards effective treatments and someday a cure. Our vision is a world without Alzheimer's until that day we want to help you.To get started, attend an education program, create your plan with an expert, discover Alz Meet Ups happening near you or get involved with the cause! Call us at 800.272.3900This article was submitted by Russel Martin, Public Relations and Marketing Manager, Alzheimers Association. Massachusetts and New Hampshire Chapter

The Montessori Inspired Lifestyle approach to caring for those with dementia is a new concept that is gaining interest in the senior care industry.This innovative approach is relatively new but there is evidence that it can reduce anxiety and the use of chemical restraints for people with dementia by engaging them in both purposeful and meaningful activities.The Montessori Method of education was developed in the early20th century, by Maria Montessori. Through her work with underprivileged children she determined that focusing on the individuals strengths and providing a hands on sensory stimulating environment were both essential elements in the successful learning process. More recently these concepts have been used successfully when caring for persons with dementia and are referred to as the Montessori Inspired Lifestyle approach.Montessori based programming utilizes activities as a means to reconnect to persons with dementia who may seem unreachable. This is done by creating experiences where these individuals are able to use their hands and their five senses to engage and stimulate their minds. When an individual with dementia is able to actively participate in experiences and enjoy their successes, their self-esteem increases and they enjoy a sense of accomplishment. The Montessori Inspired Lifestyle approach focuses on a persons strengths, on what they CAN do rather than what they cant. It allows patientsto reconnect with a world theyre losing access to and is a source of comfort to them and their loved ones.The key to successful Montessori programming requires that we change our expectations of what individuals with dementia are capable of. To assume that they can no longer be active participants in their own lives, have new experiences, and connect with others is to further debilitate them. The goal is to engage each person in purpose driven activity that is meaningful to them. This helps to eliminate boredom, helplessness and loneliness and improves overall life satisfaction.Editor's Note: This article was submitted by Stacey Flint, Certified Montessori Inspired Lifestyle Trainer, Center for Applied Research in Dementia. Stacey Flint is a Regional Montessori Inspired Lifestyle Trainer with WindSong Memory Care Communities and may be reached at 503-302-6934 or by email at sflint@windsongmemorycare.com.

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

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

If you or a loved one were facing a terminal illness, would you know what options are available to you and your family? Many of us may think that we will not face death anytime soon, so the question is irrelevant. In reality, however, nearly half of the U.S. population will be touched each year by the death of a friend, family member or colleague at work.Every culture, every community has its own set of myths and fears about terminal illness and the dying process. One of the challenges that all hospice caregivers face is to help dispel those myths and reassure patients and families about the realities of effective end-of-life care.Consider the following myths. By learning the truth, youll become better able to handle the inevitableMyth #1: Hospice is a place.Reality: Hospice isnt a place. Its the aggressive treatment of physical and emotional pain and symptoms at the end of life, which also is known as palliative care. Research has shown that more than three-quarters of all Americans, if given the choice, would prefer to die at home, in comfortable and familiar surroundings, accompanied by family and friends. Hospice is designed to respect that desire.Myth #2: Hospice means giving up on the terminally ill.Reality: When medical treatments cannot cure a disease, the interdisciplinary team of hospice professionals can do a great deal to control pain, reduce anxiety and provide medical, spiritual and emotional comfort to patients and their families. Our goal is to do everything we can to improve the quality of life for our patients and their loved ones. We work to ease the discomfort, the fears and the high expense that can accompany incurable illness.Myth #3: Hospice is just for cancer patients.Reality: Hospice provides care for adult and pediatric patients with a wide range of life-limiting illnesses, including but not limited to cancer, heart disease, stroke, lung disease, liver disease, kidney disease, multiple sclerosis, ALS, Alzheimers, Parkinsons and AIDS.Myth #4: Hospice isnt much more than just hand-holding at the bedside of the terminally ill.Reality: Hospice actually is much more. It is the aggressive treatment of physical and emotional pain and symptoms. Hospice care is provided by a highly skilled team of palliative care experts, including: a physician, nurses, home health aides, social workers, a chaplain, bereavement specialist and volunteers.Myth #5: Hospice care is expensive.Reality: The vast majority of hospice patients, as you might expect, are elderly and, therefore, Medicare beneficiaries. The Medicare Hospice Benefit is all-inclusivecovering 100 percent of the cost of hospice care. There are no deductibles; there are no out-of-pocket expenses to patients or their loved ones. Families dont have to spend themselves into poverty to qualify for hospice coverage. In most states, Medicaid also provides hospice coverage. Most private insurance plans also include a hospice benefit.Editors Note:This article was submitted by Maureen Gilligan, General Manager of VITAS Innovative Hospice Care in New Jersey North, (973) 994-4738. You can learn more about hospice care by visiting the VITAS website: www.VITAS.com, or by calling 1-800-93-VITAS.

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

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

When you think of movers and shakers Denise DeGemmis name should come to mind.After more than 2 decades of entrepreneurship in Naples, and as a Luxury Relocation specialist, Denise and her compassionate and energetic staff have the ways and means to professionally guide you and your family through your move, downsize, sale and reorganization of your home. Even through the most difficult times, their many hands make for light work.Previously a full time realtor with John R. Wood, Denise works hand in hand with Realtors. If you have already secured a realtor Naples Move Managers works in conjunction with your preferred realtor to get your home ready to list, sell and moveIf you are searching for the perfect realtor to suit your needs, Denise is an affiliate member of NABOR and a sponsor of WCR. And is happy to introduce you to the real estate specialist that will take care of you.As a member of the National Association of Senior Move Managers, Naples Move Managers has access to worldwide resources to facilitate your move locally, long distance or internationally. As Move Managers, they facilitate your move or downsizing project from simply shipping fine china to coordinating an entire estate.Most of their clients have accumulated many belongings over a lifetime and are ready for the process so aptly named rightsizing.Naples Move Managers takes the daunting tasks of coordinating, reorganizing, staging/re-purposing, shipping & donating to simplify and de-stress the process so that you can concentrate on YOU. Their services are offered with a smile and some laughs, and a great deal of compassion and patience. Whether you have family locally or helping from afar, Denise puts together your professional team, whether you are just starting, mid way through the process or just need to finish up.For peace of mind, trust in their years of experience and countless moves.Editors Note: Contact Denise at 239-560-4466 and visit their website www.naplesmovemanagers.com for a complimentary estimate and pleasing introduction. Its more than just moving...let them help!

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

On June 20, 2020 the summer solstice and the day with the most light Greater Pennsylvania Chapter residents will join advocates across the world to participate in The Longest Day to fight the darkness of Alzheimers through an activity of their choice.Together, they will use their creativity and passion to raise funds and awareness to advance Alzheimers Association care, support and research programs. The event coincides with Alzheimer's & Brain Awareness Month in June.On The Longest Day, participants will choose an activity biking, hiking, playing bridge, swimming, knitting and more to shine a light on the 5.7 million Americans living with Alzheimers disease and the more than 16 million family members and friends providing care and support. In Pennsylvania alone, there are more than 400,000 people living with Alzheimers and more than 700,000 family members and friends caring for them.Together, we can stand up to the darkness of Alzheimers. Learnmore about The Longest Day by visiting:alz.org/thelongestday to register now or select your activity.

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

To learn more about A Call To Order,CLICK HERE.1. Senior Move Managers are third-party observers.If youre anxious about your loved ones move, they might pick up on itand talk you into keeping more things than they have room for. If your relationship is already strained, going through their things can add to the stress, especially if they feel that youre bossing them around. A dispassionate senior move manager can often find a happy medium.2. Senior Move Manager are experienced.Move managers know which are the reliable moving companies, how to put together a successful moving sale and where to find great cleaning services. Not only that, but theyve done this many times before and know how to solve problems you may not have anticipated.3. Senior Move Managers can help you save money.Although senior move managers services can be expensive (a move may cost anywhere from $1,500 to $5,000 depending on the project) they are usually a good investment. Consider the time youd have to take off work, the plane ticket youd have to buy to get to your aging family membercosts like these add up quickly. Senior move managers also know what items are valuable and what arent. That necklace your family member has in storage could be worth a lot more than you think!4. Senior Move Managers save you time.You and your loved one might spend hours deciding whether or not to keep certain possessions because of an emotional attachment to them. Since senior move managers have gone through this countless times, they know how to efficiently move a household.5. Senior Move Managers offer your aging loved one more control.A senior move manager recognizes that since this is your parents move, they are the ones to talk to. They also know that its hard for your parent or loved one to part with possessions they may have had for 30 to 50 years. As professionals, theyll help your special person through the emotional and physical aspects of relocation while keeping the process moving. And theyre more likely to find the best solution for every piece they want to keep.6. Senior Move Managers help after the move.It may be hard for you to get an aging adult situated if you have to fly home or go back to work right away after the move. A senior move manager can make sure they are set up in their new residence, setting up the rooms and arranging their possessions so they are most comfortable.If youre interested in hiring a senior move manager, find the resources you need throughA Call to Order Professional Organizers orNational Association of Senior Move Managers(NASMM).

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.

Dear Avisery Members,Below is an update on Avisery's referral pathway for legal assistance for problems with the Medicare Savings Program (MSP). In the Fall of 2020, we announced that individuals living in Cook County could potentially qualify for legal representation from Legal Aid Chicago. We are now expanding that referral pathway to residents of Central and Southern Illinois through a new partnership with Land of Lincoln Legal Aid.Land of Lincoln Legal Aid provides free legal services to limited-income residents and seniors in 65 counties in central and southern Illinois and they would like to hear from Avisery partner agencies about problems with Medicare Savings Programs (MSP). MSPs are state Medicaid programs that pay a clients monthly Medicare Part B premium and may cover additional Medicare costs. Medicare Savings Programs include the Qualified Medicare Beneficiary (QMB), Specified Low-Income Beneficiary (SLMB) or Qualified Individual (QI) programs. Once a Medicare beneficiary is approved for an MSP, a client should see Social Security stop deducting the monthly Part B premium from their Social Security check within 3-4 months. To learn more about MSPs, visit this link.One specific way that clients can apply for an MSP is via applying for Social Securitys Extra Help Program. Extra Help is a federal program that covers some Medicare Part D-related costs for qualified individuals. The Extra Help application includes a statement notifying Illinois residents that their information will be sent to the Illinois Department of Human Services (DHS) to begin an MSP application unless the beneficiary specifically marks on the Extra Help application that they do not want their information sent to DHS.Land of Lincoln and Legal Aid Chicago will evaluate all referrals from Avisery for potential legal representation, including direct advocacy with Illinois Department of Human Services (DHS) and/or filing of an administrative appeal.MSP Issues Currently Being Referred At this time, referrals are being accepted from clients in central and southern Illinois and in Cook County for the following issues:1. A beneficiary who has been approved for MSP, but has continued to have their Part B premium deducted from their monthly Social Security check five months or more after approval.2. A beneficiary who was already receiving Medicaid benefits at the time they were enrolled in Medicare Part A and DHS did not automatically evaluate the client for MSP eligibility. Under DHS rules, when a client on Medicaid begins receiving Medicare Part A, DHS should automatically assess for MSP and enroll the client if eligible.3. A beneficiary who applied and was approved for Extra Help through Social Security, but has never received any information or notice from DHS about the Medicare Savings Program. The beneficiary must currently not have an MSP.Land of Lincoln Legal Aid and Legal Aid Chicago both have a track record for resolving these issues. The appeal process not only ensures clients receive their MSP benefits going forward, but can result in DHS reimbursing beneficiaries for Part B premiums they paid out-of-pocket because DHS failed to evaluate their eligibility for MSP in the past. In some cases, these reimbursements may go back years.If you identify a client with one of the issues, please email Avisery at avisery@ageoptions.org. We will follow up with you to collect the information required to forward the referral information to the appropriate legal assistance provider, who will then contact the client. We ask that you do not email client sensitive information directly to Avisery, but have the following information ready to relay to us when we contact you:1. Beneficiarys name, contact information, county of residence, date of birth and last four digits of their SSN2. Date MSP application was submitted3. Date of MSP approval4. Date or copy of any notice received from DHS or Social Security regarding MSP5. Date beneficiary started receiving Medicaid6. Medicare Part A and Part B effective date7. Date MSP started paying the beneficiarys Part B premium8. Date Extra Help application was submitted (if applicable)9. Date or copy of any notice from SSA regarding Extra HelpAs always, if you have any questions, please do not hesitate to contact us at avisery@ageoptions.org or call 708-628-3440.

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

Clarendale of Addison, the all-new senior living community located off Route 53 and I-355 in Addison hosted its grand opening celebration this fall with a tribute to the 1893 Worlds Fair.With our grand opening, we wanted to capture the fun and excitement of one of Chicagos many proud times in history, says Cynthia Miceli, Clarendale of Addison executive director. Outside, we recreated a classic midwaya step back in time to the introduction of Vienna Hot Dogs and Cracker Jacks. Inside, we offered casino-style fun, including a live band, blackjack tables and a Voltar fortune telling machine.Perhaps, more important, the Clarendale of Addison grand opening events were designed to underscore the communitys commitment to educational, recreational and social opportunities.Chicago has a rich history, and its important to revisit it all, because as we age, we also want the cognitive benefits of continuous learning. At Clarendale of Addison, we like to think our playful take on that centuries-old worlds fair was not just educational, but delightful. It also encompasses what we have in mind for residents, Miceli says.Although the midway and game tables went away after the grand opening event, the expectations of a senior lifestyle filled with adventure continue.According to Miceli, Visitors also had the chance to tour our model apartments and community and learn more about how Clarendale offers a unique combination of residential amenities, exceptional hospitality services and social opportunities seldom found in other senior living communities.A variety of floor plan options are available at Clarendale of Addison. Residents may choose from private one- and two-bedroom apartments in both independent living and assisted living. Studio suites are available in memory care. Residents will also enjoy access to community spaces for socializing and entertaining, including Salt Creek Bar and Lounge, a restaurant-style dining room and casual bistro, club room, salon and fitness center.At Clarendale, the emphasis is on what Miceli calls village-style retirement living. Services and programs provide the opportunity for residents to stay a part of, and involved in, mainstream living, as well as fostering relationships with family and others outside the community.Residents will be right in the heart of it allnear shopping, restaurants, a movie theater, parks, golf courses and area churches. And for peace of mind, three top hospitals are just a short drive away, Miceli adds.Now that Clarendale of Addison is officially open, interested seniors and families may schedule a visit to see the community. It is located 20 miles from downtown Chicago and convenient to OHare airport on a 4.1-acre site along Lake Street in the Village of Addison.Before dropping by Clarendale of Addison, the community recommends calling (630) 749-5699 to schedule a visit. It is located at 1651 West Lake Street, and directions plus details are also available on the communitys website at ClarendaleofAddison.com.Clarendale of Addison is one of a series of Clarendale senior living communities from developer-builder Ryan Companies US, Inc. Life Care Services will manage the property. For more information, visit www.ryancompanies.com and www.lifecareservices-seniorliving.com.About Clarendale of AddisonClarendale of Addison is a senior living community that offers extraordinary independent living, assisted living and memory care. The community is an ideal lifestyle choice for seniors seeking more convenience, camaraderie, and security combined with supportive services and care in gracious and comfortable surroundings. Clarendale of Addison is managed by Life Care Services, An LCS Company, the nations second-largest operator, leading the way in senior living with more than 45 years of proven experience.About Ryan Companies US, Inc.Founded in 1938, Ryan Companies offers comprehensive commercial real estate services as a national developer, architect, builder, capital investment consultant, and real estate manager with a focus on bringing lasting value to its customers and the communities in which it works. Ryan's market depth includes retail, industrial, healthcare, and senior living. Ryan's development and corporate build-to-suit work spans a wide range of product types including office, mixed-use, hospitality, multifamily housing and mission critical facilities. With a focus on bringing lasting value to its customers and the communities in which it works, Ryan has over 1300 employees in 16 offices and has completed projects in 39 states. For more information, visit ryancompanies.com.About Life Care ServicesLife Care Services, An LCS Company, leads the way in senior living with over 40 years of proven experience. This innovative leadership brings passion and performance through strong financial stewardship, lifestyle-centered services as well as high quality health services in communities as unique as the individuals who live in them.

To learn more aboutSunrise Senior Living at Holladay, CLICK HERE.As the calendar turns to spring, many people are looking forward to sunnier skies. Between cold, snowy days, political turmoil, and concerns about the coronavirus, it was a long winter indeed.According to the Centers for Disease Control and Prevention (CDC), the pandemic in particular has had a major impact on all of our lives. It has increased stress and anxiety resulting in reduced overall well-being.If you are looking for a few ways to boost your mood, we have some ideas for you to explore. Each is based onresearch that shows creativity can spark joy and lift the spirit.Finding Joy During Challenging TimesResearchers call itpositive affector PA. Its the feeling that comes when you look and feel happier. Studies show people experience higher levels of PA on days following greater creative engagement.Fortunately, you dont have to be Monet or Beethoven to reap the benefits associated with engaging in the arts. Its the very act of creating that seems to trigger happiness.If you arent someone who regularly explores your creative side or if you are looking for new ways to spark joy, we have a few suggestions for you to try:Take up stargazing:This doesnt require you to invest in pricey telescopes. Its a creative outlet you can learn about for free. It starts by learning the night sky.Sky & Telescopes Interactive Sky Toolallows you to enter your zip code, along with the day and time. It will chart the skies above you in all directions.This starter guide to astronomy (Northern Hemisphere Version)is another great resource to help you learn more.Be a friend to butterflies:Even if your outdoor space is limited, you can create a space for attracting butterflies. In a sunny corner of your yard or patio, dedicate some space for plants and water for butterflies. They are attracted to smaller flowers, especially milkweed. To protect the caterpillars that eventually become butterflies from predators, make sure to keep birdbaths and birdfeeders away. Finally, create puddling spots for butterflies to drink. Sink a bowl or bucket in the yard, and fill it with sand. Wet the sand down every day. Invest in a butterfly book, such asStokes Butterfly BookorThe Little Guide to Butterflies, to help you identify the different types that visit your yard.Create your own bouquets:Having fresh flowers in your home is another mood booster. It doesnt have to be anything more expensive than a bouquet picked up at the grocery store. If you invest in a few vases and containers, the opportunities for creating your own unique looks are endless. There are a variety of videos on YouTube that show youhow to arrange grocery store flowersin your home. If you prefer a more structured learning opportunity, sites likeAlices Tableoffer virtual floral arranging events. They even ship the flowers directly to your door!Build a charcuterie board:A popular trend in recent years is the charcuterie board. Its a great option when you are entertaining friends and family because it can be as simple or as complicated as you choose. You can stick with fruits and vegetables or meats and cheeses on your platter. Other options include dessert boards, breakfast foods, or childrens favorite treats.How to Build a Simple Charcuteriehas some good ideas to help you get started.Become a rock star:Music is another activity that has therapeutic benefits. It can calm, excite, and reconnect. The act of learning how to play an instrument also promotes better cognitive health. If you are new to music, consider taking a class to learn how to play guitar or the piano. For those who arent comfortable going to public spaces yet, there are virtual classes to join.

A critical piece in ones estate plan is the disposition of assets upon death.This can be done through a last will and testament or a revocable trust, which is referred to as a will substitute. When a revocable trust is utilized, it is the governing instrument as to where assets go, and it does have some advantages over a will.A revocable trust provides more privacy than a will. When someone dies, his or her will is lodged with the court and becomes public record. A trust does not become public record, and there is no need to show any public parties or entities the dispositive provisions of the trust. This protects the privacy of the creator of the trust and the beneficiaries.Furthermore, a trust is a good vehicle to manage assets in the event of incapacity. While a will does not come into effect until death, a trust is in force as soon as it is signed. If the trust is properly funded, meaning that the persons assets are transferred into the name of the trust, then the successor trustee can easily step in if the creator of the trust (also known as the settlor or grantor) becomes incapacitated and can manage the trust assets and make distributions for the benefit of the settlor. It is also typically easier, faster, and cheaper for the successor trustee to administer the trust upon the death of the settlor, rather than going through the probate process to administer an estate.It is especially beneficial to use a revocable trust when you have out-of-state property. This is because, typically, one must go through the court process of probate to administer your estate in any state where you own real property in your name individually. Therefore, if you have real property in two states other than Colorado, your loved ones could be forced to open probate in three states, resulting in greater costs and a much longer process. If the real properties are transferred to a revocable trust, then this is avoided.While there are advantages to using a revocable trust, it may not be the best estate planning tool for everyone. It is important to consult an estate planning attorney in order to determine what is best for you.Editors Note: This article was submitted by Sara E. (Jones) Bucar. Sara is a member of the Boulder County Bar Association, the Denver Bar Association, and the Colorado Bar Association. Sara E. (Jones) Bucar is with Vincent, Romeo & Rodriguez, an established law firm with offices in Englewood and Louisville. She may be reached at 303-604-6030 or by email at Sara@elderlawcolorado.com.

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

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

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.

Whether downsizing from a large house, getting a home ready for sale, or looking to live better at home a plan of simplification can give you great peace of mind.Plugging away at a steady pace to work through overstuffed closets, basements and garage areas, can give you a tremendous advantage when you are ready to move, sell, or manage better in your home.Effective downsizing is a marathon not a sprint. So start early and pace yourself! Start a New Habit! Train yourself to choose a small area to sort. Select a desk drawer, one linen closet shelf or kitchen cabinet. Complete one task at a time and then follow up with contents. Sell, donate, or recycle. Have a location for each of these categories. Gift Items to friends and family now. Ask if they are really interested in your dining set and hutch with 8 chairs or Grannys china (ask if the grandkids understand shipping charges to get valuables across the country. Get educated as to what sells and for how much. Many people stall in the elimination process because they assume everything has a monetary re-sale value. Knowledge on what your items are really worth will help you make educated decisions and eliminate regrets later. Avoid bringing in new stuff! Be aware of garage sales, auctions Be mindful of the sabotages while downsizing (avoid keeping items simply because they were inherited, gifts, or were initially expensive. Give yourself permission to purge items that have exhausted their useful life. Consider the living space you will have in the future. You likely have a general idea of what you need and what the new space can accommodate. If you are leaning toward a 1 bedroom plus den, you will have a good idea of how much editing you need to do now. Get a handle on paperwork; learn what needs to stay in your office and what can be shredded, recycled, or thrown away. Consider digitizing photos and slides so you and you family can enjoy them out of the shoe boxes. Take advantage of free assessment/consultation of Senior Move Managements companies who have experience in these areas and offer affordable, professional help toward your goals.Editor's Note: Darcy Barnhill is the Owner, CEO of Senior Life Space, LLC., helping seniors with getting started with their unique Simplify Now program. She can be reached at 720-272-1789 or at Darcy@SeniorLifeSpace.com

Palliative (pal-lee-uhtiv) care is a medical specialty for people of any age living with a chronic or serious illness. It is sometimes referred to as supportive care. The focus of palliative medicine is relieving pain and distressing symptoms, providing resources and helping patients and families plan for the time ahead.Palliative care starts with a question: Whats important to you? Some patients want to feel well enough to attend a wedding or family reunion. Others want to continue working, or to enjoy simple pleasures, such as a meal with friends. Patients may desire help planning around treatment, to mitigate side effects and have more energy for everyday life.The palliative team creates a plan to meet the patients goals. Care typically is provided by a palliative nurse practitioner (NP), who works with a patients existing physicians (including specialists), providing an added layer of care that considers a patients whole picture. The NP is skilled at managing complex symptoms and staying on top of them as conditions change. This can include treating nausea, shortness of breath, neuropathic pain, sleeplessness, constipation and other distressing conditions. The goal is helping people feel well enough to participate in their lives to the fullest extent.Living with illness can be a hard road. Palliative care serves to ease the journey for patients and their families.When is the right time for palliative care? For someone living with a chronic or serious illness, such as cancer, COPD, or diabetes, 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 and provided wherever a patient resides. To access this specialty care, patients can talk to their physician or call the referral department of a palliative care provider.Editors note: This article was submitted by Kelly Bastian, FNP-C, Managing Director of Agape Palliative Care and may be reached at 720-482-1988 or by email at kbastian@agape-healthcare.com.

As we age, many of us are faced with the prospect of revising our living arrangements. While thinking about moving can be a source of anxiety and stress, planning ahead can give you more choices for the future, making a big difference in your level of independence and quality of life. If home upkeep and maintenance has become overwhelming, if youre simply looking for a community with more opportunities to socialize, an independent living community may be a good option. To decide if it is right for you, learn about your choices in independent living, including common types and find help in choosing a residence.Independent Senior Living is a residential living setting for elderly or senior adults that may or may not provide hospitality or supportive services. Under this living arrangement, the senior adult leads an independent lifestyle that requires minimal or no extra assistance.Since independent living is any housing arrangement designed exclusively for seniors, generally those aged 55 and over, the housing varies widely from apartment-style living to freestanding homes. In general, the housing is friendlier to older adults, often being more compact, with easier navigation and assistance. You may also hear the terms retirement communities, retirement homes, senior housing and senior apartments applied to independent living.So, no matter what type of independent living community you consider, you want to make sure you connect with peers and feel comfortable in the community. When you visit the area, talk with some of the residents. Are they people youd like to know better? Are some of your favorite hobbies or activities available? Are support services timely with friendly staff and are the activities accessible? Is the community in close proximity to shopping and transit venues if needed? Knowing all these things in advance will give you the greatest opportunity to enjoy to the fullest your new apartment or home.Editors Note: This article was submitted by Debbie Grammer. Debbie is a Manager with SilverCrest Senior Community and may be reached at 801-758-9955 or by email at manager@silvercrestapartments.com. For more information visit SilverCrest Senior Community on the web at: www.silvercrestapartments.com

As the year begins to draw to a close we are surrounded by Holidays. The stores are filled with Halloween candy in August, Thanksgiving decorations in September and October is already filled with Christmas.Whatever your familys religious beliefs are everyone has traditions such as gatherings and events which are unique and special. You may find yourself wondering how you will get through this time with one less sitting at the table. Here are strategies you can use to help you cope:1) Stay connected to your feelings - Give yourself time and permission to feel and express your emotions in the manner that works best for YOU (e.g., writing, sharing with someone close, meditating). Everyone has their own style.2) Focus on what is helpful for you and your family in the present - Old traditions may be too painful, especially in this first year. It may be easier to break with tradition and celebrate the holidays differently (e.g., if you always spend the holidays at your home, spend them at someone elses home).3) Create new traditions - By incorporating memories of your loved one into your holiday celebrations, you develop ways to honor their memory (e.g., have a poem or prayer read in your loved ones honor, create a memory quilt or light a candle).4) Do not feel guilty about how you feel - It is OKAY if you find some joy this holiday season. If you find no joy, this is also OK. Dont try to live up to others expectations of how you should feel. Grief is very individualized and can even vary with different losses. Instead of carrying expectations of how you SHOULD FEEL, accept the reality of how you DO FEEL. It is normal to have mixed emotions during the bereavement process and this is especially so during the holidays.5) Find ways of giving to others - When you are feeling sad and empty inside, it can be helpful to reach out to others. Some families volunteer in soup kitchens, create a memorial fund in memory of their loved one, or raise money that helps others etc.6) Avoid overindulgence with alcohol and food - There is an increased risk for eating and drinking too much during periods of bereavement and this is especially so during the holiday season. Eating and drinking too much are often ways of avoiding or masking underlying emotions so that they do not have to be felt. This is not a solution and only serves to prolong the intense feelings associated with your loss. 7) Explore the traditions of your faith concerning mourning and remembering - Even if you have not been involved in your faith, you may find comfort and support in these traditions.8) Be honest with yourself, don't be afraid to seek professional help - If you find yourself immobilized by your grief, feeling overwhelmed by emotions, or have other adverse experiences or behaviors, PLEASE seek professional help or call 1-866-821-1212 and ask to speak with a member of the Care Alternatives Bereavement Team.Editors Note: This article was submitted by Care Alternatives. They can be reached at 866-821-1212 or you can visit their website at www.carealt.com

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

Written By: Dr. Meredith Butulis, of Coastal OrthopedicsFor more information on Coastal Orthopedics, CLICK HERE!The media often claims that some supplements can fix your arthritis pain, but is this really true? Supplements are designed as add-ons to an already solid food-based foundation. This brings up the question, Which foods support joint health? Lets take inventory of nutrition choices that support joint health.What is a joint, and why does it matter?Joints indicate points at which bones come together. Many of these common joints, like your hip, knee, ankle, shoulder, elbow, and wrist, are also lined with cartilage. When these joints accumulate wear and tear over time, the cartilage breaks down, which can lead to osteoarthritis. When osteoarthritis is present, joints do not move optimally; they may become inflamed and painful.Given that joints are made of bone and cartilage, we can look at foods that support bone health, foods that support cartilage health, and foods that are parts of anti-inflammatory nutrition as part of our healthy lifestyle.Foods for bone healthWe are likely familiar with phrases like, drink your milk for strong bones. Milk contains calcium and is often fortified with vitamin D. Calcium and vitamin D contribute to bone health. What if you dont consume milk? While there are many fortified products like cereals, juices, flax milk, and soy milk, there are many calcium-rich foods that contribute to overall health too. Such foods include dark leafy greens (like kale, bok choy, and turnip greens), figs and prunes, salmon, almond butter, and tofu.Foods for cartilage healthAt this time, research does not indicate that dietary changes can re-grown cartilage. However, some research suggests that anti-inflammatory diets like the Mediterranean diet,3and supplementation with collagen hydrolysate can have a protective effect on cartilage.2Key components of the Mediterranean diet include fruits, vegetables, nuts, seeds, plant-based whole grains, fish, dairy, eggs, and olive oil.3Foods that are parts of anti-inflammatory dietsWhile the Mediterranean diet is often noted to have anti-inflammatory effects,3sticking to a diet tends to be difficult. Instead of dieting, it may be easier to consider including health-promoting foods in your weekly meal choices. The most common anti-inflammatory foods are fish.1,3Specifically, salmon, tuna, sardines, and mackerel. Their anti-inflammatory properties come from being high in Omega-3 fats.1The Arthritis Foundation recommends eating two to four 3-6 oz servings per week to contribute to joint health.1If fish are not part of your regular meal plan, other foods that contain Omega-3 fats include flaxseed, chia seed, walnuts, and soybeans.SummarySelecting foods to promote bone and cartilage health, while decreasing inflammation can contribute to your joint health. Start by incorporating some of the ideas above, and tailor to fit your needs over time.Note: Information in this article is for general wellness purposes. It is not intended to diagnose, prevent, or treat any condition. Individual nutrition needs may vary based off a number of factors including medications, medical conditions, and genetics. Please discuss unique nutrition needs with your doctor.

The Longest Day is all about love. Love for all those affected by Alzheimers disease. On the summer solstice, June 21, 2018, participants will team up to do an activity they love or an activity loved by those affected to help end Alzheimers. What people do on The Longest Day is up to them! This is a way to honor someone living or lost to the disease by selecting one of their favorite hobbies, or select an activity that honors a caregiver. Or, do what they are passionate about to recognize this important day.To demonstrate the commitment our participants have to our fight, we ask each team to raise funds and awareness to fuel the efforts of the Alzheimers Association. From face-to-face support to online education programs and promising worldwide research initiatives, all donations raised make a difference in the lives of the millions of people affected by Alzheimers today and those who will face the disease tomorrow. Every dollar raised helps to strengthen our impact while moving us closer to our vision of a world without Alzheimers disease.More than 5 million Americans are living with Alzheimers disease, here in Pennsylvania 400,000 people are affected by Alzheimers disease or related dementia. There are 15 million Americans providing unpaid care for people with Alzheimers or other dementias. Last year these caregivers provided an estimated 18.2 billion hours of care valued at over $230 billion. These caregivers are our inspiration for The Longest Day, we want to show them our support for their fight and help end this disease.You can show your support for those affected by this devastating disease by registering youre Longest Day team today. Visit www.alz.org/tld to register, build your team, set your activity and start raising funds and awareness for the Alzheimers Association. If you have any questions about The Longest Day or any of the programs and services offered by the Alzheimers Association call our Helpline, available 24 hours a day, seven days a week, at 800.272.3900

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

IStock photos are amazing! We have been using them for flyers, brochures, and advertising. We found over the years however, we could not find photos of seniors who were old enough to represent our population.It seemed as if the oldest person in the photo was 15-20 years too young -more representative of the children. My goodness we call ourselves advocates for the elderly and then our pictorial representations were inaccurate.We hired our own photographer. We were lucky to find a photographer who had a family member in long term care. Her grandmother had lived in one of our independent living and then assisted living, and passed away in one of our nursing homes. She also has a personal mission to take pictures of those she feels are under represented in photographs. Presto magic!Our photographer has been capturing the essence of day-to-day events and the life of the facility. She has a big task, as we have 12 facilities. I enjoy listening to her stories of participating with residents at the Rockies Game, in an art project, or having deep discussions of current events. All are captured on her digital camera for our use. Of course with permission from residents.Our first coming out photo has been used in digital and print ads, on a billboard, and even on our water bottles. Our featured resident is thrilled, as is her family! The other residents in her facility and the staff all think they are special. What a wonderful effect of our program we had not really anticipated.We sent an ad with her photo for a publication. The publications design team asked if they could use the photo from last year an IStock photo of a family. When I asked them why, they stated our photo for this year was of her whole face and it showed every wrinkle and imperfection. My response Yep. Thats the point.It takes many years to develop the wrinkles and imperfections of wisdom and experience. We love our new photos and celebrate with our residents their long lives and beautiful faces!Editors Note: This article was submitted by Yvonne Myers, Health Systems Director, with Columbine Health System. She can be reached at 970-482-0198 or Yvonne.myers@columbinehealth.com

SHOULD YOU RELY ON WILL POWER TO BEQUETH ASSETS? The more complex your estate, the more ill-advised that choice becomes. Having only a will in place when you die may not be enough. As MarketWatch noted recently, research from the Williams Group (a major estate planning firm) indicates that estate fights reduce inherited wealth for as many of 70% of families.INHERITANCE IS NO SIMPLE MATTER. In a simpler world, an individual with a $3 million estate could pass away and simply leave $1 million each to his or her children enough said, over and done. But life isn't so simple: one heir may deserve more money as a result of a disability or fate dealing out hardships, while another may truthfully deserve less due to his or her behavior, or his or her financial success. If you feel one heir should receive more of your estate than another, that wish needs to be articulated in your estate planning. Stating these wishes before you pass away (the why, the how, the how much) and letting your heirs know how you feel isn't cruel candor now is preferable to confusion and in-fighting later.BEYOND MONEY, WHAT ABOUT POSSESSIONS & REAL PROPERTY? Homes, businesses, raw land, antiques, artwork, collectibles, heirlooms, and pets: your children and grandchildren may have different perceptions of their future value, and disagree on their destiny. Being clear about who is going to get what today (and why specific decisions are being made) may help defray potential legal challenges tomorrow.CONSIDER LEAVING SOME THINGS UP TO THE KIDS. You could call in appraisers to set values for your real and personal property, make a list of those assets and their values, and subsequently allow your heirs to take turns choosing the possessions or properties they want to inherit. If a squabble breaks out between heirs over this or that item, you can settle it with a family auction that item goes to the highest bidder when you pass away.LIVING WILLS? THOSE CAN PROVE QUITE VALUABLE. You may not die suddenly, and you could be incapacitated for a period just prior to your death. Should that be the case, a living will (also called an advance directive) can articulate how you want to be treated. Additionally, a health care proxy document can appoint someone (known legally as a health care agent) to authorize doctors and nurses to carry out those directions. A health care proxy is also crucial in instances when a younger individual becomes severely disabled.Editors Note: Footnotes, disclosures and sources: Securities, advisory services and insurance products are offered through Investment Centers of America, Inc. (ICA), member FINRA, SIPC and a Registered Investment Advisor, and affiliated insurance agencies. CFP and CERTIFIED FINANCIAL PLANNER TM are marks owned by the Certified Financial Planner Board of Standards, Inc. This mark is awarded to individuals who successfully complete the CFP Boards initial and ongoing certification requirements. This material was prepared by MarketingPro, Inc., and does not necessarily represent the views of the presenting party, nor their affiliates.

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

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.

The constant consternation played out by retirees over the Home Equity Conversion Mortgage (HECM) is bewildering. People choose to struggle in retirement by completely ignoring the fact that they have equity in their home.Unlocking the equity in the home can greatly benefit the homeowner and make it possible to age in place more comfortably. A recent AARP Survey concluded that 76% of older adults prefer to age in place. Ultimately there is an impending retirement crisis in America and Home Equity could be the solution for many people. Most retirement accounts are underfunded, people are forced to work beyond regular retirement years or take part-time jobs to make ends meet and for the majority of people Social Security is the primary source of household income. Even if you did plan well, the addition of a HECM to the overall plan typically improves all outcomes and reduces the likelihood of outliving your money.At AAG we have an agnostic approach to home equity. We can help you sell your house to get access to the equity, we can do a first mortgage to help someone utilize a portion of the equity or we can assist with a HECM that offers a variety of features to meet the needs of a potential borrowers unique fingerprint. In most cases, for those 62 or better who want to age it place the HECM can be the best decision. You have government guaranteed product that allows the borrower to access a portion of the equity in their home as needed in a number of ways. Perhaps $300/month for life (in the home) or $1000.00/month for 10 years would be helpful, or you could pay off a mortgage thus eliminating the monthly principal and interest (still have to pay taxes and insurance) that is cutting into monthly cash flow, finally simply establishing the HECM line of credit for future use of funds later in life can be a great addition to a retirement plan.Throughout life people are posed with the opportunity to borrow against the equity in their home for a myriad of reasons. Remodel a home, new windows, consolidate debt, pay for college, buy a car are all common choices for many homeowners as they work to pay of their house before retirement. Then suddenly when cash fl ow becomes even more important most retirees stick their heads in the sand and ignore their biggest asset. Avoid the impending crisis, plan for the future, and realize that a HECM isnt for desperate people, it is a tool to help you Retire Better!Editors Note: This article was submitted by Richard Glover, Reverse Mortgage Professional with American Advisors Group and may be reached at 630 660 8444 or by e mail at rglover@aag.com

Under optimal environmental conditions, almost every physical aspect of the brain can recover from age-related losses. --Neuroscientist Michael MerzenichNot long ago the majority of neuroscientists believed that the number of brain cells in a human brain was fixed and that there was nothing we could do to grow new ones or alter the circuitry of our brains. In recent times, this view of the brain has been completelywell, turned on its head. We now know that we all can grow new brain cells by engaging in moderate physical exercise for as little as 40 minutes three times per week (walking is fine). Weve also learned that the brain has a profound ability to rewire itself, a concept known asneuroplasticity.Neuroplasticity is the brains ability to develop and strengthen new neural pathways at a cellular level. Whenever we attempt to do something with our minds that is new or difficult, a chemical is activated in the brain called acetylcholine. This is the brains pay attention! chemical and it is associated with neuroplasticity and improved cognitive functioning.Concert violinists spend years learning to master difficult finger positions. As a consequence, the regions of their brain that control these movements are several times larger than those of non-violinists. Thats neuroplasticity.A great analogy, especially here in Colorado, is a snow covered mountain slope that has sled tracks worn from many trips down the hill. If you take your sled to the top, chances are you will follow the grooves of your previous trips down unless you use great effort to lurch your sled onto a new path. On subsequent rides, however, this new pathway becomes easier and easier for you to select. You have built a new pathway. Your brain works much the same way.To build new pathways, the key is to select things that are new and difficult. Learn to play a musical instrument or study a foreign language. Drive home a different way or attend a lecture on a topic you know little about. All of these are excellent ways to exercise your brain.Exercising your brain increases it strength, a concept scientists call cognitive reserve. This can provide a buffer against diseases like Alzheimers and dementia. One study found a 33% lower likelihood of Alzheimers disease among those who engaged in as little as one additional cognitive activity per week!And the best partlearning new things is fun!Zane Robertson is the President of Active Minds, a Denver based provider of educational programs for seniors. He is a frequent speaker on lifelong learning and senior education and has served on the Denver Commission on Aging and the board of the Denver Coalition for Seniors. Active Minds programs are available in most Denver senior residential communities as well as a variety of public venues. For more information, contact Mr. Robertson at 303?320?7652 or visit www.ActiveMindsForLife.com.Copyright 2011 Active Minds. All rights reserved.

A care manager is a professional, such as a social worker, counselor, nurse, or gerontologist who specializes in assisting older people and their families to attain the highest quality of life given their circumstances. Care managers are experts in working with individuals to identify their goals and locate the specific support services that enhance well-being. When faced with the array of choices and challenging decisions, care managers provide support to find the best solutions.Their services can cover short-term and/or long-term management of care, and families may choose to have them involved as little or as much as needed.Short-term care management would be helpful when being discharged after a recent hospital stay from a broken hip, a stroke or a new diagnosis of dementia. The care manager would assist with finding a suitable rehabilitation center such as an acute care rehab hospital that offers intensive therapy 3 hours per day in a hospital setting that includes medical oversight; or arrange for care in a skilled nursing facility that offers 2 hours of therapy a day with nursing oversight.For those patients going home after their hospital stay, the care manager would assist in locating and arranging for the necessary home health care and medical equipment needed at home such as walkers, raised toilet seats, hospital beds, wheelchairs, etc, many of which are covered by Medicare or long-term care policies.Long-term care management involves providing professional services to a client who requires on going assistance. An example of long-term care management would be helping adult children with coordinating the care of aging parents who want to stay in their home to age in place or assisting aging parents who have adult children with special needs as a healthcare agent to manage the healthcare for their special needs adult child.Long-term care management also includes managing ongoing medical bills, conducting a yearly review of health insurance coverage, and going with you to medical appointments. Some long-term care insurance policies will cover up to $1,500 of care management services.Care managers assist you to navigate and evaluate the health care services available to you. Short-tem or long-term, they can be a wonderful health care advocate to you and your family.Editors Note: This article was submitted by Christina Curtis, LBSW, Care Manager at Piece by Piece Care Management, LLC. Christina may be reached at 469-631-5110 or www.piecebypiececaremanagement.com

With the holidays approaching, if your senior loved one wants to travel, get them where they need to go safely, and with minimal stress.  Below are a few tips to make holiday travel a seamless process that will keep them comfortable, relaxed and arriving at their destination with ease.Prepare documents and medicationsWhen booking flights, get as much information as possible. Having an informational packet put together will help everyone know what to expect and feel prepared.Your packet should include:       Flight departure / arrival times       Transportation options to and from the airport       Terminal maps and gate locations       Medication regulations and necessary documents       TSA safety check processLook through the TSA website to learn about which medications are allowed and how to communicate with an officer about medically necessary bottles or containers. Request copies of prescriptions and statements of medical conditions from each physician and medical center for verification. Make photocopies of passports, drivers license, insurance cards, travel tickets and the trips itinerary provides a backup in case of any unforeseen emergencies. Many seniors no longer have a drivers license, which can present a problem when going through airport security. Be sure that the individual has state ID, military ID, passport, or similar credential. Keep one set of copies with you, place a set of the documents in your seniors carry-on bag and forward a set of the documents to the destination. Consider insuranceWhen traveling, seniors are at greatest risk of being in need of a health care emergency.  The right insurance package for ones age group can protect their health and give you peace of mind.Health Insurance: If traveling within the United States, be sure to look up what hospitals accept your health insurance and if there is coverage during travel. If going abroad, look at buying a travel medical plan or vacation plan that includes medical emergencies.Trip Insurance: There are a few different options when choosing trip insurance. For seniors, there can be unexpected delays due to appointments, or medical clearance delays. Therefore, it is ideal that trip cancellation protection is provided.If your loved one is nervous about the upcoming trip, let them vent and answer their concerns.  Be calm and optimistic.  Remember that all of this preparation is worthwhile.    Editors Note:  This article was submitted by Apryl Garrett, Publisher of the Seniors Blue Book of Greater Pittsburgh.  She can be reached at 412-551-5951 or by email at Apryl@SeniorsBlueBook.com. 

Prostate cancer screening has received a greatdeal of press over the past decade or two. The introduction of the prostate specific antigen blood test (PSA) in the late 80s has resulted in a significant number of prostate cancers being diagnosed at early clinical stages. In fact, each year over 250,000 cases of prostate cancer are diagnosed in the United States alone and over 40,000 men die of this disease annually. Early diagnosis IS key.Current knowledge on how to use PSA values to determine which men need urological evaluation is vitally important to primary care providers, especially when dealing with healthy males between the ages of 40 and 80 years of age.It was once considered standard of care to interpret any PSA reading between zero and 4.0ng/dl as normal. Fluctuations within this range were given little if any significance.In addition, levels as high as 6.5ng/dl were even considered acceptable in men over the age of 70 at one time. Using these parameters was successful in minimizing the over diagnosis of prostate cancer in elderly males with clinically insignificant prostate cancers.Unfortunately, many younger patients with mare aggressive cancers were left undiagnosed until they had non-organ-confined disease, which negatively impacts cure rates as well as morbidity of treatment.In addition to the total PSA blood test, free PSA testing may be used to increase the specificity of a borderline or high PSA result (4-l0ng/dl). Free PSA is reported as a percentage of the total PSA, and represents the fraction of serum PSA that is unbound to a carrier protein. Patients with prostate cancer have less free PSA.The following guidelines represent the current standard for interpreting PSA values in the screening of men for prostate cancer.It is important to include in this discussion the necessity of the digital rectal exam, which if abnormal must be evaluated, regardless of the PSA result: PSA levels over 2.0ng/dl in males under the age of 50 and PSA levels over 2.5ng/dl in males under the age of 60 should be considered abnormal.PSA levels over 4.0ng/dl should always be considered abnormal and warrant urological evaluation.An increase in PSA (PSA velocity) or O.7ng/dl over an IS-month time span should be considered significant. even if within normal range for PSA (0-4ng/dl).Free PSA levels below 10% indicate at significant risk for prostate cancer.PSA levels should be considered inaccurate if obtained in the presence of a urinary tract infection, prostatitis or after a traumatic Foley catheter placement. A period of four to six weeks after treatment should be sufficient to allow the PSA to return to baseline.Editors Note: Article provided by Dr. Gurevitch of Specialist in Urology, 239-434-6300.

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.

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

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.

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

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

In uncertain times, sound financial decisions matter more than ever. When it comes to securing guaranteed retirement income, its important to base your decisions on a clear understanding of available products. Since many people turn to both deferred fixed annuities and certificates of deposit (CDs) for stable returns, its helpful to know the differences between the two.First and foremost, a deferred fixed annuity is a conservative retirement vehicle, while a CD is designed to be a savings vehicle. Deferred fixed annuities can help you accumulate and protect assets until you are ready to receive them as guaranteed income during retirement and many offer the option of guaranteeing retirement income for your lifetime. CDs, by contrast, offer a conservative way to save and preserve assets when your investment horizon (the amount of time you expect assets to be invested) is relatively short. CDs do not offer a guaranteed lifetime income option.While both vehicles are considered conservative, they reduce risk in different ways. CDs are generally backed by banks and currently are insured for up to $250,000 for each depositor by the Federal Deposit Insurance Corporation (FDIC) or the National Credit Union Administration (NCUA).Fixed annuities are guaranteed with no maximum by the issuing insurance company. They are not FDIC insured. Be sure to ask your financial professional about an insurance companys financial strength ratings if you plan to purchase an annuity, because payment of lifetime income is contingent upon the claims-paying ability of the issuing company or companies.There are other important differences as well, involving income tax treatment, early withdrawal options, and other important factors. The best way to make a good decision when planning for retirement is to work with a trained, trusted financial professional to choose products that best meet your retirement income objectives and investment needs. 'Editors Note: This article was provided by Bradley Waller, a financial representative with MassMutual Financial Group Dallas/Fort Worth; courtesy of Massacusetts Mutual Life Insurance Company. He can be reached at 972-348-6382/817-201-3819. The article has been modified.

Changes can have a tremendous impact on a person with Alzheimers or Dementia, and the more prepared the family/caregiver is the better.The main underlying cause of memory loss and confusion is the progressive damage to brain cells caused by the disease. Sometimes your loved one may remember an important date about one person and not the other. Sometimes they may remember something significant about someone who they arent close to, but cant remember something significant about the caregiver. There is no rhyme or reason in most cases.The human brain is very complicated, and the condition presents other challenges that scientists still cannot fully answer. Your loved one may even lash out at the person taking care of them for no apparent reason, and the caregiver may not understand the precipitating factors. The person may get upset easily; use bad language, scream, or hurl insults.Your loved one might even throw things, or resist your care by pushing and/or hitting you. This behavior could be a symptom of the disease, or just a response to them feeling confused. Aggressive behaviors can be verbal or physical, occur suddenly, and could be the result of anxiety and/or confusion.While aggression can be very difficult to cope with, its important for you as the caregiver to understand that your loved one is not behaving this way on purpose. Behavior is a form of communication. Aggression can be caused by many factors, including physical discomfort, environmental factors, and poor communication.Environmental factors play a huge role, but often times it is overlooked. Caregivers have to be careful with making changes in the environment. For example, modernizing a home could create some significant challenges for the person with Alzheimers. Changing from a rotary phone to a touch tone phone could deter the person from using the phone.We have to give a lot thought to upgrading microwaves, stoves, refrigerators, dishwashers, etc. Changes could have a negative impact on the persons independence and quality of life. The more they can continue to do for themselves the better. As caregivers, please consider the impact the change could have on your loved one. Even simple changes can complicate your loved ones world, and cause them to regress. So be careful and minimize change!Editors Note: This article was submitted by Award winning author/speaker Patricia M. McClure-Chessier, (MBA, MPA) the author of Losing a Hero to Alzheimers The Story of Pearl and A Caregivers Guide for Alzheimers & Dementia Nine Key Principles. She has worked in the healthcare industry for 25 years. For more information please visit www.patriciammcclure.com or contact Patricia at pmcclurechessier@yahoo.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.

The challenge of finding appropriate senior living for either ourselves or loved ones is a universal dilemma we inevitably face.The initial investigation can seem overwhelming without a little preliminary education and research. While word-of-mouth referrals through friends and associates accompanied by Internet queries are a great beginning, there are many additional criteria to consider. The following checklist provides key questions and assistance in streamlining the process, ultimately providing you and/or loved ones with rewarding end-results, peace-of-mind thus creating the perfect match! Licensing & Complaints: Is the facility licensed, accredited and in good standing with the Utah Department of Health, Salt Lake County Aging Ombudsman and Better Business Bureau? Are there outstanding complaints against them? Location, location, location: Is the community situated in a safe and ideal area? What supplemental amenities are close by? Ownership History: How often has the community changed ownership or been in business? Care Competency & Medical Options: Does an R.N. oversee all aspects of residential care? Are there on-site medical services and professionals available to minimize outside doctor visits? Care Levels: Can the prospect age in place with a full or partial care continuum to minimize transfers? Are there memory care options, if applicable? Events & Activities: Does this community match the prospects personality and allow them to maintain as much independence as possible? What kinds of activities/events are scheduled commensurate with the prospects needs? Transportation: What transportation options exist? Occupancy: Is there a wait list and what is the move-in timeline? Financial Options: What kind of financial options exist to afford the prospect a stay at the community? Can I begin to utilize a long-term care policy or qualify for veterans benefits? Do they accept Medicaid?Editors Note: This article was submitted by Chantelle Knudson. Chantelle is the Sales Director with Highland Cove Retirement and may be reached at 801-272- 8226 or by email at cknudson@centurypa.com

When seniors health issues or functional capabilities worsen as they age, its entirely likely that they will require more care at home, whether they live in an assisted living center or nursing home, or whether they receive care from a hospice provider.Its also quite possible that the majority of their day-to-day care will be provided a nurses aide, certified nursing assistant or hospice aide. June 13-20 is designated as National Nursing Assistants Week in 2019, honoring nursing assistants and aides who provide up to an estimated 90% of nursing care, according to the National Network of Career Nursing Assistants.HOSPICE AIDES PROVIDE DAY-TO-DAY CARE At VITAS Healthcare, the nations leading provider of end-of-life care, 35% of our 7,328 nurses are hospice aides, and in 2018, 94 of them were recognized as outstanding employees. Their nominations tell powerful stories of caring: She spent three days in lockdown in the inpatient hospice unit during Hurricane Irma as part of the staff that looked after the patients who were hospitalized during the event. "...He sees many patients a day, and he treats all of them as if they are the only patient he has. Even when they cant communicate with him, you can see the appreciation in their faces. Whenever she has visited a patient, a family will call and say, Please send the aide who worked last night. She was outstanding. I was finally able to get some sleep.According to one 2018 VITAS honoree: When I arrive at a patients home, my spirit is to serve. My approach is to smile and to advocate. I let them know I am here for them, and whatever I can do to make things better, I will certainly give my all to achieve that. Be sure to say thanks during National Nursing Assistants Week to a hospice aide or caregiver who made (or is making) a difference in your life or the life of a loved one.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 early April, FEMA will begin providing financial assistance for funeral expenses incurred after Jan. 20, 2020 fordeaths related to coronavirus (COVID-19) to help ease some of the financial stress and burden caused by thepandemic. The policy was finalized today, and FEMA is now moving rapidly to implement this funeral assistanceprogram nationwide.To be eligible for COVID-19 funeral assistance, the policy states: The applicant must be a U.S. citizen, non-citizen national, or qualified alien who incurred funeral expensesafter Jan. 20, 2020 for a death attributed to COVID-19. If multiple individuals contributed toward funeral expenses, they should apply under a single application asapplicant and co-applicant. FEMA will also consider documentation from other individuals not listed as theapplicant and co-applicant who may have incurred funeral expenses as part of the registration for thedeceased individual. An applicant may apply for multiple deceased individuals. The COVID-19-related death must have occurred in the United States, including the U.S. territories and theDistrict of Columbia. This assistance is limited to a maximum financial amount of $9,000 per funeral and a maximum of $35,500per application. Funeral assistance is intended to assist with expenses for funeral services and interment or cremation.In the coming weeks, a dedicated 800 number will be established to help individuals who apply. In the meantime,potential applicants are encouraged to start gathering the following documentation: An official death certificate that attributes the death to COVID-19 and shows that the death occurred in theU. S. The death certificate must indicate the death may have been caused by or was likely the result ofCOVID-19 or COVID-19 like symptoms. Similar phrases that indicate a high likelihood of COVID-19 areconsidered sufficient attribution. Funeral expense documents (receipts, funeral home contract, etc.) that include the applicants name, thedeceased individuals name, the amount of funeral expenses, and the dates the funeral expenses wereincurred. Proof of funds received from other sources specifically for use toward funeral costs. Funeral assistance maynot duplicate benefits received from burial or funeral insurance, financial assistance receivedfrom voluntary agencies, federal/state/local/tribal/territorial government programs or agencies, or othersources.More information regarding this assistance can be found at COVID-19 Funeral Assistance | FEMA.govContact UsIf you have any questions, please contact FEMA Office of External Affairs: Congressional Affairs at (202) 646-4500 or at FEMA-Congressional-Affairs@fema.dhs.gov Intergovernmental Affairs at (202) 646-3444 or at FEMA-IGA@fema.dhs.gov Tribal Affairs at (202) 646-3444 or at FEMA-Tribal@fema.dhs.gov Private Sector Engagement at nbeoc@max.govFollow UsFollow FEMA on social media at: FEMA Blog on fema.gov, @FEMA or @FEMAEspanol on Twitter, FEMA or FEMA Espanol on Facebook, @FEMA on Instagram, and via FEMA YouTube channel.Also, follow Acting Administrator Bob Fenton on Twitter @FEMA_Fenton.FEMA Mission -Helping people before, during, and after disasters

6 Amazing Things Happen When You Hire a Professional Organizer       Youll have more time for yourself       You get help in deciding what to keep and what to toss       Youll no longer be drowning in stuff       You are held accountable for your choices       You can learn ways to create organizing routines       You learn tips & tricks that are easy to implement

Families and friends assume an incredible amount of responsibility when caring for an aging loved one. If you have taken on the role of primary caregiver, then you have probably experienced more than your share of fatigue, frustration, loneliness and stress. Few of us expect to add caregiving to an already challenging list of family responsibilities. Yet is doesnt have to be this way. Many family caregivers are finding help outside of the family circle with paid caregivers. Professional caregivers will allow you to focus on your own self care and spend valuable time with your loved-one engaging in meaningful conversation and activities.Start by assessing your personal needs, or your needs as a caregiver and the needs of the person you are caring for and evaluate the level of care needed. Then take a look at in-home care and support services.Benefits of Home Care:It is delivered in your home. There are such positive feelings that all of us associate with being home. A care plan is customized to the needs of each individual and these services are provided within the privacy of ones own home.Caregivers are special people. By and large, people who selected caregiving as a profession look at it as their calling. Caregivers are compassionate and dedicated to providing the highest quality care and supports.Life management: At ResCare HomeCare we focus on wellness by educating client and caregiver to help monitor chronic disease symptoms and successfully implement treatment and wellness plans to avoid hospital stays and live independently at home.Takes care of everyday household tasks that become challenging with age. A caregiver can run errands, grocery shop, pick-up prescriptions and stock the home with needed toiletries. Homemaking services like light housekeeping, pet care and home safety checks help maintain a healthy environment.Activities of daily living. Personal care includes assistance with bathing, eating, dressing toileting and medication reminders.Meal planning and preparation. A caregiver not only helps your loved-one maintain a well balanced diet but they can also help monitor the expiration dates of food items in the home.Emotional Care. Having a companion in the home can enhance safety, provide peace of mind and keep your loved-one socially active. Transportation services. Can help your loved-one stay engaged with their favorite activities like exercise class, social group meetings, hair appointments and visiting with friends. A caregiver can help drive your loved-one to a physicians appointment.Many home care agencies will help you determine the level of care needed and best payment options, if you are unsure. There are a number of ways to cover the cost of non-medical home care and skilled home health. Some options include: private pay, long-term care insurance, private insurance, Veterans assistance, Medicaid, Medicare and/or workers compensation.Editors Note: This article was submitted by Elizabeth Squires. Elizabeth Squires is a Branch Manager with ResCare HomeCare and may be reached at 801-288-4100 or by email at esquires@rescare.com

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

Health Care is changing and so are the options for care and rehabilitation following an accident, injury or illness. The new Transitional Rehabilitation model is driving trends in post-acute care and providing a better recovery experience for patients.New Transitional Trend #1: providing short term care without providing Long Term Care.New Transitional Trend #2: providing care and rehabilitation in a comfortable setting with a hospitality focus.New Transitional Trend #3: providing high intensity therapy for faster recovery, often 7 days/ week.New Transitional Trend #4: focusing on discharge goals at the time of admission and following up after returning home.Transitional Rehabilitation facilities (TRF) are typically licensed as Skilled Nursing Facilities (SNF) but the similarities end there. TRFs are focused on providing the nursing services and therapy services to return people home as quickly as possible, usually in less than 20 days. They do not provide long-term care and frequently are not certified for Medicaid. Many accept Medicare and Insurance. Most TRFs are new, have private rooms, large therapy spaces and well-appointed dining areas. A hotel like feel is common in the more upscale TRFs with an emphasis on customer satisfaction. Usually, staff to guest ratios are higher in TRFs and some TRFs offer therapy 7 days a week.How to choose? Here is a quick checklist to see if the options you need/ want are available where you are looking:FEATURE Yes/ NoTHERAPY AND CARETherapy available up to 3 hrs/ day, 7 days a week.Physician actively leads plan of care for each guestOne on One, individualized therapyLarge gyms with state of the art equipmentDirect care staff to guest ratio (Nurses and CNAs)First dose medication system on siteRegistered Nurses on site 24/ dayYOUR RECOVERYPrivate rehab suites with full wheelchair accessible showerChef inspired menus with open dining and room service.Complimentary WiFi, flat screen smart TVs and other amenitiesTHE PHILOSOPHYDischarge planning upon admissionComprehensive Electronic Medical RecordMobile charting system for in-room care and immediate documentationLong term care at the same locationEditors Note: This article was submitted by Kevin Braa. Kevin is a Community Liaison with Welbrook Transitional Rehab Grand Junction and may be reached at 970-628-0669 or by email at Kevin.Braa@welbrook.com

Do you have a favorite song that you hum in your head?Can you remember the song that was played at your wedding? What was one of your favorite songs growing up in high school? These are the first questions I pose to my clients; many of whom have suffered strokes, brain trauma, and have become confined by dementia. Music is a profoundly powerful tool- to the delight of loved ones the music playlists I create for clients help them remember specific memories from their past. Some advanced staged clients can even remember how to speak after careful and regular music sessions.Neuroscientists have determined that in many types degenerative cognitive conditions the area of the brain responsible for musical memory is the last to atrophy. Alzheimer Disease, for example, can impair language to the point where simple conversations arent possible. Happy Birthday and the ABCs rhyme are songs we all know. I asked a recent client early on in our session to sing along to Happy Birthday. A man who could barely utter a word began singing the verses word for word. These are powerful moments which routinely lead to break-through session. Singing along, he certainly surprised himself, too!Music & Memory is a non-profit organization that brings personalized music playlists to elderly people suffering from a host of late life cognitive issues. For Home Care Assistance of El Paso County, we are the only non-medical home care company in Colorado Springs that is certified in Music & Memory. The secret power behind the music is using specific music that resonates with that client. More can be learned in the film, Alive Inside which features a man named Henry who is in the very late stages of dementia. Henry can longer remember family, he cannot speak or care for himself. Then, a song that he recognizes from his young adulthood is played and he is immediately animated with eyes lit up. He begins singing the song word for word and rocks in his wheelchair. Specific music brought him back from the depths of dementia. Henrys clip can be viewed on YouTube under Henry Music & Memory.Home Care Assistance has works with clients whove suffered strokes, brain injury, dementia, Alzheimers disease, and PTSD from warfare. For my take, the most rewarding experience came from my most challenged client. This man had suffered four strokes and could no longer hold conversations with his family and friends. He lost the capability to convey even the most routine request. As I began my work, he and his wife sat silent and resigned opposite a large dining room table. After some musical forensic work I understood they grew up listening to Motown music. Easily, I searched my database for My Girl by The Temptations. The first notes took hold. To all our surprise, he pointed to his wife and sang the song to her- My girl, my girl, talking bout my girl. Both their eyes welled with tears as he had returned home in that moment. Later, I learned it was the longest form of conversation they had together in years.Why does music have this effect on people? Harvard Health reports,Listening to and performing music reactivates areas of the brain associated with memory, reasoning, speech, emotion, and rewardResearchers at the music and neuro-imaging laboratory at Harvard-affiliated Beth Israel Deaconess Medical Center have shown that singing lyrics can be especially helpful to people who are recovering from a stroke or brain injury that has damaged the left-brain region responsible for speech. Because singing ability originates in the undamaged right side of the brain, people can learn to speak their thoughts by singing them first and gradually dropping the melody.Medical research is finding a solution in music for people who have experienced cognitive decline. Its exciting to see how much music can really assist someone.Home Care Assistance of El Paso County offers personalized music playlists on mp3 players for each of their clients as a gift. Owner Dorothy Silvanic says, Music has helped so many of our clients and we enjoy how happy it makes them. Home Care Assistance has their own music library of CDs to make these personalized playlists. Donations of CDs can be sent to Home Care Assistance at 13395 Voyager Parkway Suite 120 Colorado Springs, CO 80921.Jessica Colson is the Cognitive Therapeutics Director for Home Care Assistance of El Paso County. She is a Colorado State Dementia Care Specialist, a Cognitive Therapeutics Interventionist, a Music & Memory certified volunteer and she is a certified yoga instructor.

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

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

Since establishing in 1985, Medical Claim Service of Southwest Florida has provided crucial administrative services to hundreds of people who value peace of mind.Every day, seniors are forced to spend their afternoons at the kitchen table sorting through confusing packets of information received in the mail, writing checks to pay monthly bills, balancing bank accounts and organizing everyday papers. In the best of cases, these administrative responsibilities are time consuming and frustrating. Errors are often made costing the seniors and their families money and aggravation. This is further complicated by medical conditions, bills with over-charges and inadequate insurance coverage, not to mention those confusing insurance statements called explanations of benefits.You or your loved ones can be spared the frustration, the time and the costly errors associated with this by utilizing the two-tiered concierge service at Medical Claim Service (MCS). Tier One is the medical and health insurance advocate service where MCS deals with your insurance company to file all claims, to ensure all medical bills are accurate and all benefits has been provided. Tier Two is the personal bill pay service that ensures monthly bills are paid accurately, that all accounts are balanced, arranged budgets are maintained and all IRS requirements are fulfilled. This service is accompanied with full monthly, quarterly and annual accounting reports that are provided to the client or to their loved ones to keep everyone up to date in terms that everyone understands.Talk to the specialists at MCS to see how you and your loved ones can benefit from having trained professionals with specialized knowledge and full state licensing manage your medical or personal paperwork. You and your loved ones deserve the peace of mind.Editors Note: This article was submitted by Stan Grigiski, Certified Claims Assistance Professional & Daily Money Manager, of Medical Claim Service of Southwest Florida, Inc. 239-772-2030 or www.WeGivePeaceOfMind.com.

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

Emergency medicine is about three things: Compassion, Skilled Care, and Speed.First, we want doctors and nurses to be nice to us, and our loved ones who are in the ER with us. Secondly, we want highly-trained doctors, nurses, and other clinicians to care for us. Finally, we want these professionals to quickly diagnose what is wrong with us, and get us on a treatment plan so we will feel better as soon as possible.At Physicians Regional Healthcare System, we are dedicated to offering quality care and outstanding service, and also providing that care as efficiently and quickly as possible. We are so confident in our ability to have our patients quickly seen that we have made a 30-minute ER Service Pledge. This is our pledge that a medical professional (physician,physician assistant or nurse practitioner) will work diligently to have patients initially seen within 30 minutes of their noted arrival (check-in) in the ER.Timely and effective care in hospital emergency departments is essential for good patient outcomes. Delays before receiving care in the ED can reduce the quality of care and increase risks and discomfort for patients with serious illnesses or injuries. ER wait times can vary widely, depending on the number of patients seen, staffing levels, efficiency, admitting procedures, or the availability of inpatient beds. The ER Pledge helps assure patients that a hospital is dedicated to not only offering quality care but also to working diligently to provide that care as efficiently as possible. The ER Pledge is part of a larger initiative that includes efforts to improve patient satisfaction.Perhaps you will never need an emergency room. But hopefully in the event you do, either for yourself or a loved one, you will remember only one health system has made a pledge that you will be seen by a physician,physician assistant or nurse practitioner within 30 minutes of check-in. Physicians Regional Healthcare System Collier Blvd. and Pine Ridge.Editors Note: Physicians Regional Healthcare System is comprised of two premier hospitals, an affiliated multi-specialty physician group, and a medical staff of over 300 highly trained physicians. Our fully integrated campuses include 24-hour emergency rooms, state-of-the-art surgery centers, full service diagnostic departments and medical office buildings hosting various physician offices. Physicians Regional Healthcare System was recently named a Top Performing Hospital by The Joint Commission for Heart Attack, Heart Failure, Pneumonia, Surgical Care, and Immunization. The hospitals are two of only 1,043 hospitals in the United States to achieve this distinction based on excellence in accountability measure performance. For more information on any of these programs or the host of other programs held at Physicians Regional Healthcare System call 239-354-6000 Collier or 239-348-4000 Pine Ridge.

Medicare Advantage plans (Part C) are not the same as Medicare Supplement (Medigap) plans. Even though most people don't understand the differences, they are very different kinds of insurance. As such, the rules that the beneficiary must follow to receive health care are also very different. Make sure you understand these differences before enrolling.If original Medicare (Parts A & B) is your primary insurance, you are not restricted by HMO or PPO networks for your medical care. Without referrals, you may see any doctor or provider within the U.S. that agrees to see you. Sometimes you can shift drug coverage from Part D to Part B. If you are using insulin, pain medication, or certain inhalers (which can all be pricy, even under Part D), the same active ingredients may be available for use in insulin pumps, pain pumps or nebulizers. These devices are considered Durable Medicare Equipment (DME); therefore, the equipment, as well as the medications administered through the equipment, are covered under Part B, which in many cases will result in substantially lower out of pocket costs for the beneficiary. Talk to your doctor to see if this is an option for you.Medicare Supplement (Medigap) carriers are still allowed to deny coverage due to pre-existing conditions, even with the ACA becoming law. This is one of the most misunderstood aspects of the ACA (Obamacare). When you apply for a Medigap policy outside of being new to Medicare (or recently turning 65), the insurance company in most cases can review your health history and deny coverage if you're health history or current condition doesn't meet their underwriting criteria. This hasn't change under the ACA. Note: There are numerous exceptions to this rule. Consult with a qualified Medicare advisor to learn more.You are allowed to change your Medicare Supplement (Medigap) policy any time throughout the year, not just at open enrollment. If you encounter a large rate increase at any time, you may apply for a Medigap from a different carrier. There are no calendar restrictions. Once approved, you can make the switch. Consult with your qualified Medicare advisor to learn more.Editors Note: This article was submitted by Bill Gundelfinger-Mr. Medicare of Total Retirement Alliance, Medicare Experts. Helping Medicare Beneficiaries get the most out of their health insurance. He can be reached at 720-675-8032 or 800-376-5450

Looking for affordable housing or have an extra room in your home?PLOWS Council on Aging, a non-profit senior agency, offers a unique housing option to seniors in towns within or near the suburban Cook County Townships of Palos, Lemont, Orland and Worth. Our Shared Housing program is a viable alternative to living alone and reduces living expenses for both providers and seekers. It can mean extra funds to participants who are willing to share a house, condominium or apartment. PLOWS provides guidance in developing an agreement between Providers & Seekers and facilitates follow-up visits and meetings. There are no fees for PLOWS service.Some benefits of Shared Housing are:Financial: Reduces housing costs and eliminates long waits for subsidized housing.Companionship: Reduces loneliness and feelings of isolation.Security: Reduces the fear and vulnerability of living alone.Independence: Older adults maintain their independence within their community.Adults of all ages can participate, but one person in each match must be at least 62 years old or have a disability. PLOWS confidentially screens applicants, thoroughly checks references, and arranges a meeting with potential matches. There is never an obligation to enter into a shared living arrangement - the final decision is up to the individual.Shared housing is not designed to accommodate emergency housing, free caregiving, babysitting, housekeeping and transportation service. Participants must be self-sufficient.PLOWS Council on Aging serves individuals 60 years of age and older in Palos, Lemont, Orland & Worth Townships. PLOWS places special emphasis on helping maintain people in their homes and provides a number of services with that objective in mind. Our staff strive to assist older adults and their families with whatever concern may be paramount to them. For more information, call: PLOWS Council on Aging (708) 361-0219 7808 College Drive, 5th Floor Palos Heights, IL 60463Editors Note: This article was submitted by Elaine Grande. Elaine is a Program Manager and resident expert on housing and advocacy with PLOWS Council on Aging and may be reached at 708-361-0219 or by email at e.grande@plows.org.PLOWS Council on Aging does not discriminate in admission to programs or treatment of employment in compliance with appropriate state and federal statutes. If you feel you have been discriminated against, call 708-361-0219.

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

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

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

Refers to services including patient assessment, specific diet information, and management of the disease process, medication management and education. Cardiac rehabilitation is a program designed to help a person with heart disease return to health. Cardiac rehabilitation may consist of exercise, modifying risk factors to prevent further heart damage' or psychological rehabilitation.#listing_mgr{8 basic_search}#

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

Regularly scheduled hearing tests should be part of your normal health routine but are often not included as part of an annual physical.It is recommended that people over 50 have a hearing test every 5 years and over 65 every two years. Your hearing may have influence on many aspects of health.People with even mild hearing loss are three times more likely to suffer from falls. Johns Hopkins studies show that people with untreated hearing loss are three to five times more likely to develop dementia and Alzheimers as well as general memory problems. Diabetes can influence hearing so anyone diagnosed with diabetic condition should be checked upon diagnosisWomen with untreated hearing loss are almost three times as likely to suffer with depression. There is also a correlation between hearing health and cardiovascular disease. Ringing ears (Tinnitus) should also not be dismissed because it may be a sign of a much more serious health problem.We offer complimentary hearing test and tinnitus (ringing ear) assessments and will furnish you a copy for your personal medical records or send one to your primary care physician for you. Please call (239) 498-7142 today to schedule this critical evaluation!

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.

For more information on Barrington Terrace, Click Here.This year has been unusual, to put it mildly. But as we continue to navigate the uncertainty of 2020, its important to remember that seniors in the Naples area have plenty of available resources.Whether you are in need of a ride to a doctors appointment, a hot meal, or just some laughs and entertainment, here are eight places in the Naples area where seniors and their caregivers can find the resources they need.Naples Senior CenterThe Naples Senior Centers mission is to support and enrich the lives of local seniors and their families. During normal operations, it offers programs and services including dementia respite support, geriatric case management, emotional support services, and a food pantry. The center is currently closed to visitors, but services are still available. Call 239-325-4444 and leave a detailed message about the type of service you require and a staff member will return your call.Though the brick-and-mortar center remains closed due to COVID-19 concerns, the Naples Senior Center staff still want seniors to stay active and engaged. The center has moved some of its most popular activities online so you can enjoy them from the comfort of home.The schedule changes weekly, but some recent offerings include chair yoga, mahjong lessons, art and history lectures, karaoke, and a line-dancing class.Collier Senior ResourcesCollier Senior Resources (CSR) is a collaborative effort that brings together a wide variety of organizations and government agencies to provide information, resources, programs, and services to seniors and their caregivers in Collier County.CSRs mission is to enrich the lives of local seniors and empower them to maintain their independence. By forging relationships within the community, CSR and its partners are able to provide seniors with an array of resources and services, including the Golden Gate Senior Center; self-help support groups for caregivers, Alzheimers/dementia patients and families; health screenings; companionship and socialization opportunities; transportation to and from the senior center and lifestyle improvements like household repairs, a food pantry, and help with bills and insurance.CSR has published this comprehensiveResource Directoryto make it easier to find the services and resources you need.Alzheimers Association Florida Gulf Coast ChapterThough the pandemic has required that some programs move to a virtual platform, the Alzheimers Associations commitment to local seniors with dementia remains strong.The Virtual Brain Bus is a statewide outreach effort that raises awareness about Alzheimer's and related dementias. Though the actual Brain Bus is parked for now, its programming is available from any computer or mobile device with an internet connection.Virtual Brain Bus programs are hosted by dementia experts and address topics like the benefits of early detection and diagnosis, brain health, risk reduction, and the latest advancements in Alzheimer's research.The programs go live on Tuesdays and Thursdays at 10 a.m., 1 p.m., and 7 p.m. Eastern Daylight Time. The current programming covers:10 Warning Signs of Alzheimer'sUnderstanding Alzheimer's and DementiaHealthy Living for the Brain and Body: Tips from the Latest ResearchAdvancing the Science: Alzheimer's and Dementia ResearchOne of the Alzheimer's Associations most valuable resources is the Virtual Caregiver College. These interactive, online educational classes help caregivers develop the skills they need to support loved ones who have Alzheimers.These live sessions take place on Mondays and Wednesdays at 10 a.m., 1 p.m., or 7 p.m. Eastern Daylight Time and cover topics like legal and financial planning, effective communication strategies, and understanding and responding to dementia-related behavior.Collier Area Para TransportThis is a door-to-door pickup and drop-off shared ride service, but riders must apply and qualify for it in advance. To learn more, call 239-649-0228.Find a Ride FloridaThis service is funded by the Florida Department of Transportation's Elderly Drivers Statewide Safety Resource Centers. Find a Ride provides seniors with access to local medical and nonmedical transportation options so they can maintain an independent and engaged lifestyle.Safe Mobility for LifeThe Safe Mobility for Life Coalition helps South Florida seniors continue to drive for as long as is safely possible and provides information and resources that help them prepare for when driving is no longer an option.To receive a free copy of the guide, email:safe-mobility-for-life@fsu.edu.Step Smart CollierStep Smart Collier, Inc. is a nonprofit that was created to increase awareness of the fall risks that seniors face and how to mitigate those risks.Falls are the leading cause of injury and death to seniors in Florida, and Collier County.To learn more about Step Smart Collier you can check watch their videohere.Parkinson Association of SWFLParkinson Association of SWFL provides quality programs and services to enrich and empower persons impacted by Parkinson Disease, and help increase awareness and understanding in the communities they live.Learn more ways toget involvedby attending classes, support groups, educational events, volunteering, or sponsoring an event.You canbecome a member its free!Meals on Wheels NaplesHealth experts continue to recommend social distancing to avoid illness, especially for seniors. Unfortunately, this has cut many people off from their family and friends, leading to an increased sense ofisolation and depression.The Naples area Meals on Wheels program is on the front lines of this, helping local seniors not only get a nutritious meal, but also see a friendly face and have the opportunity to connect with another person.Naples is one of the top places to retire to in Florida, and the wealth of resources available to seniors is one of the main reasons for this. We may not be out and about as much as wed like right now, but its nice to know we have so many options when it comes to services and resources both online and in the surrounding area.

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

Do You Know Which People Foods Are Dangerous For Pets?There are some common foods that we enjoy but should not share with our cats and dogs:Alcohol will cause vomiting, diarrhea, decreased coordination, even deathAvocado vomiting and diarrheaChocolate/Coffee/Caffeine vomiting, diarrhea, heart arrhythmia, deathDairy Milk - adult animals lack the enzyme to digest it, resulting in diarrheaFatty and Spicy Foods can cause inflammation of the pancreas (painful and potentially fatal)Grapes & Raisins kidney failureMacadamia Nuts weakness, depression, vomitingOnion, Garlic, Chives red blood cell damage. Cats are especially sensitiveRaw Meat, Bones, Eggs risk of transmission of bacteria; diarrheaXylitol (artificial sweetener found in sugar-free gum and mints) causes life-threatening hypoglycemia (low blood sugar) and liver failureYeast Dough rising dough can release significant amounts of gas in stomach and intestines, potentially leading to rupture Some of these, like chocolate, are well known to be problematic. Others on the list are lesser known to most people. Before offering meat baby food to cats make sure it does not contain onion powder. Chocolate, grapes, and raisins are tantalizing to dogs (and some cats) but are especially toxic. Cats and dogs are drawn to sweet or minty smells and tastes. Xylitol-containing gums and candy should not be consumed in pet-owning households.For more information on foods toxic to pets as well as toxic plants and drugs (both prescription and over-the-counter), ask your veterinarian or investigate www.aspca.org/pet-care/poison-control. To be safe, never medicate your pet at home without a prescription or recommendation from your veterinarian.This article was submitted by Dr. Lori Lowery, owner of ComforVet, LLC, a veterinary house call service. She can be reached at 303-630-9730 or by email at info@comforvet.com.

For more information on the author The Sheridan at Lakewood Ranch, CLICK HERE.Paying for assisted living doesnt all have to be from your own pocket. One preferred way to pay is through Medicaid.Medicaid is a state-administered public health insurance program that gives health care coverage to families or individuals with low incomes. It is the leading government-assistance program for long-term care and assisted living.Here are 5 common questions people ask about Medicaid and helping to pay for assisted living.1. Does Medicaid Pay for Assisted Living?Medicaid will help cover the cost of assisted living, including memory care, or Alzheimers care. Eligibility requirements must be met (see below for more). Such requirements, available programs and benefits vary based on your state of residence.The cost of skilled nursing and emergency response systems also may be covered. Medicaid will not, however, cover room and board, which usually accounts for approximately half the cost of assisted living.Most states have a regular state Medicaid program along with Home and Community Based Services (HCBS) Medicaid Waivers. Although states offer personal care assistance through Medicaid, some offer only through state plans, some through the waivers, and some through a combination.2. How Much Does Medicaid Pay For Assisted Living?The amount Medicaid will pay depends on several factors, including:State of residenceThe state Medicaid programLevel of care neededA needs assessment is usually required to calculate the number of hours that Medicaid will cover. For example, those with a greater need for assistance can get a greater amount of caregiver hours per month.3. How Do I Find Out If Im Eligible For Medicaid?Eligibility criteria will vary by state. The general requirements are that individuals:Spend almost all of existing assets toward careAre low-income earners or have medical-related care expenses that exceed incomeLive in the state where they are receiving benefitsBe a permanent resident or U.S. citizenFinancial needIn general, state Medicaid plans limit applicant income to 100% of the Federal Poverty Level or 100% of the Federal Benefit Rate. For the Medicaid Waiver, an applicants income must not be more than 300% of the Federal Benefit Rate. Assets are usually limited to $2,000 for both state plans and Medicaid Waivers.Functional needApplicants generally must require a nursing level of care or be facing institutionalization. The definitions vary by state.Some states may require applicants to need assistance with two activities of daily living, such as:Dressing and undressingCutting up their food and eatingUsing the toilet and cleaning upMoving from a bed to a chairSome programs require a physician statement. Also, a diagnosis of Alzheimers disease isnt an automatic qualifier for benefits.Visit the Medicaid websitefor more on eligibility. It provides information about:Eligibility and how to applyHow to locate a Medicaid officeHow to use Medicare and Medicaid at the same time (dual enrollment)Also, contact a State Medical Assistance Officefor more details.4. Which Services Will Medicaid Cover?The types of services covered by Medicaid will vary based on state programs. But the typical services paid for by Medicaid for those in assisted living include:Personal care assistance, which includes help with dressing, bathing, toileting and eatingSpecialized home care services, including house cleaning, laundry, shopping for groceries and other essentials, and meal preparationTransportationCase managementPersonal emergency response systemsMedicaid will not pay for the room and board portion of assisted living.

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

Moving a Loved One into an Assisted Living Community the Right time and The Move-in ProcessIn this article, we will detail the process of moving your loved one into an assisted living community. Well also address questions about when is the right time for your loved one to move into an assisted living or memory care community. If you are ready to transition your loved one into an assisted living community, youre probably wondering about the moving process. For more information about the process of moving your loved one into The Moments Memory Care, contact us today!When is it time to move my loved one into memory care?When should my Loved one with Dementia Transition to a Care Community ?One of the questions we are asked most frequently is when is it time to move my loved one into memory care? It can be difficult to know the right time to place your loved one who is suffering from dementia into a memory care community. Oftentimes, families wait too long to place their loved one into a care facility because of their personal feelings of guilt.While there are no real drawbacks to moving your loved one into memory care too soon, there are several drawbacks to waiting too long. The answer will vary from family to family. However, there area few signs that it might be time for memory care:Mobility IssuesOftentimes in the later stages of Alzheimers disease and other forms of dementia, people suffer from extremely limited mobility. This poses a critical safety hazard not just to the person, but also to their family and friends who are acting as their caregivers. For example, if a loved one with memory loss is being cared for by their spouse, they may not be able to help during an emergency. Necessary daily activities like bathing, eating, getting dressed, and going to the bathroom can all become unnecessarily dangerous without the proper assistance. However, at memory care communities, staff is available 24-hours a day to help your loved one perform these necessary tasks safely.Medication ManagementAll medications are carefully managed in a memory care community like The Moments Memory Care. At home, the burden falls solely onyouas a care provider. Keeping up with your loved ones medications can be difficult, not to mention convincing them to take the right medication at the right time. In a memory care community, you wont have to worry if your loved one is taking their medication on top of all your other day-to-day-worries. An added benefit? The expertly trained staff at The Moments can recognize the signs sooner than you will if its time to change doses or medications.SafetyOne of the primary reasons many families ultimately decide it is time to place their loved one in a memory care community is safety. Relatives who are suffering from dementia have a tendency to wander away and get lost. No matter how careful you are, this can happen without the caregiver realizing. This can be a life-threatening situation for your loved one.Memory care communities are designed to be as safe as possible for residents who are suffering from memory loss.Our community was designed specifically for patients suffering from memory loss. At The Moments Memory Care, our residents are safe to wander to their hearts content without risking their health or safety. Our exterior doors are monitored at all times and our staff is alerted any time a resident tries to exit. Our technology is the latest and greatest in memory care, so your mind will be at ease while your loved one is residing with us.RoutineAnyone who has been diagnosed with dementia or memory loss can benefit from a routine. Routines are comforting and ease a persons anxiety. Oftentimes, it can be hard to offer a consistent routine at home, no matter how hard you try. At an assisted living community or memory care center, your loved ones days will be structured and they will feel comforted by the benefit of having a daily routine so they can know what to expect and when.Caregiver StressUnfortunately, when a person is diagnosed with dementia, they arent the only ones to be affected. Whether you are in your 20s, 40s, or 60s, caring for a loved one with memory loss can be stressful and even take a toll on your health. Placing your loved one in a memory care community can benefit your loved ones health as well as yours. Be sure to monitor your own stress level and overall well-being as other key factors to consider when deciding if it is time to move your loved one into a memory care community.Long-Distance CaregivingParticularly for a loved one suffering with dementia or memory loss, it is difficult or impossible to care for them from afar. In an assisted living facility, caregivers are moments away at any given time to help your loved one with anything they need. This alleviates the stress of you being across town or across the country and not being able to keep an eye on your family member.The Process of Moving into The Moments Memory CareWeve experienced it ourselves moving a loved one out of their home into a long-term care community is an emotional and difficult process. Transitioning a loved one who is suffering from memory loss can be exponentially more difficult.At The Moments, weve made this process as personal and effortless as possible by providingcomplimentary moving servicesby our very own The Moments Moving Team. We believe our residents and their families are our family so it is our priority to make this transition easy for your entire family.The Moments Moving Team moves, cleans, packs, organizes, and transports all of the new residents belongings to their new home. We go the extra mile and help stage the interior design of their suite! Yes, suite we only offer suites at The Moments Memory Care, making your loved ones new home as roomy as possible.Our design services include placing artwork and photographs on the walls and arranging furnitureexactlyas it appeared in the residents houseThis is a unique service offered by The Moments Memory Care. Specifically, here is our approach:Step 1: Moving PreparationBefore moving day even happens, our team will coordinate with your family to plan all the details of the move. We will make sure a plan is made with your family to help your loved ones emotional well-being for the big day.Step 2: The MoveOn moving day, our team will arrive at the residents current home to clean, organize, pack, and transport all of their belongings to their luxurious new suite at The Moments Memory Care. No one in your family will need to move a muscle!Step 3: WelcomeWhile our team handles moving your loved ones belongings, your family is invited to sit down for a meal with your loved one at The Moments to ease the transition. This is your warm welcome to begin your loved ones stay at The Moments.For more information about the moving process and The Moments Memory Care, dont hesitate to contact us today!

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 str