So, you have decided to move into a smaller home. Now comes the challenge of what to take with you and what to let go of. Do you have heirlooms or maybe you have an excessive number of cookbooks? Perhaps you have a garage full of unfinished projects that have ended up in the abyss of good intentions.This was Dees challenge. She was moving from a 3,200 square foot home to a 1,500 square foot home to be closer to her children. She struggled with what to part with as she had many items that held sentimental value. She felt that parting with the items meant leaving the memories behind. I was able to help her realize that memories are things that are kept in your heart, not held in your hands. When she struggled I helped her keep her eye on the prize. We would talk about what was more important, being close to her family or her things.As you work on downsizing remember you can take the memories without having to take everything. Think outside of the box when deciding what to do with your things. A client had nearly one hundred framed drawings from her aunt. She had no place to put them on her walls but she was reluctant to get rid of them. I suggested that she take them out of the frames and have them bound into a coffee table book. Something I run across often is what to do with grandmas china. No one wants to get rid of it and most children dont want it. If you cant part with the china I suggest you get rid of your daily dishes and use the china for every day. Enjoy it! Stay focused on your Prize and the wonderful memories to come!This article was submitted by:Laurie WrobelClutter 911651-728-1090Laurie@Clutter911.com

Regular exercise is key to maintaining good mental and physical health, especially while we are enjoying our retirement years. With Southwest Floridas exceptional year-round weather, Naples is the ideal place to get outside and get moving.If your idea of exercise is hitting the golf course, youre in luck. There is no shortage of excellent golf clubs in the region. Weve put together a list of 10 of the highest-rated golf courses in Naples that you wont want to miss!1. Lely Resort Golf & Country Club8004 Lely Resort Blvd., Naples, FL 34113Lely Resort Golf & Country Club boasts 54 holes of spectacular golf designed by three golf legends: Robert Trent Jones Sr. (Flamingo Island course), Lee Trevino (Mustang course), and Gary Player (the private Classics course). Golfers will appreciate the tranquil natural Florida surroundings that frame the pristine greens as they enjoy a great game of golf.2. TPC Treviso Bay9800 Treviso Bay Blvd., Naples, FL 34113TPC Treviso Bay was designed to challenge the worlds best players while also providing the weekend golfer with an outstanding golf club experience. This picturesque course offers an excellent game and views across the Rookery Bay National Estuarine Reserve.3. Eagle Creek Golf & Country Club11 Cypress View Drive, Naples, FL 34113Annually rated among the best in Florida, Eagle Creek Golf & Country Club's course was designed by renowned golf course architect Larry Packard. This walkable golf course winds through cypress preserve and pine forests and offers members six sets of tees to match their experience and ability level.4. Royal Poinciana Golf Club1600 Solana Road, Naples, FL 34105This private, invitation-only club provides members with two impeccable, David Wallace-designed 18-hole courses one of which has been redesigned twice by Arthur Hills, and the other of which has been renovated by Drew Rogers. Get a taste of wild Florida at this Audubon International Cooperative Sanctuary-certified course as you wind past cypress trees, ponds, and native plants and wildlife.Learn more about activities for seniors by downloading: The Busy Person's Guide to Recreation in Retirement.5. Foxfire Golf & Country Club1030 Kings Way, Naples, FL 34104Foxfire is proud to give members an unparalleled, year-round golfing experience. Equipped with five tee boxes to support all skill levels, Foxfire offers three different and challenging nine-hole courses, each with its own unique personality.6. Fiddler's Creek8152 Fiddlers Creek Parkway, Naples, FL 34114For 15 consecutive years, Golfweek has called the Golf Club at Fiddlers Creek one of the top 100 residential courses in the U.S. This award-winning golf club blends the beauty of Southwest Floridas natural resources with a strategic and challenging golf experience that is suitable for all levels.7. Hibiscus Golf Club5375 Hibiscus Drive, Naples, FL 34113The 18-hole Hibiscus Golf Club is one of the few courses in Naples that is open to the public. This David Wallace-designed course offers a unique and challenging golf experience for both high- and low-handicap players.8. Royal Palm Golf Club405 Forest Hills Blvd., Naples, FL 34113The newly renovated Royal Palm Golf Club has been serving Naples golf enthusiasts for 40 years. Check out the extensive updates, including hole redesigns, new bunkers, new irrigation, new cart paths, and upgraded and expanded practice facilities.9. Lakewood Country Club of Naples4235 Lakewood Blvd., Naples, FL 34112Lakewood Country Clubs golf course is both beautiful to look at and mentally challenging to play. With four freshwater lakes, abundant wildlife, and native trees and shrubs, as well as crushed-shell pathways and large sand bunkers, golfers of all skill levels will find much to love about the course.10. Riviera Golf Club48 Marseille Drive, Naples, FL 34112When youre crunched for time, but you simply have to golf, the Riviera Golf Clubs executive-length course offers an excellent round of golf without the time commitment. This shorter but still challenging design makes Riviera Golf Club a great choice for new golfers.Submitted and Written By: Barrington Terrace - click here for more information

When deciding to move, simplify surroundings, or transition to a new quality of life, Senior Move Management professionals assist older adults and their families by partnering to create a personalized overall transition and implementation plan. Many people find the physical and emotional tasks associated with a move overwhelming. These changes, especially organizing and downsizing the amount of items accumulated over years, can be particularly difficult for Seniors who have lived in their same home for 30, 40, or 50 years.When hiring a Senior Move Manager, clients and their families reduce stress and relax during the move or transition while leaving the details and hard work to an expert!Oftentimes families are willing to help, but they have limited time due to work schedules, minimal vacation time, being geographically dispersed, and/or obligations at their home. These factors delay the downsizing tasks and ultimately increase the costs associated with the transition. Senior Move Management Professionals help facilitate the transition for everyone involved using their extensive knowledge of resources to reduce the length of time and profitably disposition unwanted items, saving clients time and money overall. Services provided vary by company, but most Senior Move Managers can help with planning for a part or full solution to the following:Developing an overall move or downsizing planOrganizing, sorting, packing, moving, unpacking, and setting up a new homeCustomized floor plansArranging for the most profitable overall solution to the disposition of unwanted items through auctions, donations, clean outs, or a combination of solutionsArranging shipments to family and/or storageRelated additional services, such as hiring a handyman, cleaning, and preparing the home to be sold or rented.Most Senior Move Managers offer a free consultation. The goal is to partner with clients on creating a personalized plan showing how their move can be simplified. Clients can then sit back, relax, enjoy, and leave the details to a professional for the best move ever!Editors Note: This article was submitted by Troy & Shannon Stromme, Owners of Integrity Transitions, LLC. They may be reached at 970-690-7360 or by email at IntegrityTransitionsCO@gmail.com.

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

Sometimes its easy to know when a family member needs care and assistance. For instance, maybe he or she has a major disability or requires additional help following a hospital stay. In other cases, however, it isnt immediately obvious that your senior is in need of help with the activities of daily life.As people who have had to wrestle with our own family decisions, we thought it useful to provide early guidance, so other families might know when a more careful assessment of their seniors needs is required.Below is a list of questions to consider when determining if a loved one is in need of additional care: Pay Attention to How They Look Appearance can be a sign that they are being limited either physically or mentally from completing normal daily tasks. Are they wearing dirty or stained clothing? Have they brushed their teeth? Listen to the Senior Listening to how seniors speak can tell you a lot about their current mental status. Dont assume that old age is causing these problems. Have they forgotten to refill prescriptions or take their medicine? Have they missed doctors appointments? View the Seniors Surroundings Looking at their food and medications can help you determine if they are eating healthy or even worse, taking expired medicine. Do they have fresh and stocked pantry items? Are there piles of unopened bills? Use Your Nose Using your nose as an indicator can help you determine if your family member is bathing properly or participating in otherwise normal activities. Does their living environment possess any unpleasant odors? Are they bathing regularly? If you sense a problem based on the above indictors, you and other family members should waste no time in taking the appropriate next steps. As difficult as the process might be, keep reminding yourself that by being proactive you will not only provide safety for your family member, but will also keep them happy and healthy for years to come. Editors note: This article was submitted by Patricia Preztunik (201-483-8490) and Rich Fracaro (201-773-4900), local owners of BrightStar, a full-service in-home medical and non-medical agency offering caregiving to seniors and disabled adults. They would gladly provide assistance in these matters.

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

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

Every year thousands of seniors utilize physical therapy to get back on their feet. Reasons may include: recovering from a joint replacement, chronic or acute pain in any part of the body, stroke, balance and falls, recovering from an extended illness, and declining strength and function. The primary goal of physical therapy is to help alleviate pain and restore function and return independence. Most people are aware that you can receive physical therapy in your home through a home health agency when you are required to be homebound. Many people may not know there is another option to receive the therapy they need. Those who may not qualify for home health services or are no longer technically homebound can receive the therapy they need in the comfort of their own home. Much like an old fashioned doctors house call you can receive physical therapy, occupational therapy, and speech therapy in your home that is paid for by most insurances including Medicare part B, Medicare HMO , and secondary insurance benefits.Editors Note: This article was submitted by Jim Harrison, DPT. Jim is a Physical Therapist with South Mountain Home Rehabilitation. He can be reached at 801-523-6376 or jim@smhrehab.com . Visit his website www.smhrehab.com.

This is a common question from clients, especially from baby boomer and senior clients. When I ask them why, they usually say they were told that is the best way to protect the house and stuff from the nursing home. As an elder law attorney, I always answer that doing so is very risky, and rarely worth the potential benefit. Often, people get confused with what they can, vs. what they should do. The tax laws allow a person to give away $14,000 a year to every family member. The same family could also give away $5.49 million from each spouse. Essentially, most of us could give our assets away without owing any tax. (You might have to file a gift tax return if over $14,000, but owe no taxes). However, should you?Consider these points.First, a gift is non-taka-backable. You may chuckle, but it is true. Once the gift is made, it is irreversible. What if you and your child don't see eye to eye in the future, or your child gets divorced, has a stroke and needs a nursing home, or is responsible for a horrific car accident? These are real-life occurrences, with significant consequences for the property you gave them. Also, a gift can result in significant capital gains if the child sells the property later.The better path is for the parents to retain the asset in their names, or have them in a trust that they control, which will give a stepped-up basis on the propertys value at their deaths. Although the children will pay 4.5% inheritance tax, with a stepped-up basis they will avoid a 15% or 23.5% capital gains tax. Also, what if your child dies before you? The childs Will probably leaves all assets to the childs spouse, your in-law, who will certainly take care of you. What happens if the spouse remarries? Are you still as confident? Further, if you or your spouse apply for Medicaid, there is a five-year lookback penalty period for all gifts you made. These situations may not occur, but the risk is not worth taaking when there are ways parents can largely control their assets and still receive asset protection and a stepped-up basis. It is important to talk to a certified elder law attorney to help you weigh the risks. Editors Note: This article was contributed by Jeffrey Bellomo, a Certified Elder Law Attorney and Principal of the law firm of Bellomo & Associates, LLC.

This category encompasses a wide variety of options. Retirement Communities typically offer Studio, 1 BR or 2 BR rental apartments with full kitchens, and private baths. Services can include meal plans, transportation, wellness clinics, housekeeping, laundry and maintenance. Amenities can be abundant and may include formal libraries, computer stations, swimming pools, gardens, indoor/outdoor bar areas and other social gathering spaces. Rates are monthly and based upon size, location and amenities offered. Senior Apartments are independent living units that require an age limit. Meals are usually not provided, but most have a clubhouse where groups meet for activities. Many of these apartments are subsidized units.#listing_mgr{1 basic_search}#

Are activities you once enjoyed becoming less frequent? Have routine tasks become more challenging, such as night time driving?Are once vibrant colors and visual contrast now dull and muted? If you can relate to any of these questions, cataracts may be affecting your personal safety and quality of life. Recent studies have shown people who undergo cataract surgery have a lower risk of health conditions, as well as a longer life, compared to people living with cataracts.Cataracts are formed by the clouding of the lens within the eye. Many factors contribute to the gradual development of cataracts with age but some of the most well known influences are exposure to ultraviolet light from the sun, smoking, obesity, high blood pressure, diabetes, prolonged use of corticosteroids and family history. In people over the age of 40, cataracts are the most common form of vision loss.A 20 year study with over 74,000 women with cataracts aged 65 and older, was conducted by Dr. Anne L. Coleman, MD, PhD and colleagues. Results were published by JAMA Ophthalmology and reported by the New York Times, in December of 2017. This study found having cataract surgery resulted in a 60 percent reduction in risks of death from accidents and cancer, also neurological, cardiovascular, pulmonary and infectious diseases. The lifestyle improvements in surgical participants from those living with cataracts were dramatic. Exercise levels increased and locating and taking medications became easier. Due to improved visual clarity, the risks of falling and driving accidents were also reduced.Cataract surgery is one of most common surgical procedures in the United States. The Prevent Blindness America organization reports more than 3 million Americans have cataract surgery each year. Over 95 percent of cataract surgery instances are complication free, making cataract surgery one of the safest surgical procedures. Many artificial lens options are available which are intended to benefit certain lifestyles. Technology advancements such as the LENSAR laser system, reduces the stress to the eye during cataract extraction, improves outcomes and shortens recovery time. In many cases, procedures correcting astigmatism and treating glaucoma can be performed simultaneously.Farrell C. Tyson, MD, FACS has a background in biomedical engineering and is an award winning ophthalmic surgeon that allows him to work closely with FDA research and development of new technology, in the field of Ophthalmology. This experience gives Dr. Tyson first hand knowledge of what techniques, medications and specialized treatments are needed.The goal to provide our patients with the best visual outcomes possible, has led to two surgical centers which utilize the LENSAR laser system. Our Tyson Eye of Cape Coral Eye Center and Naples Premier Surgery Center are convenient locations for surgical treatments of cataracts, glaucoma and other visual impairments.Editors Note: Article submitted by Farrell C. Tyson, MD, FACS, 239-542-2020.

Life throws many stressors our way, posing a constant challenge for our mental health.Unfortunately, older adults have many unique stressors that they face. Deteriorating health, reduced independence, healthcare costs, and inability to do their favorite activities are common stressors for the elderly.As we age, coping with stress becomes even more difficult and more important. Our response to stress -- as well as the triggers we experience change as we get older -- make itharder to copewith stress. Luckily, laughter is an excellentstress relieverthat everyone, including older adults, can use to cope with stress.How Stress Affects Older AdultsStress affects all of us mentally and physically, but it is especially harmful to older adults. Some of the most common effects of chronic stress on older adults include:Lowered immune systemHeart conditionsHearing and vision loss from long-term adrenaline productionDigestive issues from the central nervous system shutting downUse Laughter for Stress ReliefWhile there are certainly times to visit the doctor, laughter is one effective method for relieving stress that everyone, especially older adults, can benefit from. Laughter has incredible short-term and long-term health benefits. According to theMayo Clinic, the short-term benefits of laughter include:Reduction of the stress responseRelaxation of muscles and tensionStimulation of organsRelease of endorphinsReduce physical painAlleviate symptoms ofdepressionand anxietyImprovemoodLaughter helps improve how your body works and feels in the moment, but it also has lasting effects. Thelong-term effectsof laughter include:Ease ofchronic painincluding arthritis and other common progressive diseasesBoost to the immune systemConnection with other peopleBetter coping with situationsLive a longer lifeImproved quality of lifeMakes us happierReduction of anxiety and depressionImprove your sense of humorWhy Does Laughter Help?Many of the mental benefits of laughter are intuitive, but how does it help us physically? Laughter affects the body similar to exercise. When you laugh your pulse quickens and your move more muscles. You breathe faster, boosting the oxygen in your blood. Laughter can be seen as a mild form of exercise. While laughter will not help you lose weight, it produces some similar effects as exercise which contributes to the many physical benefits.Scientistscan not say for sure if the actual act of laughing is what helps, or if social support and humor are contributing factors. Regardless, the situations that produce laughter are also beneficial. When it comes down to it, laughter certainly isnt hurting.Ways to LaughLaughter is an excellent natural relief for stress that greatly helps improve mental and physical health. Finding ways to laugh is very important for seniors. One way to laugh more often is to intentionally seek out photos, comics, movies, or videos that you find humorous, and to hang them up or return to them when you need a laugh. Seniors who are able can also attend a local comedy night or even watch one online.One of the best ways to laugh more is to surround yourself with people who make you laugh. Get together with family and friends who lift your mood. Join peer groups to meet other people in your living community who you can laugh with.As Brand President ofCarePatrol, Becky Bongiovanni is in charge of day-to-day franchise operations including new franchisee training programs, field training, and ongoing mentoring and coaching for all local franchisee offices to ensure each CarePatrol local office masters the CarePatrol system. In addition, she provides leadership for the franchisee operational support departments in the home office. Becky is also responsible for the information technology infrastructure and systems that support all franchise operations.Article Submitted and Written By: CarePatrol- click here for more information.

Long Term Care Insurance (LTCI) policies are designed to cover care costs not traditionally paid by other insurances, includingsupport at home for activities of daily living(ADLs)likebathing, dressing, walking, etc. It is estimated that over 70% of seniorswill have a need for these types of services. After purchasing a policy, few consider the critical elements of managing a LTCi claim: 1) successfully filing a claim, 2) maximizing a LTCi policy by actively managing an efficient care plan and 3) sustaining a claim to continue receiving uninterrupted payment to ensure continuity of care.When it comes time to file a claim, often during a time of crisis, most rely on themselves, a family member or friend, or even the insurance companys Claims Department for advice and support during the process. This could be a very costly and frustrating mistake! There are many pitfalls to avoid when filing a claim, some resulting in a frustrating delay or denial of a claim, while others can result in hundreds of thousands of dollars of reduced benefits. Hopefully, the same careful planning and thoughtful approach that one used to guide their decision to purchase a LTCi policy, will lead them to seek the advice and guidance of a trained professional that specializes in advocating on their behalf and serves as a buffer between them and the insurance company.Over the last 30 years, there have been many different LTCi policies offered to Massachusetts residents, adding to the challenge of understanding and managing the claims process. Often, many of the important details are not listed on the policy paperwork that one may be holding. It is important to fully understand the policy basics to include: covered benefits, elimination period, maximum daily benefits, inflation riders, and restoration of benefits, to name a few. However, the devil is in the details when it comes to a LTCi policy. Without knowing what to ask and even how to ask it, you may not get all of the facts, even when calling the insurance carriers Claims Department.The good news for LTCi policy holders, is that there are a few specialized resources that can help educate, support and advocate on their behalf. Be certain that your resource is truly an expert and performs this service as an integral part of their business. Consider seeking advice, even BEFORE you need to make a claim, limiting the anxiety.Editors note: This article was authored by Colin Preis, Owner or AMADA Senior Care. AMADA is a locally-owned, nationally recognized home care company specializing in assisting those with Long Term Care Insurance.

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

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.

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!

Did you know your house hates winter almost as much as you do? When the snow starts to fly, you want to make sure you help your house with a few easy but important winterization tasks.When the leaves turn from green to gold, you have about a month until you have to have someone come and clean out gutters so thawing snow and ice can travel away from the roof, down the gutters and into downspouts and underground drains. If leaves are allowed to collect in the gutters, the thawed and then frozen snow will collect on the tops of gutters and form dangerous icicles over porches and walkways.September is time to change furnace filters and have the heating system checked for carbon monoxide leaks. If filters become too dirty, the flow of clean air will be minimized and will make your furnace work much harder than it needs to. The amount of dirt trapped in a filter is the amount that clean air needs to travel through to find its way into your house. Overworked furnaces will also create unnecessarily high energy bills and shorten furnace lives as well.Proper grading and drainage will prevent water from finding its way down foundation walls and becoming trapped between the foundation and the dirt surrounding it. A long cold snap could cause bulging in the foundation walls as expanding ice pushes against them. During the summer months, make sure the grading around the house is creating a water shed so any melting snow is carried away from the house. Proper drainage and grading are the easiest ways to make sure water is kept away from your house.By just remembering to have your heating and drainage systems in good working order, you are nearly assured that your house can have a happy and warm winter. Caulking around windows and doors, replacing weather stripping, adding insulation, replacing old casement windows with vinyl windows and promptly clearing walkways, paths and driveways from snow are also great measures you can take to avoid hefty energy and repair bills to your home.This article was written by Greg Geller, owner of Vision Silver Services, 303-520-9022,www.visionsilverservices.com, your first choice in all inclusive and worry free home buying.

Most of us have had a family member or friend, who as the result of an unforeseen illness or accident needed long term care. For many, that memory is of our parents caring tirelessly for our grandparents, or one of our parents caring lovingly for the other. In these situations, those with a quality long term care plan in place faced the situation with less stress, less anxiety, and less loss of savings.Long term care is an integral part of retirement planning. Having a plan for care is really about protecting your independence and lifestyle, and the peace-of-mind knowing youve taken steps to shield your family from the emotional, physical, and financial challenges needing care can present. The alternative is to self-insure. If you choose to do so, keep in mind that raising the monies required for care may not be as simple as you envision. What bank account would you reach into first? What are the tax ramifications of selling your investments? And what happens if the market is in a downward cycle when you need these funds?The greatest misconception is that long term care insurance is best dealt with later rather sooner. The truth, however, is that the best time to investigate insurance is before you need it. Obtaining coverage can become difficult and costly - perhaps impossible - once an accident or illness has changed your good fortune. None of us know when we might experience a change of health, and studies show that roughly 70% of those over 65 will need care.There are many more insurance options to choose from today versus just a few years ago. Policies now offer the opportunity to have monies deposited directly to your checking account, to be spent as you please, possibly to have a family member or friend care for you. There are also life insurance policies that allow you to spend down the death benefit if a need for care arises, and whatever is unspent can become a legacy for those you care about most.To navigate the multitude of options, talk to someone who specializes in long term care insurance - someone who understands the difference between company offerings, and who represents a variety of insurers. Most important, be sure the agent you select truly has your best interest at the heart of any decision.Editors Note: This article was submitted by Mitchell Dannenberg, CLTC of LTCI Marketplace. For a complimentary review of your current insurance policies, and an assessment of how long term care coverage may help protect your retirement dream, you are invited to call Mitchell at (239) 461-5511, or visit their website at http://ltcimarketplace.com.

At LIFE Home Health, our vision is to create one million moments of joy in the lives of our clients, employees, and community. We take an integrative approach, spending the time to understand each clients passion and purpose to guide their plan of care.Our team members are Engagement Specialists who live by our core values of living fully, inspiring others, having fun with purpose and engaging the community.We dont just have our vision and our values posted on the wall we live it every day, says Karen Kalinowski, Director of HR.Karen understands that success of a match between a client and one of our Engagement Specialists starts with hiring people who live our values.I look for their smile that twinkle in their eye and when they start to talk about their experience, you can almost tell immediately if they have passion for it.Employees first attend Inspiration Day where we help the new team member realize theyre not just treating a client and their diagnosis theyre going to be engaging that client completely and fully, notes Karen.Many of our clients are living with Parkinsons, Alzheimers or another form of Dementia. Its important to remember they had a life before this disease, and they still have that life. We really want our Engagement Specialists to engage in the things that matter most. From someone who loved to swim in the ocean and finding a way to get them back to the beach for a day. To someone who loved to read and talking about books or reading aloud to them. Or someone who played an instrument and arranging for an in-home concert.When asked what she believes sets LIFE apart from other providers, Karen doesnt hesitate.We wont accept a case that we dont think we can handle and do exceedingly well. I think thats a big distinction, she says. With every single client, we continually ask ourselves - where could we improve and where could we grow? Even when things are going really, really well, were still talking about it and learning from it.Editors Note: To learn more about LIFE and the services we offer, give us a call at 239.444.5965 or email info@lifehomehealth.com.

Osteoporosis Breaking NewsOsteoporosis is a bone condition that makes bones thinner and more fragile secondary to loss of bone density. There are 40 million people affected by osteoporosis, women more often then men. Half of all postmenopausal women will have an osteoporosis related fracture during their lifetime. Fractures occur most frequently in the spine, hip and wrist. Taking measures to avoid falls is important in the prevention of fractures for those already diagnosed with the disease.Risk factors are numerous, some modifiable and others unchangeable. Non-modifiable risk factors include race (Caucasian and Asian), age, previous low-energy fracture, small bone structure and a family history of osteoporosis. More important are the modifiable risk fractures including tobacco smoking, excessive alcohol intake, inactivity, reduced calcium and vitamin D intake and reduced sex hormones. Taking medications such as prednisone, heparin and excessive thyroid replacement can also affect bone density negatively.Diagnosis is made by measuring bone mineral density with DXA scanner. There are no symptoms of osteoporosis other than fracture. A score on the DXA below -2.5 is diagnostic for osteoporosis. A score between -1.0 & -2.5 is indicative of osteopenia which represents mild bone loss.Treatment involves lifestyle changes including getting 1200 mg of calcium daily thru diet and supplementation. Getting adequate vitamin D approximately 800iu thru diet, sunlight and supplementation. Weight bearing exercise daily. Quit smoking and drink alcohol in moderation only. Additionally, establish a fall prevention program including night lights, wear sensible shoes, de-clutter space in your home, and use assistive devices like canes and walkers as needed. Also review medications that cause sedation or lightheadedness with their physician.There are numerous medical treatments for osteoporosis. Most drugs like Fosamax block resorption of bone. Drugs like Evista effect the hormone estrogen and can reduce spine fractures. Forteo is the only drug I am aware of that increases bone formation. The newest treatment is a form of immune therapy called Xgeva.There are several options you can discuss with your physician; ultimately combination therapy may be the most effective. Don't let osteoporosis get snappy with you; knowledge and prevention are your allies.

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

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

To learn more aboutHighland Cove Retirement Living,CLICK HERE.Post-traumatic stress disorder (PTSD) was first officially recognized in the 1980s. Many have now heard the term PTSD at some point. However, few can identify those suffering and the symptoms that impact them. With June being National PTSD Awareness Month, it is the perfect time to gain more understanding on the illness. When reflecting on our senior community, think of how many lived a huge portion of their lives without understanding, proper diagnosis, or treatment. This month, let us reemphasize the importance of mental health.WHAT IS PTSD?To understand PTSD, we must first understand trauma. Abuse, car accidents, loss of loved ones, or life-threatening careers are just a few of the many traumas one could experience. When a person is unable to process and heal from the traumatic event, PTSD can develop. Imagine how many of our senior population experienced childhood trauma, served during wartime, or experienced domestic abuse that was never addressed. For some of our veterans the war they fought never ends.PTSD is an emotional or psychological wound manifesting itself in flashbacks, disassociations, sleep problems, nightmares, panic attacks, change in appetite, change in mood or behavior, and isolation. These symptoms can occur or increase when triggered by stimuli such as sights, smells, or sounds that remind the brain of the traumatic event. The person then has a physical and emotional response to feeling unsafe or threatened. Powerful emotions of fear, irritability, anger, or guilt can result. These symptoms can reoccur over a lifetime if the traumatic incident is never processed.HOW TO SUPPORT A SENIOR WITH PTSD?When caring for a senior who suffers from PTSD, there can be triggering moments which cause past emotional wounds to weep. It is important to remain empathetic and understand they are reacting to the brain reliving the most horrible part of their life. Do not take an emotional outburst personally. A senior could also have cognitive decline, which could worsen symptoms and increase confusion. It is important to learn known triggers and grounding techniques that work best for the individual. A grounding technique could be as simple as encouraging deep breathing or asking the individual to name items around them.Families and care givers should communicate openly to create a care plan. There are options for treatment such as psychotherapy, eye movement desensitization and reprocessing (EMDR), medication, and holistic therapies.Support groups can also be extremely beneficial. Many seniors rely on family members or care givers for their primary source of socialization. Those suffering from trauma may isolate those closest to them, worsening their depression. Being able to speak openly and relate to others who have similar traumatic experiences is a great start to healing.I would like to encourage each of us to imagine what your day would look like if you struggled with PTSD. What event caused the traumatic response? What are some triggers you could encounter on a typical day? If the event were serving during wartime, some of your triggers could be seeing a news report of an attack, hearing loud noises, the smell of fire, or the feel of sand in your clothes. With that in mind, think of how you can aid someone struggling today.ARE THERE TREATMENT OPTIONS?It is important to know that you do not have to deal with trauma alone. There are options for treatment such as psychotherapy, eye movement desensitization and reprocessing (EMDR), medication, holistic therapies, and grounding techniques. What works best for one person may not be the best option for another. It is important to explore treatment options and find what works best for the present symptoms. During my time working in mental health, I saw many begin treatment at the lowest point of their lives. What astounded me was how they rose to be hopeful healing people after they had the opportunity to process their pain in a safe environment and learn positive coping mechanisms. Above all, it is important to have faith over fear that you can overcome trauma!

In recent months, the Department of Veterans Affairs (VA) has initiated sweeping changes to the process for appealing decision, as well as to the Veterans Aid and Attendance Benefits program.The Aid and Attendance Benefit is a monthly pension offered to wartime veterans or their surviving spouses who require long-term care and can show financial need. The benefit is used most commonly by seniors who are paying for in-home care or who live in an assisted living or memory care facility and are having trouble affording the cost. In the past, a major criticism of the program has been that the asset limits were not clearly defined, resulting in individual applicants being treated differently depending on who was deciding their claim. Beginning in October 2018, the new rules implemented a defined assets limit of $123,600 with increases expected each January (currently$127,061). This change allowed many veterans, who would have otherwise been denied benefits, to qualify. Additionally, the VA implemented a three year look-back period as well as assessing penalties for gifting assets, creating irrevocable trusts and purchasing annuities. The look-back period and penal-ties are similar to Medicaids rules. These provisions also apply only to occurrences after October 18, 2018. Additionally, the VA completely revamped their appeal process which has long been considered confusing and slowsometimes taking years to navigate. Implemented on February 19, 2019, President Trump signed the Veterans Appeals Improvement and Modernization Act of 2017. This newly revamped process will apply to both Aid and Attendance claims and to Compensation claims (for service-related disabilities). Under these rules, veterans are given three options for how they can appeal their case. Under the first option, the veteran can ask for a higher-level review by a senior claims adjudicator who will review the case for errors. The second option allows the veteran to file a supplemental claim wherein new evidence can be introduced to support his or her claim. Under the third option, the veteran can appeal directly to the Board of Veterans Appeals where the opportunity is available to submit new evidence and/or have a hearing before a Veterans Law Judge. Finally, the veteran may choose to have their current case remain in the Legacy System.Editors Note: This article was submitted by attorney Gina Salamone who is a Director at the law firm of Huck Bouma PC with offices in Wheaton and Elgin. She can be reached at 630-221-1755 or by email at gsalamone@huckbouma.com

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

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

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

To learn more about Harmony Home Health and Hospice,CLICK HERE.This season of holiday celebrations is an excellent chance to engage in time-honored traditions with loved ones and friends, but lets be honest: its often also a time for overindulgence in unhealthy eating. With a wide range of sugary, fatty, and rich special treats to choose from at every turn, its hard to follow a nutritious diet, which can result in serious health problems for those with diabetes.Thesediabetic diet recommendations, however, can help individuals stay safe during the holiday season without being deprived of special treats. Be sure to first talk with the doctor for his or her approval on any meal choices that digress from an approved meal plan.Determine your preferences.Consider choices during a holiday meal, and select your favorite two carbs to enjoy. For instance, decide if you would rather have stuffing or rolls, or choose between mashed potatoes and sweet potatoes, rather than indulging in all of the food choices.Provide your own.When attending a holiday event at someones residence, speak with the host concerning your dietary restrictions, and offer to bring a nutritious dish to share, such as a tray of vegetables or a sugar-free dessert.Have a healthy snack first.Eating a healthy snack before the holiday meal will help keep blood sugar levels consistent and aid in preventing the temptation to go overboard. Good snack options for people with diabetes include nuts, veggies and hummus, celery with peanut butter, string or cottage cheese, or an egg.Stay hydrated.Drinking a glass of water before sitting down to the meal will provide you with a feeling of fullness, lowering the chance that youll be tempted to overindulge.Stay physically active.Following a heavy meal, resist the urge to sink into the recliner and watch television or nap; instead, offer to help with cleaning up the kitchen, play an active game with the kids, or take a walk in the crisp fall air.If in spite of these tactics you end up eating too much or making less-than-healthy choices, be kind and forgiving to yourself. Keep in mind that tomorrow is a new day to resume healthy habits again. Pay attention to your blood sugar to make sure levels stay in the appropriate range and to prevent the potential for a serious problem, such as diabetic ketoacidosis, which could cause a hospitalization and most definitely put a damper on the holiday fun.

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.

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.

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

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

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

To learn more aboutChancellor Gardens at Clearfield - MBK,CLICK HERE.Moving to a senior living community can bring many benefits but one thats often overlooked is the sense of belonging and connection missing when a senior living at home begins to become isolated. Isolation can be a natural outcome of professional retirement, losing a spouse, family moving away, medical issues or a change in activities.There are a number of signs that a loved one is beginning to feel the effects of isolation and that their emotional health of beginning to deteriorate. Its important to be aware of these signs because a decline in emotional well-being generally leads to a decline in physical health as well.Telltale Emotional Distress SignsHere are behaviors that can indicate your loved one is in need of more connections, more activities, more structure and more support:HopelessnessRestlessnessSeeming "on-edge"Difficulty coping with everyday stressIncreased irritabilityExcessive worryingImpulsivenessMood swingsThe Antidote for IsolationIf you notice one or more of these signs, its time to consider a more promising living environment for your loved one it may be the best decision you could make for the entire family. Moving to a senior living community can often breathe new energy and purpose into an individuals life.At MBK Senior Living communities, we can attest to our new residents experiencing increased optimism, a more positive perception of aging and a new appreciation for this stage in life. With so many opportunities for socialization, companionship and fun, life can look and feel very different. Worries dissipate because our residents can be assured that virtually all of their needs can be easily met. Plus having a daily routine, regular (and delicious!) meals and more structure is also important.Starting The Dialogue NowThe potential need to move can be a difficult subject so family members often postpone this conversation, despite signs that there may be a decline in a loved ones physical or emotional state. At MBK Senior Living, we can offer families guidance on how to begin this discussion sooner rather than later.Most important is to not wait until youre faced with an emergency situation to start this conversation with a loved one, said Christy Van Der Westhuizen, Vice President of Sales & Marketing for MBK Senior Living. No matter how self-sufficient a parent or spouse may be, planning and knowledge of available resources will give everyone greater peace of mind and the ability to make better informed decisions.Use Our Caregiver Assessment ToolTo help jump-start this important discussion, schedule a private tour together at one of MBK Senior Livings 33 communities. In addition to becoming more educated about options, touring an MBK community can provide insight to preferences and shatter common misperceptions.Theres often a misconception that moving to a senior living community strips away a seniors independence when in actuality the opposite is true, said Van Der Westhuizen. Freed from the burdens of home maintenance, our residents discover increased independence, newfound conveniences and services right outside their doors, and more time for connections with friends and neighbors.Bringing Hope BackWhen someone is in emotional distress, hopelessness sets in, followed by isolation and inaction. Its difficult to seek companionship and activities when its too much effort which is why a dynamic senior living community can organically restore hope for your loved one. Being surrounded by others in the same age group, and by compassionate caregivers, in a beautiful home-like setting can mean a new lease on life. We invite you to come see for yourself at MBK Senior Living. We look forward to welcoming you!

With the Medicare annual election period right around the corner its that time again when your mailboxes will be filled with fliers and ads from every insurance company you have heard of and some you may not have heard of; but the question is? What do I need to know?Oct. 1st - This is the time when brokers and insurance company representatives can tell you about their plans details, but no selling allowed!Oct. 15th thru Dec. 7th AEP, is the election period in which a Medicare beneficiary may shop around and make a change to their current MAPD plan, which stands for Medicare Advantage plan (HMO or PPO type Plan) with Prescription Drugs, or they may elect a plan for the first time if they hadnt done so previously. If a beneficiary is on a Medicare supplement and a stand-alone Part D drug plan, they may change their plan to a MAPD plan and vice-versa. It is important to know that the last plan you enroll in is the plan that will be in affect for Jan. 1st.Jan. 1st thru Feb. 14th is also an election period called the Medicare Advantage Disenrollment period. This period is a time where a beneficiary who has a MAPD plan can switch from the MAPD and go back to Original Medicare with a Medicare supplement and a Part D Rx Plan. Coverage would start on the first of the following month.How to pick a plan? What company? $100 vs $0 premiums?Words of advice: Be sure to find a plan your doctors accept, and make sure all your prescriptions are covered. Find a broker who represents all the companies who offer MAPD plans, and multiple Medicare Supp. plans so you can have choices.When shopping for MAPD plans take careful notice of your Out Of Pocket Maximum, this is the part where during one calendar year it is the most you are responsible for paying in co-payments and co-insurances for the medical expenses covered by your plan. Prescription co-pays and co-insurances have their own guidelines. Supplement or Medigap Plans vs. MAPD plans?Medigap supplement plans are going to run around $220 a month in premium but have little or no co-pays or coinsurance during the year for qualified Medicare expenses not fully covered by Original Medicare.Medigap plans do not have prescription coverage but must be purchased separately for around $25 to $45 a month.MAPD plans will have a co-pays for doctors and hospital visits and typically will have a network, so it is very important that you check with your doctors to make sure they except the plans. A plan that has no premium will have a larger out of pocket maximum, and a MAPD plan that has a $100 premium will have less of an out of pocket maximum.Can I get some help paying for all this?The answer is YES: Its called the Medicare Savings Program.If you are married and make under $3266 a month in income, or $2413 as a single, you will no longer have to pay the Part B premium that is deducted from your Social Security Check every month, and you will also get Prescription help.Paying less than $7 dollars a month for brand named drugs, and about $2 dollars for generics.If you make below 2,069.11 as a single and $2,802.08 as a couple, you are also entitled to extra benefits that will help you with co-payments and co-insurances in hospitals and doctor visits.More info can be found on the following information on Www.figlarinsurance.com, www.medicare.gov, and www.ct.govThis article was submitted byMarc Figlar, Certified Senior AdvisorMarc can be reached at 203-394-3447

Americas Veterans have done everything asked of them in their mission to serve our country.We believe it is never too late to give them a heros welcome home. Thats why we at Bristol Hospice are honored and proud to serve Veterans each and every time we visit.We are on a mission TO SERVE THOSE WHO HAVE SERVED US.There are over 21 MILLION Veterans living in America today. These men and women often carry experience from their military service that present unique healthcare challenges.As a Bristol Hospice employee, we consider it such an honor to care for Veterans. Continual and consistent training is imperative. We are committed to: Learn about the unique needs of Veterans and their families Educate Staff and Communities about caring for Veterans Provide Veteran to Veteran Volunteer Programs Commit to providing the best quality health careWith each Veteran that we serve, we can help Veterans and their families to: Enroll and Access VA benefits Be recognized for their service with special ceremonies Replace lost medals and awards Receive extra support from other VeteransNeeds by war or TraumaVeterans often take great pride in their service, seeing it as a period of time when they did to make a difference in the world.However, not all Veterans see their service as a positive one or do not see their sacrifice as having made any difference, and this has resulting complications.Understanding how Veterans view their service, whether it is positive or negative, has implications for how they view their disease process, especially if it is related to their military service.Americas Veterans have done everything asked of them in their mission to serve our country. Now it is time that we acquire the necessary skills and fulfill OUR mission to serve these men and women with the dignity they deserve, enabling them to die healed.Bristol Hospice is proud to be a Level 4 We Honor Veterans Partner through the National Hospice and Palliative Care Organization NHPCO.We are committed to serving our Veterans as they face challenges from illness, isolation, or traumatic life experiences. We are honored to serve you and your families.Editors Note: This article was submitted by Stephanie Puffer of Bristol Hospice. She may be reached at801-924-0867 or by email at: Stephanie.Puffer@BristolHospice.com

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

Getting it Straight with MedicaidWhen a loved one needs to be admitted to nursing home care, there are many questions to be asked in regards to nursing home care, as well as to Medicaid coverage and eligibility. The eligibility process can be a daunting, exhaustive maze of nitty-gritty rules and regulations and many have had their applications failed due to minor mistakes that could have been avoided.Often the expertise of a Medicaid planning company like Senior Planning Services is recommended to guide one through this process while the applicant can remain focused on the myriad nursing home details. Let me break down some of the complexities into bite-size, comprehensible pieces of information:What is the asset limit I can keep and be eligible? The asset limit is $2000 for Nursing home, assisted living and community Medicaid.What are assets that count for Medicaid eligibility? Savings accounts, CDs, stocks, bonds, mutual funds, IRAs, life insurance with a face value of $1,500 or more, among others.What assets dont count? The primary residence is excludable when there is a community spouse residing in the house. One vehicle may be kept for the community spouse, personal possessions are not counted, as well as German Reparation funds, special needs trust set up for a disabled child, a prepaid irrevocable funeral trust and burial plot. There may be some other exclusions that need to be determined at a case-by-case basis. Contact a Medicaid consultant for further exclusions.Can the spouse keep any of the assets? Generally, Medicaid will divide all the assets in half, one half remaining with the community spouse while the other half will need to be spent down in order for the applicant to be eligible for Medicaid. In addition, the spouse that is not applying for Medicaid, often referred to as the community spouse, may also keep the primary residence that he /she is living in and one vehicle.Can the children keep any assets? In some cases, Medicaid will allow the children of the Medicaid recipient to remain in the primary residence. If there is a child under the age of 18 or if the child is disabled or blind they may keep the primary residence in most cases. Another example would be if an adult child were to move in and provide full-time home care for two years prior to the applicants admission to a nursing home, they may keep the primary residence. In this case, Medicaid will require proof that the adult childs care prevented the parent from being admitted to a skilled nursing facility sooner .Can any purchases be made with assets to help eligibility? Yes, this is called spend down. There are many qualified purchases that can be made to lower ones assets below the limit. Some examples are; buying toiletries and clothing that the applicant can benefit from once he/she is already on Medicaid, setting up a prepaid irrevocable funeral trusts and some others.Whats the income limit for Medicaid-sponsored nursing home care? This amount varies from state to state. In NJ the income limit is $2,163 for nursing home, assisted living and community Medicaid. If ones income exceeds this cap they may still be able to qualify for Medicaid by setting up a Qualified Income Trust (QIT). The excess income will then go into the QIT. The funds in the trust can then be used towards the care of the applicant. If the trust is set up correctly, as mandated by federal and state law, the excess income will not impede the applicants Medicaid eligibility.Whats considered income? Salaries, wages, pensions, social security checks. Financial assistance, such as Food Stamps, HUD, Home Energy Assistance Program, etc. is not considered income.How much income can the nursing home resident and family keep? The resident may keep a minimal PNA (Personal Needs Allowance) of $35 per monthly, the amount towards a secondary insurance premium. If the community spouses income is below the Monthly Maintenance Needs Allowance of $1,966.25 he/ she may keep some of the institutional spouses income until the total monthly income reaches $1,966.25. In some cases the community spouse may be able to keep more income if he/she proves that her monthly expenses are not covered by this income. Medicaid will need to see utility bills, outstanding medical bills, etc. in order for her to qualify for a higher monthly maintenance amount.Conclusion: These are some FAQs that I often come across. Rest assured that when your loved needs long-term nursing home or assisted living care, there is help out there that can guide you through the Medicaid eligibility procedure.

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

What is a Continuum of CareThe phrase continuum of care has been around for a while but not all providers are part of a true continuum when it comes to caring for seniors. Most providers involved in a continuum of care system offer opportunities for seniors to remain within a system that provides an array of services, often allowing a senior to age in place, knowing they dont have to move or change caregivers, even as their healthcare needs change.A full continuum for senior care typically contains the following spectrum of senior housing and healthcare options; post-hospital rehabilitative care, dementia care services, traditional skilled, long-term nursing care, assisted living and senior living options, and hospice care.Breaking it downSkilled nursing services are devoted to people whose care needs require regular monitoring. This could be short-term for those who have been discharged from a hospital and need extra support time to recover, or those who need traditional longer-term nursing care. For short-term patients, rehabilitative therapy services are available on-site, as often as needed and as prescribed for optimal recovery and health.When the focus of care is on activities of daily living rather than on skilled nursing, these individuals can often thrive in an assisted or independent living community. Traditional assisted and independent living communities offer apartments and often include daily activity programs, 24/7 staffing, three meals a day, medication monitoring, and more.The home health care segment of a continuum allows for individuals to remain in their current living environment, with the add-on of in-home support for medically complex patients. This care may be provided by of nurses, physical, occupational, speech-language therapists and home health care aides.Additionally, homemaker and companion service allows individuals the added support they need to maintain their maximum independence in their own home and may include medication reminders to assistance with personal care, meal preparation, light housekeeping, etc.Hospice professionals provide the physical, emotional, social and spiritual support to terminally ill patients, as well as their families and loved ones, while assisting patients and families to live with dignity and comfort as they cope with end-of-life issues.Editors Note: This article was submitted by Tim Brown, who is director of marketing and communications with Athena Health Care Systems and may be reached at860.751.3900 or by email TBrown@AthenaHealthCare.com

These communities are either licensed assisted living facilities that specialize in delivering care to victims of dementia or a unit of a skilled nursing facility. The same licensure rules apply. Communities are typically bedroom-style rental units with common areas for dining and activities. Many are locked for residents safety. Staff is usually specially trained for the special needs of this population. Amenities vary. Services include meal plans, cable television, local phone calls, housekeeping, laundry maintenance and transportation. Personal assistance with ADLs available. Rates also vary from all-inclusive to base rates with levels of care/point system for care.#listing_mgr{1 basic_search}##listing_mgr{8 basic_search}#

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

Its that time of year when seniors must take extra precautions to avoid a fall. Dipping temperatures and inclement weather conditions increase the risk factors for fallsespeciallyin older adults. The good news is there are simple steps you can take to keep yourself safe!Outside your home, make sure you have assistance when shoveling sidewalks and walkways. Lay adequate amounts of salt to prevent ice from forming. You can reduce your risk of falling by using assistive devices, such as a walker, cane, scooter or wheelchair. This is especially true when traveling over uneven surfaces, like a parking lot or driveway. Inside your home, you can avoid falling by securing loose carpet and clearing clutter around stairways and landings.Falls are not always random incidents and often are attributed to undiagnosed medical conditions. Regular physician visits can provide testing to ensure side effects from medications, sensory impairments, walking with an unsteady gait, and the loss of sensation in feet due to poor circulation, diabetes, or other factors arent increasing your risk!Most importantly, you can help to decrease the risk of falling by incorporating physical activity into your daily routine. Exercising helps strengthen social relationships, improve memory, prevents anxiety and depression, and reduces pain from chronic illnesses. An emphasis on strength, mobility and balance exercises are essential for sustaining an independent lifestyle.What can you do to improve your strength, mobility and balance? Low impact aerobics and exercise classes are both excellent ways to build muscles, which improves your cardiovascular system by increasing your heart rate and breathing. And, dont forget to stretch! Stretching and flexibility exercises help your body move easily. Stretching prepares your muscles by warming-up and cooling down during your exercise regimens. Yoga sessions or Tai Chi classes provide strength training because they focus on isolating and developing different muscles.Dont wait for a fall to occur. Be proactive and take steps to make your environment safer and your body stronger. Classes described above are available at local fitness centers and community centers. In addition, some senior living communities offer therapy and wellness programs that are free and open to the public. If you are unsure of your options, ask your doctor and family members for suggestions or referrals. Staying well translates to a longer, healthier life!_____________________________________Editors Note: This article was submitted by Michele Sheets. She is the Marketing Director at Senior Commons at Powder Mill Independent Living, Personal Care and Memory Care.

With each passing year, new data continues to prove that Alzheimer's disease is a growing epidemic. Significant increases in costs and incidence, including care costs for individuals living with Alzheimers or other dementia's surpassing a quarter of a trillion dollars have been reported in the Alzheimers Association 2018 Alzheimers Disease Facts and Figures report. However, this years report goes beyond the statistics with a special report on the financial and personal benefits of early diagnosis, addressing prevalence, mortality and morbidity, caregiving and what the disease could mean to our health care system if left unchecked.As the number of older Americans grows rapidly, so does the number of people living with Alzheimers and the impact to the nations economy. An estimated 5.7 million Americans are currently living with Alzheimers with an expected increase to 7.1 million people by 2025. In the Greater Dallas area alone, there are approximately 64,000 people with Alzheimers and it continues to increase each year. This number does not include all those who are affected by the disease such as family and caregivers, states Mark Denzin, Executive Director of the Dallas and Northeast Texas Alzheimers Association. In fact, by the time you are finished reading this article 1- 2 people will have developed the disease based on the fact that every 65 seconds another diagnosis is made. Alzheimers disease is not only affecting those diagnosed, but caregivers as well. Due to the long duration of this disease, the strain on Alzheimers caregivers can last several years and produce serious declines in caregiver physical, emotional and financial well-being. In 2017, 16 million Americans provided an estimated 18.4 billion hours of unpaid care in the form of physical, emotional and financial support at a valued cost of $232.1 billion. The difficulties in providing this level resulted in an estimated $11.4 billion of additional health care costs for Alzheimers and other dementia caregivers in 2017. By 2050, the total cost of care is projected to exceed $1.1 trillion. Unfortunately, mortality from Alzheimers disease also continues to rise. While deaths from other major causes continue to decrease, new data shows that deaths from Alzheimers disease have more than doubled, increasing 123 percent between 2000 and 2015. In comparison, the number of deaths from heart disease the number one killer in America decreased 11 percent. Alzheimers is the most under-recognized threat to public health in the 21st century according to Dr. David Satcher, former U.S. Surgeon General and former Centers for Disease Control and Prevention (CDC) Director. Investing in a nationwide Alzheimers public health response will help create population-level change, achieve a higher quality of life for those living with the disease and their caregivers, and reduce associated costsRead the full text of the Facts and Figures report, including the accompanying Special Report at alz.org/facts Article on page 30

To learn more aboutThe Charleston at Cedar Hills - MBK,CLICK HERE.Caring for aging parents is never easy. Inevitably, though, there comes a time when your loved ones need more care than you can provide on your own. Even if theyre independent, perhaps your parents would enjoy a maintenance-free lifestyle with plenty of social and recreational opportunities. Either way, the right senior living community can help you in caring for your parentsand helpyour aging parents live their best life in an environment tailored to their needs. Here are some suggestions to help your aging parent discover a happier, healthier way of life:Prepare for the conversation.Make a list of questions and concerns you have about your parents current and future needs. For example, home maintenance, socialization, managing daily medications, etc. Ask where they envision living out their retirement. Ask if theyre concerned about future health needs and having the appropriate care/support available. Then, educate yourself about the differentsenior care options, including independent living, assisted living, memory care, or short-term/respite stay.Take your time, allow them time.This is a big decision, one that is best discussed in person and when you and your parent are relaxed and in a rational versus rushed state of mind. Even if youre ready to make the move, keep in mind your parent might need more time. They need your empathy and support to arrive a decision that is best for one and all.Consider these conversation starters.a. Would you like less home to manage/maintain?b. Would you like to spend more time with people your own age? Are you lonely?c. Do you feel safe behind the wheel or would you feel more comfortable having other transportation options available to you?One step at a time.Theres a lot to learn and discuss, but your parent doesnt want to be overwhelmed with statistics and research. Start with basic information, schedule an informal visit to introduce the idea, time the time to ask questions and listen to responses, be patient, be ready to wait as your loved one mulls over the information, comes to realization of needs and embraces new idea and change. In most cases, the journey to a new home is just thata journey.

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

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

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.

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

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

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

To learn more aboutAmada Senior Care, CLICK HERE.Ken Jenson, owner ofAmada Senior CareColorado Springs, is a devoted family man who believes that, just like everything else in life, senior care should always be a family endeavor. To Ken,even if he and his team provide the highest quality of care for a senior client, they are only doing part of their job unless they also support that clients family. It is this commitment to caring for the entire family that has earned Amada Senior Care Colorado Springs itsreputation for providing superior senior care to our neighbors in Monument, Castle Rock, Stratmoor, Cimarron Hills, Gleneagle, Black Forrest, Highlands Ranch, and other nearby communities.ClickHEREto hear Ken describe COVID safety practices protecting clients and communities.ClickHEREfor Kens insights on long-term care insurance and rising premiums.Here at Amada Colorado Springs, it is our goal to meet all of a familys senior care needs and to exceed their expectations of what care can be. If we have been brought in to provide in-home care for a senior, we go beyond assisting them with activities of daily living like cooking and housekeeping to enrich our clients life in the most meaningful ways we can. This could mean discussing a favorite scripture with Aunt May, or baking Dads favorite cookies, or even helping Grandma keep her prized flower garden tidy. By adding these personal touches to the care we provide, we are able to show our senior clients that they are truly valued as we vastly improve the quality of their lives.When home is no longer the ideal environment for a senior, we will guide that senior and his or her family to the assisted living environment that ideally suits their unique needs and preferences. We will even continue to check in on clients who have moved to senior housing communities, just to make sure we havent missed an opportunity to be of service to them.At Amada Colorado Springs, we have learned through personal and professional experiences that the loved ones of senior care clients are often overlooked. We know how stressful and overwhelming it can feel to try to ensure the best care for a loved one who struggles due to his or her age. We believe that if we are to properly honor our calling to provide the best senior care possible, we must make sure that a senior clients loved ones feel encouraged and supported throughout their senior care journey.We invite you to contact us at Amada Senior Care Colorado Springs to learn more about how we can help a senior in your life age with dignity and give your family the peace of mind they deserve. Let our family take care of yours, because, as we say,Someone you love needs us.

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

To learn more about Adult Case Management,CLICK HERE.The need for educated professionals able to cater to the unique health, social and financial needs of seniors grows as the Baby Boomers reach retirement age, and improvements in healthcare allow people to live longer. Certified Senior Advisors have received unique education and training that compliments their professional skills to better serve the growing senior demographic. Utah area seniors now have a resource to assist them in the aging process. Randy Chipman, CSA with Adult Case Management andCarePatrol of Utahhas completed a comprehensive course through the Society of Certified Senior Advisors(SCSA) and has earned the certification of Certified Senior Advisor (CSA). The CSA designation in conjunction with years of experience in assisted living communities means that seniors and their families now have a resource they can rely on while working with a Case Management Agency on the New Choices Waiver.As a Certified Senior Advisor, Randy Chipman has received the education and training to better serve clients. He is required to participate in continuing education to ensure he is well educated on the changes and updates that affect the assisted living industry. He has also received his Masters in Business Administration from UVU.About SCSASCSA educates and certifies professionals to work more effectively with their senior clients. As the leading provider of certification for professionals serving seniors, SCSAs Certified Senior Advisor (CSA) credential requires CSAs to uphold the highest ethical standards for the benefit and protection of the health and welfare of seniors. Accredited by the National Commission for Certifying Agencies, the CSA credential is the gold standard for professionals in all areas who work with the senior population. Through a comprehensive educational program, SCSA helps professionals understand the key health, social and financial issues that are important to the majority of seniors.

As you age, keeping your brain healthy is just as important as keeping your physical body in shape.Every brain changes with age. Cognitive changes are common, but there are many things you can do to maintain a healthy brain and prevent cognitive decline.For anyone looking to preserve cognitive health, as well as for those individuals who are experiencing cognitive issues due to an injury or event, keeping your brain active is key. Exercising your brain stimulates connectivity and strengthens your brains ability to protect against some of the natural changes that come with aging. Specialized services such as Cognitive Rehabilitation Therapy can help to preserve and strengthen cognitive skills without using medication or invasive treatments.Evidence shows that functional Cognitive Rehabilitation Therapy is effective in compensating for problems you may be experiencing with memory, attention, or communication. These issues can be frustrating and worrisome. The good news is that thanks to decades of research, there are many proven strategies that you can use to protect your brain and improve your cognitive skills. You will feel sharper, in control, and more confident when you put these strategies to use.Eat a balanced diet. Good nutrition supports brain function and decreases inflammation. Start by making one new choice or healthy substitution each day.Do your best to move your body every day. Exercise improves blood flow and stimulates brain cells to make new connections.Stay connected with others. Socialization helps with communication, improves mood, and lowers the risk of depression.Incorporate specialized services like Cognitive Rehabilitation Therapy, which can help to sharpen skills and compensate for problems with thinking.Taking a balanced and proactive approach to maintaining your brain health by using the above strategies will result in improved recall, better communication skills, increased confidence, more independence and simply living your best life.Editors Note: This article was submitted by Jessica Chappell, MA, CBIT. Jessica is the Executive Director of Main Line Rehabilitation Associates, Inc. If you would like more information on Cognitive Rehabilitation Therapy, call 1-877-480-6714 or email jchappell@mainline-rehab.com. Please see their website at www.mainline-rehab.com and their ad on page 26.

Selecting the right Medicare health insurance coverage is more challenging than ever before. Not only is there a large and confusing selection of choices (Original Medicare, Medicare Advantage, Medigap, Pensions, Tri-Care, Prescription Drug Plans, Cost Plans, MSA, PFFS, PACE, Special Needs Plans, etc.), but finding truly knowledgeable, unbiased advice seems almost impossible, yet it is critically important to you.Most folks on Medicare don't really know or understand the coverage they have as compared to the other options available. This can lead to MAJOR PROBLEMS down the road. Some of these problems are: HUGE co-payments for hospitalizations, surgeries, cancer treatments (chemo & radiation), chronic illnesses etc. I've even encountered people that were refusing necessary cancer treatments because they simply couldn't afford them. Another common problem is going into the doughnut hole sooner than need be.The right Medicare advisor can help you avoid these common problems. But finding the right advisor isn't always easy. Here are the traits you should look for in an advisor to ensure that you receive knowledgeable and unbiased advice; 1) Make sure your advisor specializes in Medicare. Just because your agent may know a lot about auto or life insurance, doesn't mean they know about Medicare. 2) Make sure your advisor is independent, not tied to just one or two insurance carriers. This is not a one size fits all type of insurance, mistakes or bad advice can be very costly. 3) Make sure your advisor can offer multiple types of policies from multiple carriers. 4) Make sure your advisor does regular reviews of your coverage as your needs will change over time. 5) Is there an advisory fee? The short answer should always be no.Make sure you get the expert Medicare advice you need. This will help ensure you get the best Medicare has to offer, rather than letting Medicare get the best of you.Editors Note: This article was submitted by Bill Gundelfinger-Mr. Medicare of Senior Benefit Advisors, Medicare Experts. Helping Medicare Beneficiaries get the most out of their health insurance. He can be reached at 720-259-4777

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

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

Skilled Nursing Facilities (SNFs) vary greatly in their ability to provide high quality individualized Rehabilitation services to patients. Patients, families, & healthcare professionals often choose a SNF based on geographical factors, physical plant (e.g. interior/exterior design, meals, availability of private rooms); also, often used in the selection process is an environment that is clean and odor-free, as well as positive regulatory agency reports. Although these factors can play a role in the decision making process, other very important factors that should be considered are often overlooked. Successful Rehabilitation, measured by positive functional outcomes, can best be achieved in facilities that provide highly individualized Rehabilitation services -- where there is a close working alliance between patients/families/caregivers & a highly skilled team of healthcare professionals. The goal of this team is to maximize a given patients physical, functional, emotional, social, spiritual, vocational, & leisure potential --often after life changing/catastrophic illness. Healthcare professionals that should be part of this team include primary care physicians (PCP), and physiatrists, who should work closely side by side. While the PCP attends to the general medical needs of the patient, the physiatrist --a physician specializing in Physical Medicine and Rehabilitation -- attends to the patients individualized Rehabilitation program. The physiatrist serves as the team leader of a group of individuals, which include, but is not limited to: occupational therapists, physical therapists, speech language pathologists, social workers, recreational therapists, patients and their families/caregivers. Also important to the Rehabilitation process is around the clock availability of highly qualified nursing staff, as well as the easy availability of other healthcare consultants as needed. There should be close attention to the proper equipment needed for rehabilitation and the actual amount of time that a patient actively participates in the rehabilitation program, and this should reflect the actual needs of the patient. The proper matching of a specific patients need for rehabilitation services and the services that a specific SNF can actually provide, will help to maximize a successful rehabilitation outcome; this is turn, will help to minimize psychological & financial difficulties for the patient and their family -- during a usually very stressful period in their lives.Editors Note: This article was provided by Jose A. Alonso, M.D., full time physiatrist on staff at Prospect Heights Care Center. Dr. Alonso is the Medical Director of Rehabilitation Medicine Services, Prospect Heights Care Center located at 336 Prospect Avenue, Hackensack, NJ, The PM&R Center, P.A., Englewood, NJ and Assistant Clinical Professor of Rehabilitation Medicine, Columbia University College of Physicians and Surgeons, New York. He can be reached at 201-678-1800.

What is Home Health Care?Home health care generally refers to skilled medical services provided in a patients home. Services are provided by licensed professionals and may include skilled nursing, therapies, (Physical Therapy, Occupational Therapy, Speech Therapy), nurse aide assistance, or a combination of all three. Thanks to modern technology, many procedures -- from IV infusion for antibiotics, pain control or hydration to complicated wound care -- which once required expensive hospitalization are now safe and cost-effective to perform at home.Choosing a Home Health Care ProviderThere are many things to consider when choosing a home health care provider. The following will help you ask the right questions to ensure you get the answers you need to choose the provider that's right for you. How are employees selected? Are employees fully insured? Are employees subject to criminal and reference checks? Is the provider accredited? How are employees supervised? How are scheduling problems handled? How is the care plan determined? How are insurance and billing handled?Standards of ExcellenceKnowing how employees are selected is crucial because they will be coming into your home. Reputable companies have stringent hiring standards, which include checking references, criminal background, and work experience. Ask how a home care company supports and supervises its employees and deals with after-hours problems. Is each client assigned a case manager, a client services manager (who coordinates services) and a nursing supervisor (who supervises care)? Is there an on-call supervisor to handle after-hours calls? Understand how insurance payments and billing will be handled. Does the provider contact insurance companies directly and handle all the billing?National accreditation is also important. The Community Health Accreditation Program (CHAP) is the leader in home health care accreditation. ConclusionFor many, home health care is the best way to receive medical services and remain safely and comfortably at home. By conducting research before hiring an agency, you'll feel confident about your decision and ensure that your experience is positive.Editors Note: This article was submitted by Lynda S. Van Dyke, Director of the Bayada Nurses office in Colorado Springs. For additional information she can be reached at 719-598-9100

Knowing when its time to move yourself or a loved one to a smaller or more accessible home, can be tough.There are some signs that can help aid you in identifying when the time is right.Age, health and living situation can be factors that its time to look for other living arrangements. For example, if your parents are over 70 years old and their house is more than 20 years old, theres a good chance they struggle every day just to maintain it.If you or a family member end up needing to sell your house quickly and get into a more suitable living situation, here are a few steps to help with transitioning:Determine How Much Space You Truly Need:Maybe that two-story, four bedroom home you bought when the kids were little is more than you need now. Smaller homes are easier to maintain, and your lifestyle can help determine what to look for in your next home.If youre home a majority of the day or have guests often, you may want something a bit bigger. If your health is a concern or youd rather not have to worry about tasks such as yard work or snow removal, something smaller such as a first-floor apartment may better suit your needs and be more convenient.Sell Your Current Home: Working with professional home buyers, such as theHomeVestors network of independently owned and operated franchisees, can get you cash quickly while also taking care of closing costs and needed repairs without the burden of showing your home to potential buyers. This would save time and money for the seller, and helps them move sooner into their new living environment.Take It or Leave It:Taking inventory of everything thats been accumulated over decades and deciding what to keep, what to pass down, what to put in storage and what to sell, donate or throw away can be tough.Once youve determined what to do with all of those possessions, the professionals at HomeVestors can aid in the transition by discarding the things you no longer need or want after you move. Simply leave behind unwanted items and HomeVestors will do the rest.Find more information on how to make a smoother living transition by calling 303-747-5989.Editors Note: This article was submitted by Stacey Gaswirth. Stacey is a Managing Director of Public Relations with Calise Partners and may be reached at 469.485.4790 or by email at SGaswirth@CalisePartners.com

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

The Department of Veterans Affairs offers a variety of service connected compensation and non-service connected pension benefits to Veterans and their dependents, some of which are particularly relevant to senior Veterans. Below is a summary of available VA compensation and pension benefits that may be most relevant to senior Veterans and their dependents.Service connected compensationService connected disability compensation may be paid for chronic injuries, disabilities, or diseases, that were incurred in, aggravated by, or presumed to be related to, a Veterans Active Duty military service. Requirements for establishing service connection include 1) an event, injury, or illness in service, 2) evidence of a current chronic condition, and 3) the establishment of a link or nexus, between the current condition and the in-service event. Veterans who are in need of higher levels of care due to a service connected disability may be eligible for service connected Aid and Attendance benefits, or Special Monthly Compensation, as described below.Aid and AttendanceTo support a claim for aid and attendance, the evidence must show that due to disabilities, you 1) require the aid of another person in order to perform personal functions required in everyday living, such as bathing, feeding, dressing yourself, attending to the wants of nature, adjusting prosthetic devices, or protecting yourself from the hazards of your daily environment, or 2) are bedridden, in that your disability or disabilities requires that you remain in bed apart from any prescribed course of convalescence or treatment.Spousal Aid and Attendance BenefitsA Veteran who is eligible to collect a dependency allowance for service connected compensation purposes, ie is rated 30 percent or higher, may be eligible to receive an additional monthly stipend, if his or her spouse meets the above mentioned requirements for the establishment of aid and attendance.Non-service connected benefitsNon-service connected disability pension is paid based on a Veterans service, current level of disability, and financial qualifications. To qualify for pension, a Veteran must have served at least 90 days of continuous Active Duty service, or generally 24 months after September 7, 1980, have been discharged under other than dishonorable conditions, and have served at least one day of Active Duty during a period of war (combat service not required). There must be a finding of permanent and total disability, which can be established by: 1) attaining the age of 55, 2) being in receipt of Social Security Disability pension, or 3) residing in an accredited nursing home. Veterans must additionally meet certain income and net worth requirements, with consideration given to qualifying deductible medical expenses. Veterans in need of higher levels of care may be eligible for non-service connected Aid and Attendance benefits, or special monthly pension. The requirements for establishing this higher level of care are as noted above, however special monthly pension does not require that this need for additional care be related to any service connected condition.Survivors BenefitsThe surviving spouse of a Veteran may be eligible for Dependency and Indemnity Compensation (DIC), or service connected death benefits if the Veterans death is determined to be related to service. A surviving spouse may also be eligible for non-service connected Survivors Pension based on income and net worth, if the Veteran met the above listed service requirements for non-service connected pension. Additional benefits may also be paid to surviving spouses if a need for higher levels of care, or Aid and Attendance is established.More InformationInformation, to include payment rate tables for both service connected and non-service connected benefits can be found at www.va.gov. Compensation and pension benefits are tax-free, and are not paid concurrently, rather the Veteran will receive whichever benefit is greater. To apply for any benefits, contact your local Veterans Service Organization or apply online at www.ebenefits.va.gov.

Adult children of an aging parent often find themselves in a difficult position. While they know how important it is for a senior loved one to maintain their independence, they also worry about keeping them safe at home. Understanding if and when to intervene can be tough to do.If you will be heading home for the holidays to visit an older loved one, there are a few warning signs you should be on the lookout for when you are there. They are good indicators that the time has come to talk about making a change.10 Signs an Aging Loved One Needs More HelpIf you are noticing more than one or two of these behaviors in a senior you love, it might be time to talk about making a move to a senior living community. These communities offer older adults a combination of safety and independence, in addition to a wide variety of life enrichment and wellness activities. Personal Hygiene: An early indicator that a parent or other senior loved one is struggling is their personal appearance. Have you noticed a change in their hygiene habits? Is their clothing appropriate for the time of day and season of the year? Changes in this area can be signs an older adult is having trouble with personal care. Less Social: Has an always involved and social older loved one withdrawn from favorite pastimes and organizations? It might be a sign they are having problems with transportation or that they are aware something is wrong but arent sure what it is. Depression: Along those same lines is a case of the blues that goes on for many months. Seniors who are isolated or live alone are at higher risk for depression. If the older adult in your family seems tired, uninterested in carrying on a conversation or is sleeping a lot, it might be time to intervene. Make an appointment with their primary care physician. Falls: Have they experienced any falls or near falls? Is your senior loved one struggling with balance problems or are they a little unsteady on their feet? Older homes may not be the safest environment for a senior who is experiencing mobility issues. Falls remain the leading cause of fatal and non-fatal injuries among seniors. Accidents: When a senior driver bumps their car in to things like a curb or the garage door, it might not seem like a serious concern. But small accidents can indicate they may not be safe behind the wheel of a car any longer. Slower reflexes, problems with vision and hearing loss are just a few reasons why. Housekeeping: If your parent has always kept a tidy house it is usually easy to spot when there might be a problem. Is laundry piled up? Is the trash overflowing? A dirty house is not only a sign a loved one is struggling, it can also present health and safety risks. Finances: Is your senior family member safely managing their finances? There are a few ways to tell. Are bills stacked up unopened on their counter or desk? Another tip off is calls from bill collectors. When an older adult is having trouble keeping their financial house in order, they may pay some bills twice while neglecting others. Being Scammed: Criminals often target seniors. They believe them to be lonely and confused. It puts older adults at higher risk for fraud and scams such as fake sweepstakes prizes, phony roofing companies and identity theft. If your loved one has fallen victim to a scam, it might be a sign they need to make a move. Nutrition: When you visit your loved one this holiday season, take a peek inside their pantry and refrigerator. Are they full of out-of-dated foods? Does your senior loved ones diet seem to consist primarily of fast food? Poor nutrition can contribute to a variety of health conditions, as well as increase their risk for a fall. Mismanaging Medication: Mistakes with medication are a leading reason seniors end up in the emergency department of a hospital every year. Some take too much medication and others forget to take it altogether. Thats why medication management is one of the most commonly utilized services in senior living communities.If you are noticing more than one or two of these behaviors in a senior you love, it might be time to talk about making a move to a senior living community. These communities offer older adults a combination of safety and independence, in addition to a wide variety of life enrichment and wellness activities.

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

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

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

Relocation ranks among the top ten biggest life stressors and can actually have a significant impact on your mental and physical well-being. Combine relocation with the additional aspects that often accompany the relocation of an older adult, such as downsizing, space planning, unpacking, arranging to sell and find your new home and the stress can almost be debilitating. Choosing a moving company that is trained in the profession of working alongside senior citizens and their families during this transition is imperative. Senior moving companies often employ Senior Move Managers (SMM) that have been trained by NASMM (National Association of Senior Move Managers) to work side by side with the customer and the moving crew to help with all aspects of the relocation process. SSMs dont outsource the relocation: rather work alongside their staff in coordinating and handling the move Senior-focused moving crews understand the limitations of their client and the need to practice patience. Plugging in lamps and TVs, not stacking boxes too high, making sure furniture placement is precise, not blocking walkways and leaving large amounts of debris behind should be a standard level of service. Having knowledge and experience in working with multiple retirement communities is vital in helping clients understand the move-in process. Additionally, senior moving companies have extensive referral networks that help connect you with your new community and ultimately make your adjustments easier.Often, moving companies that work with older adults through various lifestyle changes offer more than just moving services. Some of the additional services typically offered by trained moving companies working with transitioning families are:DownsizingSpace PlanningLiquidation/Disposition of personal effectsSorting and OrganizingUnpacking and Full Settle-In ServicesDocument ShreddingChoosing a moving company that meets your needs is pertinent and can be a challenge. Every client is unique and presents with their own specific needs.Do your homework. Ask questions.Do you provide a no-cost, no-obligation quote? How long have you been in business? Are you insured? Do you subcontract your labor? Will I be working with the same person throughout my entire move?Editorial Note: This article was submitted by Senior Moving Company. They may be reached at 972-488-1700, www.seniormovingcompany.com

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

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

When you sell, you want to sell for the best price, with the most favorable terms, in the shortest amount of time.Your broker should understand the importance of this sale in your retirement portfolio and beyond. Retaining and preserving your equity is a must!Marketing and internet presence are also important. Your broker should have current market knowledge and access to world class marketing.Your safety and security must come first! A safe showings plan will keep you safe during showings while electronic lockboxes keep track of all showings, notifying your agent when it is safe for you to return after a showing.Most importantly make sure you are working with a trusted advisor, someone that is looking out for you and your future!Editors Note: Jennifer Cuningham and Sarah Schilz are Realtors with Windermere Real Estate they can be reached at 970-817-0906 or JennC@Windermere.com

As we age, many of us have an understandable fear of memory loss and whether it is a sign of Alzheimers disease a progressive and fatal brain disease.Memory loss is commonly thought of as a normal part of aging. However, serious memory loss may be a sign of another medical problem. These can include:InfectionVitamin deficiencyIssues with the thyroid glandAn emotional problemStrokeDementia.Dementia is a general term for memory loss. Alzheimers is the most common cause of dementia.The Alzheimers Association provides this list of 10 warning signs of Alzheimers contrasted with typical changes related to age.1. Memory loss that disrupts daily life especially forgetting recently learned information. A typical age-related change: Sometimes forgetting names or appointments, but remembering them later.2. Challenges in planning or solving problems such as losing track of monthly bills. A typical age-related change: Making occasional errors when balancing a checkbook.3. Difficulty completing familiar tasks at home, work or leisure such as forgetting the rules to a game. A typical age-related change: Occasionally needing help to use settings on a microwave or to record a television program.4. Confusing with time or place sometimes forgetting how they got to a certain location. A typical age-related change: Getting confused about the day or date but figuring it out later.5. Trouble understanding visual images and spatial relationships including judging distance. A typical age-related change: Vision changes related to cataracts.6. Problems with words in speaking or writing or calling things by the wrong name. A typical age-related change: Sometimes having trouble finding the right word.7. Misplacing things and losing the ability to retrace steps, which can get frequent over time. A typical age-related change: Misplacing things now and then like glasses or the remote control.8. Decreased poor judgment such as giving excessive money away to telemarketers or paying less attention to personal hygiene. A typical age-related change: Making a bad decision once in a while.9. Withdrawal from work or social activities. A typical age-related change: Sometimes feeling weary of work, family and social obligations.10. Changes in mood and personality. A typical age-related change: Developing specific ways of doing things and becoming irritable when routine is disrupted.People with memory loss should receive a thorough examination from a physician including a careful review of the persons clinical history, a physical and neurological evaluation, a review of medications and cognitive testing.An appropriate treatment plan can be made once a diagnosis is determined.Editors Note: This article was submitted by Gene Haffner of Banner Health . He may be reached at 970-350-6133 or for more information visit Banner Healths website at www.bannerhealth.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.

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

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

Note: Anger, divisiveness and discord may have dominated the headlines in 2019, but as the late Fred Rogers once said, even in scary times, there is goodness. In this year that brought his spirit to life through the inspiring film A Beautiful Day in the Neighborhood, we are lifted by his reminder: When I was a boy and I would see scary things in the news, my mother would say to me, Look for the helpers. You will always find people who are helping.Indeed. To close the year on a positive and hopeful note, this week we introduce you to some of the helpers in your neighborhood.Merri Fefles is both haunted and buoyed by something her late mother once told her.She said, When you get to be a certain age people stop looking at you. You become invisible, Fefles said. "I am very cognizant of that now."Fefles, who spent 10 years caring for her sick mother until she passed in 2017, said that remembrance is with her every minute she is helping seniors get the services they need through PLOWS Council on Aging.[Most read] Illinois loses population for 6th straight year and it lost more residents than any state this decadeA professor of political science currently on sabbatical from Moraine Valley Community College, Fefles volunteers regularly with the nonprofit that serves senior citizens in 20 south suburban municipalities, including Worth, Blue Island, Oak Lawn and parts of Robbins.She began a few years ago delivering meals to homebound seniors with her niece and nephew, Elena and Billy Hajjar of Tinley Park.It was really eye-opening for all three of us. Were from this area and never realized how many people struggle. I feel almost ridiculous now. But you kind of live in your own little bubble. I didnt know that until I started working with PLOWS, she said.Today she has expanded her role and now helps people over age 60 navigate the complex sea of forms that can be a barrier to benefits such as Medicaid, SNAP food stamps, help with home improvements. She also steers callers in the direction of the resources they need, whether its meal delivery or adult protection services.Now were doing LIHEAT (Low income heat energy assistance), which gives people some assistance with their gas or electric bill, she said.You feel a sense of responsibility working here, she said. Some days, she added, she gets so wrapped up in callers needs that she doesnt want to take lunch.Sometimes Im moved to tears by peoples stories. So many remind me of my own mother. I miss her every day, she said.Fefles, who lives in Tinley Park, said the work she does for PLOWS is rewarding because its necessary.I love working here. Everything is very tangible. You do something for somebody, and theres immediate instant gratification -- for them and for me, she said.In addition to helping people sort through the jargon, she is a friendly voice of comfort and confidence, said PLOWS spokeswoman Jen Petterson.We are so lucky to have people like Merri who come to us and volunteer. She supports advocacy, guiding people on different resources out there. A lot of the government forms are very complex. As a nonprofit, we can guide people through those forms, Petterson said.PLOWS, Petterson said, relies on volunteers to help serve 16,000 seniors annually.The fact that Fefles connects with so many individuals on a personal level, Petterson said, is a bonus.Fefles, 43, grew up in Palos Hills. She attended Stagg High School and MVCC before earning a bachelors from Elmhurst College and masters degrees from Arcadia University and Arizona State.She completed graduate school in 2001 and landed a part-time teaching job filling in for a professor. A week after she started his classes, he fell ill and passed away suddenly.I took over his classes and got hired the next spring, she said. He was a wonderful man. And I thank God every day for this job.It was while she was working on her second masters degree and caring for her aging mother that she chose to fill a volunteer requirement through PLOWS.Ive always had an affinity for older people, she said. I never had grandparents. Maybe in a way Im taking care of other peoples grandparents.She said the work also creates balance in her life.I teach political science, so I keep up with all the toxicity in the country today. It seems we cant talk to each other anymore, she said.I help so many people who just want to talk to somebody. It makes me realize how many people just want someone to converse with, someone to care, she said.I think if people just had real conversations it would break down a lot of the toxicity there is now in our environment. Its easier to find common ground when you talk face to face, she said.Working here sort of restores my faith in humanity. I feel I get more out of it than I give," she said.As a teacher, she said, she may occasionally get a student who comes back to tell her that she influenced a career decision.But this is different. You see people everyday and help them everyday. And theyre so grateful. Makes me really appreciate what I have and the people I have around me, she said. You see so many people who dont have anyone.Seniors have so much to offer people, she said, yet theyre often not given the opportunity to do so.It almost seems like once you get to a certain age, youre deemed unnecessary. We kind of push them off to the side, she said.I wish we could harness their wisdom, energy and talent.

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

1. SRES Realtors communicate with seniors the way they want to be communicated with. Many homeowners want/need to have personal visits verses email, text, or even phone.2. SRES Realtors understand that homeowners may need to have several visits from them before they can gain their trust enough to allow them to put their house on the market.3. SRES Realtors know there may be some physical limitations that the homeowner has that may make showings difficult. The homeowner may not be able to leave the home every time its shown. The Realtor can help them to make an alternative plan for showings.4. Other family members may be involved in the decision-making process when listing the property. An SRES Realtor is prepared and knowledgeable about properties as part of a trust, or properties as part of an inheritance.5. If the homeowner is downsizing to a smaller home or adult community, they may want to consider a HECM (Home Equity Conversion Loan) loan. An SRES Realtor can help them determine if they might be a good candidate for this program, which is specifically for buyers 62+.6. They may be part of a larger Senior Concierge Services program that offers other services related to the move and provides one stop shopping. Services may include senior move management, financial planning, estate sale services, mortgage services, closing attorneys, and elderly law and estate planning firms.7. If the homeowner is moving from another state or city, A SRES Realtor can refer them to a designated SRES Realtor in their departure city.8. A SRES Realtor tailors their marketing pieces and documents to meet the needs of seniors. Larger print, easy to read, and easy to handle.9. A SRES Realtor will make all efforts to price the property at fair market value to maximize the sellers proceeds, while also pricing for a quicker sale. Many sellers need the proceeds to be able to move on. In some cases, they may need them immediately.10. Most importantly, an SRES Realtor cares about seniors, and has made a commitment to cater to their needs!Editors Note: This article was submitted by Karla Casertano, Realtor, SRES, RRS - RE/MAX Select Real Estate. She can be reached at 412-287-5541 or by email at KarlaCasertano@remax.net. Visit her website at www.casertanoreagent.com

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

In Utah, family caregivers are the backbone of caregiving. Every child wants to help their aging parents live a comfortable life while staying in their home, but is it really possible?Aging is a fact of life. When our parents are in good health, we rarely worry about the effects of aging. However, there comes a time when the effect of aging is evident and aging seniors may need more support to keep them living in their home.Healthcare providers often hear from seniorsI want to stay in my own home.This makes sense because they have worked their whole lives to own their homes. They have raised families there and this is where they feel most comfortable.There may also be fear about living in a new place with a group of people they dont know. Those who take advantage of in-home heath care services, are able to stay in their own homes 52% longer than those without in-home healthcare. Here are 6 reasons why:More people are in the home checking on seniors more frequently to make sure they are safe and doing well.In-home doctors help evaluate changes in health conditions sooner.In-home safety assessments identify potential dangers like loose rugs and carpeting, poorly placed furniture or clutter, and provide proper safety equipment for cooking and bathing.Modern technology has helped to assist healthcare in many positive ways using devices like doorbells and motion detection cameras. Additionally, remote patient monitoring devices detect health issues like blood pressure and weight changes.Assistance with medication including pharmacy pre-packaging, medication delivery, and support to ensure that patients are taking their prescriptions as prescribed.In-home physical and occupational therapy to help keep seniors active and independent.Professional in-home healthcare empowers your aging loved one by maintaining their independence!Editors note The article was submitted by Brandi Lloyd BSN, RN, a care-navigation specialist at seniorsbluebook.com/senior-resources/amg-senior-medical-groupAMG Senior Medical Group

Its almost time to participate in that once-a-decade American tradition once again.On Census Day, April 1, 2020 the federal government will begin its constitutional obligation to count every single person living in the US. Most households can begin to participate around mid-March, when letters with instructions are scheduled to be sent out around the country.New for Census 2020 is a move toward online and telephone responses. A 1-800 number and an online form on the US Census website will be available for the first time. Paper forms can still be hand-filled and mailed but the push is toward the new online and phone methods. Households that do not respond by early April could receive a visit from a census worker or door knocker trained to conduct census interviews and collect responses in person.Historically, older adults participate in the census in higher numbers than other demographic groups. However, a recent Census Bureau survey found that 65% of older adults dont feel comfortable giving personal information online or over the phone. Advocates worry that the push to use these new methods will keep some older adults from participating and result in lower census numbers.Whats At Stake?Theres a lot at stake for the State of Illinois that relies on resident participation in the census. In fact, the 2020 census data will shape political power and resources in our state for the next decade. The results will not only determine the number of congressional seats and Electoral College votes but will also determine the distribution of roughly $880 billion a year in Federal dollars. This funding pays for critical services that benefit people of all ages like schools, roads, mass transit, and hospitals. It also supports programs that specifically help older Americans to be as healthy and independent as possible, like Medicare Part B, nutrition programs, and community supports.In addition, businesses will use census data to determine things like where to build new supermarkets or direct new products and innovations. Emergency responders will use the census to direct search and rescue or prioritize clean-up efforts after natural disasters. The state will decide where to allocate transportation, housing, and social service resources. Population figures also factor into Illinois upcoming 2021 legislative redistricting and could impact future election results. Editors Note: The Northeastern Illinois Area Agency on Aging at 630-293-5990 or visit our website at www.AgeGuide.org.

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

Myers Mortuary Community Education Program was developed, implemented and is administered by a certified social worker with a masters degree. The focus is to provide education and information on the importance of drafting your Personalized Memorial Guide.Services are provided in the Davis, Weber and Box Elder Counties of Northern Utah.Much like the Healthcare Advance Directive that addresses a medical crisis, the PersonalizedMemorial Guide addresses ones death; both provide the needed direction for emotional family members. One goal of this community education program is to offer community members the option to complete aFREE Personalized Memorial Guide by educating healthcare professionals & staff to offer this invaluable resource to the those they help on a daily basis, much like the Healthcare Advance Directive.Personalized Memorial Guide education and information is provided via presentations to professional healthcare clinicians & staff; assisted living/independent retirement/nursing home staff, residents and family; caregivers, individuals, couples, families, employers & their employees, benefit administrators & community members to name a few.The benefits of a Personalized Memorial Guide include the following: Family does not have to handle urgent tasks & decisions during this emotional time. Family members have no doubts about your funeral wants. Peace of mind for you and your family. Eliminates stressful distractions of funeral details Vital Statistics Military Record Insurance Information Emergency Contacts Special Instructions Interment & Funeral Services Requests Provided in quality document formHow can you learn more, participate in or schedule a Personalized Memorial Guide CommunityEducation Program Presentation? Contact 503-481-3305 or valslifedestiny@gmail.comHow can you complete a Personalized Memorial Guide without attending a presentation?Call the funeral home of your choice ask to speak to a Family Service Counselor, an expert in helping develop your unique Personalized Memorial Guide. An appointment will be made at the funeral home or the privacy of your home.Editors Note: This article was submitted by Valerie Rios, MSW, CSW, Community Education Program Director for Myers Mortuary & Legacy Funeral Planning. She may be reached at503-481-3305 or by email at valslifedestiny@gmail.com

To learn more about Utah Senior Care Advisors, CLICK HERE.Independent Senior Living- These apartment setting communities for people 55+ are generally for those who do not require assistance with activities of daily living. Most of these residents maintain their drivers license and care for pets. All Independent livings communities offer different amenities and programs. Many include an activities program or socials and meals in a dining room. Some may have laundry services, transportation, housekeeping and other amenities such as a pool or gym. Larger companies may have Independent living, assisted living and skilled nursing communities on one campus, so your loved one can graduate to a high care community as their needs progress.When my grandmother could no longer keep her home in order, Independent living was the perfect fit for her. She was able to maintain her dignity, her dog and her car. There were plenty of social programs and we were comforted knowing she wasnt making herself the same peanut butter toast for every meal of the day. The community was essentially an apartment complex with socials and a dining room. We paid for a housekeeper to clean her apartment once a week and resident were supposed to use their own vehicles for transportation. The common areas were maintained, however a resident had to submit a request for apartment repairs.Assisted Living- Apartment setting communities that assist with activities of daily living including hygiene, prepared meal, and laundry and medication assistance. There is generally a full time activities program, a hair salon and other amenities for the residents to enjoy. These communities have an RN available, but not on staff around the clock.Memory Care-These communities provide all of the same services that an assisted living provides, but specialize in caring for resident with dementia. The communities are generally smaller and have a higher staff to resident ratio. A good activities program is based on sensory stimulation.Skilled Nursing- Hospital setting communities that employ doctors and have around the clock registered nurses on staff. This type of community assists those that need attention that only an around the clock nursing staff can provide.Respite Care- This service if for caregivers that need temporary care for their loved one. A person may stay at an assisted living for up to fourteen days, before actually having to move into the community permanently. This service is great for spouses acting as primary caregivers and need a vacation etcRegulations may vary state to state. Some assisted living communities specializing in memory care often offer some type of adult day care programs as well.Home Health and Hospice agencies- These agencies offer additional caregiver support, at home or at an assisted living community. These services may be covered by Medicaid. Home health allows people to prolong their move to an assisted living and helps residents that need additional care at an assisted living prolong their move to a skilled nursing community. Hospice agencies focus on care for residents that are actively dying or near the end of life. Their focus is on palliative care such as pain management and comfort. They are also a great resource, helping families prepare for the loss of their loved one.CCRC- Continuing Care Retirement Communities. These are communities that offer assisted living, memory care and skilled nursing at one location or campus.

To update, or not to update: that is the question.The question real estate agents repeatedly hear from homeowners is, Why would I do anything to my house if Im going to sell it anyway? Conventional wisdom tells us that we should avoid doing anything to our homes that the new owners may not like and will change the moment they move in. The reality is much different, however. Because home prices have risen so dramatically over the past five years, homebuyers have little to no money to improve the home they just purchased. With the cost of borrowing money currently so low, buyers dont mind spending more if the home is move-in ready.When evaluating where to spend the money, assign your projects into two categories: 1) deferred maintenance and 2) cosmetic improvements. Deferred maintenance should take priority: a furnace that is on its last leg, a leaky faucet, or a deck with peeling paint are some examples. Addressing these will not precipitate a high return on investment (ROI), but ignoring them will significantly decrease your sales price, and may even turn away buyers from considering your home. Once priority items are completed, consider budgeting for cosmetic items, which will bring the highest ROI. Home design trends are cyclical and what was in style last year may not be next year. Focus on updating the appearance of your flooring and paint. Your current carpet may last you another 10 years, but nothing transforms a space more effectively than new carpet. Carpets that are a mix of neutral beiges and creams are the most appealing to the buying public. Be careful not to spend more than $5 per square foot for carpet, pad, and installation. The cost to replace carpet typically brings a three-to-one ROI at the time of sale. When combined with new paint, new flooring gives a property a new home smell, neutralizing the evidence of years of living, cooking, and even smoking. Fresh, neutral paint also enhances the appearance of a home, providing a blank canvas that allows a homebuyer to easily visualize their own dcor and furniture in the home.Editors Note: This article was submitted by Blair Bryant of The Steller Group at Keller Williams Realty. He may be reached at 720-593-9355

Non-medical assistance with; meal preparation, laundry, light housekeeping, errands, activities, outings, companionship and other household duties.These agencies are licensed by the state.AHomemaker/Companionis a person who helps clients to maintain the home, and who assumes the duties customarily undertaken by thehomemaker.#listing_mgr{8 basic_search}#

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

A Good Listener:  When youre shopping around for health insurance, you want your agent to be dialed in to what youre saying about your past medical history. Weve all heard that the number one cause of bankruptcy in the US is medical expenses. So, your agent needs to respect the 75% listening, 25% talking rule when communicating with you. Its paramount that your agent asks the right questions to cover all potential exposure points. Youll know that you have an insurance agent that values you when theyre asking thoughtful questions and focused on your responses. Pinpointing a plan across many carriers takes great listening skills; your agent has a responsibility to ensure that the coverage you have will mitigate the most out-of-pocket exposure for your family if something does happen to you.Clarity and Knowledge:  An insurance agent that values you will master their product knowledge because theyre aware of the fiduciary responsibility to their clients. The purpose of having an agent is for them to explain your policy options clearly and concisely. As a potential client, make sure youre asking questions if anything is confusing. An agent that values you will be more than happy to give you the answers you seek. If they are not, they most likely are more worried about the sale and not your needs. Whatever the budget for health insurance, a knowledgeable agent should find some form of coverage for you. Theyre genuine in their approach when explaining your policy options. If youre speaking with an agent who wont take the time to help you personally or at least refer you to someone who can, theyre limited in their knowledge and most likely commission-minded. Furthermore, you may want to inquire into finding an independent broker. These agents are appointed with dozens of insurance carriers and can build policy options based on your needs and not one companys products. In this manner, you are exposed to greater clarity through options and choice. An agent who provides value in these ways is friendly, non-combative, and committed to helping you.Staying Connected:  If your agent has met the above two criteria, its most likely a good idea to keep them around. They are now aware of your medical history, and you have both established mutual trust and understanding. An agent that values this long-term relationship will reach out to you periodically throughout the year. Their purpose should be to review the policy and make adjustments if necessary. Your agent should want to know whether or not the policy has provided value. This is also a great time for you to ask any questions. Additionally, if you currently have an agent who issued you a policy but hasnt contacted you since, you may want to reach out or consider getting a new agent. Your agent should demonstrate these qualities so that you know your familys health is covered to the fullest extent.

Are you worried about the impact of a Nursing Home stay on you or your spouse? You are not alone as the majority of older adults worry about this same possibility. When a nursing home admission crisis occurs, it is understandably overwhelming. How will I pay for Nursing Home Care?Medicare coverage is available in many cases but is limited in payment duration. Long Term Care insurance can do wonders in protecting our assets and may even increase your chances of gaining admission to a competitive health care facility, but most consumers have opted out of this insurance due to high premiums. Once we have exhausted Medicare benefits, paying privately becomes inevitable, until one becomes eligible for Medicaid (Medical Assistance) benefits.Must I spend all of my assets if I am admitted to a Nursing Home? Under Medical Assistance, the spouse who is NOT in need of nursing home services, (the Community Spouse) is afforded substantial protections that provide the necessary means to continue living at home with assets and income to support them. However, understanding and benefiting from these protections is a difficult task especially given the fact that information is not readily available and few professionals specialize in educating seniors in this critical area.What can I do to lessen the impact of a Nursing Home stay?It is never too early to initiate planning. Everyone should have a Financial Power of Attorney and a Healthcare Power of Attorney with Living Will instructions these all are essential documents that allow our trusted agents to protect us in difficult times. In addition, these documents should be specifically drafted to meet our goals including asset protection powers for our spouse.Consider contacting an attorney who focuses in Elder Law today! An Elder Law attorney can help you create an effective plan to protect you and your spouse should a nursing home admission become inevitable. Peace of mind is achievable!___________________________Editors Note: This article was contributed by Shawn Pierson, Elder Law Attorney in Lititz, PA.

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

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

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

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

We often hear the term Care for the Caregiver, but most people do not understand the profound depth of what that means. It is documented that the caregiver for someone with a disability or illness often has more urgent medical concerns than the patient themselves. While that may seem odd to some people, just ask a caregiver when the last time they a vacation had, a night to themselves, a day to do nothing or have been to a doctor or dentist appointment. The fact is, that as caregivers, we often give all our energy and resources to the one we care for and at the end of the day, there is very little to give ourselves. Support groups, counseling and educational seminars are wonderful resources, but it has been my experience that some caregivers find the idea of an outing overwhelming. But there is hope. Just like trying to change your exercise habits or lose weight, you have to take small consistent steps and not try to run a marathon on the first day.The first step is to respect and know yourself. When you think about tools and tips that are available, use what works for you but do not be afraid to try something new. If it works, continue to do it, but if doesn't work for you, then be confident enough to move to another technique. Remember that you are more than just a caregiver. You are a valued member of the community, a mother or father, a son or daughter, a sister or brother and a friend. You are important and significant, and you deserve to take care of yourself and be happy. Your job is physically demanding, emotionally draining, time consuming, frustrating and the most wonderful, fulfilling and rewarding job you could ever have.12 Ways for a Caregiver to Stay Healthy and Happy Know what resources are available to you Become an educated caregiver by taking classes and reading articles Know when to ask for help and do not be afraid or embarrassed to ask for help Take care of yourself by going to the doctor and dentist for regular checkups Be realistic with what you are able to do both physically and emotionally Give yourself credit and remind yourself what an amazing job you do for someone in need Eat nutritious meals by snacking on fruits and vegetables instead of foods loaded with carbs and sugars Get regular exercise and fresh air by taking a walk or even just sitting outside for 5-15 min each day Get enough sleep and allow time for self-reflection each evening Talk about your feelings to someone other than who you provide care for Have fun and laugh by finding the humor and beauty in everyday life Stay positive, think good thoughts and give thanks each dayEditor's Note: This article was submitted by Sarah Engels who is the Administrator of Adult Home Care Services and may be reached at 970-874-0136 or by email at SarahE@AHCSColorado.com

The Energy Employees Occupational Illness Compensation Program Act (EEOICPA), first implemented by the U.S. Department of Labor (DOL) in July 2001, provides compensation and medical benefits to former Department of Energy (DOE) employees who became ill as a result of working in the atomic weapons industry. The Program compensates those suffering from more than 20 types of cancers or other ailments including beryllium and asbestos-related ailments and chronic obstructive pulmonary disease (COPD). Uranium miners, millers, and ore transporters are also eligible for benefits if they have developed an illness as a result of toxic exposure at a facility covered under Section 5 of the Radiation Exposure Compensation Act (RECA).Nuclear Care Partners (NCP), an authorized provider of skilled home health care under the DOL, doesnt file claims but can help chronically ill individuals navigate this process. NCP works exclusively with former DOE workers who have been diagnosed with work-related illnesses and qualified for no cost in-home medical benefits under the DOL EEOICPA, DCMWC and FECA Programs. They provide superior, patient-centered care and their goal is to support individuals in maintaining independence while living in the comfort of their own homes.Burt Stephens, an NCP patient, has had to deal with exposure to radiation. His story is both informative and inspiring. Burt joined the Army when he was 16 and was paid $50 per month. For an extra $50 he joined the paratroopers and started jumping out of planes. He was one of 2000 men who parachuted into the Korea conflict. Later, Burt worked in the Air Force where he worked on nuclear missiles and finished his career at the Nevada Test Site where he was an engineer technician who wired the bombs that were detonated at the site.Burt began services with Nuclear Care Partners a little over a year ago and states, If it wasnt for this group (NCP) saying youve got a lot of years ahead of you. and showing me how to live again, I dont know where Id be. To learn more about Burts story please go to www.nuclearcarepartners.com/meet-our-patients.If you are a former Department of Energy employee, contractor, or subcontractor and would like more information about these programs or how Nuclear Care Partners can help, please contact us at 888.525.5111.Editors Note: This article was submitted by Amy Austin. Amy is a patient advocate for Nuclear Care Partners and can be reached at 303.214.4307 or emailed at aaustin@nuclearcarepartners.com.

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

You forget to pay a bill once, twice, a dozen timesto worry or not to worry?You forget where you put your car keys, where you parked your car, how to drive the carto worry or not to worry?You forget how to get to the shopping center, you get lost coming hometo worry or not to worry?With increased attention on Alzheimers Disease, also known as Dementia of the Alzheimers Type (DAT), comes increased focus and concern as to whether one has it or will get it.Use it or lose it. Our mental faculties are important, in fact crucial. We need them to function and manage at home, work and in the community. Any threat to that core, whether real or perceived, becomes worrisome. With age comes a slowing of mental faculties and a tendency to misinterpret and elevate normal changes associated with aging to the level of disease and dysfunction. We need to know what is normal and what is not normal. Slip-ups happen to everyone now and then. If a pattern of slip-ups develops, it could indicate something more. Lets look at 4 scenarios:DIAGNOSIS: NORMAL AGINGAging is marked by expected changes in memory and cognition; changes that are considered normal and part of the aging process. The expected changes are more related to a slowing of functions than to actual loss of function. You misplace your car keys or miss an appointment. These may be normal - lets call them senior moments.CONCLUSION: NOT TO WORRYDIAGNOSIS: WORRIED WELLA condition in which one complains of failing memory, there is no corroborating objective evidence to support their belief, yet they worry.CONCLUSION: NOT TO WORRYDIAGNOSIS: MILD COGNITIVE IMPAIRMENT (MCI)A condition involving complaints in a single area of cognitive functioning, such as memory, that is corroborated by impaired performance on standardized testing and is a significant decline from a previous level of functioning. As MCI progresses to dementia, cognitive problems other than forgetfulness become apparent (i.e increased difficulty concentrating, completing tasks and making decisions). Those with MCI are at increased risk for developing DAT.CONCLUSION: WORRYDEMENTIA OF ALZHEIMERS TYPE (DAT)A disease in which there is widespread and progressive worsening of cognition including memory in addition to one or more other areas of cognition, is a significant decline from a previous level of functioning, and causes significant impairment in social or occupational functioning. You have trouble keeping track of appointments, figuring out and taking your medications and recalling recent and past events (even hints dont help jog your memory).CONCLUSION: WORRYThe prevalence of DAT is expected to double over the next 30 years. Those with MCI will develop Alzheimers 10 times above the rate healthy elderly persons do.WHAT TO DO IF & WHEN WORRIEDSeek evaluation. Evaluation can rule out other causes of memory and cognitive impairment (i.e. reversible causes) as well as detect problems early so that maximal benefit can be made of treatments designed to impede the onset of DAT and/or slow down the degenerative process. Seek medical evaluation by an MD or DO to rule-out reversible causes. Then, seek cognitive evaluation by a neuropsychologist (a licensed psychologist with specialty in neuropsychology which is the field specializing in understanding and evaluating relationships between the brain, cognitive function and behavior).FOR THOSE WHO FALL IN THE NOT TO WORRY CATEGORY Go for annual cognitive health check-ups and get baseline cognitive testing to compare future performance Stay active exercise both your mind and body Use strategies and techniques to maintain performance such as: keeping lists; following a routine; making associations; keeping a detailed calendar, etc.FOR THOSE WHO FALL IN THE WORRY CATEGORY Make appointments to see your medical doctor as well as a neuropsychologist Seek treatment with the goal being to improve or maximize functioning, slow progression of the disease and conversion to DAT, and control secondary symptoms and behaviors Start addressing issues regarding competency with regards to decision-making; management of personal and financial affairs; driving; and long-term care planning.

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.

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

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

A Labyrinth of Long Term Care ChoicesNeed information for an aging relative or yourself but don't know where to start? The overall goal of the ADRC (Aging & Disability Resources for Colorado) program is to empower individuals to effectively navigate their health and other long-term support options through free, unbiased assistance. Sometimes referred to as one stop shops or "no wrong door" systems, ADRCs address many of the frustrations consumers and their families experience when trying to find needed information, services, and supports. Through integration or coordination of existing aging and disability service systems, ADRC programs raise visibility about the full range of options that are available, provide objective information, advice, counseling and assistance, empowering people to make informed decisions about their long term supports, and help people more easily access public and private long term supports and services programs. The ADRC program is available to people age 60 and over and age 18 59 with a disability that have long-term care needs.Information & AssistanceADRC Resource Specialists are very knowledgeable about available programs and services to help meet your needs. You can receive information on the following:Caregiver support Medicaid / MedicareEmployment Senior CenterHousing assistance Social SecurityLegal assistance Transportation and manyLong-term care facilities others.Options CounselingInterview and assessment of needsAssistance in accessing servicesAction planningExplore individualized options and resources Follow up to assure service delivery and quality of careDecision support ADRCs help cut through the confusing maze of funding sources, multiple intake systems, and eligibility processes. ADRCs provide help to people in all 64 counties in Colorado. For more information call: 1.844.COL.ADRC(1.844.265.2372)Editors Note: This article was submitted by Tara Morrow, SRDA Deputy Director. For more information, contact the SRDA Active Adult Center at 719-554-8900

For more information on CapTel, CLICK HERE.Discover gadgets and TV hearing aid devices that make it easier to hear your favorite shows.Whether its a documentary, sporting event, or your favorite sitcom, diving into an interesting TV show or movie is a fun way to spend time at home. Hearing loss accessories for watching TV can ensure you dont miss any key plot points or dialog. Here are a few helpful gadgets and TV hearing devices that can help you and your TV-viewing companions enjoy the experience more comfortably:Sound bar speakersHearing aid-compatible devicesAssistive listening devicesTV headphonesClosed captioningKeep reading below for more details on each of these pieces of technology.Sound bar speakersThese special speakers are made to amplify sound more effectively than regular speakers. The bars contain multiple speakers inside for added volume and amplification, which can help transform your room into a surround-sound theater experience. Some models also offer speech enhancement capabilitieslike a hearing aid that increase the frequency of human voices while downplaying background sounds, so that dialog is easier to hear.Hearing aid-compatible devicesWhile any hearing aid can help pick up the sound from the TV, there are certain things hearing aid-wearers can do to get the sound directly from the TV to your ear. If you have Bluetooth-capable hearing aids, you can hook up a Bluetooth-compatible streaming boxto your TV, which will funnel the sound directly to your hearing aids. Or, you can set up an audio induction loop, a hearing loss accessory where one component is plugged into the TV and connects with a hearing aid-compatible loop worn around the neck.Assistive listening devicesFor those who dont wear hearing aids, there are other TV hearing devices that help funnel the sound to your ears. Many of these TV listening toolsoffer personal amplification features, and most can be used similarly to a hearing aid in that theyre worn in-ear or slipped on over the ear. Loop induction systems are another type of hearing loss accessory that can make TV watching easier for those who dont wear hearing aids.TV headphonesHeadphones are a hearing loss accessory ideal for those who want to keep their household volume quieter while watching TV. There are special TV headphones, or TV earphones, that connect to the television either wirelessly or via a wire and headphone jack. The sound is then funneled to the headphones, and you can usually adjust volume and tone directly from your device. Sound can transmit to multiple pairs of these headphones, allowing everyone to control their own auditory experience if youre watching with others.Closed captioningOne easy option to help you enjoy your TV time is to turn on the closed captions. In fact, its federally required for all digital TVs with a screen larger than 13 inches to include the option to turn on closed captions in the settings feature on your TV. You can use this feature on its own or in conjunction with your other hearing loss accessories for watching TV. Check our infographic on how to turn on closed captions on your TVfor helpful enablement hints.If you enjoy captions on your TV, you may also find them helpful on your telephone! Learn how CapTel captioned telephonescan help you catch every word over the phone.As you settle in for a relaxing TV-watching experience, consider these hearing loss accessories to help you get the most from your favorite shows and movies.

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

SBB University Continuing Education Webinar | Helping Seniors Thrive in a Memory Care Setting During a Pandemic Kathleen Warshawsky, BSN, RN; President of the Dallas Area Gerontological Society and Publisher of Seniors Blue Book Greater Dallas hosts this continuing education webinar.Learning Goals: Understand the challenges of keeping families and residents connected Describe how isolation effects residents with Alzheimers/dementia Identify the connection between physical and mental well-being with the hospitality/dining experience.Speakers:Ke'O VelasquezExecutive Director,The Preston of the Park Cities Goals of Community How that has shifted during pandemic Challenges of keeping families and residents connected Efforts to build communication gapSheila Mutasa Director of Memory Care,The Preston of the Park Cities Goals of Memory Care How Isolation effects residents with Alzheimers/dementia How to keep residents connected and engaged during isolation/quarantine How to keep residents/staff safe while staying connectedKyle BlazerDirector of Hospitality@The Preston of the Park Cities Benefits of food quality during pandemic Additional efforts of hospitality during pandemic Connection between physical, mental well-being and hospitality & dining experienceView the video Presentation Here

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

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

Fighting off infections, germs and diseases like COVID-19 is the job of your immune system. Keeping your immune system strong is one of the main goals of food health and fitness.Your mouth is the gateway into the body and provides a point of entry for bacteria and germs to enter your respiratory system and blood stream. Therefore, maintain good oral health can help keep your immune system healthy and working properly, which is important during a global pandemic.Bacteria in your mouth can cause gum disease. That bacteria feed and grows on food debris that accumulates in and around the edges of your gums and between your teeth The early form of gum disease is called gingivitis and is easily reversed by removing the bacteria film, called plaque, with a toothbrush, floss and a professional cleaning by a dentist or dental hygienist. If your gums bleed when your brush or ear hard foods, you probably have gingivitis. The bleeding is caused by inflammation-redness and swelling- of the gums.More severe gum disease, called periodontitis, can only be treated by a dentist or dental hygienist. With periodontitis, the inflammation caused by the bacteria attacks not only the gums, but also the underlying bone that holds the teeth in place. The job of your immune system is to attack the bacteria that invades your body. Inflammation caused by the bacteria is the signal for your immune system to go into action. In healthy people, mild infections go unnoticed because the immune system does its job of getting rid of the bad bacteria. However, when a person is not healthy, the immune system cannot keep up and disease takes over.Editors Note: This article was written by Dr Donald Couchman, with Couchman Center for Complete Dentistry. He may be reached at 719-593-0263

Hearing a loved one receive a dementia diagnosis is among the hardest news a person could hear. My grandmas diagnosis left a defining impact on my family. Fortunately,adequate preparation can lead to less stress on you and a better quality of life for your loved one. At Oasis Senior Advisors, we love to help families solve these problems before they happen. First, understand that some cognitive decline is completely normal. Signs of normal cognitive decline include:More thinking timeMultitasking becomes more difficultSome new information, like technology, can be difficult to learnCommon, everyday tasks take longerIf youre worried your loved one may be suffering from dementia, see a physician. We encourage our families to see a neurologist or other clinic that specializes in dementia.If your loved one receives a diagnosis, get your team of support ready. Your children, close friends, and extended family need to be made aware of the diagnosis, and you, the family, need support! Some people are keenly aware and understand their diagnosis, while others cannot grasp what is happening and may be certain nothing is wrong. Your loved one may even blame you. Do not take this personally; its frequently outside of your control. As a family member or caregiver, it can be frustrating when your loved one can no longer understand you. If they dont understand, they no longer can, so please dont expect them to. It robs them of their dignity, causes frustration, and accomplishes nothing. They cannot change, so we must. Join them in their reality. If they believe theyre in a different time and place, as is common, join them there. There are many ways to care for a loved one. If you care for your loved one for a period of time, deep into disease, or not at all, you are wonderful! Admitting that caregiving is not for you may actually be the best way for you to care for him or her. Assisted Living, Memory Care, and Home Care are all valid and correct options. Were here to help, regardless of what your correct decision may be. Editors Note: Written by Steven Moses, CSA CDP CPRS, with Oasis Senior Advisors of Orlando. He can be reached at 407 250 8100 or visit www.OasisSeniorAdvisors.com/Orlando

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

To learn more aboutGentle Shepherd Home Care,CLICK HERE.The internet has its benefits to help keep people connected, but there are also many negative effects of technology. Sadly, seniors often reap those negative effects due to isolation, a willingness to trust, and the seniors vulnerability. To combat these statistics and to protect our loved ones in senior care, we may need to help seniors set healthy boundaries with their devices.Educate Your Seniors About TechnologyTechnology has been part of our lives for many years, but there are still people who dont understand how it can affect them. To convince seniors to use technology wisely, they must understand how too much technology can negatively affect them.TheVision Councilreports 60% of adults suffer from digital eye strain, causing discomfort, headaches and blurred vision.TheNational Sleep Foundationcorrelates heavy cell phone use and sleep disorders.Social media overuse has been linked to depression and suicidal ideation.Excessive use of digital devices can impact physical health through inactivity.Technology does have some good benefits when used wisely. The trick, at any age, is to find the balance between using technology and having time away from the devices. Seniors may need help finding that balance, even though they are adults.Tips For Setting Tech BoundariesTheres no reason to completely disconnect from technology. Talking about technology use with your parent can help you introduce best practices:Limiting time on digital devices.Dont check notifications immediately on waking up.Block accounts that make you feel negative.Decrease notifications to keep productivity high and to lessen distractions.Turn off devices at night to respect sleep patterns.Find time to interact with real people each day while putting your device down.Seniors may need to find ways to keep themselves busy to replace screen time. Virtual connections arent the same as interacting in person. It may take a planned strategy to adjust a relationship with technology by making sure that your senior has people to connect with to prevent overuse of technology.Seniors and technology can be a good mix, but technology needs to be used mindfully. If you need assistance helping seniors set healthy boundaries with their devices,contactour home care providers at Gentle Shepherd Home Care. We can provide education, care, and assistance to help you take care of your seniors.

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

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.

To learn more about Plan Right Law, CLICK HERE.#1 Act as a Disability Plan.A revocable trust provides protection during three phases: what happens while the trust maker is alive and well, what happens if the trust maker is alive but not so well, and what happens after the trust maker dies. Its during the second phase that trust really outshines a will if the trust maker becomes incapacitated, the disability trustee can step in and take care of things immediately and without court intervention. This keeps the trust property under the control of a trusted family member or friend instead of a guardianship judge.#2 Keep Assets Outside of Probate.Probate is a time-consuming and costly court-supervised public process. A will-focused estate plan lands heirs squarely in probate court. A trust-focused estate plan allows the settlement trustee to step in and carry out the trust makers final wishes without any court involvement or oversight.#3 Keep a Minors Inheritance Outside of Guardianship.A minor who is named as the beneficiary of a life insurance policy, IRA, or payable-on-death account will require a court-appointed guardian to manage the property until 18. On the other hand, a trust for the minor can be created in a revocable trust and named as the beneficiary of the policy or account. This allows the client to decide how long the trust will continue age 25 or 30, or even the beneficiarys lifetime not just until 18.#4 Keep Final Wishes Private.A will filed for probate becomes a public court record, which means anyone, including predators and your competitors, can go down to the local probate court and read wills and other probate documents. On the other hand, a revocable trust is a private document that remains confidential during life and after death.

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

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

Written By: Joshua WallsSubmitted By: Inspired Living, For more information CLICK BELOW on the location nearest you!Hidden Lakes (Bradenton)Lakewood RanchSarasotaIn the same way physical activity can keep our bodies healthy, mental activity can keep our brains healthy. Since June is Alzheimers & Brain Awareness Month, now is an excellent time to think about strategies that may maintain, or improve our cognitive abilities as we age. Many of theactivities suggested beloware quick and easy to follow.Stay Connected SociallyAccording to the National Institute on Aging (NIA), engaging in activities with others can significantly increase your mental well-being and active brain use. Consider planning a family outing, joining a club, volunteering, playing board gameswith friends, or attending religious services. No matter how you plan to meet people, being social is a key ingredient for long-term brain health.Try to Learn Something New Every DayThe researchers at Harvard Medical found that learning new skills and having a purpose-driven life can increase mental acuity. The trick here is to find something new to learn so that you challenge your brain. Try a new creative hobby such as painting, photography, or journaling. If you enjoy nature, try identifyingbirds or plants. Learning a new language or picking up an instrument also challenges the brain. Just 15 minutes a day devoted to learning a new skill can benefit your brain.Manage StressExperiencing stress is normal and expected throughout our lives, but the National Institute on Aging notes that increased stress can impact memory and may factor into the risk of dementia. Activities that help to alleviate stress include: keeping a journal, meditation,relaxation exercises, and spending time interacting with a pet.Give Your Brain a BreakMental fatigue is real, and like any other organ in the body, the brain needs time to rest. Harvard Medical recommends minimizing distractions and economizing mental use to allow your brain to concentrate on learning and remembering important details. To give your brain a break try to eliminate clutter;identify a designated place to put keys, wallet, and phone; use a calendar to remember important events; and use lists for phone numbers, passwords, groceries, etc.Eat A Healthy Diet - Including SnacksAccording to the American Geriatrics Society, healthy eating habits can reduce the risk of memory loss. Studies link the popular Mediterranean Diet with better cognitive abilities in later life. This diet emphasizes fruits, vegetables, whole grains, legumes, fish, and other seafood; unsaturated fats such as olive oils; and low amounts of red meat, eggs, and sweets. Between meals, healthy snacks are important too. Instead of chips, consider vegetables, nuts, and fruits and avoid sugar-sweetened beverages, refined grains, and highly processed snack foods.At Inspired Living and Superior Residences, our residentshave fun exploring new experiences with our signature programs, like Inspired Destinations.Every month, we invite residents to take part in a series of social, recreational, and dining events designed to explore unique cultures and cuisines from around the world. Inspired by the six dimensions of wellness, our Inspired Destinations activities help residents live their best life every day. We offer a variety of living options for your needs, including Independent Living, Assisted Living, Memory Care, and Respite Care.

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

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

Medicare, the nation's largest health insurance program, provides health insurance for Americans. Medicaid is a federal program based largely on income guidelines.Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.#listing_mgr{7 basic_search}#

To learn more aboutActive Home Health, Hospice and Personal Care, CLICK HERE.Active Home Health and Hospice was created with the goal of improving the standard of patient care in the home setting and actively serving those we care for in their journey through life. The ownership consists of local Registered Nurses and Healthcare Administrators that recognized a need in the community and wanted to make a positive impact on patient care. Although there are many Home Health and Hospice companies in Utah, we wanted to raise the bar by providing excellence in patient focused care. Active Home Health and Hospice is locally owned and operated, with over 25 years of combined healthcare experience. Our mission is to stand for excellence in patient service and care. We pledge to lead by example in the community by placing patient care where it belongs, above profit. We believe in hiring attentive caregivers nurtured in a culture of mutual respect and accountability. Actives employees feel empowered because their input is needed and appreciated. Our wonderful caregivers provide patients with loving, respectful, personal care in the comfort of their own home. We believe in providing end of life care with the comfort and dignity that our patients deserve. We always strive to promote the well-being and maximum independence of our patients, and above all we love those we serve! Our commitment to you and your loved ones is excellence. We are honored you would choose Active as your care team during your time of need. You have our commitment that we will place you first as we serve you through this unique part of your lifes journey. Sincerely, Your Active Care Team

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

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

Since the start of the COVID 19 pandemic many of us have heard the phrase, This is the new normal. Social media platforms were flooded with posts agreeing or disagreeing with the assessment. As a professional caregiver I realized that the COVID 19 pandemic was introducing the world to the reality, the new normal of being a family caregiver. But what does new normal mean? From what I have observed during the pandemic the New Normal is simply change. It is the change from what was to the new reality of what is. The New Normal means loss, not being able to go back to the way things were. The New Normal is highly emotional with anger at not being able to do activities without restrictions and confusion on how to re-establish a meaningful routine. There is disappointment because others dont seem to understand how serious the situation really is and anxiety because no one is able to tell us exactly what is going on or when all the craziness will come to an end. But most of all there is the frustration of having our life turned upside by chaos and confusion.Family Caregivers in our communities have been experiencing all of these new normal frustrations long before the pandemic even hit. Their journey began when they committed to helping a family member struggling with self-care because of the progression of a chronic illness or dementia. Every family caregiver has experienced their life being turned upside down by the chaos and confusion of caring for a family member.For many of us, the pandemic has created exhausting physical and emotional challenges we are still trying to figure out. And we want it to be over. So do our family caregivers. They are physically and emotionally exhausted. They want it to be over too. But please remember the next time you meet a family caregiver-they have been dealing with all the challenges of the new normal long before you. Have a talk with them. They may have some wisdom and insights to share with you that will help you cope with your new normal. Editors Note: This article was submitted by Kent Mathews MSW, Family Caregiver Support Center Lead with PPACG Area Agency on Aging. For more information he may be reached at: 719-471-2096

These four words characterize the Leader familys role in the senior living profession for more than 55 years. This summer, the third generation of our family in the person of Meredith Janeczek Mills, granddaughter of Country Meadows founders George M. and Mary Jane Leader, has taken on a senior leadership position in the companychief operating officer. Meredith has a masters degree in Health Care Administration from Penn State and has served as a campus executive director, regional marketing director and, prior to her promotion, vice president of Strategic Planning.So, you might say, Whats the big deal? The deal is about quality and experience. My father used to say, You pay a lot more attention to whats happening and work harder when your name is attached to the business. And, I might add, because we love what we do.Meredith is one of nine members of the Leader and Janeczek families employed by Country Meadows. Her mother is my sister, Jane, married to Ted Janeczek, our chief financial officer. Five of the nine are in the third generation. Collectively the nine of us have more than 150 years of experience in healthcare. I like to say the profession is imbedded in our family genes.We understand the critical success factors in senior living and know when something is missing. Unlike providers whose corporate leadership is headquartered in another state or even on the West Coast, our family lives and works in central Pennsylvania. We can drive to every campus easily. Family members either work full-time on a campus or visit one or more of our communities every week. With so many years of experience, along with regular exposure to whats happening through personal visits, we are better able to assess problems when they exist and start the process to fix them.On behalf of Meredith and the Leader/Janeczek family, we hope we have the opportunity to serve your family.The Leader-Janeczek family About Country Meadows:Country Meadows has been offering quality retirement living in Central Pennsylvania for over 30 years. Their lifestyle options include Independent Living, Personal Care, Memory Care for residents with early- to late-stage memory loss and Restorative Care to support those recovering from an injury or living with a chronic condition.They strive every day to make retirement living fresher, tastier, safer, livelier, friendlierjust better. They invite you to visit any of their communities to experience firsthand the individual delights of each campus in Hershey, Lancaster, Mechanicsburg and two locations in York. www.CountryMeadows.com

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

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

Every nine minutes someone in our community is diagnosed with Parkinson Disease (PD). Chances are you or someone you know or love will be affected by the disease.PD is the fastest growing neurological disorder. Since the average age at onset is 60, and the median age of our community is 65, many physicians believe we are on the cusp of an emerging pandemic. And as life expectancy increases, so does the number of people living with the disease which is expected to double in the next 15 years.It is a disease of the central nervous system that touches almost every aspect of daily living, including: movement, mood, speech, eating and drinking, sleep, and cognitive changes. It progresses over time, robbing a person of independence through increasing complications, and impacts the loved ones of people with Parkinson as well.Currently there is no objective test to diagnosis PD. Typically, a Neurologist takes a careful medical history and performs a thorough neurological examination, looking in particular for two or more of the cardinal signs to be present. Following are the 10 early warning signs of Parkinson Disease:Tremor or ShakingSmall HandwritingLoss of smellTrouble SleepingTrouble Moving or WalkingConstipationA Soft or Low VoiceMasked FaceDizziness or FaintingStooped or Hunched OverFor over twenty years, The Parkinson Association of Southwest Florida (PASFI) has been improving the quality of life of persons with Parkinson and their care partners while creating a safe, nurturing and welcoming community. We advocate for our members and educate our community about PD. We nurture relationships among those involved in the care of persons with PD.We connect people to the information, support services, programs and activities they need to enhance wellness, live an active, engaged life moving forward and delay the progression of the disease. From Marco Island to southern Lee County, we offer movement classes, support groups, speech classes, social activities and educational programming for people with PD, their care partners and families.It is through the generosity of our community that we are able to provide quality programs and services free of charge. We receive no government funding to support our work.Editors Note: For more information on Parkinson Disease or to get involved please call239-417-3465 or visit our office at 5926 Premier Way, Suite 114 Naples, Florida 34109.

Kare Works presents Seniors Blue Book Senior Care Spotlight featuring Matthew Princiotto with Home Care Assistance of Collin County. Matthew talks about senior isolation.#Seniorliving#seniorcare#sbbdfw#kathleenwarshawskyLearn more about Home Care Assistance of Collin County here.

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.

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.

Searching for assisted living or residential care by yourself can be an eye opening experience for anyone, especially when your loved one has special needs. Here are some mistakes to avoid when searching.They take facility operators at their word.Its a regrettable situation, but operators and marketers of assisted living centers are sometimes under considerable pressure to keep their facilities full. This can lead to misrepresenting the facts. For instance, some may say their facilities are skilled at caring for dementia residents, when the truth is that they have very little experience.They make a choice because it seemed good for someone else or looking at only one facility.Facilities differ greatly in their skills and amenities. A place that is good for one person isnt necessarily a good fit for another. Your friends mother can be doing well at her facility, but she may have needs much different than your loved one.They choose by appearance alone.Its shockingly common for expensive facilities that look wonderful to be cited for violating regulations. So, the history of their care and not their beauty should be your goal.They listen to the advice of experts in other fields. Your doctor or social worker is no doubt an expert in what they do, but they dont have much time to research assisted care and nursing facilities. Often what they know is from word-of-mouth. If you get a recommendation from them, as how often theyve visited the facility and whether they have actually researched the facilitys state survey record.They make their decision based on pressure from the marketing personnel.Some marketing representatives have been trained in pushing you to choose their facility. You dont deserve any pressure at all during this difficult process.They make their decision based on guilt. Having to make this decision is difficult. Too many time families chose assisted living facilities that they would like, this is not necessarily a good decision for their loved one. For example, you may like that they facility has a pool table or a swimming pool, but your loved one may not care to play pool or go swimming. Choose a place that will be best choice for your loved one, not just one that you like.They think that all the facilities are created equal. All facilities are not created equal. Not all facilities can care for your mother or father. They may all hold the same license type, but they are all different and this is a big decision for you and your loved one. Editors Note: This article was submitted by Randy Chipman, CSA, MBA. Randy is a Certified Senior Advisor with Care Patrol of Utah and may be reached at 801-717-9328 or by email at:RandyC@CarePatrol.com

For more information on the author, The Sheridan at Lakewood Ranch, CLICK HERE!When youre ready to tour a senior living community, its important to prepare yourself. Although your senior living professional will be able to show you around the community, they may not address all of your questions unless you ask them.You should be prepared with questions to ask on your visit about staffing, living spaces, activities, health care, nutrition, and whatever else may come to mind.Weve put together a list of 32 questions in several categories that you might find helpful while visiting a senior living community. Take these with you and ask them if they havent already been answered for you. That way, you can make your final decision with confidence.StaffingAre staff members onsite 24/7?Are staff members subjected to background checks?Is the staff trained on elder abuse and neglect?Does the community have a policy to report suspected abuse?Living SpacesWhat floor plans do you offer?Are your residences furnished or unfurnished?Can residents decorate and personalize their own spaces?Is internet access provided? Wi-Fi?What is your pet policy?Is housekeeping included?ActivitiesWhat types of activities are available to residents, and how often do they occur?Is there a posted schedule of events and activities?Are residents actively encouraged to participate?Do you provide transportation to the grocery store?Are there opportunities to interact with the surrounding community, such as scheduled outings or volunteering opportunities?Is live entertainment part of the activities schedule? If so, what kind, and how often?Health CareDo you have nurses on staff?Do you have an in-house physician?Does someone on staff coordinate home health care visits if needed?Are services such as hospice and physical therapy available?Are incontinence supplies included?Is there a written plan of care for each resident?Do you have transportation for doctors appointments?NutritionHow many meals are provided per day?Are there snacks available for residents?Can meals be provided at varied times, or are there set times for meals?Can meals be tailored to a residents specific needs or special requests?Are residents allowed to take food back to their rooms?MiscellaneousAre overnight guests allowed?Are visitors allowed at any time, or are there specific visiting hours?Are religious services provided onsite or available nearby?Are there any other extra fees? If so, what are they?Of course, if you have more questions, feel free to ask. Senior communities should be happy to accommodate you and make your visit more enjoyable.

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To learn more aboutAging Resources of Douglas County, CLICK HERE.In honor of Alzheimers and Brain Awareness Month, we thought wed share some common tips and tricks to improve your body and your mind. Studies persistently demonstrate that adopting these key lifestyle habits can help reduce older adults risk of cognitive decline. Its never too late to make a change and start including these activities in your daily routine!Exercise!Exercise elevates your heart rate and increases blood flow to the brain and body.The CDC recommendsthat older adults engage in two and a half hours of moderate aerobic activity per week, and muscle strengthening activity twice per week. Studies have shown a link between physical activity and reduced risk of cognitive decline.Activate your mind!Challenge yourself with a jigsaw puzzle, sudoku, or a crossword. Play games that make you think strategically, like bridge. Pushing yourself in these ways may have long and short-term benefits for your brain.Talk to usabout our Aging Mastery Kits, which were able to offer free of charge for a limited time.Eat right!Eating a diet thats high in fruits and vegetables and low in fat can help reduce the risk of cognitive decline. Theres some evidence that following aMediterranean-style dietmay lower your risk of developing dementia.Get enough sleep!Its a common myth that older adults need less sleep than the rest of the population. Actually, not getting enough sleep can produce difficulties with memory and cognitive function.Quit smoking!Smoking increases your risk of cognitive decline, and quitting can reduce that risk to levels comparable to those who have not smoked. If you need help, talk to theColorado QuitLinetoday!Stay socially engaged!Staying involved in meaningful relationships and connected to your community supports brain health. Find activities that are meaningful to you. If youre able, considervolunteering, either with Aging Resources or for another cause that you connect with. If youre feeling isolated, talk to us about ourcompanionship services.

It is the dawn of a new era and conditions are changing, urging forth a new kind of norm in assisted living communities. And its looking good. Infection prevention and control protocols are at the head of every community's priorities. Todays communities have up-to-date testing in place, along with updated social distancing guidelines that allow families more time with their loved ones.Today people are paying more attention to the need for greater social connections and more opportunities for entertainment and activities for those living in congregate settings. Communities have never been more knowledgeable, more alert, and more attentive at providing their seniors all aspects of living a balanced, healthy, and productive existence.Todays industry leaders are more acutely aware of the health consequences of isolation and loneliness. It is a safety consideration that can have just as devastating an impact as a physical ailment. There is a domino effect that can happen over time when a senior is living in isolation. Loneliness leads to worse health outcomes as it can cause de-conditioning, worsening of cognitive status, and a higher risk of going to the hospital that can ultimately lead to further health risks.Another advancement over the last year at senior communities is an awareness of the tremendous benefits of technology in senior living, whether for tele-health or social connectedness. Todays healthcare highlights the significant need for improved technology infrastructure through the US, to ensure that older adults can access needed services, resident engagement, and also stay connected to family. Todays assisted living communities are, in the dawn of this new era, providing their residents with these updated technologies as well as the skills to benefit from them.Clearly the senior system of today is bringing a new kind of vigilance to protect the health of its seniors. But what is also evident is a newly inspired need to protect the spirit of our nations senior citizens. The spirit that determines resilience and an enthusiasm for embracing each day with joy, purpose and gratitude.Written By: Ameila LarsonSubmitted By: A Life for Seniors

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

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

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

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

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

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

Veterans have served our country in the military and without question, the nation owes them a debt of gratitude.In addition, multiple programs are available from the government for our veterans and surviving spouses. One such program is the Aid and Attendance Program.The VA Aid and Attendance Program benefit is a monthly payment in addition to the VA Pension Program for qualifying Veterans 65 years of age and over who are 100% disabled. It is also available for their surviving spouses if they were married at the time of the Veterans death. It was created for those who meet the following criteria:The Veteran or survivor needs help performing activities of daily living such as dressing, feeding, bathing, toileting, and other things that we do every day and often take for granted. - OR -The Veteran or survivor must spend the day or a large portion of the day in bed. - OR -The Veteran or survivor has limited eyesight even with glasses or contact lenses with only 5/200 or less in both eyes, or concentric contraction of the visual field to 5 degrees or less.The benefit can be as high as $2266/month and can be used for help in accomplishing activities of daily living (ADLs). This is most commonly achieved by hiring a caregiver to assist the Veteran or survivor in the residence. The approval process ordinarily takes 6 to 8 weeks but is very dependent upon how quickly the applicant can provide the necessary documentation and other requirements of submission.Additional qualifications must be met that include:90 days minimum of active duty service.One day of active duty must have been served during wartime.The Veteran must be the recipient of an honorable discharge.Certain VA established net asset levels are also evaluated to determine eligibility.The Aid and Attendance Benefit is designed to help Veterans and surviving spouses who cannot perform activities of daily living on their own to hire in home assistance. This benefit allows them to remain in their home where they are happy, independent, and can avoid entering a facility emergently or long term.Editors Note: Article submitted by Jeff Kosor, owner of Senior Helpers of Southwest Pittsburgh, reach him at 412-851-3223 or jkosor@seniorhelpers.com. For more information contact us at: Aidandattendance.com/seniorhelpers/.

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

For more information on Comfort Keepers, CLICK HERE.For seniors, maintaining social connections and staying in touch with loved ones not only improves quality of life, it improves health. Socially isolated seniors have a 59% greater risk of mental and physical decline than those who do not experience social isolation, and socialization has been shown to slow Alzheimers and Dementia patients decline.According to Statistic Canada, 5 million people (25% of the population) who are aged 65 and older, now live alone and over 40% of women over 80 live alone. By taking intentional steps to reduce isolation and reduce lack of contact, overall wellbeing is also improved.So, how can seniors foster connection and reduce loneliness?Social Media Facebook, Instagram and other social media sites can help seniors stay connected to friends and family across the country. And, many social media platforms have built in chat functions, games and other features that foster connection.Togetherness Activities For older adults, planning activities reduces lack of contact. This can be in-person, when possible, or through video chat and phone calls. Virtual or in-person activities can include good conversation, cooking and eating together, reading together, playing games, scrapbooking, or listening to music. And, studies show that planning and looking forward to an event can have mental health benefits too!Online Interaction Seniors may enjoy virtual meetups, online worship services, Facebook trivia night, virtual communities focused on hobbies, and other online activities can help people connect to others in their community without leaving home. For those that are able to go out, sharing hobbies and activities with others can bring joy and connection.Virtual Volunteers For seniors looking for a sense of purpose, there are opportunities to volunteer to help others from the comfort of home. This can include building Easter baskets for childrens charities, sewing quilts for shelters, writing cards for military service members oversees and other activities that allow people to do good works in their free time.The health effects of social isolation and loneliness on seniors is equivalent to smoking 15 cigarettes per day.Isolation and loneliness can be signs that a senior lacks the support and tools needed to live a healthy, independent life. However, with planning and deliberate action, fostering positive relationships and connections can be incredibly rewarding for everyone involved.Comfort KeepersCan HelpFor seniors that need companionship or help fighting loneliness, Comfort Keepers caregivers can help with encouragement, support and assistance with daily living. And, caregivers can encourage overall health through meal planning, grocery shopping, meal preparation and activities. Our custom care plans focus on physical and mental health and wellness activities. Our goal is to see that clients have the means to find the joy and happiness in each day, regardless of age or acuity.To learn more about our in-home care services, contact your local Comfort Keepers location today.References:Statistics Canada. Living Arrangements of Seniors. Web. 2018.Forbes. Technology can help the lonely elderly endure social distancing Web. 2020.Journal of Aging Research.use of Physical and Intellectual Activities and Socialization in the Management of Cognitive Decline of Aging and in Dementia. Web. 2012.Psychology Today. How to Help Older Adults Fight Loneliness During COVID-19. Web. 2020.Caring.com. Senior Loneliness: The Risks of Loneliness and Senior Neglect by Melanie Haiken. Web. 2015Forbes. Are Social Determinants the Missing Key to Improving Health? Web. 2018

Hospice is a concept of care, not a specific place of care. Hospice emphasizes quality rather than quantity of life. The dying are comforted. Professional medical care is given, and sophisticated symptom relief provided. The patient and family are both included in the care plan and emotional, spiritual and practical support is given based on the patients wishes and familys needs.Hospice affirms life and regards dying as a normal process. Hospice neither hastens nor postpones death. Hospice provides personalized services and a caring community so that patients and families can attain the necessary preparation for a death that is satisfactory to them.Those involved in the process of dying have a variety of physical, spiritual, emotional and social needs. The nature of dying is so unique that the goal of the hospice team is to be sensitive and responsive to the special requirements of each individual and family. Hospice is often a misunderstood benefit and, often, what people dont know can stop them from getting the services they need.Here are 7 things you may not know about hospice:1. Hospice isnt a place. Hospice is a group of medically based services that helps patients and caregivers focus on comfort and quality of life.2. Hospice isnt expensive. Hospice is paid for by Medicare, Medicaid and most private insurers.3. Hospice serves people wherever they call home. Hospice can be provided in private homes, apartments, nursing facilities and assisted living facilities.4. Hospice services can help to keep people in their homes longer by providing medical care and emotional and spiritual support.5. Hospice isnt just for the last few weeks of someones life. Hospice services are actually more meaningful to people when they are started as soon as someone is eligible for services.6. Some people who have hospice services improve and no longer need the care.7. Hospice patients can receive care for longer than six months if they continue to be appropriate and want the service.Editors Note: this article was submitted by Caren Ermel, President and CEO Sangre de Cristo Hospice For more information she can be reached at Sangre de Cristo Hospice at (719) 542-0032,www.sangredecristohospice.org

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.

Elder Hostel is a not-for-profit organization that provides exceptional learning adventures to nearly 250,000 older adults each year. Elderhostel offers over 10,000 programs a year in more than 100 countries. The philosophy is that learning is a lifelong pursuit that opens minds and enriches lives. Participants come from every walk of life to learn together, to exchange ideas and to explore the world. For more information please call 877-426-8056.#listing_mgr{7 basic_search}#

Problem: Patients are often unnecessarily admitted or readmitted into a skilled setting, financially penalizing providers, when such practices are avoidable.Nationally, 19.6 percent of patients were readmitted to a hospital within 30 days of discharge, 34 percent within 90 days and 56.1 percent within a year*The five most common medical conditions for which hospital readmissions occur are: heart failure, pneumonia, chronic obstructive pulmonary disease, psychoses, and gastrointestinal problems. The five most common surgical procedures are: cardiac stent placement, major hip or knee surgery, vascular surgery, major bowel surgery, and other hip or femur surgery.Hospital readmissions are frequent and costly events which researchers suggest can be reduced by systemic changes to the health care system, including improved transition planning, quick follow-up care, and persistent treatment of chronic illnesses.*S.F. Jencks, M.V. Williams, and E.A. Coleman, Rehospitalizations Among Patients in the Medicare Fee-for-Service Program, New England Journal of Medicine, Apr. 2, 2009 Discharge Transition: A private duty transitional caregiver in the home of a recently discharged patient will help reduce unnecessary readmissions by charting progress and reporting and by simply being there with the client to prevent them from engaging in high risk post-discharge behavior. A homecare aide will allow the client to recover in their own home while providing quality of care and promoting independence. Readmission Diversion: With eyes on the discharged patient and key indicators being monitored and reported risk is mitigated. When a patients status declines beyond what a non-medical aide can control the clients physician and or a designated Home Health agency is brought in to further enhance the readmission diversion process.Although currently personal in home care is not covered by Medicare, the benefit to having homecare in the home post discharge from either an acute hospital stay and or skilled nursing facility stay can promote a safe and positive outcome. In home care is available from a few hours per day to live in care and can help ease family's worries about their loved one being alone and or not having the assistance needed to reach their goals.Editors Note: This article was written by Kim Trabing, LPN Executive Director, and Boad Swanson, President of Salus Homecare. They can be reached at 801-566-1185 or by email at Ktrabing@salushomecare.com

To learn more about SummitWest Care, CLICK HERE.GRAND JUNCTION, Colo. (KKCO) - SummitWest Care is receiving two grants to help take care of the people who need to stay home.SummitWest Care received a $20,000 grant from Telligen Community Initiative and a $25,000 grant from the Rocky Mountain Health Foundation to help maintain their Telehealth and Remote Patient Program.It helps members who live in rural areas or those who are vulnerable. The program gained traction in the midst of the COVID-19 pandemic.The funds will expand service and equipment, including a tablet with Bluetooth monitoring devices such as a blood pressure cuff and monitor, scale, pulse oximeter, and thermometer.Chief Executive Officer Charleen Raaum, says the program has been very successful. We had a 90-year-old patient that was very frail coming out of the hospital. We were able to engage her in telehealth. She loved the equipment. It really helped her to heal. We were able to reassure her with the biometrics. We were able to monitor her, and it was overall a successful deployment of the program, said Raaum.The devices send real-time results to the nurses at SummitWest Care. In addition, the clients can also take daily symptom surveys, message the care team, and get medication reminders.

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

To learn more about Senior Care Associates, CLICK HERE.If you are living at home in need ofcare from your family, a home careagency, independent living, assistedliving or private paying in a skillednursing facility you may be eligiblefor up to $2,295 per month to coverthose expenses.This is a tax-free VA pensioncalled Aid and Attendance whichwas put into place in 1952. It isdirectly deposited into your bankaccount such as social security.This additional money can be usedto cover your care expenditures asyou are aging. This is NOT a welfareprogram like Medicaid. You can owna home and have significant moneyin your assets to still qualify.Areas of Eligibility:90 days active duty, one day ofservice during war time and notdishonorably discharged.Care being provided from family,home care, independent living,assisted living and private pay ina nursing home.Care includes dressing assistance, bathing, medicationreminders, walking assistance,transfers, toileting, and mealpreparation. Custodial Care dueto frailness or memory loss.Income would include socialsecurity, pension, retirement,rental income etc.Assets in your checking, savings, cds, stocks/bonds, mutualfunds, IRAs, and 401ks.Your home is not included as anasset unless it is sold.How long does it take to get approved? It is taking 1-3 months toget approved.The VA has a 3 year look back intoany asset transfers such as movingmoney into a trust, annuity, or gifting money to family.Please call Dennis Autrey tosee if you may be eligible. 'Editors Note: This article was submitted by Dennis Autrey, Marketing Director for Senior Care Associates, LLC He may be reached at 801-424-1444 orby email at: dennis@scaiusa.com www.seniorcareassociates.com

BACK PAIN, most people do not automatically think of a fracture when they first experience back pain.AFragility Fractureis any fall from a standing height or less, that results in afracture. Our bodies, when in good health, should be able to withstand a fall from this height without afracture. The most common areas involved include the spine, hip, and the wrist.What causes fragility fractures?Osteoporosis is the number one cause of a fragility fracture. Osteoporosis is characterized by low bone mass and structural deterioration. This can be caused by many underlying conditions such as; aging, being female, low body weight, low sex hormones or menopause, smoking, and some medications such as cancer medications, SSRIs, and steroids. About 54 million Americans have osteoporosis and low bone mass placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men, age 50 and older, will break a bone due to osteoporosis. Osteoporosis is often called a silent disease because the body cant feel bones weakening. Breaking a bone is often the first sign of osteoporosis but patients may notice they are losing height or their upper back is curving forward. If you are experiencing height loss or your spine is curving, be sure to consult your doctor or healthcare professional immediately. Other causes of fragility fractures include traumatic injuries as well as metastatic tumors.How do I know if I am at risk? You can find out if you are at risk by consulting your doctor. With a thorough medical exam and history, you and your doctor can determine what kinds of tests will be needed.What are the treatment options?There are many preventative options that may include: Prescription medications Calcium / Vitamin D Nutrition and overall health and exerciseIf you experience a fall or quick onset of pain consult your physician immediately. A fracture can occur by stepping out of bed or off of a step. These types of injuries will require intervention from a spine or orthopedic physician that specializes in fragility fractures. In most cases the fracture and pain can be corrected right away without the use of pain medicines and bed rest. If you believe you are at risk or are suffering from osteoporosis or fragility fracture pain, consult your doctor and begin a path to stronger bone.Editors Note: This article was submitted by Luc Koldewyn. Luc is a clinical director with the Colorado Spine Institute and may be reached at 970-342-2220 or by email at luc@eliteregen.org with any questions regarding fragility fractures.

Aurora Veterans Salute Will Honor All Vietnam Era VeteransThe Vietnam War (1954-1975) was a long conflict in which the Communist Democratic Republic of Vietnam (North Vietnam) attempted to reunite the country by overthrowing the government of the non-communist Republic of Vietnam (South Vietnam). The United States involvement was based on the Cold War policy (the Truman Doctrine) which declared that the United States must help any nation threatened by Communism. Three presidents, Dwight D. Eisenhower, John F. Kennedy and Lyndon B. Johnson, based their involvement in Vietnam on this policy. United States military advisors, present in small numbers during the 1950s, were introduced on a large scale beginning in 1961, and active combat troops were sent in 1965. By 1969 more than 500,000 U.S. military personnel were stationed in Vietnam. During the course of the war, over 3.4 million would served in the Southeast Asian theater. The Soviet Union and China provided weapons, supplies and advisors to North Vietnam. Eventually, the cost and casualties of the war proved too much for the United States and U.S. combat troops were withdrawn in 1973. On April 30, 1975, South Vietnam felled to a full scale invasion by the North.The human costs of the war was harsh. Over 58,000 American military personnel died and over 2,500 are listed as POW/MIA (prisoner of war/missing in action) or killed in action/body not recovered. Nearly 300,000 were wounded. The U.S. military estimates that 200,000 to 250,000 South Vietnamese soldiers died in the war and over 1 million were wounded. In 1995, Vietnam released its official estimate of war dead: 1.1 million North Vietnamese and Viet Cong fighters and as many as 2 million civilians on both sides died as a result of the war.The war cost the U.S. nearly $200 billion and was the first foreign war in which U.S. combat forces failed to achieve their goals. Many Vietnam veterans were shunned and criticized for their role and support of the war. Some leaders opposed expanding benefits to Vietnam veterans to match those given to veterans of earlier wars which shocked the Vietnam veterans. Many Vietnam veterans felt the nation failed to recognize or appreciated their sacrifices.The Aurora Veterans Salute will honor all Vietnam era veterans on Wednesday, November 9, 2016 at the Wings Over the Rockies Air and Space Museum. We want to thank the men and women who sacrificed their lives as well as all who served during the Vietnam War and give them a heartfelt Welcome Home.Editors note: The 22nd annual Aurora Veterans Salute is proudly presented by the Aurora Center for Active Adults. Registration for the Salute luncheon begins August 8th. For more information visit www.Auroragov.org/salute.

We all face fears in our lifetime. Aging brings out new fears not thought of in our youth. For example, we worry about our loss of independence, running out of money, having to move out of our home, and many other factors. Fear of frailty is a huge concern for seniors and their caregivers.Medical professionals describe frailty as a syndrome of weakness, fatigue and decline in physical activity, which can rob seniors of their independence. This can result from a heart attack, stroke, fall or weight loss. What often leads to frailty, however, is a lack of motivation and ability to stay active. Inactivity then becomes a big worry for seniors and family caregivers, and this largely is because they dont want to lose their independence. According to the results of a recent national survey of seniors and grown children, staying physically active was a major challenge for older adults. 74% of seniors 65 and older say that staying physically active is a major challenge, and 81% of adult caregivers say this as well.Furthermore, 9 out of 10 seniors surveyed say losing independence is their greatest fear.Frailty can be difficult to define, but most know it when they see it, said Dr. Stephanie Studenski(University of Pittsburgh Institute on Aging). She is one of the nations foremost authorities and researchers of mobility, balance disorders and falls in older adults. After surveying health care providers and family caregivers on how frailty is viewed, they found that many family members base frailty on social and psychological changes they see in their loved ones. Doctors, on the other hand, focus more on the physical evidence. Therefore, it is important to look at the whole individual regarding social, psychological and physical factors. Notably, Dr. Studenski said that frailty can be both prevented and reversed by activity. The activities can be directed at the seniors mind, body and soul, all of which are important to helping seniors age well. Staying active, therefore, is viewed by many as vital to healthy aging and, hopefully with time, eliminating the fear factors of aging. 'Editors Note: The study noted was conducted by Home Instead Senior Care and Dr. Stephanie Studenski. This article was submitted by Home Instead Senior Care Dallas

While hospice care for people who are nearing the end of life is fairly well known, palliative care remains a mystery. Because palliative care is one of the fastest growing areas of service in the healthcare spectrum, it is important to understand what it involves.Palliative care is derived from the term palliation, which Dictionary.com defines as to relieve or lessen without curing; (to) mitigate; (to) alleviate. While the relief provided by a palliative care team is often pain related, other symptoms such as labored breathing, nausea, anxiety or bleeding can be the presenting problem. The goal is to provide comfort, support and practical assistance in finding needed services for those with chronic illnesses, frail health or post-surgical problems that are not yet end-of-life issues. The most common conditions seen in palliative care are cancer, COPD and congestive heart failure.Hospice always includes palliative care, but palliative care does not always include hospice, because the patient does not have to be near death to receive palliative services. Palliative care teams emerged first in hospitals, but more recently, services are being provided in private homes, clinics and long term care facilities in an effort to provide comfort while keeping people out of emergency rooms and hospital beds. The palliative care team usually includes a doctor, nurse and social worker, although in recent years, Navigators have been added, to help patients navigate the maze of healthcare services in the community.Unfortunately, palliative care is not well supported by private insurance or government programs such as Medicare and Medicaid. Because of the lack of reimbursement, most hospices cant afford to provide non-hospice palliative care services, so many patients are left to live with their symptoms until they reach hospice-eligible status - meaning six or less months to live. Medicare is beginning to embrace the inherent value of palliative care, recognizing the need for services during the gap that exists between hospitalization and hospice. Older patients in particular leave the hospital and become depressed, confused or ineffective in managing their own medications, only to escalate back to the hospital, or on to hospice.The frail elderly and those with chronic health conditions should contact their family doctor for a referral to a palliative care provider. A determination of eligibility can be provided quickly, and the care team works in conjunction with the patients personal physician to assure a coordinated approach to symptom management.Editors Note: This article was submitted by Gary Morse. Gary is President and Chief Executive Officer with Sangre de Cristo Hospice & Palliative Care and may be reached at 719-542-0032 or by email at gary.morse@socohospice.org

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

Marketing.what exactly is it? When does it begin and where does it end?This session is designed to walk the participants through the components of marketing, many of the tools of marketing, some of the best practices and some of the most-often made mistakes.At the conclusion, attendees will be able to explain marketing styles and philosophy, describe the best tools used by the most successful companies and demonstrate how to effectively use them.The session will cover where to find marketing data, how to use it to form strategic marketing plans, creating an effective and efficient competitive analysis, developing targeted sales and advertising plans and social media.

Learn from Devin what makes Family Home Health and Three Rivers Hospice unique and how they have been supporting their patients, patient families and employees during COVID-19.

The issue of driving is one many seniors and their families will face. And one that is often inevitable when there is a diagnosis of dementia. It is important to know that a person with dementia usually does not self-limit his/her own driving. And in almost every state, physicians are not required to report someone they feel is unsafe to drive. For those reasons, the burden often falls onto a family member.When trying to decide, there are many factors to consider other than memory. Families tend to focus on if the person remembers where they are going and are they at risk of getting lost. The solution may be to allow driving to continue but only to familiar locations. However, people with dementia experience deficits in several other areas that are key to driving. For example, it is common for a person to have problems with depth perception. This makes it difficult for the driver to determine how close other cars and objects are. Determining if there is time to pull out into traffic or turn before an approaching car reaches them are some of the issues faced when there is impaired depth perception.Decision making and the ability to anticipate events also becomes more problematic. A driver may see a ball roll into the road but be unable to anticipate that a child could be running for it. Or he/she may be taxed with deciding quickly what to do when an unanticipated event does occur. Divided attention also can become challenging for a person with dementia. The ability to look at the speedometer and then back at the road can be difficult. The driver may find it challenging to continue to focus on driving while giving attention to a bicyclist or pedestrian on the side of the road.If you are concerned about your loved ones driving, please discuss with his/her physician. In addition, explore the use of a driving assessment program and tools available which can help in determining abilities and limitations.Editors Note: This article was contributed by Mary Underwoods, Vice President of Memory Care Services for Artis Senior Living of the West Shore.

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

Health concerns related to the aging population like arthritis, chronic pain, obesity, falls, respiratory diseases, heart diseases, neuropathy and diabetes all require the care of multiple specialty providers. However, having to be seen for these conditions by multiple providers has put many seniors in a difficult position.Over time, people have slowly become deeply dissatisfied with their healthcare and the healthcare system as a whole. More often than not, it has been due to the fact that they continually feel they are being rushed or the communication between all of their healthcare providers is missing.While the goal of our healthcare system has always been to provide great service that patients require, over the past few years, many healthcare providers have been providing the same care to more people in a lot less time, escalating the percentage of dissatisfaction. When it comes down to your care, everyone knows the importance and the need for your providers to think and work inter professionally. Despite this and everyones best intentions, communication still remains minimal. It has become essential that healthcare providers are able to work together to coordinate treatment, prevent unnecessary testing, and be able to manage chronic conditions while being able to still provide quality care for their patients in the appropriate setting.Impact of IntegrativeImagine being able to be treated by multiple healthcare providers in one clinic. Integrative clinics have been able to unite multiple healthcare providers and reduce the overall dissatisfaction by providing more time, attention, better communication, and a wider range of healthcare options all under one roof. This minimizes having the patient commute from one place to another or schedule appointments at multiple clinics. Providers would then be able to work together and communicate as a partnership to treat the whole body and provide the care everyone has been looking for which will increase their overall satisfaction.Trying to coordinate healthcare needs around multiple providers and clinics has become a tedious task which has led to individuals postponing their care. Pain Management Physicians, Chiropractors, Physical Therapists, Massage Therapists, Speech Therapists, Occupational Therapists and patients alike are connecting with the philosophy of integrative medicine and its whole person approach designed to treat a person through every stage of life.Editors Note: This article was submitted by Shashi K. Gunda, PT, DPT. Shashi Gunda is a Physical Therapist with Avila Integrative Medicine and AIM Home Health and may be reached at 719-565-1276 or by email at shashi@wetargetpain.com

All too often veterans are told they do not qualify for VA Aid and Attendance.The truth is you may be eligible for benefits to help pay for needed extended care if you meet The 3 Ms of eligibility. These are: Military, Medical and Money.Military service. A veteran or a surviving spouse of a veteran must have 90 days of active duty, with one day during a period of war, and have been discharged with an other than dishonorable discharge. The periods of war include World War II, the Korean War, the Vietnam War and the Gulf War. Gulf war veterans must have two years of active duty to qualify.Medical need. A claimant must have the need of assistance of another individual with at least two activities of daily living. These are bathing, dressing, ambulating, toileting and eating. Legally blind or cognitively impaired also creates a medical need. An example of this would be someone with dementia may simply need daily reminders to eat and bathe, this would qualify.Money. The VA looks at both income and assets. In order to qualify for the full benefit your income must be less than your cost of care. Here is an example, take someone with an income of $3,000 per month and their cost of care in an assisted living community is $4,500 per month, they would have $1,500 negative per month. They would qualify for the full monthly benefit of $2,120 for a married veteran, $1,788 for a single veteran, and $1,149 for a surviving spouse. The amount of assets they can have is not as straightforward and is somewhatDo you Qualify for VA Aid and Attendance?All too often veterans are told they do not qualify for VA Aid and Attendance.The truth is you may be eligible for benefits to help pay for needed extended care if you meet The 3 Ms of eligibility. These are: Military, Medical and Money.Military service. A veteran or a surviving spouse of a veteran must have 90 days of active duty, with one day during a period of war, and have been discharged with an other than dishonorable discharge. The periods of war include World War II, the Korean War, the Vietnam War and the Gulf War. Gulf war veterans must have two years of active duty to qualify.Medical need. A claimant must have the need of assistance of another individual with at least two activities of daily living. These are bathing, dressing, ambulating, toileting and eating. Legally blind or cognitively impaired also creates a medical need. An example of this would be someone with dementia may simply need daily reminders to eat and bathe, this would qualify.Money. The VA looks at both income and assets. In order to qualify for the full benefit your income must be less than your cost of care. Here is an example, take someone with an income of $3,000 per month and their cost of care in an assisted living community is $4,500 per month, they would have $1,500 negative per month. They would qualify for the full monthly benefit of $2,120 for a married veteran, $1,788 for a single veteran, and $1,149 for a surviving spouse. The amount of assets they can have is not as straightforward and is somewhat subjective process. We have had claims approved with over $80,000 in total assets and others denied for less than $30,000 in total assets. So, how do you know what the correct amount is? The best advice is to consult with an accredited agent or attorney who understands the rules. A competent advisor can help you qualify even if your net worth is excessive.

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

As seniors, our biggest challenge is how to afford the drugs that our doctors prescribe. There are a number of realities that we have to deal with, and over which we have no control.We spend about 45% of the global total spent on pharmaceutical drugs. Americans spend more on prescribed drugs than any other developed country and pay double what other countries residents pay for healthcare in general.Half of the scientifically innovative drugs approved in the US from 1998 to 2007 resulted from research at universities and biotech firms, not big drug companies. Despite their rhetoric defending the need for high prices to support Research and Development, Big Pharma spends exponentially more on marketing than the small percent of profits they spend on R&D.With an army of 1,491 paid lobbyists (in 2017), the industry spreads its influence on Capitol Hill. In 2017, Big Pharma spent $2.8 billion on lobbying expenses more than any other industry more than the defense industries and corporate business lobbyists combined.Our individual clients have different medication lists, needs and budgets. As a result we encourage them to check in with us each year to make sure they are spending only as much as is necessary. Our process is to do a full analysis on every clients drug list:We use the excellent medicare.gov website to analyze the most cost effective plan for our clients drug needs.We arrive at an estimate of the lowest annual costs of these drug needs.We examine if the same drug can be got for a lower price off-shore.We also check to see if there a generic version already available off-shore?We examine discount websites like goodrx.com to see if a cash price may be less.Until recently it was illegal for pharmacists to volunteer the fact that a drug might be less expensive without using insurance. Although the law has changed, it is not effective yet, so dont forget to ask the pharmacist this question he will answer without fear of retribution.We encourage everyone to register online on their insurers website this will help keep them apprised of the claims on their account and watch their drug expenditures during the year.We also help every eligible client to access any benefits to which they may be entitled, e.g. low income subsidy or extra help, or Medicaid.It is essential to use the preferred retail and mail order pharmacies for our insurer so we know we are at least getting their best price.Bottom line - our goal is always to help our clients keep as much of their money as possible.Editors Note:Teresa Risner is President of LTC Advisors. She can be reached at 407-949-6722 or by email at info@ltcadvisors.net. Her offices are at One Senior Place in Altamonte Springs. Website: www.ltcadvisors.net.

To learn more about Intermountain Homecare and Hospice,CLICK HERE.What is MS?Multiple sclerosis, or MS, is a disease that affects the brain and spinal cord. It can cause problems with vision, balance, sensation, and muscle control. This disease affects everyone differently. Some people have mild symptoms while others have debilitating symptoms that prevent them from doing daily tasks.Multiple sclerosis occurs when the immune system attacks the nerves in your brain or spinal cord. When the nerves become damaged the brain isnt able to send signals through your body correctly.How can you recognize and MS attack?Relapsing MS is characterized by the unpredictable occurrence of new attacks. These attacks are sometimes also called an exacerbation, a relapse, or flare. An attack involves new neurological signs and symptoms, which typically develop over a few days and subside or completely resolve over the ensuing weeks and months. Symptoms from MS attacks include:NumbnessWeaknessIncoordinationVisual loss or double visionDizzinessThe most common symptom of an MS attack is numbness or sensory loss. Numbness occurs when the immune system attacks an area of the brain conducting sensory information to the body. If an attack occurs in an area of the brain transmitting motor information to the limbs, a person may experience weakness in the limbs. Double vision or dizziness may also occur from an MS attack.In patients who have MS it is important to distinguish a true attack from a pseudoexacerbation. A pseudoexacerbation is when signs and symptoms from an old attack can worsen or reemerge from other causes. Common causes for pseudoexacerbation include a new illness, elevated body temperature, fatigue, stress, and pain. How is MS diagnosed?Multiple sclerosis is a clinical diagnosis made when there is evidence of immune system attacks on the brain and spinal cord. A neurologist looks for evidence of these attacks in a person's symptoms, examination, and MRI scans. Attacks typically leave scars in the brain that are visualized on MRI. Scars from MS have a characteristic appearance and pattern that must be carefully discerned from other causes. The presence of inflammatory and protein markers in the cerebrospinal fluid can also help support the diagnosis.How do you treat MS?MS treatment has three parts:Treating attacksDisease modifying therapy to reduce the likelihood of more attacksTreatment of residual symptoms from prior attacksMS attacks are treated with high dose steroids over 3-5 days. Treating attacks with steroids helps decrease the duration and intensity of symptoms.Disease modifying therapy (DMT) is central to the care of people with multiple sclerosis. DMTs are the best strategy to alter the course of MS. Clinical studies have demonstrated that DMTs:Reduce the occurrence of attacksSlow progression of disabilitySlow cognitive declineUntil recent years, only a few injectable medications were available to prevent MS attacks. Now there are many additional medications and these are more effective at preventing attacks. Some medications are oral pills and others are infusions.Management of MS also includes treating unresolved symptoms from prior attacks. For example:Physical therapy helps with motor weakness and instabilityUrinary urgency or incontinence may be alleviated with medicineExcessive stiffness in muscles from nerve injury may be alleviated with medicinePainful sensory loss or disturbance may be treated with medicineWhat is on the horizon for MS?We are in an exciting era of treatment for MS. In recent years, several new treatments have been FDA approved, including the first ever treatment for a rare form of MS calledprimary progressive. Many additional therapies are being studied and hold promise in treating MS. In addition to novel oral medications and infusions, stem cell transplant is showing promise as a treatment for MS. In stem cell transplant, a patients stem cells are used to "reset" the immune system with the hope of eliminating the overactive inflammatory activity in MS.Did you know?National Multiple Sclerosis SocietyandMultiple Sclerosis Association of Americaare reliable sources for accurate information regarding MSWeighing only 3 pounds and operating on 12 watts, the brain sends electrical signals over 200 mphThe nervous system is capable of detecting grooves as small as two millionths of an inch, discerning differences as small as 0.01 degree Fahrenheit, and differentiating more than seven million colors

Cooking for one or even two, presents challenges as we age. It can be dif?cult to shop and prepare healthy, well-balanced meals on a daily basis. Did you know the Older Americans Act provides grants to State and community senior organizations to help provide a healthy, well-balanced meals for older adults?Through the Community dining and home delivered meal programs, seniors struggling with isolation and loneliness or those who have difficulty buying or preparing meals for themselves have two great options! Older adults who have transportationcan get a healthy meal and spend time with friends in a community dining setting. Homebound seniors, unable to shop, prepare or obtain meals, can also receive a nutritious meals delivered to their homes up to five days per week, often by a friendly volunteer. Community dining meals and those offered to homebound older adults are approved by Registered Dietitians and provide 1/3 of the daily nutrition needs of the average older adult. Older Adults must be 60 and older to qualify to receive meals or be a disabled person or spouse residing with an eligible individual. There is no income or asset requirementfor community dining or home delivered meals. A suggested donation is requested and appreciated for all meals, however it is also not required. No one is denied a meal if unable or unwilling to contribute. While the importance of offering nutritious meals to older adults cannot be overstated, having the opportunity to join others for a meal in a community setting is a great way to get out of the house and see other people. No one likes to eat alone and having the ability to join others who are the same age, with a similar history and experiences can make for an enjoyable dining experience!For homebound seniors, having a friendly face greet them each day while delivering a nutritious meal, can be something to look forward to and serve as a daily well-being check. For more information on Community and home delivered meals, a contact list has been provided. If your County is not represented on this list, please call your local Agency on Aging and they will be able to assist you.Editors Note: This article was submitted by Leslie Edstrom, Community Planning Division Manager for The Agency on Aging Northeastern Illinois. Leslie has a Masters Degree in Public Administration with a specialization in Gerontology.

What comes to mind when you think of retirement? Do you picture a view of the ocean or the mountains? A mild climate? Your home town? The comfort of the place you call home? A sense of community & interaction with others?Everyone has different hopes & desires when it comes to aging & retirement. No matter the goal, a realistic mindset & planning must occur.Regardless of social & economic status, there are options to age the way you want to. Life does not always go as planned but it is best to be prepared. Being prepared will help to navigate the obstacles of life.There are a few key questions to ask yourself regarding how you want to age:1.) Do I want to live in a senior community or age in place?2.) What are my available resources?3.) Who do I want to help me with decision making if I am not able to?There are a few key action items to help prepare for the future:1.) Write down your wishes.2.) Formalize your wishes. This can be in the form of advanced directives, MOST form, living will, etc...3.) Talk with those who will help you through the process & fulfill your plan.Answering these questions & completing the action steps can place you in a position to age the way you want opposed to aging placing you!Millions of Americans face difficult decisions during a time of need. The more prepared you can be for the aging process, the better.Northern Colorado is full of many educated professionals & resources for seniors & families navigating the aging process. If aging the way you want is your goal; you must take action & plan. There are many local companies & resources to get in touch with such as:-Home Care Companies-Social Workers & Case Managers-Primary Care Physician-Area Agency on Aging-Care Management ProfessionalsProfessionals from these fields & resources will assist with planning your goals before the time of decision arises.Editors Note: This article was submitted by Greg Kelley. Greg is the Director of Operations & Administrator with Phoenix Home Care & Hospice and may be reached at (970)270-1541 or by email at GKelley@PhoenixHomeHC.com with any questions.

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

Tucker Vision Center has been serving Lee County for over 26 years. Whether you just cant see as clearly as you used to or you need more detailed medical care to treat your eye infection, glaucoma, cataracts, dry eyes, or macular degeneration, Dr. Terry Tucker can make sure you receive the best care possible.One thing you will find at Tucker Vision Center that you will not find in any other location in SWFL are Oxy-view frames. These are frames designed for patients on oxygen. They help you eliminate the nasal cannula and better control the hoses from your oxygen tank, allowing you to lead a more active life style. If you are tired of your bifocal glasses and want bifocal contact lenses then Dr. Tucker can help you. Dry eyes are very common in patients over 60 years of age. A wet eye can be caused by a dry eye problem, so let Dr. Tucker help solve your problems with your tears.Many of your eye problems can be helped just by getting a routine vision examination. If you have not gotten a vision examination in the last year please come to our office and let us examine your eyes. Call 239-656-1778 or go to our web page at www.tuckervisioncenter.com.

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

It can be overwhelming to think about your preferred final wishes.Funeral professionals can help make this experience positive and manageable. To begin, consider just the major decisions. From there, the details naturally follow. Here are the top five: Would you prefer for your body to be cremated, buried, or donated for research? Will any of your family or friends wish to view and spend time with your body? Should there be a celebration of life, a funeral event, a memorial service, or something else? Where will your final resting place be? A cemetery, ashes scattered somewhere specific or placed on the mantle at home, etc? Will an obituary be published in the paper or online and what information should be in it?With these five questions, the hope is to shift the conversation around death to one of preparation and a sense of control.This article was submitted by Chris Goes. Chris is a Funeral Director and Owner of Goes Funeral Care and may be reached at 970-482-2221 or by email at chris@goesfuneralcare.com

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

Simply put,infusiontherapy involves the administration of medication through a needle or catheter. It is prescribed when a patient's condition is so severe that it cannot be treated effectively by oral medications.Pharmaceutical and infusion therapy companies provide patients with drugs, equipment, and training to administer drugs and feedings in the home. Sometimes a pharmaceutical and infusion therapy company is also a Medicare-certified home health agency.#listing_mgr{7 basic_search}#

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

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

Refers to services including patient assessment specific diet information, management of the disease process, medication management and education on all the above. Services are provided by Registered Nurse under the supervision of a M.D. Some agencies may have certified diabetic nurse instructors or cardiac care specialty RNs in their employ.#listing_mgr{8 basic_search}##listing_mgr{7 basic_search}#

Salt Lake County Aging Services is the local Area Agency on Aging (AAA). These agencies were set up across the country beginning in 1965 by with the passage of the Older Americans Act. Aging Services is the largest AAA in the state and is housed as a division of Salt Lake County Government.Salt Lake County Aging Services has been serving the countys older adult population for over 35 years. The division, originally located in the countys old hospital, began modestly with a handful of full-time staff whose main focus was to ensure older adults a hot nutritious noon-time meal through the Meals on Wheels Program (one of the first in the nation) and to provide a gathering place where seniors could partake in activities for the mind and body through the Senior Centers Program.Aging Services provides a comprehensive, coordinated system of services that promote the independence of older adults living in Salt Lake County. The division encompasses 10 in-house and two contracted programs (Chore Services/Legal Services) that help older adults incorporate healthy behaviors into their everyday lives as well as foster the independence and dignity of the frail, homebound and isolated segment of the senior population. As the local AAA, Aging Services is mandated by the federal Older Americans Act to provide these services. The system has two tiers:Programs that promote the health and well-being of younger, healthier and more active seniors. These programs have a preventive focus and include: Senior Centers Program Healthy Aging Program Senior Employment ProgramVolunteer Programso Retired & Senior Volunteer Programo Bridges Volunteer Programo Senior Companion Programo Foster Grandparent Programo Legacy Corps ProgramPrograms that provide support and assistance to the older and frailer population. These programs are focused on helping to maintain independence and include: Meals on Wheels Program Senior Transportation Program Caregiver Support ProgramThe Alternatives Program Ombudsman Program Outreach ProgramEditors Note: This article was submitted by Andrea Garry. Andrea Garry is with Salt Lake County Aging Services and may be reached at 801-468-2480 or by email at slcoagingservices@slco.org. For more information visit Salt Lake County Aging Services on the web at: www.aging.slco.org.

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

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

Adult Protective Services (APS) receives reports of abuse, neglect, and exploitation of at-risk adults, conducts an investigation into the allegations, and implements services to reduce and prevent further mistreatment. Colorado operates as a stated supervised, county administered system. County APS programs provide for the safety and protection of at-risk adults who are or are suspected to be, victims of mistreatment.At-risk adults are defined as persons age 18 or older who are susceptible to mistreatment or self-neglect because the adult is unable to perform or obtain services necessary for his or her health, safety, or welfare or because they lack sufficient understanding or to make or communicate responsible decisions concerning their person or affairs.Certain professionals are required by law (mandatory reporters) to report physical abuse, sexual abuse, caretaker neglect and exploitation of at risk elders and at-risk adults with intellectual and developmental disabilities. An at-risk elder is any person 70 years of age or older. An at-risk adult with IDD is a person who is eighteen years of age or older who has an onset of an intellectual and developmental disability before the person is 22 years old.Mandatory reporters must make a report to local law enforcement within 24 hours of witnessing or becoming aware of the mistreatment. Failure to make a report or if you make a false report it is a class 3 misdemeanor. If charged and convicted you could receive a fine of up to $750, or six months in jail or both.An at-risk adult has the right to refuse services and APS assistance when they appear capable of understanding the consequences of doing so, he or she cannot be forced to accept any services.Byline: Editors Note: This article was submitted by Pueblo County APS, a division of Pueblo County Dept. of Human Services and may be reached at 719-583-6853

The mission of the PA Link to Aging and Disability Resources is to improve access to long term services and supports for individuals, their loved ones and caregivers, regardless of age, income, or ability, through an integrated network of partner agencies committed to expanding the use of community based solutions, promoting person centered decision making, and enhancing the quality of services. PA Link provides a myriad of services including: Person-Centered Counseling (PCC)- Designed to help consumers navigate the vast array of Long Term Services and Supports options. Based on an individuals needs, preferences, values, and strengths with a focus on an individuals prioritized goals. Information + Referral/Assistance-No Wrong Door access ensuring that linkages to appropriate services and programs are provided with minimal confusion to the individual. Benefits Counseling and Application Assistance-Connections to services and supports and streamlined access to public programs. Partnership Development / Trainings / Cross Trainings-Opportunity for staff to network, share ideas and best practices. Providing free or low-cost trainings to increase knowledge and skill sets of agency staff. Community Outreach and Education- Increase awareness of PA Link partner services through partner newsletters, health fairs and expos, and various media sources. Person-Centered Transition Support- Transitions between systems, programs, settings and life stages, such as nursing home transition, youth transition and military reintegration. Quality Assurance- Collection of data vital for programming, grant preparation and service system improvements.To contact the PA Link just call 1-800-753-8827Editors Note: This article was submitted by Ginger Monsted. Ginger is the Link Cumberland Coordinator and Service Area 9 Coordinator.

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

Born in Walsenburg Colorado, Tim Cordova and his five brothers were taught the importance, value and tradition of hunting. Hunting feels like a different life you are one with the wildlife in the mountains and it just feels special. Hunting a tradition passed down from generation to generation where respect of nature and animals is a value important to that tradition. Tim shared the values and family tradition of hunting with his boys. We would start planning for our hunting trips a month before the season. See you have to plan for the meals, all the food you will need and who will do the cooking. You have to make sure you have enough hay for the horses and plan where you are going. We head to the mountains about a week before the Season begins. We find our spot and get camp setup and settled in. Tim impressed on his boys the value behind hunting and that it is not just about the kill, hunting is so much more. Hunting is becoming one with the wilderness and finding a whole new respect for Mother Nature and the time you spend together and the bond that forms when you go out with your sons, family and friends. I was hunting mid-October in about 3 feet of snow. Around noon I spotted the biggest Bull I ever got! We had left early that morning and when you go out you dont come back until you have something or the sun goes down. Tim was hunting with his buddy, his buddys Dad and another gentleman on that cold, winter blanketed afternoon. This is very prevalent in both of Tims boys, TJ and Jessie. Our favorite memory hunting with Dad is when we went to hunt on what was then our Granddads ranch. The ranch has since become part of the Forest and Service and BLM Land. We were on our horses riding behind Dad and his brother listening to them reminiscence about when they were growing up. We didnt get anything on that trip but that trip was our favorite trip! Tim has passed on more than a hunting tradition, he passed on experiences that will last a life time! Tim now hangs his Bull Elk antlers at Larchwood Inns, where he shares his many wonderful hunting experiences and still passes on the importance of tradition and the true meaning of hunting! Editors Note: This article was submitted by Melissa Latham RN, NHA and Corie Scotto. Melissa is the Administrator at Larchwood Inns and the PARC, Corie is Public Relations for Larchwood Inns and the PARC and both may be reached at 970-245-0022 or by email at MelissaL@LarchwoodInn.com and CorieS@LarchwoodInn.com.

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

The COVID-19 pandemic has brought us face to face with many unfamiliar challenges.Consequently, the past year has left many people feeling stressed, anxious, and depressed. If youre a family caregiver, we have a suggestion that may alleviate COVID-19 stress for you and your loved one: yoga.A mind-body practice that combines controlled breathing, meditation or relaxation, and physical poses, yogais knownto manage and improve anxiety.In the short term, yoga helpswith deep breathing and muscle relaxation.Long term,the development of a mind-body connectioncan helppromotea sense of control.The health benefits of yoga are well-documented. Itreducesstress and anxiety, promoting an overall sense of well-being,andalso improves balance, flexibility, range of motion, and strength. It can help reduce risk factors for chronic diseases like heart disease and high blood pressure, and help people manage pain. In some cases, it can even help relieve the symptoms of chronic conditions like chronic obstructive pulmonary disease, asthma, arthritis, and insomnia.It makes sense, then, that yoga for seniors would be beneficial.What makes yoga different from other stretching exercises for seniors is the added component of meditation. The benefits of meditationhave to do withmindfulness. Meditation can reduce and control blood pressure, improveimmune system function, alleviate muscle tension, and lower the risk of diseases like diabetes and hypertension. Further benefits of mindfulness exercise for seniors include:Pain management:The physical perception of pain is linked to the mind, so people who are experiencing stress will feel more pain.Mindful meditation helps control pain, as you focus on breathing and how your body feels in the moment. Chair yoga for seniors is a particularly good way to help manage joint pain.Lowering signs of memory loss:Meditation increases an enzyme called telomerase that can help reduce progressive diseases like Alzheimers.Increasing attention span:Recent studies indicate that meditation can potentially prevent age-related mental decline, because it improves the strength and endurance of the attention span.Improving sleep:Sleep meditation and the practice of using guided meditation to fall asleep can promote healthier sleeping habits and help you sleep more deeply.AtBrightStar Care, we know that caring for a family member can be challenging, and we want to help you find healthy ways to manage your stress. Thatsonereasonwe work hard to deliver the right care for your loved one and to be a partner you can turn to for support. Because we believe that caring is more than just a job, our nurses, therapists, CNAs, and caregivers offer the most professional compassionate care available. In the comforting, familiar surroundings of home, we offer a full range of care services to meet your loved ones needs and help you when you need it most. Learn more about BrightStar Care here:https://www.seniorsbluebook.com/home-health-hospice/brightstar-care-salt-lake-city-ut-2

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

What are best practices for terminally ill patients who frequent your emergency department? What do patients, families, hospitals and payers want? What is your role? What is the role of hospice?The Hospital Readmissions Reduction Program was developed for a reason. Consider this: a third of Medicare patients readmit within 90 days; 1 in 5 Medicare patients readmits within 30 days. During the last month of life, about half of patients are in the ED, and almost 10% are there on their last day.At VITAS Healthcare, we can admit hospice-eligible patients directly from the ED, even when they are symptomatic.Partner with VITAS to Achieve Key GoalsWhen your hospital partners with VITAS, patients with end-of-life needs get the right care. Your hospital achieves key goals:Reduced ED overcrowding, readmissions and observation periodsImproved ED throughput and bed cyclingSeamless transitions to post-acute careImproved patient/family-satisfaction metricsHospitals are penalized for suboptimal ED core measure outcomes, reduced patient/family satisfaction scores, and readmissions of seriously ill patients who may not want to be hospitalized. When surveyed, patients report their preferences to include:Optimal pain/symptom controlStrengthening their relationships with familyDecreasing their care-burden on familyProlonging the dying processAutonomy and maintaining a sense of controlDying at home surrounded by loved onesYet readmissions are often due to unmet discharge planning needs, post discharge care coordination, or insufficient outpatient or community-based follow-up, particularly when coupled with severe progressive illness.Readmitted patients tend to be elderly with multiple comorbidities that contribute to their decline. Often they have not adhered to follow-up plans, and may not be able to state their diagnosis or explain their medications. Many of these patients are hospice eligible, and identification can fit into a busy clinicians assessment and facilitate optimal disposition decisions.Signs That a Patient Might Be Hospice-EligibleFrequent visits to the ED, hospital or ICUOngoing symptoms despite optimal treatmentDeclining functional statusDevelopment of deliriumDeclining renal functionUse of inotropesPatients goals are for quality of lifeAnswering No to the question: Would you be surprised if this patient died in the next 612 months?When referred to hospice as soon as they are eligible, patients receive medical and psychosocial care to control their symptoms and improve quality of life. Care is brought to them where they live by an interdisciplinary team. Continuous care is provided at home when medically necessary, keeping the patient out of the hospital.Submitted and Written By: VITAS

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

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.

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.

Many seniors and their families tend to put off the decision to look into the possibility of moving into a senior living community. The process can seem overwhelming, triggering anxieties about loss of independence, affordability, change of lifestyleand, in the near term, the difficult logistics of moving.There are many more senior living options available today than there were even a decade ago. More than ever, there is a focus on personalizing the living experience for every resident. Lifestyle options are tailored to individual needs and preferences, so residents can choose from the many services and amenities available to them.The ideal time to begin to look is at least six months to a year before the move will become necessary. Waiting until your loved one is in urgent need of regular care may narrow your choices.How can you tell when seniors might be ready for the services of a senior living community? Look for these signs.Depression or low mood. Do you observe a lower activity level? Are they seeing friends and partaking in activities they have loved for years?Loss of mobility. Are they having difficulty moving around their home, or going up and down stairs? Having trouble walking or being unsteady on their feet not only limits mobility but also puts them at risk for falls.Changes in routine. Do they show less interest daily routines such as cooking and cleaning? Illness or mobility issues could be keeping them from maintaining their usual routines. Are they taking care of themselves physically? Look to see if they are keeping up with basic daily routines such as bathing, brushing teeth and wearing clean clothes.Personality changes. Are you noticing different attitudes and habits? Memory loss, difficulty in performing familiar tasks, poor judgment, misplacing items, disorientation, rapid mood swings, increased apathy or passiveness are all early warning signs of Alzheimers. A doctors evaluation can help determine the cause and treatment for these symptoms.Editors Note: This article was submitted by Mimi Tapia-Bowie at The Village at Stonebridge. She may be reached at 972-542-9100.

A Will must be probated, therefore, making it available to the public.Are you curious what Jacqueline Kennedy Onassis or Elvis Presley did with their fortune? How they dispersed their assets? Shockingly, it is simple to find out how their fortune was divided up because both used a Last Will and Testament in their estate plan. A Will must be probated, therefore, making it available to the public. Probate is the legal process normally required after a persons death. Its purposes can include (amongst several others):Identifying, appraising and distributing the assets of the deceased to the intended beneficiaries or heirs.Providing a legal forum to challenge the validity of a Will.Notifying and paying creditors of the deceased.Even though probate can serve several purposes, people often vigilantly plan to avoid probate for many personal reasons. Reasons to Avoid ProbateNo privacy Your financial affairs will be made public. Your nosy next-door neighbor can go down to the courthouse and view all the documents filed with the court. Notice of the probate will be published in a local newspaper to alert all creditors.Lengthy Beneficiaries cannot receive assets until the probate process is concluded. The probate process can take months to years to be completed depending on multiple factors.Costly Professional fees and court costs can add up to a significant sum. Every dollar spent on probate reduces what is passed on to beneficiaries.Disputes The validity of a Will may be challenged by any interested person. This may potentially invalidate the Will in question.Two Ways to Avoid ProbateNot all assets must go through the probate process and some can immediately be passed on to beneficiaries. Common non-probate assets include, trust property, jointly owned property, designated beneficiaries of life insurance proceeds, and funds held in a payable on death account.As the creator of a Revocable Living Trust you can name yourself as the Trustee of the Trust and name someone close to you as the successor Trustee. The Trust, created and activated during your lifetime, will continue to be controlled by you and allows assets to be easily transferred in and out of the Trust. Upon your death or incapacity your successor Trustee will take over automatically.Editors Note: This article was submitted by Craig Dell, attorney at law. Mr. Dell may be reached at 801-783-3414 andwww.craigdellattorneys.com

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

Routine tests such as blood counts and blood pressure checks are just a few of the measurements health care providers monitor to get an accurate picture of patient health. Once you've reach your 50th birthday, screening for hearing loss should be a part of your health routine.Routine hearing screenings provide a reference point should any hearing problem arise in the future. They create a better picture as to how your hearing has changed and the severity of your loss making it easier to determine appropriate treatment. Early detection can help prevent further hearing loss by alerting patients to the progression and steps that should be taken to prevent further damage.The connection between aging and hearing loss is well known. Other factors that may damage or lead to hearing loss include:Occupational noises. Many jobs involve loud noise as a regular part of the working environment. Continuous exposure to noise can damage hearing. Farmers, hunters, shooters, machinists, musicians, woodworkers and carpenters should consider screening their hearing before employment as well as follow-up hearing tests.Recreational noises. Exposure to explosive noises, such as from firearms and fireworks, can cause immediate and permanent hearing loss. Snowmobiling, motorcycling or listening to loud music can also cause damage.Cancer treatments. Certain chemotherapy drugs or medications taken in conjunction with treating cancer can cause hearing loss. If a hearing loss was present prior to cancer treatment, the treatment may cause it to worsen.Diabetes. The National Institute of Health (NIH) has found that hearing loss is twice as common in people with diabetes as it is in those who dont have the disease. Of the 79 million adults thought to have pre-diabetes, the rate of hearing loss is 30% higher than in those with normal blood sugar.Medications. Antibiotics, loop diuretics, antieoplastic drugs, antimalarial drugs, and salicylates such as nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin are known to damage auditory function and speed up normal decline of hearing with aging.Hearing loss is often gradual and many people do not recognize the problem or report it to their doctors. Hearing Loss can have a negative effect on quality of life, independent function, and social interaction. When determining strategies to stay healthy, a routine hearing tests should be part of the discussion.Editors Note: This article was submitted by: Shane S Larkin BC-HIS, ACA, BS . He may be reached at 801-525-5254 or by email at sbl@hearinglife.com

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

The COVID-19 pandemic has impacted all of our daily lives in many ways, but seniors have been hit particularly hard. According to theCDC, people over 65 years of age are in a high-risk group for coronavirus. Due to the increased risk, many seniors and their families now are facing difficult situations. To stay safe, seniors must be even more vigilant with social distancing, which only makes it increasingly complicated to handle their living environment and care.Group environments like assisted living are actually still a valid option for many seniors who cannot remain at home. Assisted living communities are taking safety precautions very seriously, which actually makes them a safer option for many seniors.Strict Safety MeasuresSince coronavirus spreads so easily from person to person, community living is a place where it can thrive and infect many. Without any proper precautions, assisted living communities would be very risky for seniors. However, these communities have overwhelmingly embraced all of the policies andrecommendations from the CDCfor preventing, controlling, and treating COVID-19. Some of these measures include:Educating employees on COVID-19 and associated policies.Follow strict infection control procedures and protocol every day.Reinforce hand hygiene and the use of personal protective equipment.Sick leave policies.Screen employees prior to each shift.Restrict visitation and implement alternative methods.Create separate space to monitor and treat residents with COVID-19.Cancel group activities.Remind residents of social distancing and hand hygiene.Made for the ElderlyUnlike apartment complexes or other community living environments, assisted living facilities are specifically designed for seniors. Therefore, assisted living communities are aware of their at-risk residents and the important steps they must take. Additionally, these facilities have the best resources to care for and treat the elderly with or without COVID-19. Aside from protection from coronavirus, assisted living facilities also provide seniors with the necessary care they need to stay as healthy and strong as possible.Challenges of Keeping Seniors Safe at HomeIt is difficult to match the strict policies assisted living communities are embracing in a home. While you may be wary of moving your senior into assisted living at this time, but it is often the safer option. Since the coronavirus is easily spread, it poses a high risk for seniors, especially those with underlying health conditions. If someone in your family picked up the virus while getting groceries, they may pass it on to the senior in your home, even if that person is not experiencing symptoms. Assisted living communities have the team and resources to follow all recommended procedures for preventing the virus, and these measures are very difficult to do on your own to the degree that your senior needs. However, you can still do your part to limit the spread by:Keeping your hands away from your faceLimiting contact with others, especially family or friends with symptomsFollowing proper handwashing techniquesCovering your mouth and nose, especially while caring for a seniorMaintaining a distance of at least six feet in publicCleaning and disinfecting commonly used objects and surfaces, including your phoneWho Should Consider Assisted Living During Coronavirus?For many seniors, assisted living is still the right choice. Seniors who require the care of assisted living should still live in these communities during COVID-19. People who should consider assisted living include:Those already residing in assisted living.Seniors who need help with daily living activities like bathing, dressing, and eating.Seniors who may need urgent attention for a medical condition.Seniors living with family members who are unable to practice social distancing due to their job or with family members who traveled internationally in the last two weeks.Seniors with Alzheimers, dementia, or memory impairment that makes it difficult for them to follow hygiene protocol.Seniors living alone with a serious medical condition.Is Assisted Living Always the Right Option?Assisted living communities are an excellent option for many seniors during this time. However, it is not the right fit for every person. Some seniors may actually need alternative care options. Seniors who may thrive in a different environment include:Seniors who have shown any symptoms of the coronavirus or any other illness. To protect others, seniors with any symptoms must wait until medically cleared.Seniors who need very limited help or only need temporary help may prefer home care.Seniors who have a support system that is able to fully practice social distancing.Find the Right Assisted Living with CarePatrolAssisted living is one of the safer options right now for seniors because of the vigilance these centers are taking to protect their residents. However, finding the right assisted living community is critical. You must find an assisted living community that is following all CDC and local government regulations while also providing the right environment and care.Finding the right assisted living community is always a bit stressful, but it can be even more challenging during these times. CarePatrol is here to help. We have the knowledge and experience to help you find the safest senior living option. At no cost to you, we will conduct a detailed assessment to ensure you or your family member finds the right senior living environment. Find your local CarePatrol senior advisorHERE.Submitted and Written By: CarePatrol

Why would we call arthritis the silent disease? Most people don't recognize the signs and symptoms of arthritis as they begin to get them. Arthritis is not an injury and does not happen overnight. Arthritis is actually part of the aging process, and while aging cannot be prevented, we can learn how to age gracefully.Based on 2010-2012 data from the National Health Interview survey an estimated 52.5 million, or 23% of adults, have been diagnosed with arthritis. Additionally, 23 million adults have some type of activity limitation.Its projected that by 2030 more than 67 million adults will be diagnosed with arthritis. Of those, 25 million will have activity limitations.So, what can be done?Obesity is a known risk factor for the development and progression of osteoarthritis. Mechanically speaking, body weight is a 1:4 ratio. This means that one pound of added body weight translates into four pounds of pressure in the knees and hips. Simply losing 10 pounds can relieve 40 pounds of pressure in the lower extremities.Did you know that obese adults are up to four times more likely to develop knee osteoarthritis? Reduction in body weight can be a significant healthy improvement in the lives of those with arthritis.Movement has been proven time and time again to benefit those with arthritis. Most people who have been diagnosed with arthritis report that they have no leisure time activities in their lives. That is considerably higher than those without arthritis.Those who suffer with arthritis also suffer from other diseases associated with inactivity, such as cardiovascular disease, diabetes, obesity and other limitations. Physical activity not only reduces the symptoms of arthritis, but lowers the risk of other conditions associated with low activity.Not surprisingly the CDC reports that arthritis is the number one disability in the United States. The most common reported disability is difficulty climbing a flight of stairs or walking three blocks. That means that 1 in 10 adults have trouble walking a distance comparable to walking from a parking lot to the back of a large store or strolling through the mall.The TOSH Arthritis Program is a multi-disciplinary program designed to help people with arthritis become more physically active and to help them better manage their arthritis symptoms. Simply put, if you have arthritis, we can help improve the quality of your life.Editors Note: this article was written by Dale Aguirre of the TOSH Arthritis Program. For more information or questions, please call the TOSH Arthritis Program at 801-314-2210.

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 there 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 provider's wheelchair and stretcher, you want confidence and 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 records 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 at a suitable time versus forcing your loved one to wait excessively?

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We are reaching a point in modern medicine where the concept of Aggressive Care at the end-of-life needs to be re-defined. When we think of aggressive medical care, we often think of all the amazing technology that can be used to prolong life in the 21st century. However, Hospice care, while usually seen as opposite of aggressive care, is in reality also aggressive care.The modern Hospice movement, while recognizing the futility of life support and in-effective therapies at the end-of-life, is not No Care. It is often more caremore aggressive pain management, more aggressive symptom management, insistent wound care, and more aggressive Quality of life care.Hospice care and aggressive care are not opposites. The goals are just different. The goal in Hospice is neither to cure the disease nor to extend life expectancy beyond all reason. With hospice, the goals become things such as preservation of dignity, allowing the patient to maintain control, to stay at home, and recognizing the importance of treating emotional and spiritual suffering. It is helping patients and families through one of the greatest times of change and personal growth they will ever experience on this planet. Sounds like pretty aggressive care doesnt it!A recent study has shown that people with similar medical conditions enrolled on hospice in a timely manner, actually lived LONGER than their counterparts who continued the traditional aggressive treatments such as chemo-therapy or high risk surgeries and procedures. Payment sources will continue to divide aggressive and non aggressive medical therapies, but medically and realistically, that line is becoming less and less clear.Editors Note: This article was submitted by Jerry L Old MD, on behalf of Alpine Home Health and Hospice. For more information they can be reached at 970-257-1275

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

A major retirement wave began in 2011 when the rst of the Baby Boomers turned 65. The number of Americans aged 55 and older will almost double by 2030from 60 million in 2000 to 107 million. The number of Americans over 65 will more than double, from 34.8 million in 2000 to 70.3 million in 2030.With statistics like that, you would think only Baby Boomers would have hearing loss. Not true!While hearing loss is a normal part of aging, the largest age group with hearing loss is people between 18 and 64 about 19 million people compared to 14 million at retirement age!Regardless of your age, here are some things to think about when it comes to your hearing:Only about 15 percent of general practitioners routinely screen for hearing loss during a physical exam. If your practitioner does not test your hearing, there are hearing clinics that offer free screenings. You should consider getting an annual screening and evaluation. Hearing loss is an inevitable part of aging. Approximately 95% of people with hearing loss can be helped, usually with hearing aids. One of the main culprits causing hearing loss is damage from noise. In fact, more than 10 million Americans are experiencing hearing loss due to irreversible damage to their hearing from noise. Hearing aids can help even those people with mild hearing loss. If you are in a profession, such as a lawyer or teacher, where it is important to hear human conversation, be sure to get your hearing checked! Todays digital technology means hearing aids have gotten much smaller without sacrificing sound quality, and you can find hearing aids that fit within the ear canal or behind your ear making them virtually invisible. Bluetooth technology can turn your hearing aids into a wireless headset so you can hear TV, listen to music, and even take phone calls directly through your hearing devices!Whether you are part of the Baby Boomer generation now or will be in the not too distant future, plan on having a hearing screening as part of your overall health care. Taking control of your hearing means taking control of your life.Editors Note: This article was submitted by Shane Larkin, HEARING Life Regional Vice President. Shane is a board certified hearing instrument specialist. He may be reached at 801-525-5254 or by email at sbl@hearinglife.com.

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

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

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

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

To learn more aboutSalt Lake Behavioral Health, CLICK HERE.A traumatic event can be many different things: intentional harm (combat, abuse: physical, sexual, emotional, assault, witnessing violence, etc.), unintentional harm (accidents, fires, surgeries, etc.) or a natural disaster (hurricane, flood, earthquake, animal attack, or life threatening illness). When individuals experience traumatic events there can be both physical and emotional changes in the body.Sometimes recovery from traumatic events requires medical or therapeutic interventions; this can be symptoms of extreme anxiety, flashbacks of the trauma, avoidance behaviors or disassociation. If you or someone you know is struggling with management of day-to-day life due to a past or recent traumatic event, seek help.You can experience relief from suffering from trauma with therapeutic intervention and support.

The Leadership Coalition on Aging (LCA) was established in 2012 as a means for local health and human service professionals to collaborate toward enriching the lives of Collier County seniors and their caregivers.The coalition members meet monthly and seek new innovative solutions to serve seniors in the community. The LCA is sponsored by Collier Senior Resources (CSR), a not-for-profit, 501 (c) (3). It provides information about, and referrals to, a broad range of service agencies throughout Collier County, focusing on seniors and caregivers.Committees consist of Conference Committee Advocacy Committee Gift of Care Committee Empowerment Series Committee Membership Public RelationsOrganizations eligible for membership are: Non-profit organizations, 501(c)(3) tax-exempt organizations or municipal, state and federal government agencies that provide social, educational, or health and human services that benefit seniors and/or caregivers in Collier County For-profit organizations that provide social, educational or health and human services that benefit seniors and/or caregivers in Collier County.

Youre doing what any good person would do, trying to keep tabs on a loved one whos growing older. Youre afraid to broach the idea of getting involved in their affairs, because you dont want to hurt their feelingsor worse, start a fight. Maybe youve even tried to offer your help, only to get rebuffed. Heidi Sklenar Telschow, a personal advisor to clients of Fairviews Caregiver Assurance service, knows its a predicament.She hears it on a daily basis. When a senior repeatedly resists help, it creates a lot of frustration for the son or daughter or spouse, Heidi says. People will make unsafe and uninformed decisions, and you just want to throw your hands in the air and say, Im done. Getting past your frustration . .The first step is understanding that your loved one isnt necessarily just being stubborn. Its more about them being in denial of their actual abilities, Heidi says, from their eyesight to whether theyre strong enough to handle the stairs. It may take Dad slipping on those last two steps and getting a big bruise on his behind for him to realize. Even if your loved one does grasp the situation, accepting your help can feel like surrender. That final time they hand over those car keys and know they will never go to the store by themselves again, its handing over their independence, Heidi says. To lose that is like giving up who theyve been their entire adult life. Having the talk Heidi has some tips for that difficult conversation about taking on some things your loved one cant or shouldnt be doing anymore. Never present it as an ultimatum: If you do that one more time, I wont keep bringing the grandkids to visit. Like any transition in life, it has to be processed, Heidi says. Its also easy to fall into the trap of shaming or guilting your parent. You might be thinking, Doing this for you is already hard enough; dont make it any harder or I never signed up for this. But saying it to them could increase whatever anxiety or depression theyre having about aging, making it even harder to accept your help and pushing the problem down the road. Bringing a neutral party into the conversation can often break a stalemate. Try to have the advice come from someone elseme, a doctor, a mental health assessor, Heidi says. It takes the weight off the caregiver as the bad guy. You dont have to be the one to pull the plug, so to speak. If its you as the caregiver harping on it, theyll drag their feet. Thats one reason why Fairview launched Caregiver Assurance, which gives you unlimited access to a personal advisor like Heidi and the option of visiting your seniors home and hosting a family conference with you. People always take me up on that, she says. No one ever says, Let me be the one to break Dads heart. Accepting what you can't control In the end, the senior is still in control. Just because you choose to watch out for them or its fallen to you, it doesnt mean theyll let you make all the decisions while theyre still living in their own home. So expect to draw on your deepest reservoir of patience.People arent going to hear a recommendation just once and accept it, Heidi says. People need time to weigh their options. Reassure them that youre there for them and will do everything you can for their safety, and when theyre ready to make those brave steps for change, youll be there for them no matter how long it takes. Wrap them in support.Article Provided by:Fairview Caregiver AssuranceFor more information visit:www.fairview.org/Caregiver-AssurancePhone: 612-672-2273 to speak with one of our Caregiver Advisors.

What is your reason to postpone an investment in better hearing? While cost may certainly be a concern, it has also been shown that even when hearing aids are free, many still balk at wearing them. Whats worse is when physicians tell their patients that they are too young to wear hearing aids, or not bad enough yet, or that hearing aids only make things louder.Physicians who are not Ear, Nose and Throat specialists get very little education about hearing in medical school. Even ENTs who are quite knowledgeable about ears are seldom educated about hearing aids, but because they are medical doctors, patients listen to them and accept as fact statements that might only be opinions. Hearing aid technology changes so frequently that audiologists can barely keep up, but thats precisely what makes audiology a specialty that requires several years of schooling and constant updating! When your physician (or anyone!) tells you to skip getting hearing aids for now, ask if s/he knows of a medical or surgical intervention that will make you hear better or make your tinnitus subside. If the answer is no, then get out of there and head to an audiologist for another opinion. If you have trouble hearing - even sometimes - please dont postpone taking care of it. Todays hearing solutions range from simple amplifiers that are useful for those who truly might not benefit much from real hearing aids, yet report some difficulties, to high-tech devices that will even interact with some electronic devices in the home. Many people dont realize how much they miss and how much added stress and fatigue results from straining to hear. Life is not only safer and experiences richer when one can hear, people report having energy that they thought was only available to the young. Now that there has been shown to be a relationship between untreated hearing loss and early onset of dementia, it is more important than ever to retain your hearing as long as possible. If that means wearing hearing aids, wear them proudly in the realization that you are taking care of yourself so that you can interact fully for as long as you walk this earth. Friends and loved ones are counting on you!Editors Note: This article was written by Laurie Bornstein, MS, CCC/A with Executive Hearing. She may be reached at 972-447-8330, ExecutiveHearing@gmail.com or www.ExecutiveHearing.com. Article on page 56

Home care what is that? Professional caregivers, or in some cases nurses or clinicians, come to your home to provide a range of services for you or your loved one. Services generally include homemaking, personal care and may also include skilled nursing care.Home care is available to anybody at any age. Whether youre a senior looking for some extra help around the house, a person recovering from a surgery or a mom caring for a new baby, home care can be for anyone. Many companies offer services 24 hours a day, seven days a week. But all services are customized for your particular needs to ensure you receive exactly the help you need.Kinds of home care servicesServices are generally broken up into these categories:Personal and Household CarePersonal care includes assistance with bathing, eating, dressing, toileting and medication reminders. If chores become too much to handle, caregivers can cook, clean, do laundry and shop for you or your loved one. Caregivers working in the home provide companionship and conversation and engage you or your loved one in meaningful activities. They provide transportation to appointments and comfort you or your loved one. If you need to run errands or just need a break so you can shop or enjoy time with friends, caregivers also provide respite care.Skilled CareSkilled nurses and trained caregivers can assist with medication management, physician's appointments and physical therapy. They may make medical appointments and drive to the doctor and drugstore. They may also meet with doctors, care managers and others to understand what care is needed. They can help with transferring you or your loved one in and out of bed and assist with physical therapy, injections, feeding tubes or other medical procedures.How to pay for home careMany home care companies will help you determine the best payment options if you are unsure. There are a number of ways to cover the cost of in-home care. Some options may include:Private insuranceLong term care insurancePrivate fundsVeterans AssistanceMedicaid (varies by state)Medicare (service coverage varies)Workers CompensationEditors Note: This article was submitted by Elizabeth Squires, Branch Manager with ResCare HomeCare. ResCare has been in business for over 30 years and provides services in 41 states. Elizabeth may be reached at 801-288-4100 or by email at esquires@rescare.com. For more information visit ResCare HomeCare on the web at: www.rescarehomecare.com.

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

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

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

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

As the 80 million baby boomers reach retirement age, many of them will need support to maintain their active lifestyles and quality of life. More and more, however, seniors and their families are recognizing the benefits of hiring caregivers to help them stay in their homes longer, in comfort and safety, and to give families peace of mind. The key question is how do you find the right caregiver? While there is no one simple answer, these guidelines will help you in this important decision making process.First and foremost, assess what your needs are. Do you need home health care, such as nursing, physical therapy or medication management? Do you need non-medical personal care, such as help with bathing, dressing, toileting, and meal preparation, or are you looking mainly for a companion or sitter? What hours of the day or night do you need help? Based on this information, you can discern what skills and background your caregivers should have.Once you know your needs, you need to decide where to look for a caregiver. You may not want to spend time looking in places where you wont find someone suitable for you. Neighbors or friends may seem to be good prospective caregivers. Family members are a natural choice, but first and foremost, hiring, managing, and firing a caregiver are all business decisions, and for that reason, many family members (or friends) don't make good paid help. Hire a professional caregiver if you can afford it.Prepare a list of questions to ask. Have a list for any applicant, caregiver agency, referral source, or reference you may call during your search. If you don't know what questions to ask a private caregiver, call a caregiver agency. The agency should be helpful, because you are a prospective customer.After you have screened applicants on the telephone, you should conduct an interview in person with those who sound acceptable. Invite a friend or family member to sit in on the interview to provide a second opinion. Always observe interactions between the worker and the person who will be receiving care to assess how they mesh with each other.If you are interviewing a caregiver agency, ask to interview the in-home caregivers yourself. Many agency employees look good on paper, but will not be a good fit for you, either for cultural, religious, social, or any number of reasons. You may just not like the person the agency has assigned to you. It is important to check references carefully, talking to everyone who is given as a reference. Remember, you are looking for someone who is dependable and reliable as well as someone who is qualified to do the work. If you are hiring an agency or from an agency, make sure that the agency does criminal background checks. Many states laws require a background check, but that doesn't mean it has been done.You want to hire a caregiver who has experience in the specific areas in which you need help. For instance, people who have Alzheimer's disease often need help with toileting and bathing, so look for someone who has experience in working with elders with this illness. Try to hire a licensed and bonded care-giver. If the agency is not licensed or bonded, you may want to look somewhere else.Following these simple steps can help insure that you find the right caregiver for you or for your loved one.Editors Note: This article was submitted by Dr. David Fraser, MBA. Dr. Fraser is the chairman of the Home Care Standards Bureau and the CEO of Vitality Home Healthcare. He may be reached at 970-667-2273 or by email at david@vitalityhomehc.com

Accepted Thought Process: Im not a social person, and I keep myself active. Reality: Social interaction is vital to overall health and promotes engaged living.So many people think that the only reason to move into a senior living community is for medical reasons or when they can no longer take care of themselves. They often confuse staying active with being socially engaged. Loneliness and isolation can play a significant role in the decline of ones health, including increased cognitive decline and loss of mobility, while staying active and socially engaged benefits overall health and well-being. And what about the joy of living?All of us at every age need peer-to-peer interaction, with peers who have been through similar life experiences, experienced similar successes and losses, decisions, and accomplishments. We need to interact with others who have lived through similar times and eras, while having opportunities to share day-to- day conversations. This becomes even more important as we age.Many people think that is they move to a community, they are going to sit around playing bingo all day or they must do everything on a schedule. These same people, when asked what a typical day consists of, admit that theyre just sitting in their homes by themselves, doing nothing. As much as we like our homes, our homes do not keep us company. Often, people do more in a community because have transportation, someone planning activities, and people to do them with. For many people, just having someone to share meals with allows for more opportunities to engage with others.Senior living is not meant to change who you are and what you enjoy. Its meant to add to and benefit your day-to-day life.Questions to ask yourself: Who or what is your current social support? What are you currently doing to stay engaged with friends, family, or peers? When was the last time you enjoyed a day?By Catherine L. OwensV.P. of Sales and Marketing, Veranda Senior LivingAuthor of Be Your Own Hero: Senior Living Decisions SimplifiedCatherine L. Owens, author of Be Your Own Hero: Senior Living Decisions Simplified, specializes in helping seniors and their families make difficult, life-changing decisions that encapsulate the hopes of living fully, rather than just making a chance in location. To learn more about how she can assist you or a loved one, call (208) 401-8360.

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

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

Mediation has been around for a long time but is being used more and more for people who want to use a non adversarial approach to problem solving.What could that look like for the average family?Perhaps you and your spouse dont see eye to eye about your childrens education or the division of labor at home and you need help working out practical solutions to your differences. Marital mediation could help you work together and remain married.Or maybe you have been in a dead end relationship for years, just waiting for your children to graduate. Divorce mediation might help you avoid a costly and emotionally harmful litigated divorce.What if you had elderly parents and there were disagreements amongst your siblings as to the care for your parents and the use of their assets? Mediation could mend relationships and possibly secure assets for the family.

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

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

A main concern for most people faced with terminal illness is whether theyll be able to die wherever they call home.Hospice care helps eliminate that worry, making it possible for people to spend their final moments of life in their preferred surroundings. By definition, hospice is intended to help terminally ill people remain comfortable during the last six months of their lives. The care can be administered at the patients home, hospice inpatient units as well as hospitals, nursing homes and assisted living communities or residential care facilities. When a loved one is receiving hospice care at home, these are the questions hospice providers are often asked:How will pain be managed?Hospice is an end-of-life care option tailored to the needs of each patient and family. It includes expert pain management, but also goes beyond medical care, by providing emotional and spiritual support. The care is provided by interdisciplinary teams of palliative care experts, including physicians, nurses, home health aides, social workers, chaplains, bereavement specialists and volunteers.If the patient prefers to remain at home, what kind of assistance and in-home care will be available?Routine home care is available in accordance to the patients individualized plan of care. Continuous care, during a brief period of crisis, can be available for up to 24 hours a day. When patients or family members have questions or concerns after business hours, they can often get immediate answers and help by calling an after-hours service.What is the role of family members when their loved one is on hospice care? Family members play an important role by providing personal care to their loved one when hospice teams are not present. The hospice team does not take over, rather they teach and support families so they can provide the best in-home care possible. Hospice teams realize that no one knows the patient better than their family.What does hospice care cost? Does insurance cover it? Medicare pays for hospice services. Many states have established Medicaid coverage for hospice, and almost all private insurers and managed care plans provide coverage for hospice care as well.Editors Note: Article submitted by Cathy Carlson, VITAS Healthcare General Manager. For more information about hospice care or your end-of-life care options, call VITAS Healthcare at 866-759-6695 or visit www.VITAS.com

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

As we age, most of us will feel that we have become moreforgetful. The term senior moment has even become a common phrase to express how that feels when we forget why we went into a room, a friends name, or where the keys are. For most of us, these events are normal. It is also normal to feel that ones memory is declining after age 65. That decline is annoying but normal, and strategies to improve memory are available. Our December 4, 2018 blogshared some popular ones. However, if you or your loved one seems to have a feeling that memory is declining, medical providers should be alerted.The National Institute on Aging (NIA) definesdementiaas the loss of cognitive functioningthinking, remembering, and reasoningand behavioral abilities to such an extent that it interferes with a persons daily life and activities. At its most severe stage, the person depends completely on others for basic activities of daily living. Many different diseases can cause dementia, and drugs are available to treat some of these diseases.Alzheimers Diseaseis the most common cause of dementia, accounting for 60-80% of dementia cases. Alzheimers Disease is a progressive disease with symptoms worsening over the years. The Alzheimers Association provides an early detection list of 10 warning signs, along with changes that are normal changes as we age at this site: https://www.al.org/media/Documents/10-signs-checklost.pdf, but is summarized below.The signs include:Memory loss that disrupts daily life (vs. forgetting names and appointments)Challenges in planning or solving problems (vs. occasional errors when balancing a checkbook.)Difficulty completing familiar (daily) tasks (vs. needing help to use the microwave.)Confusion with time or place (vs. confused about the day of the week, but figuring it out later.)Trouble understanding visual images and spatial relationship (vs. vision changes due to cataracts.)New problems with words in speaking or writing (vs. having trouble finding the right word.)Misplacing things and losing the ability to retrace steps (vs. misplacing things from time to time and retracing steps to find them.)Decreased or poor judgment (vs. making a bad decision once in a while.)Withdrawal from work or social activities (vs. feeling weary of work, family or social obligations.Changes in mood and personality (vs. developing specific ways of doing things and becoming irritable when a routine in disrupted.)Just Like Family is a home health care provider in Naples always focused on the well-being of clients, trying to help them stay independent in their own home.Disclaimer: The blog entry above has been created utilizing different online sources. The blog entry has not been verified by a doctor. Please note that conducting the above-mentioned activities is at the individuals own risk and responsibility. Please always consult a doctor before exercising or doing any physical activity, especially to avoid injuries or harm due to unknown preconditions. Just Like Family is not responsible for any injuries while conducting the above activities.Submitted and Written By: Just Like Family Home Care - click here for more information

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.

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

If you've taken on the caregiver role for a senior or someone with a chronic illness or disability, chances are you have experienced more than your share of fatigue, frustration, loneliness and stress. Few of us expect to add caregiving to an already challenging list of family and professional responsibilities. But if the task falls on you and the strain of caregiving threatens to throw your hectic life off balance, take a tip or two from those who have walked in your shoes.Get all the help you can. Seek or accept help from family members, friends, neighbors, volunteers from your community or church group, paid caregivers or a geriatric care manager.Safeguard your physical and mental health. Many caregivers take minimal time to care for themselves, not allowing time to exercise, rest or to eat regular meals. Exhaustion can compromise your body's immune system and lead to illness. Surprisingly, the primary reason many seniors are moved from the comfort of their own home into an institutional setting is the decline in health of the caregiver, not the patient. Its important to eat well, get enough sleep, see your doctor regularly and take time for yourself in order to stay healthy, keep your loved ones healthy and avoid burnout.Make time for yourself. Schedule respite times when you can attend to your needs and pursue your interests. Exercise, shop, read or enjoy yourself with friends and other family members - engaging in whatever activities you find most fulfilling and relaxing. Either through finding activities your loved ones are interested in or by having someone else come in to provide you some relief, making time for yourself is an important element in maintaining your physical and mental well-being.Consider connecting with other caregivers. Communicating with people who share your challenges can be a relief. Contact your local senior center, hospital, or homecare agency to learn about caregiver support groups in your area or connect with fellow caregivers.As with other priorities in your life, the responsibility of caring for yourself comes down to you. Even small steps toward positive change can reap significant benefits.Editors Note: This article was submitted by Elizabeth Squires of ResCare Home Care. She may be reached at (801) 288-4100 or by email at esquires@rescare.com. Visit their website at www.rescare.com

Aromatherapy is a non-pharmacological treatment to help improve physical, mental, and emotional health. It is a holistic option that is often combined with traditional medical treatments to relieve chronic conditions such as pain, anxiety, insomnia, and nausea. Aromatherapy utilizes essential oils derived from plants such as flowers, herbs, and trees, and they are commonly in haled from diffusers or applied to the skin through lotion or patches.Does it work?Aromatherapy has been used by many cultures for centuries, and modern studies have shown its potential benefits. An Allina Health study of over 10,000 patients who received aromatherapy found that patients treated with essential oils had reduced levels of pain, anxiety, and nausea.1Is it safe?Aromatherapy has very few, if any, side effects when quality essential oils are properly used. It is important to use pure oils that only include the distilled plant as the reliability of essential oils for sale vary greatly. Additionally, a Certified Aromatherapist will help you achieve the best results and lessen the chance of the negative side effects.CareAparents Aromatherapy ProgramYour physical, mental, and emotional well-being affects your overall health, and CareAparent is excited to provide aromatherapy to help improve your life. Our Certified Aromatherapist will conduct an in-home health assessment and will then customize essential oil products that are tailored to your needs and support your specific areas of concern. The Aromatherapist will also provide you with holistic recommendations to complement the current treatment plan prescribed by your physician and aid further improvement of overall quality of life.There are many ways aromatherapy can improve your health. Contact CareAparent by phone at 651.702.HOME (4663) or online at CareAparent.com to schedule a complimentary consultation with our Certified Aromatherapist. You can also learn about our in-home health services including personal cares, skilled nursing, physical therapy, and occupational therapy.1 Joswiak, et al; https://pubmed.ncbi.nlm.nih.gov/27062964/

At Independent Dental Care, we believe in providing high quality dental care at an affordable price.Many of our patients are seniors or those with very limited healthcare policies that give few benefits and charge more for their other needs. We understand this and go out of our way to make sure that patients receive quality dental care at a fair price.After watching the dental profession change, we felt it had to be done a different way (A Non Insured Way). Dental insurance itself is a huge clerical expense for a dental office. If we worked with insurance companies, we would have to hire more people just to process claims as the insurance companies decide the best treatment for the patient.Patients often remark they find our office to be a breath of fresh air in an age where big corporations and insurance agencies are invading every aspect of our lives, including our healthcare. Here at Independent Dental Care, we treat all patients like we would our own family and friends.We offer no gimmicks just to get you in the office. We offer only modern quality dental treatment at an affordable cost.Editors Note: Call us today 239.738.3523 or visit us online at www.independentdentalcare.com.

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

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

For more information on the author The Sheridan at Lakewood Ranch, CLICK HERE.Assisted Living communities offer opportunities for enjoyment and relaxation where residents could thrive, paired with the expert, compassionate care Senior Lifestyle is known for. Many of these communities offer lovely outdoor spaces with gorgeous surroundings enjoying a walk with friends or taking in the sun. Inside of the communities, youll find the spaces are designed with socialization and recreation in mind, with plenty of cozy places to enjoy some rest and relaxation. These lively interiors are complemented by a calendar of programming, social events, activities, and even classes. We take care to ensure each residents enjoying their time with us, while making sure their unique wants and needs are met.Assisted Living communities offer similar spaces and lifestyles to Independent Living communities, but with additional care. These communities offer service and care options such as housekeeping, meal preparation, personal hygiene, medication management, transportation, or if you need help with daily living activities, and more. While our compassionate staff offers expert care, they also understand the value of maintaining independence and choice for our Assisted Living residents, and many of our communities offer comfortable amenities, lively events, and a wide range of programming options for residents to enjoy. Families and seniors can expect a bright, fulfilling lifestyle with a variety of lifestyle choices to ensure the right fit.Who is an Ideal Candidate for Assisted Living?The ideal candidates for Assisted Living are seniors looking for a vibrant and engaging community, but with a need for a little extra care with acts of daily living, personal hygiene, medication management, or other care needs.Assisted Living is a great choice for seniors looking for a sense of community, but with a need for additional care.To see if Assisted Living communities are right for you or a loved one, ask the following questions:Do you need significant health care assistance?Do you have trouble getting around without help?Do you have difficulty managing your own health and wellness, including setting doctor appointments medication management?What is a realistic budget for your retirement lifestyle?For a more in-depth look at your situation, and what sort of senior living community fits your needs, take our quick and easy Level of Care quiz.Eligibility Requirements for Assisted LivingThe eligibility requirements for Assisted Living communities vary between communities. As a general rule, communities set their own age restrictions, and most communities require that seniors are aged 55 or older, but others set the age requirement at 62 years. We encourage families to reach out to individual Assisted Living communitiesfor specific information about eligibility requirements.How affordable is Assisted Living?In terms of price, Assisted Living communities are generally more expensive than Independent Living, but it depends on the community. Utilities, services, amenities, and your cost of living are generally simplified into a single monthly cost, which can streamline expenses.Each Assisted Living community has its own unique character and services, so costs vary. The cost of your Assisted Living community experience depends on care needs, location, services, and amenities included in the Assisted Living community.For prospective residents in need of financial assistance, we offer Affordable Senior Living optionsto help offset the costs of Assisted Living. For more specific information about the costs associated with an Assisted Living, youll need to reach out to a community near youfor more information.Connect with an Assisted Living community todayIf youre considering a move that could help you or a loved one live a higher quality of life while promoting their ongoing health and safety, Assisted Living may be your best option. The best way to make an informed decision and determine the right fit for you is to visit an Assisted Living community.

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

Opportunities that local organizations that offer regardless of ones skills, experience, education, trade, or profession, Volunteer opportunities are flexible and based on the volunteers interests and time commitments. Volunteer opportunities include mentoring and tutoring children, delivering Meals on Wheels, providing transportation to critical medical appointments and much more.#listing_mgr{7 basic_search}#

A recent New York Times article discussed how after a five decade rise in the number of women in the workforce, that rise has stalled over the past 15 years. The general consensus is that caring for children, historically a womans job, has taken its toll. But the other significant factor is that elder care responsibilities have also increased as the population in the United States has aged. This combination has made it challenging for many women to actively remain in the labor market. Today, 15 percent of the American population has reached retirement age. Many older Americans are unable to live independently, and the job of caring for them falls predominantly on wives and daughters. A quarter of the women age 45-64 years old and one in seven of those 35-44 are caring for an older relative. As a result, 10 percent of family caregivers have to cut back on their work hours and 6 percent leave the work force entirely. Surveys indicate that family caregivers spend about 20 hours a week providing care, with many reporting having to miss work or eventually losing their jobs. This trend is likely to continue - by 2030, more than 20 percent of Americans will be of retirement age and on average, will need three years of long term care. The burden on millennial adult children will be even greater as they care for their children and parents. They also have fewer siblings with whom to share the responsibilities and with higher divorce rates among aging baby boomers, many will have no spouse to care for them. The U.S. Department of Labor projects that roughly 1.2 million home health aides and personal care aides will be added to the labor market to help address this need. In the meantime, prime working-age women will continue to leave the workforce to care for aging parents. HomeCare by RVNA offers certified aides on an hourly or live-in basis who can help to care for loved ones when family members cannot. For more information, call 203 894-5000.Editors note: This article was submitted by RVNA, a non-profit Medicare certified home healthcare agency with over 103 years of experience. RVNA provides home health aides through HomeCare by RVNA.Founded in 1914, RVNA is an accredited non-profit Medicare-certified home healthcare agency that also supports public health and safety, and promotes the highest quality of life. RVNA provides compassionate care to all individuals, whether young or old, through a continuum of care that encompasses health care at home and in the community. RVNA also provides home health aides and companionship through a non-medical subsidiary called HomeCare by RVNA and outpatient physical, occupational and speech therapy in its Rehab by RVNA facility at 27 Governor Street, Ridgefield.

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

Youve been on a waiting list for a senior living facility for years. In the meantime, your dream cruise is planned and that familyreunionis around the corner...then you get the call."If youre like many downsizing Seniors the question echoing in your mindis; What do I doabout the house? Here is a quick guide that can give you the confidence and structure that you need.First, take a breathyou can do this! Next, identify a trusted Realtor who has genuine experience helping Seniors. Start by looking forRealtors that have the Senior Real Estate Specialist (SRES) designation. Seniors and their families need a Realtor to help navigate the maze of financial, legal, and emotional issues accompanying the sale of your memory filled home. Im a longtime SRES and still depend on this special training to helpSeniorsthrough the process. It may sound old school, but a Realtor who listens deeply and communicates with a smile, handshake, and a visit is a must. Skills like patience, planning, and guiding are critical.Inviteyour Realtor in as early as possible towalk through the home to learn its unique character and story!Look for a Realtor who can translatethe story intoaplan to market that uniqueness. Part of their role will be to help you understand how to prepare your home for the marketwhat projects to tackle, which ones to ignore, and how to not go overboard as you prepare to sell.Like all top Realtors,we have a handy list of trusted resources to help tackle agreed upon projects. Pricing should be based on reality and facts, not hopes and dreams. Location, size, and amenities are part of the equation as are market activity, market trends, and area competition. Over the years, weve developed a very customized, yet simple, tool to accurately forecast list and sale prices. All top Realtors will have something similar in their tool belt.Be comfortable asking questionsworking with a Realtor should be a collaboration, not a dictatorship.Using a professional stagerand photographer is another must do in todays market. Digital marketing demands high quality, properly lit, compelling photosof an expertly staged homed so that it shines and tells its story clearly. Every Realtor handles this differently,but we believe in this concept so strongly that we provideboth astagerand photographerat no cost to our listing clientsit is just too important to skip.These are the steps that lead to the For Sale signand hopefully the ability to breathe a bit easier._________________________________This article was written by Mike Julian, in collaboration with Eric J. Gearhart. Both are agents with Realty One Group Unlimited and are Directors of theCertain SaleRetirementLiving Program.

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

Oftentimes, the death of a loved one is the hardest thing that any of us will endure.  Not only did we lose the individual physically and emotionally, but in certain instances the financial impact can also be great. We are often asked in our firm what needs to occur after death, and we have provided other blogs and articles specific to that situation.  This blog generically gives direction on how you can get access to the benefits and assets of your loved one.  Jointly owned assets:  These are the easiest assets to gain access to because the spouse or child is already a joint owner and simply needs to notify the financial institution or company that they are the surviving spouse or joint owner.  You may need to provide a death certificate to take the deceased loved ones name off of the account.  Also, be sure to check the taxpayer identification number associated with the account, which may need to be changed to that of the surviving joint owner. Assets that name a beneficiary:These are also fairly straightforward assets for a beneficiary to be able to obtain because they merely need to contact the company if they were named as a beneficiary on an account such as life insurance, an annuity, or other product that has a beneficiary listed.  These also include accounts that have individuals named as an in-trust-for-beneficiary, a transfer-on-death beneficiary, or a payable-on-death beneficiary.  They are all fancy terms, but ultimately if the beneficiary is named, they will be able to fill out some paperwork and will receive those assets fairly promptly with not a lot of problems or delays.  Veterans benefits:If the individual who passed away was a veteran, there may be additional monies and funds that may be payable to the spouse.  In some cases, benefits can even transfer to children.  The benefits themselves are not difficult to receive, but the Veterans Administration has very particular and specific requirements that must be met for eligibility.  An experienced attorney can assist with and provide guidance in this area.  Social Security benefits:  Social security benefits, including death and monthly survivor benefits, can also be claimed after the death of a loved one and will go to a surviving spouse or potentially to dependent children.  The benefits themselves are not difficult to obtain, but it is essential that you meet the strict eligibility requirements.  Survivor benefits must be immediately requested because they are not retroactive if they are claimed after a certain amount of time.  The Social Security death benefit is only payable to a spouse and not to children. These are simple steps that you can take to be able to receive assets and benefits that are available to you upon the death of a loved one.  If none of these above apply because the asset was in the individual's name alone without a beneficiary, it will be essential for you to seek the advice of a qualified attorney who will be able to help you through the probate process.  We hope that this blog has assisted in understanding different benefits and how a spouse can obtain them easily.  If you have any further questions or would like to get additional information, please reach out to our office at 717-220-8312 or check us out on the web at www.bellomoassociates.com.  

- by Kelly Smith Papa, RN, MSN, Corporate Director of Learning for MasonicareIn almost twenty years of working in aging services, my favorite moments have always been learning what brings happiness to the seniors I am entrusted to care for.If you google the definition of happiness, 25 million results emerge. Studies showed that the habits of happy people include living with purpose, having a positive outlook for the future and the resilience to bounce back from sad events.In aging services, we are afforded a unique opportunity: to learn from our elders, some with frailty, cognitive deficits or disease, what brings them happiness after decades of life, and what are the things they find to be the most important for quality of life. Then we get the privilege of finding ways to bring happiness into their lives.I was blessed with having close relationships with all four of my grandparents before they passed away. As I think about what made them happy, I am mindful that their enthusiasm for the things that brought them happiness taught me so much about life. Each of my grandparents shared the wisdom of their life legacy, their unique sparks, their faith in God, compassion for others and their connection to family. As a nurse and educator, it is my privilege to be a part of a team dedicated to learning more about the lives of the people we are entrusted to care for. It is a joy to find ways to bring more happiness into their days.There are wonderful books that offer thoughtful ideas on happiness and aging. Dr. Bill Thomas book, A Life Worth Living, and Jolene Brackeys book, Creating Moments of Joy, offer insights for bringing happiness, quality of life and deep relationships with seniors, including those with dementia. The book Legacy by Linda Spence provides reflective questions to help us unlock the memories which make up a life.When it comes to living a life with happiness, the answers are personal and limitless.

For more information on the authorPatricia Rockwood, Instructor and Staff Writer at Suncoast Technical College, CLICK HERE.This course was inspirational for a lifestyle/behavior change vs. just short-term actions to declutter.ACE student in Decluttering classTherearegood reasonswhy courses in decluttering elicit comments such as these on evaluation forms. People recognize the fact that decreasing the clutter in our liveswhether physical, digital, or emotionalcanhelp us to feel better. Why?Getting rid of clutter reduces stressIn 2015, fullya third of respondentsin a survey by the National Association of Professional Organizerssaid that they felt overwhelmed by the clutter in their livesand didnt know where to beginto remedy the situation.The unused software on your computer that makes itrunwaytoo slowly;the zillions of pictures on your phoneso many that youcan never find the one you wantto show a friend;the jammed closetsand drawers; the garage that is hopelessly piled with junkall ofthesesituationscause stresson our bodiesand minds, which can build up over the years.Thats not just a theory. Its backed up by research. For instance,a study published inPersonality and Social Psychology Bulletinfound that women who described theirhomesas cluttered had higher levels of the stress hormone cortisol in theirbloodstream, andwere more likely tobefatigued or depressed,thanwomen who described their homesasrestful andrestorative.A study by Indiana University found that cleaning can have a positive impact on physicalhealthbecause it increases the amount of physical activity a personregularlyengages in, andanother one by Connecticut University found thatduring times of high stress, people sometimes find relief by doing menial jobs such as cleaning.Declutteringhelps you feel better about yourselfEven small steps to start decluttering have a wonderful calming effect.Taking that first step to declutter is like a breath of fresh air.One woman said: I organized my sock drawer the other day, and now sometimes I open the drawerjustto look at it it just makes me feel good!Every small accomplishment is something that canbe celebrated, because its a step in the right direction.Its the glass half full attitude, rather than the glass half empty one.Decluttering improves focus and concentrationWithso muchstuffclamoringforyourattention from so many differentcornersof your home,it's hard to know where to start, and sometimes, its even hard to start, period.But according to astudypublished in theJournal of Neuroscience,people are more productive and better able to process informationin an uncluttered and organized space.Once you begin to declutter your environment, it will get easier to continue.Everysmall declutteredspace is a small oasis where you can breathe, relax, and focus on your next project.Have a planConsider beginning bythinkingabout how you want to organize the space youneedto tackle. Whether its digital or physical, and whether you need physicalcontainers or digital folders, draw a diagram of how you want to organize your material. For instance, considering your images, you might want to create albums by subject matter (e.g., family, vacations, animals, work). If youre lookingto declutteryour garage,you might need topurchase some sturdy shelving or cabinets, and you might organize items by type (e.g.tools, toys, lawn/garden, sports, pantry, car parts).Set up the folders on yourcomputer, ororder the shelves or cabinets as soon as possible so youll be ready to start.The Swiss cheeseconceptTake on decluttering piecemeal, a little at a time, likethe holes ina slice of Swiss cheese. The feeling thatyou dont have to tackle that entire folder of a thousand images and organize them all at once is reassuring, isnt it? Start with20, andorganize those today. Then organize another 20 tomorrow; or maybe 50. Its totally up to you.The idea is to be comfortable, to be easy on yourself so that you enjoy doing it. That way, youll be more likely to keep doing a little of it every day or so until the job is complete.Theres no time like the present. Start today!

Does your loved one constantly forget items that you know youve discussed with them, or is it possible that they didnt actually hear the message correctly?New research shows that hearing loss may be mistaken for signs of Alzheimers disease or Dementia and it may actually contribute to cognitive problems! Untreated hearing loss can significantly increase the risk of developing memory problems. CNN reports that the risk of Dementia RISES as hearing ability DECLINES! AARP quotes a study from Johns Hopkins that finds that Men and Women with Hearing Loss are much more likely to develop Dementia and Alzheimers Disease! They further state that Even mild Hearing Loss DOUBLED the Dementia risk, and people with severe hearing loss were five times more likely to develop dementia. If you are over the age of fifty and have not had a Baseline Hearing Test, you should begin monitoring your hearing acuity annually. Hearing tests are provided as a FREE public service by Hoglund Family Hearing and Audiology Centers, at our Fort Myers, Bonita Springs and Estero Clinics, and a FREE Memory Test can be arranged by experts in Cognitive Research! Please Call (239) 494-8651.

THE PROBLEMElders need their family caregivers to visit more often. 45% of elder report feeling lonely and it affects their mental and physical health. Nearly 29% of seniors wish to maintain their independence and are living alone.Editor's Note:Congratulations to the team at Zeppi, Eitan Lavie and Zohar Karni! Zeppi was announced as the winner of the Aging2.0 Dallas Innovation and Technology to Support Healthy Aging Poster Competition, sponsored by Seniors Blue Book at the 2019 Dallas Area Gerontological Society Annual Fall Forum.The winning entry was titled "How to increase daily interactions between elders and their overloaded family caregivers".Learn more about howZeppihelps to combat loneliness and isolation in aging adults.

Your home.  Your parent's home.  It's more than a roof and four walls.  It houses memories, and dreams and often represents accomplishments.  It may also be your largest asset.  And when it comes time to discuss packing up and leaving that home you want to know who you are trusting to help you.  Take a minute to get to know a little bit about the Tuckers - Donald TuckerDon Tucker is our founder who in 2000, quit his job and purchased his first investment property. Since that time he has purchased and renovated hundreds of area houses.  There is not much that people might need to fix in a house that he has not seen.  From the house that was missing a few walls, to the house where the upstairs toilet dripped on the dishwasher below, to the house with 20 dogs  . . . he has seen and smelled just about everything.Kim TuckerIn 2000, tired of long hours at her job, Dons wife Kim Tucker quit her job and joined the team.  Starting out just as the Realtor who sold our houses and helped us find houses to renovate.  But after a few years, we noticed that we were able to have better outcomes when we could buy houses directly from the homeowners who needed our help.  So now rather than chasing listed homes, Kims job is to get the word out to our customers.  We let them know that we are here to help eliminate the stress, make the process much faster, and when we buy the property, eliminate the commissions.  Scott TuckerIn 2011 Dons son Scott Tucker graduated from KU.  Rather than hunt down a very elusive job he joined the team our brokerage Realty Resource. Today, Scott is our guy on the front lines who talks to most of our sellers and helps them explore the best options for them.  Scott will chat with you over the phone, and do a bit of research.  Then he will come out to your house to take a look so he can help formulate the best plan of action to get your house sold, typically a cash offer from us, but because we are also agents, that may be a listing plan as well.The entire team holds a real estate license in Kansas or Missouri or both.  We are first and foremost home buyers.  We would much rather buy your house than list it.  However, because we are also licensed as Realtors, we have more tools in our toolbox than the average home buyer and can bring you several more options when it comes to selling your house.If you are considering selling your home or the home of a loved one to a cash home buyer in the Kansas City Metro or elsewhere there are several things you might want to know.1.  Are They Really Going to Buy Your House?There are people out there who will call you, text you, send you tons of postcards, or perhaps just walk up and knock on your door.  They say they want to buy your house, but only a fraction of people who say they buy houses actually do.  Instead, they make an offer in an effort to tie the home up with a contract and then they market the house for sale to other buyers who have the cash in hopes that these other cash buyers will buy the house at your price, plus their mark up.  This is called wholesaling or assigning the contract.  There is nothing wrong with this practice unless your person backs out at the last minute because he or she can't find an end buyer.  So it's nice to know upfront if they are actually going to buy the house and if they are not, what is your out if they can't?2.  How are They Going to Pay for Your House?Some do like we said in number one, pay for your house by finding someone else to buy it.  Others may have cash in the bank, they might be pre-approved at a bank or they might have private partners.  We here at kcmoHomeBuyer have some cash in the bank and have purchased a lot of homes using our own funds.  We also have several key partners that can fund our purchases.  At any given time we have the ability to buy 3 to 5 houses in the Kansas City metro with our own and partner funds.  3.  How Long Have They Been in BusinessNow, we get it, everyone has to start somewhere.  But do you want it to be with your house?We've been in the business of buying houses since 2000.  We have had access to our own cash and that of private partners since about 2007.  So on the funding side of things we have you covered.  We have also had to work through quite a few issues on the seller's side of the transaction that held things up - liens from people that could not be found, loans from mortgage companies that no longer existed, tax liens, HOA foreclosures, houses stuck in probate, and one house that was a popsicle waiting to thaw out due to frozen pipes.  We have the experience and the experience of a really amazing team of advisors to help us through just about any issue that might cause a problem . . even a seller in China and a buyer in Peru.4.  Do they Have Other OptionsYou need to know other options.Some of our sellers are depending on financial assistance and if they sell their home and get all the cash right now, they will lose the financial assistance.  So you might want to get some cash upfront and get the rest in payments over time.  We can do that.Some of our sellers have almost perfect houses.  It is either fairly new or recently renovated.  It is highly desirable.  And they don't live in the house, so there is no one there to bother with showings.  We can list the house for these folks and even after paying us a commission for acting as a Realtor, often net you a better return.Some of our sellers own rental property and might need some help locating property managers, attorneys and other resources, we can help you there.  And Scott has perfected a listing process to list and sell occupied rental property to get the most out of the property, in the least amount of time without much disruption to the tenant.Please feel free to reach out with questions.  We would be happy to chat to see if we can find you a solution.

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

To learn more about Beehive Senior Care, CLICK HERE.Respite/ Family Relief CareCaring for family members can be rewarding and can strengthen family relationships. At the same time caregiving can often cause stress, guilt, and anxiety. Many family members are busy juggling the activities of life such as caring for their own family, work, church activities, and other commitments that caring for aging loved ones may seem daunting. Beehive Senior Care offers the perfect solution we can provide respite care for as long and as often as needed, we canassist for as little as1 hourof care or up to 24 hours oflive-in care a day.Companionship and ConversationThe feeling of isolation and loneliness is a very common feeling among seniors. It has been proven that social interaction both improvessenior's health and general outlook on life. Sharing a meal or having a sincere conversation with someone can really add joy to one's life.Medication RemindersBeehive Senior Carecan assist in opening medication, reading the label, and reminding clients when it is time to take a dose. Correctly managing a clients medication schedule can greatly reduce health related issues.

Does someone you care about display any warning signs of mistreatment? Physical AbuseInadequately explained fractures, bruises, welts, cuts, sores & burnsUntreated pressure bed soresNeglectLack of basic hygieneLack of adequate foodLack of medical aids (glasses, walker, teeth, hearing aid, medications)Lack of clean appropriate clothingDemented person left unsupervisedBed bound person left without careHome cluttered, filthy, in disrepair, or having fire & safety hazardsHome without adequate facilities (stove, refrigerator, heat, cooling, working plumbing, and electricity)HoardingFinancial AbuseLack of amenities victim could affordElder voluntarily giving inappropriate financial reimbursement for needed care and companionshipCaregiver has control of elders money but is failing to provide for elders needsCaretaker living off elderElder has signed property transfers (Power of Attorney, new will, etc.) when unable to comprehend the transactionPsychological AbuseCaregiver isolates elder (doesn't let anyone into the home or speak to the elder)Caregiver is aggressive, controlling, addicted, or uncaringReporting Suspected Elder AbuseIn Salt Lake County Call: 801-264-7669. Statewide Call: 1-800-371-7897. In case of emergency, call your local police station or 911.For more information of preventing Elder Abuse and Neglect in Utah, please call the Utah Elder Abuse Prevention Coalition at (801) 860-3801.

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

A common goal for anyone reading this article is the eventual eradication of Alzheimers disease (AD). The numbers are staggering! There are over 5 million Americans with AD dementia and this number is expected to be over 16 million by 2050. One in eight persons age 65 and older, and 1 in 3 persons age 85 or more, currently has AD dementia. In short, we are in the midst of an AD crisis that is growing in size and scope. The good news is that exciting scientific advances in the past few years gives us tremendous hope that new treatments to slow down and even prevent the symptoms of AD will be available in the not-too-distant future. However, the single most important thing that anyone can do to make this happen and to have an impact on the AD crisis is to volunteer to participate in research.The Boston University Alzheimers Disease Center (BU ADC) aims to reduce the human and economic costs of AD through the advancement of knowledge. The BU ADC was established in 1996 as one of 29 centers in the US funded by the National Institutes of Health to advance research on AD and related conditions. At the BU ADC, there is likely a research study for anyone interested in volunteering. There are studies for individuals who already have symptoms and have been diagnosed with AD dementia or mild cognitive impairment (MCI), and there are studies for people who do not have any symptoms. Some studies are clinical trials involving taking an investigational new medicine or placebo to slow down the disease progression (e.g., the DAYBREAK Study) or even prevent the symptoms (e.g., the A4 Study). Some studies do not involve medications, but include new methods of diagnosing and detecting AD, such as PET scans and MRI scans (e.g., the ADNI study).Participation in research is not merely a means of moving the science forward; it can also provide important positive benefits to the participant, including a decreased sense of solitude by interacting with a research team who truly understands the disease and its toll on the patient, the caregiver, and family members. And, research participation fulfills that most important need for everyone touched by the disease: a sense of hope. It is shocking how difficult it is for researchers around the country to recruit an adequate number of people willing to participate in AD-related research. Yes, even in Boston! If this little article results in just one person to become enrolled in AD-related research, it would make a tremendous difference. Please help by participating and spreading the word!If you are interested in learning more about participating in one of these studies, call (617) 414-1077 or email joinadc@bu.edu. To learn more about the BU ADC and the research studies currently available, go to the Centers website: www.bu.edu/alzresearch.This article was written by Dr. Robert Stern.Dr. Robert Stern is Professor of Neurology, Neurosurgery, and Anatomy and Neurobiology at Boston University School of Medicine, where he is also Director of the Clinical Core of the BU Alzheimers Disease Center (one of only 30 centers funded by the National Institutes of Health, NIH).

There are several types of qualified retirement plans (QRP) including: 1. Employer plans such as defined benefit plans that are funded by the employer with no contribution by the employee (401(k), 403(b) and 457(b)), and defined contribution plans that are funded by contributions from the employees wages; and, personal retirement plans such as the traditional IRA, Roth IRA, SEP-IRA and Inherited IRA.QRPs defer the income tax owed until distributions are made. The Roth IRA rules are different because Roth IRAs are considered post-tax contribution and are exempt from income tax upon distribution. This Article is limited to the rules governing QRP excluding the Roth IRA rules. The law governing the QRP imposes penalties if money is withdrawn before the owner is age 59 (typically a 10% penalty) or when the owner fails to make the Required Minimum Distribution (RMD) from the QRP before the last day of the year the owner turns 70 (50% penalty). The amount of the RMD is determined by a calculation based on the owners life expectancy.Beneficiaries of QRP are treated differently for the surviving spouse compared to a non-spouse beneficiary. A spouse beneficiary can Rollover the QRP into a new or existing QRP owned by the surviving spouse that is paid out based on the surviving spouses life expectancy. Non-spouse beneficiaries are not permitted to do a Rollover, instead the QRP is converted into an Inherited IRA that has a different set of rules and RMDs. In 2014, the U.S. Supreme Court ruled in Clark v. Rameker that Inherited IRAs are not retirement funds and thus are not an exempt asset in bankruptcy and are available to pay the beneficiaries creditor claims. To avoid the risk that the Inherited IRA could be consumed by the beneficiaries creditors or for other estate planning reasons, the QRP owner may create a trust as beneficiary with special QRP terms. The QRP owner should work with an estate planning attorney to create a trust that contains special provisions dealing with QRP. A trust drafted to receive QRP funds can have subtrusts for the benefit of different beneficiaries.Editors Note: This article was submitted by Jennifer S. Gormley, JD, LLM an attorney with the Law Office of Jennifer S. Gormley, P.C. who can be reached at 303-783-9600 or by email at info@elderlawsource.com.

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}#

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

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

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

If the answer is yes, then you may be eligible for a pension through the Veterans Administration called Aid & Attendance which has been in place since 1952.Most Veterans have never heard of this benefit. If you are 65 years old and need assistance with care, you may be eligible for this monthly tax free pension which is directly deposited into your bank account to help cover your care expenses. This is not a welfare or Medicaid program where you have to spend down to your last dollar to receive this benefit.Four areas of Eligibility: 90 days active duty, one day of service during war time and honorably discharged Care being provided by family, home care, assisted living, nursing home (private pay). Care includes: bathing, dressing, incontinence, toileting, transfers, cooking, transportation, memory and eye site issues etc. Income- social security, pension, retirement, rental income etc. Assets- checking, savings, 401k, IRA, investments, property etc.How long does it take to get the pension? It can take from 1-5 months on an average. The pension is retroactive meaning they will pay a lump sum back to the first of the month after we have applied.To see if you may be eligible for this pension or for more information, call Senior Care Associates at 801-424-1444 or visit their website: www.seniorcareassociates.comEditors Note: This article was submitted by Carole Autrey, President of Senior Care Associates, LLC She may be reached at 801-424-1444 or by email at:cautrey@scaiusa.com

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

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

As you start your search for the best Life Plan community for you or a family member remember to try out the food! We hope youll be pleasantly surprised! Retirement or Life Plan communities are committed to the wellness of their residents in many ways; with the most important aspect being a commitment to providing excellence in quality and service of their dining programs. Prospective residents are passionate about their health and are pleased to learn that retirement communities in Central PA offer a wide selection dining venues and healthy meal options. Many communities offer residents a flexible dining program in a variety of settings from formal to casual settings. Special dietary needs are carefully accommodated, including, but not limited to, delicious Vegetarian and gluten-free options. Often, a Committee of Residents meets regularly with the Executive Chef to help plan upcoming menus. Residents also enjoy seeing nutritional information on daily menus displaying the carbohydrates, fat, sodium, calories, and sugar in each meal.Their menus - which regularly feature fresh, local, seasonal produce aim to offer the highest-quality dining comparable to any great restaurant. Did you know, some communities even offer catering services where residents can host events in their own homes? Many communities offer delivery or take-out, and some even allow residents to use their dining dollars for their guests!Often, if available, dining services teams strive to buy much of their produce from local farmers and suppliers. At Homestead Village in Lancaster, PA, the Executive Chef recently offered a seminar educating guests about the health benefits - as well as positive economic and environmental impact of buying local. Following the talk, a representative from Lancaster Farm Fresh Cooperative, also gave a brief presentation about the new co-op facility that was recently built next to Homestead Villages Farmstead neighborhood.There are many ways to enjoy life in a retirement community, but one of the biggest is the joy of a great meal. But dont take our word for it make some visits and try for yourself!Editors Note: This article was submitted by Christina Gallagher. Christina is the Director of Marketing with Homestead Village Enhanced Senior Living.

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

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

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

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

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