October 2015 aging tree illustrated by Aging Tree

Andrea Engram Licensed Insurance Agent (407) 608-8961 WWW.WELLCAREREP.COM/265102

LETTER FROM THE EDITOR

From the Roots What if I fall?

T COREY SHENK, EDITOR IN CHIEF

EDITOR-IN-CHIEF Corey Shenk

ART EDITOR & GRAPHIC DESIGNER Mona Quinn

COPY & RESEARCH Cheree M. Albert Carol S. Grigas John Joslin Vickie Pleus

CONTRIBUTORS

Loren Fish Tekla Thornton

AD SALES

Janet Dixon

he young poet Erin Hanson challenges us to think about how we make decisions, and how fear can creep in all too often.

you can find the best fit. (If you’d like some help, don’t hesitate to come in or call Aging Tree at (866) 320-8803. After all, helping seniors ﬁnd their new home, or help at home, is our specialty.)

Most of us have traveled spooky, zig-zagging roads in our lives, and along the way we’ve created winding paths marked with choices. But how do we balance our heart’s desires and our mind’s logic as we make decisions? What is your formula for success?

If you’re experiencing hesitation about making a decision about senior housing opportunities, ask yourself, “Why?” Is it the fear of the unknown? Is it the fear of losing your independence? Often, it’s simply a decision that’s stuck in that place between your heart and your mind that doesn’t quite let you make the right move…though you know you should. Maybe it’s a combination of all of these and more.

All of us are challenged to find the right balance, and often we are pressed to do things we don’t want to do. Our family values, faith, influences, friends, moral compass and host of experiences form milestones often help create the blueprints. Perhaps as you read this today, you’re on the precipice of another major decision: “Where will I live next? Is it time I consider an assisted living community?” Autumn is beckoning. As the weather cools (and it will, eventually!), it’s also the time of year when Aging Tree Illustrated provides an annual snapshot of assisted living facilities (ALFs) in our communities. Paired with great tips, tools and a wonderful article on the history of assisted living, this issue shares our knowledge and experiences with the intention to help you with your decision regarding where you’ll live during your life’s next chapter. The 2015 Assisted Living Guide was created to help you understand some of the nuances of ALFs, to help you ask the right questions and know what to look for. Our cities are fortunate to have many well run, beautiful ALFs. Our goal with this publication is to arm you with the most helpful tools so

How Can Aging Tree Help Me? Aging Tree is a unique company that provides one-stop solutions. Our Senior Care Store gives seniors and their families a place to start as they begin to confront the many aspects of senior living and elder care, providing seniors options and services in one place.

My experience researching senior living options, seeing families’ lives change for the better when they are in the right living arrangement, and seeing the unfortunate outcomes when a decision should be made and isn’t, offers clarity. I propose this: Be proactive! If you have been thinking about home-based care or assisted living and can’t make a decision, reach out to us. You don’t need to haphazardly zig-zag down this path, and you definitely don’t need to travel it alone. Speaking of proactivity, it works for a lot of things, including your health and insurance, too. That’s why also in this month’s issue we are sharing tips for living your healthiest life, and are taking a look at what to consider with Medicare and Insurance Open Enrollment starting. I hope you enjoy this month’s edition. May your decisions from this day forward be less scary, more rewarding, and remind you that you were always meant to ﬂy. Make your days great…you’re in charge of them.

COREY SHENK CEO, AGING TREE, L.L.C. EDITOR IN CHIEF, AGING TREE ILLUSTRATED

Aging Tree–The ONE-STOP Senior Care Store. OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

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Table of Contents > OCTOBER 2015 EDITION <

Find us on Facebook. All articles available online at www.agingtree.com

FROM THE ROOTS 6 | Letter From the Editor

BRANCHING OUT WITH VOTRAN 17 | Votran Gold offers paratransit door-to-door service

FEATURE 38 | 2015 Annual Assisted Living Guide and

SENIORS ON SUNRAIL 16 | The Winter Park Daycation and Dr. Phillips Center

Assisted Living Foundation of America’s Consumer Checklist

For The Performing Arts, Explore Central Florida

COMMUNITY EVENTS 20 | Mark Your Calendars for Aging Tree Day at the

HISTORY BRANCH 8 | History of Assisted Living:

Volusia County Fair

What is it? It’s Past, Present, and Future

ON THE COVER 42 | Out On A Limb: Halloween Infographic

SENIORS RESOURCE DIRECTORY 26 | Screened Quality Trusted Providers

PRODUCT BRANCH 18 | Medicare and Insurance Open Enrollment

The kids worked so hard to get all the sweets and treats. All the walking and door knocking payed off and they have the candy stash of a lifetime, but can they eat it? How much can they eat? Will they really be bouncing off the walls? Let’s discover the truths and interesting facts that circulate about our beloved Halloween candy.

Unhappy With Your Health Insurance? Now is Your Chance to Change it.

LIVING WELL BRANCH 24 | Build Better Bones: What is the Secret?

QUICK TIPS 29 | Assisted Living, What to Look For DAYS OF THE MONTH 41 | October: Special, Wacky Days and Holidays STRONG ROOTS 44 | In the Garden with John: The Dirty Secret to Growing Vegetables Part 2

FROM OUR KITCHEN TO YOURS 46 | Hometown Recipe: Coconut Cake CLASSIFIEDS 44 | Used Medical Equipment For Sale, Items For Sale, Industry Jobs, Senior Personals

2015 Assisted Living Guide

CALENDAR OF EVENTS 49 | Activities and Support Groups Located Near You MIND BENDERS 50 | Crossword Puzzle, Sudoku, & Cryptogram

Open Enrollment 40

For more information contact Aging Tree at 866-320-8803 | 985 Harley Strickland Blvd, Ste. 100, Orange City FL 32763. Aging Tree Illustrated is a publication owned, Copyright 2014 and published locally by Aging Tree LLC. Our goal is to provide the most current information and helpful articles for seniors and their families. You choose how to use us: In print, Online or In-Store.

HISTORY BRANCH

History of Assisted Living

What is an ALF? The Senior Care Industries Past, Present, and Future

aring for a loved one as they turn 65 and older can be a frustrating and stressful undertaking. This article aims to provide some historical context on issues centered on care for the aged, those 65 and older of limited means. Today there are many types of care choices. One of the most inviting options is assisted living facilities (ALFs). What is an ALF? An ALF is a type of elderly care that provides a level of attention and independence between those offered by nursing homes or skilled nursing facilities and independent living or aging in place. Oregon’s definition states that “assisted living… is a program that promotes resident self-direction and participation in decisions that emphasize choice, dignity, privacy, individuality, independence and homelike surroundings.” This philosophy widely accepted as an ideal emerged in the mid1970s based on studies of the growing numbers of frail and low-income elders. Shaping today’s debate about elder care are past decisions about the care of the aged that embraced solutions still relevant today.

1780 1792 1812

The Past

Before 1800, the average life expectancy was about 35 and programs were limited to veterans and their families – the earliest federal welfare and pension programs. A comfortable old age meant having children or wealth. Absent these resources the poorhouses became home to the indigent elderly. Public welfare was patterned after England’s “Poor Laws” that established a town’s responsibility to provide for those who were impoverished.

1875 1914 1950s

As relief costs increased, governments built poorhouses and required welfare recipients to live in these facilities if they wanted assistance. In 1880, according to The Atlantic Monthly, Monthly a few states avoided the cost of poorhouses by boarding paupers out, sometimes with their own relatives, or paying farmers to care for them. Tennessee auctioned their paupers off to the lowest bidder. Between 1800 and 1899, families dispersed. Some went to the cities to find work, and others moved west where land was cheap. To care for the elderly left behind, home health care agen-

By Carol S. Grigas, Ph.D.

Carol S. Grigas has a Ph.D. in history and writes about social and cultural topics for several publications.

cies emerged. Poorhouses became catchalls for anyone who needed aid, and also the poor dependent elderly, who often lived with petty criminals, “inebriates,” and the “feeble-minded.” By 1850, benevolent societies and fraternal organizations affiliated created one of the earliest organized old-age assistance programs. Members paid monthly dues to the society while they were young and healthy, then received help when they were elderly,

• Congress approved benefits for surviving spouses and widows of officers who died in the Revolutionary War.

• Congress passed a bill authorizing pension payments to all veterans.

• To spur enlistments during War of 1812, benefits for widows and children were extended to enlisted men as well as officers. • American Express developed the first private employer-sponsored pension program, limited to those age 60 and over who were incapacitated and unable to work. By 1910, over 20 corporations offered retirement plans.

• Arizona and Alaska created the first old age pension programs.

• Due to Social Security and Old Age Assistance the poorhouse was history in the U.S.

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

cont. pg. 12 |8|

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Perkins 1405 North Woodland Boulevard October 19, 2015 10 am, 2 pm

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Perkins 1405 North Woodland Boulevard October 21, 2015 2 pm

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Hampton Inn 214 Flagler Avenue October 22, 2015 10 am, 2 pm, 6 pm

Holiday Inn 1330 Saxon Boulevard October 23, 2015 10 am, 2 pm

Hampton Inn 155 Interchange Boulevard October 23, 2015 10 am, 2 pm

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Hilton Garden Inn 189 Midway Avenue October 26, 2015 10 am, 2 pm, 6 pm

Country Inn 5802 Journey's End Way October 27, 2015 10 am, 2 pm, 6 pm

Hilton Garden Inn 55 Town Center Blvd October 27, 2015 10 am, 2 pm

Hampton Inn 214 Flagler Avenue October 28, 2015 10 am, 2 pm, 6 pm

Perkins 1405 North Woodland Boulevard October 28, 2015 2 pm

Health First Health Plans is an HMO plan with a Medicare contract. Enrollment in Health First Health Plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Part B premium. A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings, call toll-free 1.877.425.8816 or TDD/TTY relay 1.800.955.8771. The provider network may change at any time. You will receive notice when necessary. Only one gift card to Medicare eligibles who RSVP and attend a seminar with no obligation to enroll in the plan. Y0089_EL4719FH Accepted 08052015

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Veterans Benefits

Between 1900 and 1929 more cash beneThe Civil War involved 2.8 fits became available from states and employers for older adults not disabled or in million men, about 10% need. In 1896, New Jersey created the first of the entire population. state-sponsored pension plan for teachers. Hundreds of thousands of In 1911, the first pension program for all wives, children, and elderly state government employees was instituted lost the family breadwinner in Massachusetts. In 1920, the Civil Service through death or disability. Retirement Act created a retirement system Veterans’ benefits were exthat covered many federal governmental employees. These efforts fell short. In 1929, a N.Y. survey determined that 50% or more of the state’s Almshouse at London Town, Anne Arundel County, MD. population aged Built around 1750 as an inn. In 1828, it was converted to almshouse or poorhouse. Photo credit: Library of Congress: His65+ was depentoric American Buildings Survey (HABS) dent on relatives or friends, 2.5% were living in poorhouses or mental hospitals, and 1-2% were living in private homes for the aged. Only Lombard Farm Poorhouse, Barnstable, MA. Built as a poor farm in 1769, buildings replaced in 1821. In 1853, Dorthea Dix documented those still working here women chained and living in stalls and pens. Library of Congress: escaped institutionHistoric American Buildings Survey (HABS) alization. William Enston Home, Charleston, SC, 1889. Early planned community for the elderly. Na- The onset of the Great Depression in 1929 tional Park Service Register of Historic Places. increased poverty, destroyed families, gutPhoto credit: Jack Boucher, courtesy of HABS. ted private charity and overwhelmed state and local governments. The 1935 Social Security Act created a safety net and includpanded during and after the war, first to infirmed, or in need. The societies provided a national old-age welfare program, Old stimulate recruitment, and later to prevent ed support to people in their own homes. Age Assistance (OAA). This program gave a flood of disabled veterans and indigent Since some older members could not live the impoverished elderly monthly cash widows from overwhelming poorhouses. alone, the societies built “homes for the payments which helped end the degrading As cash assistance was insufficient in some aged” to house elderly members, according cases, the federal government built hosto the Odd Fellows Home History. pitals and homes to provide long term In contrast to the poorhouses, these homes care to disabled veterans. Veterans beneseemed luxurious. Many were newly-con- fits provided a source of income that kept structed buildings, designed specifically many out of the poorhouse. for the elderly, while others were converted mansions. Although homes were much nicer, their management was paternalistic. A “matron” supervised the “Inmates,” and residents generally had to get permission even to have visitors or leave the facility. In most, inmates were expected to do chores, and produce products or services that brought in revenue. Some homes required the elderly to pay an up-front fee and turn over their pensions and any assets to the facility, in exchange for a guarantee that they would have a home as long as they needed it. This concept re-emerged a century later as “lifecare”.

Also after 1865, the need for eldercare grew and retirement communities were developed, with modern approaches like residential campuses – forerunners of today’s ALFs. The non-indigent frail elderly moved to these “proprietary” or privately-owned facilities called rest homes, or rented rooms in a private home. Privately owned nursing homes also emerged that boasted of their trained nursing staff. Employers also began to provide assistance for their employees. Moreover, some states in the West voted to give cash assistance to the impoverished elderly, with California leading the way in 1883.

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

George Lobdell House, Minquadale, DE. Built around 1864 as summer estate. In 1891 it was remodeled as retirement home for Lobdell’s employees. Later became Minquadale Home for the Aged. Library of Congress: Historic American Buildings Survey (HABS) cont. pg. 14 | 12 |

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poorhouse approach. The OAA program also stimulated the opening of for-profit homes for care of the elderly, setting a trend that continues to this day. OAA recipients paid cash for care when there was little real money in circulation, making OAA recipients attractive customers for proprietary operators, and old age homes were a perfect “cottage” industry. After World War II, veterans’ benefits expanded greatly and included more care for aged military personnel. Although national health care failed to pass, legislation that

interest from consumer groups and public policy leaders, a broader range of ALFs evolved. Between 1994 and 2000, explosive growth occurred in ALFs and ALFs became the established long-term care option for seniors. Although some states developed coverage for the service component of ALFs under Medicaid or Medicaid waivers, ALFs largely became a private-pay phenomenon. Probably for this reason, a Harvard study showed Soup kitchen. Photo credit: Social Security Administration, that most Special Collections. AFLs were located in wealthier states. Since 2000, ALF growth slowed partly due to the economic downturn and because the ALF industry encoun-

Elderly Woman Living with Extended Family, Broken Bow, NE, 1886. G.R. Russom family in front of their sod house. “An old settler and one of the prominent men in Custer County Nebraska.” Photo credit: Library of Congress: Prairie Settlement Nebraska Photographs and Family Letters, 1862-1912. impacted the licensing and quality of care was approved. The Hill-Burton Act became a template for regulation of nursing homes and the future ALF industry, intending that quality was to be a goal of elder care. Also the Social Security Act was amended to mandate that states receiving federal matching funds had to develop systems to license medical facilities including nursing homes and ultimately ALFs.

Recent History

Between the 1960s and today, the landscape of care for the elderly has changed drastically, as outlined by a pioneer in research on ALFs, Keren Brown Wilson writing in The Gerontologist. By 1985, a shift occurred toward AFLs driven by a distaste for nursing homes and a need to upgrade residential environments, services, and a consumer friendly approach. By 1993, pushed by a growing awareness of senior issues and

tered increased scrutiny and well-publicized negative reporting.

The Future

Future industry growth will be spurred by the 77 Photo credit: U.S. Census Bureau, Population million Baby Boomers planning to retire Division. over the next two decades. Life expectancy will continue to increase, increasing Learn more: demand for assisted living services. Other Aging Tree, LLC 866-320-8803 Learn more: factors will drive growth despite the cost http://www.agingtree.com of ALFs and lack of insurance coverage beFlorida Affordable Assisted Living website of the Florida Department of Elder Affa cause ALFs provide services required by Florida Affordable Assisted Living website of the seniors and their children such as care for Florida Department of Elder Affairs http://elderaffairs.state.fl.us/faal/consumer/consumer.php those suffering from dementia and Alzheihttp://elderaffairs.state.fl.us/faal/consumer/conmer’s disease. sumer.php LeadingAge

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

http://www.leadingage.org/About_LeadingAge.aspx Source: www.assistedlivingfacilities.org

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AYS

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VES WA

IN REAL-TIME, THROUGH A NEAR-INFRARED LIGHT AND A CUTTING-EDGE HD CAMERA. In patients with non-healing wounds, understanding the quality of blood ﬂow surrounding the area is critical. Without adequate blood ﬂow, wounded tissue is unable to recover. This can lead to the need for further interventions, and even amputation. If you’re concerned about the condition of a non-healing wound, call (386) 231-3615 to learn more about the LUNA Imaging System.

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OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

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Choose your Daycation — OCTOBER 21, 2015

Courtesy of Aging Tree – You or your group of participants will have a fun day out touring Winter Park or Dr. Phillip Center for the Performing Arts with a variety of optional activities. Call 386-774-2446 for more information or to reserve your complimentary daycation pass. Trips are scheduled the 3rd Wednesday of each month.

Now Accepting Reservations, Call Today!

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Dr. Philips Center for the Performing Arts

EXPLORE CENTRAL FLORIDA USING THE REGION’S NEWEST TRANSPORTATION JEWEL – SUNRAIL!

WINTER PARK - AGENDA 8:30am 9:15am 9:25am 10:00am 10:36am 2:11pm 2:48pm

Seniors Arrive at Aging Tree sign in and pick up their SunCards, (Courtesy of Aging Tree) Seniors depart for SunRail’s DeBary Station Seniors arrive at SunRail’s DeBary Station (Free parking available) SunRail train departs for the Winter Park Station The train arrives at SunRail’s Winter Park Station for activity and lunch (not included) Seniors depart on SunRail for the DeBary Station Seniors arrive at SunRail’s DeBary Station and return home

TOUR CENTRAL FLORIDA’S NEWEST PERFORMING ARTS CENTER

ORLANDO - AGENDA 8:30am 9:15am 9:25am 10:00am 10:51am 11:15am 1:55pm 2:48pm

Seniors Arrive at Aging Tree sign in and pick up their SunCards (Courtesy of Aging Tree) Seniors depart for SunRail’s DeBary Station Seniors arrive at SunRail’s DeBary Station Free parking available SunRail train departs for the Church Street Station The train arrives at SunRail’s Church Street Station Tour of Dr. Phillips Center for the Performing Arts begins and lunch (not included) Seniors depart on SunRail for the DeBary Station Seniors arrive at SunRail’s DeBary Station and return home

See a Different Side of Winter Park The historic Scenic Boat Tour is located just 3 blocks east of the train station on Morse blvd.

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www.scenicboattours.com OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

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Here are five things personal care attendants should know: 1. Documentation is required. Votran Gold applicants must include a statement from a physician or other qualified professional attesting to the rider’s functional limitations. If it is not evident that the fare-paying rider needs an escort, medical documentation stating the reason a PCA is needed will be required. 2. PCAs and riders must make reservations at least one day before their trip. PCAs and riders must be picked up and dropped off at the same location. 3. PCAs ride free. Votran provides free ridership to PCAs providing necessary assistance to eligible fare-paying riders on any Votran bus service. One PCA may ride free per rider requiring special assistance. 4. Bring the $3 fare in exact change or purchase Gold tokens in advance. Because bus operators cannot provide change, they require exact fare amounts. Tokens can be purchased in advance at Votran.org and in Votran administrative offices. 5. All Votran buses are mobility friendly. All fixed-route buses are wheelchair accessible with lifts and ramps to make boarding easier for riders and their PCAs. PCAs must pay a fare to board fixed-route buses. Fixed-route service does not require reservations and offers lower fares than Votran Gold service. Give Votran a try Votran, a service of Volusia County Government, provides public transit services in Volusia County.

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To plan a trip, use the interactive trip planner on Votran.org or email questions to VotranCustomerService@volusia.org. Riders also may call Customer Service at: Daytona Beach: 386-761-7700 Southeast Volusia: 386-424-6800 West Volusia: 386-943-7033 The Votran Customer Service Center is open from 7 a.m. to 5 p.m. Monday through Friday. Travel training is available upon request.

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OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

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PRODUCT BRANCH

Open Enrollment

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ctober 31 may be the autumn day ghouls and goblins come knocking on your door in search of treats, but October 15 may give you more of a fright.

Why? Because Medicare Advantage plans and Prescription drug (Part D) programs’ open enrollment period begins October 15, extending through December 7. Open enrollment is that time period when health insurance companies (including HMOs) are required to accept new applicants. It’s also the time for existing policy holders to make changes to their coverage. Consumers can drop or add prescription drug coverage, or enroll or dis-enroll from Medicare Advantage plans during open enrollment. Choices made during this timeframe have an effective date of January 1.

ance open enrollment periods are set by employers and can happen at any time of the year, though most large employers schedule their open enrollment period in the fall so new coverage begins

Open Enrollment

Don’t be spooked by open enrollment! We’ve rounded up the basics you should keep in mind as the time period rolls around: 1. Remember the dates and act when you should. Medicare open enrollment runs from October 15 - December 7 each year. Note that job-based health insur-

on January 1 of the next year. As for Affordable Care Act coverage, individuals who are eligible to enroll in a Qualified Health Plan can enroll in a plan in the Marketplace for coverage starting in 2016 between Nov. 1, 2015 and Jan. 31, 2016. Visit www.healthcare.gov for details. 2. Open enrollment is the time to make policy/coverage changes if you need them. There are several reasons to change your healthcare coverage during open enrollment. Have you had any

Sakowitz Eye Center Sakowitz Eye Center is a multi-specialty eye center providing comprehensive medical and surgical eye care.

By Vickie Pleus changing medical needs over the past year? Will you need different coverage in the coming year because of them? If your medical situation is different – you’ve had a change in disability status, for example – or you’ve had a “life change,” such as a change in residence, addition of a dependent, death of a dependent, etc. – you’ll want to review the possibilities of changing your insurance coverage. 3. If you have a disability, you may not need to be 65 to enroll in Medicare. Some special circumstances may allow a person to enroll in Medicare before the age of 65, such as a particular disability. Remember, however, you must have Medicare Part A and B to enroll in a Medicare Advantage Plan. Ask your provider for details. 4. Open enrollment is the time to review your plan thoroughly. Open enrollment is the perfect time to review your coverage, and make sure you have the plan that will cover you sufficiently into the next year. When in doubt, consult your provider. 5. Educate yourself about what changes are permissible outside the open enrollment period. These include instances such as moving, a retirement plan ending, termination of Medicare coverage through your provider, and may be applicable to persons receiving low-income subsidies, receiving Medicaid assistance, those enrolled in special-needs plans, who have been institutionalized, or are new to Medicare. Contact your provider for more details.

• Cataract Surgery • Advanced Multifocal Implants • High Performance LASIK • Glaucoma Treatment & Surgery • Corneal Transplants • Retinal Laser Surgery • Macula Degeneration Treatment • Comprehensive Eye Examinations

Eric A. Cohn, D.O., F.A.A.O. Howard J. Sakowitz, M.D., F.A.A.O. Cataract Surgeon-Board Certified Glaucoma Specialist-Board Certified

Medicare, Florida Health Care and most insurances accepted.

Huberto Perez, M.D., F.A.A.O. Cornea Specialist-Board Certified Se Habla Español

Matthew George, M.D., F.A.A.O. Douglas F. Lieb, M.D., F.A.A.O. Glaucoma Specialist Retinal Consultations-Board Certified Board Certified

386-574-0700

Orange City Office - 2850 Wellness Ave.

“Leaders of Quality Eye Care”

Sanford Office - 313 N. Mangoustine Ave.

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

Aging Tree partners up with several health-insurance plans to give seniors the most options possible, including Carol Brown Insurance, CMD Insurance, Florida Health Care Plans, Humana and Independent Insurance Professionals. Contact an Aging Tree Senior Living Advisor at (866) 320-8803 to learn more. | 18 |

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• Up to $5000 on a private apartment • $250 for moving expenses • 6-mo. newspaper subscription • $25 gift certificate to our country store • 20 guest meal certificates ($200 value) • $50 gift certificate for beauty/barber salon • Group photo in our lobby • Charter Club wall plaque Plus, all the luxurious Grand Villa of DeLand services and amenities!

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Assisted Living Like You’ve Never SM Seen Before!

A Connected Life

Exploring Relationships

Save for a rainy year. Amanda Agnew, Agent State Farm Agent 301 N Volusia Avenue Orange City, FL 32763 Bus: 386-960-7878

Get a 36-Month FDIC-insured CD

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An Active Life Enjoying Now

Have you ever thought of an assisted living community as a place for seniors to grow - a place for them to enjoy pursuing passions and deepening family relationships?

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(386) 310-4995 *Annual Percentage Yields as of 9/16/15. Advertised rates are subject to change at the Bank’s discretion. The minimum balance required to earn the stated APY is $500 (rates apply to deposits less than $100,000). A penalty may be imposed for withdrawals prior to maturity. Certificates automatically renew at maturity at the then-current rate for the next longer standard term. Some products and services not available in all areas. IRA and ESA CDs are not available for terms less than 12 months. State Farm Bank, F.S.B., Bloomington, IL P096009.2

A Purposeful Life

Anticipating Tomorrow

We do, and that's what makes Grace Manor Port Orange Assisted Living Like You've Never Seen Before!SM It’s a safe place of detailed care where seniors can be social, and stay physically and mentally active. 1321 Herbert Street Port Orange, FL 32129-4135 GraceManorPortOrange.com hello@GraceManorPortOrange.com

Lic # AL11955

Why GLUTEN-FREE?

here has been a buzz word going around for a while now. It seems like everywhere you look you can find companies around the world racing for the Gluten-Free Approval. Gluten is a protein found in wheat, rye and barley. Gluten-free foods are without wheat, rye and barley and often use other types of oat, nut, potato, rice or corn flour as a replacement.

Why are so many people concerned about Gluten? While many people are choosing a gluten-free diet out of necessity (due to Celiac disease or other gluten intolerances), a growing number of people are choosing to do so because they believe it is a way to make healthier choices on a daily basis.

Below we have listed some of the side effect of Gluten and what to watch our for:

DELI HOURS:

Monday Through Friday • Intense bloating, diarrhea and constipation From 8 am – 3:30 pm • Difficult to absorb minerals, vitamins and Now Open essential nutrients Every Sunday From 9 am – 3:00 pm • Itchy skin rash that appear on your arms torso, face, elbows and hairlines. A skin irFor Pre-orders Call 386-736-7919 Ext. 215 ritation that mimics eczema • Headaches that can start an hour or two Don’t forget to visit our grab and go area! after ingesting foods that contain gluten • Joint Pain We invite you to come and see our large selection of Gluten-Free Baked goos made in our Certified Gluten-Free facility along with our Organic and All-Natural line of breads.

What is Celiac Disease? Celiac Disease is an autoimmune disorder that can appear at any age and is caused by an intolerance to gluten. Gluten gradually damages the intestines of people with this condition, preventing the absorption of vitamins and minerals, which can set off a number of health problems including digestion complications, fatigue and skin conditions.

Monday - Friday 8 am - 7 pm Sunday 9 am - 6 pm CLOSED Saturday

Creation Health Lifestyle Improvement Seminar Complied by Florida Hospital from 5-6:30 pm every Wednesday until November 25th at the Natural Market Conference Room, for registration and dates call our front desk. Registration Fee $29.00 Single/$35.00 Couple

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386-774-BUGS (2847) 2417 Enterprise Rd., Orange City, FL 32763

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Motorized Roll-Up Screens for Garages, Let cool breezes and Licensed & Insured natural light into Doors and Lanais! Family & Operated your Owned garage, lanai, Great for Creating New Living Spaces for 30 years porch, etc. and keep with Privacy and Airﬂow! bugs out!

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Family Owned & Operated for 30 years

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Do You Know the Benefits of Long Term Care Insurance Call Aging Tree 866-320-8803 OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

| 23 |

LIVING WELL BRANCH

Build Better Bones

Psst...Is this Vitamin a Secret to Better Bone Health?

hysical rehabilitation following a fall is a frequent cause for admission to the assisted living facility (ALF). An increased fall risk is also experienced by many prior to electively moving to an ALF. My grandmother, in her early 70’s, fell and broke her hip the day before my wedding day. After surgery she was transferred for continuing care and physical therapy. We share the same birthday and potentially the same degree of bone health.

Consider these statistics as shared by Dr. William Sears: • Osteoporosis, or thinning of the bones, is the most common bone disorder in the US, affecting about 10,000,000 people. • Some women will lose 2-4% of their bone mass per year in the five years following the start of menopause. After menopause that rate drops to 1% per year. • Bone loss tends to occur after age 65 years in men. • Prime timers (remember the second half of life) suffer more than 700,000 spinal fractures, more than 300,000 hip fractures and approximately 250,000 wrist fractures each year. • By age fifty five, 33% of American women will have had at least one spinal fracture. • More than 50% of American women and 12% of men will suffer at least one fracture due to soft bones after the age of 55. • After age 50, 1 in 6 women will suffer a hip fracture, after age 85 it is 1 in 3; 1 in 6 men will suffer a hip fracture after age 90. • We tend get shorter as we get older as the gel like discs between the vertebrae of our spines become thinner. • So what is the good news here? Bones do not automatically weaken as we age! Consider these encouraging facts:

• Just as you can build muscle as you age, you can also build bone. • Your risk of fracture decreases by 6% for every 1% in bone strength. • Starting young to increase your bone mass will make stronger bones, reducing your risk of fractures. • Dietary bone builders, combined with an exercise program can improve bone strength and greatly decrease your risk of fracture. In people over age 65 it could be as much as 50%. • The memory of my grandmother missing my wedding day and the image of her suffering with her hip fracture has helped to make bone building a part of my retirement plan for health. Admittedly back then I did not fully understand what activities and nutrients I needed to deposit in my “bone bank” to build stronger bones. Our Standard American Diet (SAD) and sedentary lifestyle does not help us in the bone health area. For many years low calcium was thought to be the reason for osteoporosis but simply taking a calcium supplement will not be enough. We now know that magnesium also helps build bone strength as an imbalance in the calcium - to - magnesium ratio could weaken bones. Eating calcium containing foods is often a good idea and it’s the balance between these and other minerals that builds better bones. At a recent workshop I spoke about the role

By Cheree M. Albert MSN, ARNP, CPNP of Vitamin D in bone health. Is Vitamin D more important than calcium? Recent studies suggest this may be the case. Vitamin D is actually a vitamin and a hormone. The hormonal action of Vitamin D regulates the absorption of calcium. It has been estimated that 80% of people with hip fractures may have had Vitamin D deficiencies. Vitamin D is also known as the “sunshine vitamin” and it is more common than previously recognized that we, as residents of the Sunshine State would have Vitamin D deficiencies and we do for a variety of reasons. It is a good idea to find out what your level is so that you can supplement as necessary. Other threats to building better bones include too much animal protein, certain medications, too much phosphorus cont. pg. 28

A Scientifically Proven Plan for Healthy Aging Give yourself the GIFT OF HEALTH! FREE Consultation to develop YOUR personalized 8 week PRIME TIME HEALTH PLAN ($120 value)

TAKE CHARGE OF YOUR HEALTH! Workshops include hands-on activities, workbooks, healthy snacks and recipes.

“Prime-Time Health teaches how to add years to your life and life to your years.” -Dr. William Sears

Schedule your workshop today! Contact Dr. Sears Certified Prime-Time Health Coach Cheree Albert at 407.902.8945 Cheree@integrityhealthsource.com

Boost Energy + Prevent Disease + Sharpen Thinking OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

| 24 |

T O U R . S H O P. J O I N . MUSEUM of ART - DeLAND HINMAN

CHIA

H AY E S

MUSEUM of ART - DeLAND presents three new exhibitions Two Points on a Plane: Paintings by Chuck Hinman opening Oct. 16, 2015, 5 to 7 p.m. at 100 N. Woodland Blvd. DeLand; Sandro Chia: Fantasy & Myths and The Sculptures of David Hayes opening Oct. 30, 5 to 7 p.m. at 600 N. Woodland Blvd. Receptions $10. 1-2-3 Promo after Opening Night: One Admission to visit Two Museums for Three Days | For Gallery Lectures & Artist Workshops, visit MoArtDeLand.org Bring this ad in by November 1, 2015, to receive $10 OFF the purchase of a new Museum Membership.

Experience the Power of Art... and Docent-led Tours. Call 386.734.4371

Senior Resource Directory of Screened Businesses Dental Care: Implant Solutions Today Surgical Solutions Contact: Toni Valley 386-837-1236

Elder Law: John B. Crowther, Atty. at Law Contact: John Crowther 386-775-6179

Adult Daycare Centers: Sender Retreat Contact: Ana Randolph 386-734-4442 Stay For the Day Contact: Ana Randolph 386-851-0691

Aids for Daily Living:

Gary S. Wright Contact: Gary Wright 386-753-0280 Meeks Law Firm Contact: Coren Meeks 386-738-3900

Financial Services: Edward Jones Financial Contact: Debbie McDonald 386-668-7028

Captel Outreach Contact: Sandra Robertson 407-443-9409

Greater Florida Life Settlements Contact: Greg Yaskovitch 1-888-222-9555

Medical Alert (“Help” Button) Contact: Aging Tree 866-320-8803

Miller Senior Services Contact: Marge Miller 386-479-0724

Bracing: Colonial Medical Supplies Contact: Bill Backer 386-774-2447

Chiropractic: Lechmaier Family Chiropractic Center Contact: Dr. Chris Lechmaier 386-775-3600 Chi-Rho Family Wellness Chiropractic Contact: Diana Graves 386-532-3003

Cleaning Professionals/ House Cleaning HomeWorks by Rosy Contact: Rosy Stott 386-748-6308

Home Medical Equipment: Colonial Medical Supplies Contact: Bill Backer 386-774-2447

Home Modification: Home Modiﬁcation Design LLC Contact: Sheri Wilson 407-417-6031 Total Service Contracting Contact: Steve Delacerda 407-233-9500

Hospice Care: Florida Hospital Fish Memorial 1-800-404-1133 Halifax Health Hospice Contact: Michael Martinez 386-627-5039 Vitas Hospice Contact: Elizabeth Knowlton, LCSW 386-774-2446 Ext. 308

Insurance-Health: Carol Brown CSA Contact: Carol Brown 386-848-0543

Lab Work: Florida Hospital Fish Memorial 386-917-5155

Massage Therapy: Florida Hospital Fish Memorial 386-917-5160

Medical Imaging: Florida Hospital Fish Memorial 386-917-7500

Medical Services: Florida Hospital Fish Memorial 386-917-5000 Mid Florida Cancer Center Contact: Jill Jordan 386-774-1223

Medical Services Clinical Research: Covance Contact: Clinical Studies 866-429-3700 Other Inquiries: 386-366-6400

Mental Health:

CMD Insurance Agency Contact: Carmen Duffy 386-315-4846

Fish Family & Associates Contact: Lauren Fish, LCSW 386-456-0008

Hearing Aids Direct Contact: Fred Gilliam, H.A.S Phone: 386-561-9496

Florida Health Care Plans Contact: Bissy Holden 386-676-7110

Florida Hospital Fish Memorial 386-917-7610

Hearing Healthcare Centers Contact: Lisa Jones, L.H.A.S Phone: 386-837-4849

Humana Contact: Meg Hutson Christine MacDonald Phone: 386-663-1425 386-479-4000

Hearing Screenings and Accessories:

Home Care-Private Pay Companions: Aging Tree, LLC Contact: Aging Tree 866-320-8803

Home Health Care Accepting Medicare & Insurance

Independent Insurance Professionals Contact: Carl Thompson 386-668-6203

Insurance-Long-Term:

Florida Hospital Fish Memorial 386-917-5830

CMD Insurance Agency Contact: Carmen Duffy 386-315-4846

Greystone Healthcare Management Contact: Tiffani Cook 386-681-7253

Independent Insurance Professionals Contact: Carl Thompson 386-668-6203

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

Mobile Home Communities: Hidden Valley Park Contact: Richard / Jeane Schuler 386-985-4543

Non-Profit Organizations: DeLand Lions Foundation Contact: Wendy Wilson 386-738-1020 Division of The Blind Contact: Mike Watson 386-254-3810 ElderSource 888-242-4464 Mainstreet DeLand Association Contact: Wayne Carter 386-738-0649 Volunteers For Community Impact Contact: Catherine Johnson 386-320-3969

| 26 |

Aging Tree business partners have committed to providing premium products and services. When contacting a trusted provider be sure to ask for Aging Tree Premium Services. Nursing Facilities-Skilled: Center for Health Care of the Alliance Community Contact: Annette Lynch Phone 386-747-7688 Parkside Health and Rehab Contact: Heather Jackson 386-734-8614 Ridgecrest Nursing and Rehabilitation Contact: LeeAnne Gallagher 386-734-4334

Occupational Therapy: Florida Hospital Fish Memorial 386-917-5160

Pet Sitting Home Pet Care Services, LLC Contact: Dawn Salvaggio 386-235-5980

Pharmacies: Accardi Pharmacy Contact: Dr. Roger Accardi 386-774-5800

Physical Therapy: Florida Hospital Fish Memorial 386-917-5160

Physicians - Acupuncture Debra Gaffney, Ph.D. Acupuncture Physician 386-734-4126

Physicians - Primary Care: Florida Hospital Fish Memorial 1-866-328-6417

Post Mastectomy Services: Colonial Medical Supplies Contact: Bill Backer 386-774-2447 Florida Hospital Fish Memorial 386-917-5852

Pre-Arrangement Services: Lohman Funeral Home Contact: Terry Chandler 386-860-5900

Tri-County Cremation & Funeral Home Contact: Michael Blickenstaff 407-247-3076

Real-Estate Specialists: Century 21 Armstrong Team Realty Contact: Ray Armstrong 386-789-2100 State Farm, Amanda Agnew Contact Amanda Agnew 386-960-7878 Total Realty Corp. Contact: Sandra Otto, SRES 386-804-0639 Total Realty Corp. Contact: Terry Bailey, CRS, GRI 386-801-9300

Retirement CommunityAssisted Living: Americare Assisted Living Inc. Waters Edge Contact: Eleanor Gustavsson 386-789-8848 Bishops Glen Retirement Community Contact: Linda Dixon 386-226-9112 Blossoms Assisted Living 1, LLC Contact: Paul Sturdgess 386-257-2162 Brookdale DeLand Contact: Lynn Miller 386-736-8100 Brookdale Ormond Beach West Contact: Vivian Gardner 386-672-8800 Caring Hands Assisted Living Contact: Marie Timogene 386-259-4435

Saber Health/Seaside Manor Contact: Bonnie Ronning 386-262-4057 Summerhaven Assisted Living Contact: Greg Hopcraft 386-668-3674 Woodland Towers Contact: Dorothy Myers 386-738-2700

Retirement CommunityContinuing Care: Alliance Community Contact: Annette Lynch 386-747-7688 Florida Lutheran Retirement Community Contact: Brian Harman 386-736-5872

Transportation ServicesNon-Medical/Public: Red Cab Contact: Monique Narr-Mevs 386-748-4092 Votran Customer Service Department 386-761-7700 (Daytona Beach) 386-424-6800 (Southeast Volusia) 386-943-7033 (West Volusia)

Wound Care: Florida Hospital Fish Memorial 386-917-5547

Retirement CommunityIndependent Living: Villa Grande on Saxon Contact: Barb Hilton 386-774-1234

Relocation Services: Creating Divine Order Contact: Ann Hutchens 407-699-5600

Specialty Services: Jade Serenity Spa Contact: Margaret Crowther 386-775-0860

SPEECH THERAPY: Florida Hospital Fish Memorial 386-917-5160

Cloisters of DeLand Contact: Amanda McHugh 386-822-6900 x 203 Horizon Bay Contact: Mary Sanguedolce 386-775-3518 Monastery Oaks Contact: Jerry Cutrona 386-456-0049

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com â&#x20AC;˘ 866-320-8803

Call or visit Aging Tree today 866-320-8803 | 27 |

as found in processed foods and carbonated drinks, too much salt and sugar, too little exercise and even too much worry.

toes, alfalfa, nettle, parsley and dairy products. Talk to your health care professional about testing your Vitamin D level.

Here are a few ideas for you to consider as you build better bones:

ercise with the younger members of your family to inspire and encourage them to develop a good habit and stronger bones when it is much easier to do so. I feel so blessed to share the same birthday with my grandmother and am fortunate to know that I have the opportunity to positively impact the legacy of bone health for me, my children and grandchildren. You can too!

Be good to your gut to better absorb the nutrients from food and supplements. Dr. Sears recommends the Rule of Twos which is to eat twice as often, eat half as much and chew twice as long. Probiotics can also be helpful. Eat bone building foods especially fatty cold water fish like wild salmon, sardines and tuna. Other Vitamin D rich foods include: eggs, oatmeal, butter, cod liver oil, oysters, dandelion greens, shitake and chanterelle mushrooms, sweet pota-

Move! You CAN stimulate the bone building cells to start growing more bone. Ex-

*** Cheree M. Albert MSN, CRNP, CPNP is the owner of Integrity Health Source LLC. You can contact Cheree by phone: 407-902-8945 or email cheree@ integrityhealthsource.com

Are You Looking for a Professional House Cleaning Service or a Professional Pet Sitter? Call Aging Tree 866-320-8803

3 5-8 10 10 12 - 15 29/30 31

FREE Caribbean Gallery Reception .....................................6:30pm Leisure Art Camp ................................................................9am - 4:00pm Saturday Tai Chi Workshop .................................................9:30am - 12pm Flagship Romance/Harmonic folk duo Leisure Art Camp ................................................................9am - 4pm Halloween Maze - Inside Gateway ......................................6:30 - 9:30pm Halloween Bingo/Cake Walk/Treats and more! Tickets: $5 Halloween Maze - Inside Gateway ......................................3 - 6pm Halloween Bingo/Cake Walk/Treats and more! Tickets: $5

For More Information Call 386-668-5553 or Visit our website at gatewaycenterforthearts.org

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| 28 |

Assisted Living Free Historic Tour of Daytona Memorial Park

Visit the burial sites of famous figures of the past. Tours are limited so call to reserve a time.

Call Today-386-255-1881

Quick

Tips

An important tip when picking out an ALF: Check out the atmosphere as you walk into the building. If everyone is smiling, happy and talking with each other, that is a very good sign. Someone said to me just lately that when he walked into a lot of other ALF’s, he felt like he was at a funeral, but when he came into ours, he felt like he was on a cruise. Dorothy Myers Woodland Towers, DeLand FL 386-738-2700 (Residents Perspective) Moving from home can be scary, but when looking for an Assisted Living Facility, make sure that they listen to what YOU want, talk about dignity and respect, offer you an environment where you feel empowered and enabled. The most important feeling, is that you feel at home! Ask about staff training, what is the food like, talk to other resident - your home, your choice! (ALF Perspective) Blossoms Assisted Living believes in personal centered care, so when you come to us, you can expect honesty, integrity and well trained staff, who are going to listen and respond to your needs. We offer choice, compassion, good food, activities and believe that we are there to support you. Most of all we believe in making you feel like you are home! Paul Sturdgess, Administrator Blossoms Assisted Living, Daytona Beach, FL 386-257 2162

Senior Night! 10% off the regular menu for seniors, Thursday only from 4pm - 8pm

Senior

Golf Days*

$29+tax

Senior Golf Days

Mondays & Thursdays Only, After 10AM 300 Plantation Club Drive, DeBary | 386-668-1705 *Not valid with any other offer or discount exp. 10/31/2015

Rose Manor Assisted Living Facility

FL State License # AL7585

Feels like home. Deborah Tolan, RN, BSN Deborah’s attitude and persistent smile help the residents feel safe, secure, and loved. She is committed to providing quality care to all the residents. The services she is able to provide include 24-hour supervision and respite care along with many others.

120 West North St. DeLand, FL 32720 (386) 738-5982

www.rosemanorassistedliving.com

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

2015 Walk to End Alzheimer’s - Orlando, FL 10/17/2015 Registration at 8am | Ceremony at 9am | Walk at 9:30am Route Length: 2.5 miles Lake Eola Park 195 N Rosalind Avenue, Orlando, FL 32801 | 29 |

Please join us in welcoming Dr. Mike Magee to the practice! Dr. Magee graduated medical school from Georgetown University, completed Residency at Catholic Medical School, a Cornell University affiliate. He then completed a Fellowship in Shoulder and Sports Medicine at John Hopkins University.

Both Physiciansâ&#x20AC;&#x2122; offer:

www.advancedorthosportsmed.com

1639 N. Volusia Avenue Orange City

BETTER service BETTER images A BETTER view of youâ&#x20AC;Ś Shorter scan times and great technology means less time lying still for a scan. Let your Doctor know that you want to schedule your next exam at Advanced Imaging!

Please call (386) 774-7226 to schedule

www.abetterviewofyou.com

Are you struggling? Need someone to talk to? Join us right here at the VITAS Aging Tree office Proud Sponsor of:

Living from Here Grief Group

VITAS Aging Tree office

2 p.m. third Tuesday of the month

985 Harley Strickland Blvd. Suite 100 (Kohl’s Plaza) Orange City, Florida 32763

Alzheimer’s Support Group

SINCE 1980

11 a.m. third Wednesday of the month More group information: 386.671.2792

Coffee & Conversation

800.723.3233 • VITAS.com

11 a.m. last Wednesday of the month.

Gregory L. Ortega, MD Rene Cabeza, MD Santosh M. Nair, MD Gary R. Graham, MD

Neeraj Sharma, MD Bhanu Visvalingam, MD Giselle M. Mery, MD Seema Haricahnd-Herdt, MD

Mid Florida Cancer Centers is proud to welcome

Roderick L. Paras, M.D. Board Certiied Medical Oncologist

. Fellowship: Medical Oncology Allegheny General Hospital, Pittsburgh, PA . Residency: Internal Medicine, St Vincent’s Medical Center of Richmond/ New York Medical College, New York, NY . Internship: Santos Thomas Universtiy Hospital, Manila, Philippines . Graduate: University of Santos Tomas, Manila, Philippines. Doctor of Medicine and Surgery, Deans List. . Bilingual in English and Tagalog

Deland

386.774.1223

• Medication Reviews - Dr. Accardi’s Specialty (Clinical Pharmacology) • Patient Centered Attention • Medicare, Medicaid & Most Insurances Accepted • 24 Hour Emergency Service • Delivery Service (daytime, weekdays) • Prescription, DME, Ostomy, Diabetic Supplies • Compounding • Doctors of Pharmacy on Staff

Remember

F E B R UA R Y

is Heart Health Month Ask your Doctor or Pharmacist How they can help you.

• • • • • • • •

At Mid Florida Cancer Centers, we utilize the latest technology and research to provide the most eﬀective treatments possible for all forms of cancer and blood disease. From chemotherapy to radiation to nutrition and exercise. Our doctors, caregivers and researchers are dedicated to your health and well-being. We are proud ot welcome Dr Paras to our team.

Orange City

All support groups are facilitated by trained VITAS Healthcare personnel

Sanford

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

RayPartners & Jean Armstrong In Life • Partners In Real Estate

Medication Reviews - Dr. Accardi’s Speciality (Clinical Pharmacology) Patient Centered Attention Medicare, Medicaid & Most Insurances Accepted 24 Hour Emergency Service Delivery Service (daytime, weekdays) Prescription, DME, Ostomy, Diabetic Supplies Doctors of Pharmacy and Registered Nurses on Staff Compounding

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Experience the New Generation of Care Specializing in Physical, occupational and speech therapy

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I knew he needed more than home hospice care. Halifax Health - Hospice Care Centers offer the highest level of care in a home-like setting. The relaxed comfort and medical expertise provide peace of mind, so that you’re free to focus on spending time together, just as your loved one would want it to be.

halifaxhealth.org/hospice

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A non-profit care provider serving Volusia and Flagler counties since 1979.

omen’s ealth esource enter & eight Loss Gynecology Services:

• Annual gynecologic exams • Advanced minimally invasive laparoscopic surgery with same or next day discharge for hysterectomy • Evaluation for abnormal PAPs with colposcopy • Evaluation for abnormal bleeding • Evaluation and management of fibroids • Hormonal management for PCOS and menopausal symptoms • Minimally invasive office hysteroscopy • In-office procedure for permanent sterilization - Essure • Infertility evaluation and management • Evaluation and treatment of urinary and fecal incontinence - Urodynamics and Interstim, medical and non-medical treatment

Advanced Pelvic Floor Therapy and Biofeed back for Bladder and Fecal Problems PelvicFloor Reconstruction and Post-op Rehabilitation for Improved Functions

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George T. Besong, MD Board Certified Obstetrics & Gynecology

Dr. Besong believes that every woman is truly unique. He addresses each patient’s individual needs with compassion and concern. Dr. Besong has been practicing in the West Volusia area since 2005 and has privileges at Florida Hospital Fish Memorial, Orange City, FL and Central Florida Regional Hospital, Sanford, FL.

2728 Enterprise Road, Suite 200 | Orange City, FL | www.besongwomenscare.com/ | 386-774-0109

MENTAL HEALTH BRANCH

Heart-Soul-Body-Mind

“A merry [rejoicing] heart doeth good like a medicine”

he middle of September, as some of you are aware, my wife and I moved to Arizona. We are living a short distance from the Petrified Forest National Park. In fact I have already found several small pieces of petrified wood and other organic material on the property behind where we reside. Petrified wood found in the park and the surrounding region is made up of almost solid quartz. Each piece is like a giant crystal, often sparkling in the sunlight as if covered by glitter. The rainbow of colors is produced by impurities in the quartz, such as iron, carbon, and manganese. Years ago, the logs washed into a river system and were buried quick enough and deep enough by massive amounts of sediment and debris also carried in the water, that oxygen was cut off and decay slowed to a process that would now take centuries. Creation scientists believe this process began during a world-wide flood around 6,000 years ago. Evolution scientists believe it happened over a long period of time beginning about 200 million years ago. Minerals, including silica dissolved from volcanic ash, absorbed into the porous wood crystallized within the cellular structure, replacing the organic material as it broke. Sometimes crushing or decay left cracks in the logs. Here large jewel-like

• • •

crystals of clear quartz, purple amethyst, yellow citrine, and smoky quartz formed.

By Loren Fish, LCSW

Petrified trees today lie strewn across clay hills and within cliff faces; each log broken into large segments. The quartz within the petrified wood is hard and brittle, fracturing easily when subjected to stress. At some point the still petrified trees were under so much stress they broke like glass rods. The crystal nature of the quartz created clean fractures, evenly spaced along the tree trunk, giving the appearance today of logs cut with a chainsaw. Thinking about this process reminded me of the concept that has been used in numerous ways by philosophers and theologians. It goes like this: “Thoughts lead to feelings, Feelings lead to words, Words lead to actions, Actions form habits, Habits form your character, Your Character determines your Destiny.”

all permanent. For the wood there is no going back. Our mind is a powerful tool for good or for bad. Our Destiny begins with our Thoughts!

The prolific 19th century author, E.G. White in her landmark book on health puts it this This is a process. The organic matter in the wood was replaced with minerals. Some of way, “It is a law of nature that our thoughts and feelings are encouraged and strengthit is beautiful, some of it is so-so. Yet it is ened as we give them utterance. While words express thoughts, it is also true that thoughts follow words. If we would give more expression to our faith, rejoice more in the blessings that we know we have, we should have more faith Robert Cordero, M.D. Kevin M. Barber, M.D. Ryan T. Scruggs, M.D. Phillip J. Mackinder, O.D. and greater joy. (MH 251)

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Each year Mental Illness Awareness Week occurs during the first full week of October. This year it takes place October 4–10. This year, the theme revolves around the new Stigma-Free initiative. Being Stigma Free means learning about and educating others on mental illness, focusing on cont. pg. 36 | 34 |

October Events Oct 2 ..................DeLand High Homecoming Parade & Game Oct 3 ..................DeLand Fall Festival of Arts Evening - 6 pm Oct 11 ................DeLand Indie Market - 11 am - 5 pm Oct 14 ................Wine, Women, & Chocolate 5:30 - 7:30 pm Oct 17 ................Thin Man Watts Jazz Fest Oct 17 ................Cruisin’ Downtown DeLand 4 - 7 pm Oct 24 ................Glamour and Gore - 7:30 - 11 pm Oct 31 ................Monsters on Mainstreet Artisan Alley Every Friday Night 6 - 9 pm

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connecting with people to see each other as individuals and not a diagnosis. This effort is spearheaded by National Alliance on Mental Illness (NAMI), dedicated to building better lives for the millions of Americans affected by mental illness. (See more at: http://www.nami.org)

the dark picture, which is imaginary, to the benefits which God has strewn in their pathway, and beyond these to the unseen

White goes on to explain, “The condition of the mind affects the health to a far greater degree than many realize. Many of the diseases from which men suffer are the result of mental depression. Grief, anxiety, discontent, remorse, guilt, distrust, all tend to break down the life forces and to invite decay and death.” “Courage, hope, faith, sympathy, love, promote health and prolong life. A contented mind, a cheerful spirit, is health to the body and strength to the soul.” A merry [rejoicing] heart doeth good like a medicine,” (but a broken spirit dryeth the bones). Proverbs 17:22. (MH 241) This advice is not only for ourselves, yet for our friends and family. What if we, when faced with a loved one with a negative outlook, would gently redirect them to cheerful thoughts and topics. “There are many who make life’s burdens doubly heavy by continually anticipating trouble. If they meet with adversity or disappointment they think that everything is going to ruin, that theirs is the hardest lot of all, that they are surely coming to want (poverty). Thus they bring wretchedness upon themselves and cast a shadow upon all around them. Life itself becomes a burden to them. But it doesn’t need to be this way. It will cost a determined effort to change the current of their thought. But the change can be made. Their happiness, both for this life and for the life to come, depends upon their fixing their minds upon cheerful things. Let them look away from

and eternal. (MH 247) So, unlike the permanency of the natural world in the Petrified Forest, our Destiny can be change! This is good news indeed. There are so many individuals who are diagnosed with mental illness who have given up ever coming out from under the stigma they carry as a heavy burden. Yet if they just realize that wholeness, wellness, and restoration is within their reach, what relief would be there’s. Nothing tends more to promote health of body and of soul than does a spirit of gratitude and praise. It is a positive duty to resist melancholy, discontented thoughts and feelings—as much a duty as it is to pray. (MH 251)

Those who take a mournful pleasure in all that is melancholy in the natural world, who choose to look upon dead leaves rather than to gather the beautiful living flowers, who see no beauty in grand mountain heights and in valleys clothed with living green, who close their senses to the joyful voice which speaks to them in nature, and which is sweet and musical to the listening ear, are gathering to themselves gloom and darkness, when they might have brightness, even the Sun of Righteousness arising in their hearts with healing in His beams. (MH 251) Some mental illness is more complicated than others, yet no one is beyond hope! In an attempt to create awareness in yourself, and your friends and family this month, I hope that you will remember that your thoughts are where it all begins. Your Character is your choosing. Some may already be hardened, seemingly beyond hope to be restored. Yet as we have learned our words can actually also change our thoughts and thus the course of our lives for here and eternity. So choose words that bring life and joy, and then you and those around you will breathe life. Our situations may remain the same for a time, yet our outlook will be elevated above the darkness, into Light!. Loren Fish is a Licensed Clinical Social Worker, with experience working with clients from 5 to 95 years old in a variety of settings in Tennessee, Florida and Arizona. *portions of this article were quoted from chapter “Mind Cure” in the book “Ministry of Healing”

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2683 S. Woodland Blvd. DeLand | 36 |

CENTRAL FLORIDA MEDICAL ASSOCIATES Warmly Welcomes Dr. Belmar Irizarry We offer comprehensive adult healthcare services including internal medicine, geriatrics, womenâ&#x20AC;&#x2122;s health, and family medicine. Our staff is friendly, professional, and committed to providing excellent healthcare. Please call us to schedule a time for you to come in and meet with us.

We look forward to serving your healthcare needs. We accept most insurances.

2555 S. VOLUSIA AVE., ORANGE CITY, FL 32763

386-774-0401

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Questions about Assisted Living... Get Free Advice Call Aging Tree 866-320-8803

CITY

Americare Assisted Living Inc. Deltona Angel's Senior Living Assisted Living Facility LLC Ormond Beach 15 Bishop's Glen Holly Hill 41 Blossoms Assisted Living 1 LLC. Daytona Beach Brookdale Port Orange Port Orange Brookdale DeLand DeLand Brookdale Ormond Beach Ormond Beach Brookdale Ormond Beach West Ormond Beach Brookdale Yorktowne Port Orange Canal View Rest Home Port Orange Caring Hearts Assisted Living Daytona Beach 17 Cloisters Of DeLand The DeLand Compassion In Healthcare Daytona Beach Coquina Cottage Assisted Living South Daytona Coquina Cove Port Orange Coqunia Cay Assisted Living New Smyrna Beach Countryside Lakes Port Orange Cunningham Elderly LLC Deltona D'manila Garden Inc. Port Orange Deerfoot Manor Assisted Living Facility DeLand DeLand Alf Home DeLand Elderly Living Center Of Holly Hill Inc. Holly Hill Evergreen Alf Ormond Beach Fairgreen Assisted Living Inc New Smyrna Florida Shores Assisted Living Facility Edgewater Forest Lake Manor Daytona Beach Fran's Elderly Care Port Orange Garden Manor Holly Hill Gold Choice Ormond Beach Ormond Beach Golden Abbey Assisted Living Daytona Beach Good Samaritan Society-Daytona Daytona Beach 44 Good Samaritan Society-Florida Lutheran DeLand Good Shepards Of DeLand-West (The) DeLand 21 Grace Manor Assisted Living And Memory Care Port Orange 19 Grand Villa Of DeLand DeLand Grand Villa Of Ormond Beach Ormond Beach 43 Groves At Alliance Community (The) DeLand Guardian Home Ii Alf LLC New Smyrna Beach Harbor Oaks Elderly Care Home Port Orange Herald's Retirement Home Daytona Beach 23 Horizon Bay A Brookedale Community Orange City Indigo Palms Daytona Beach Indigo Palms At The Manor Daytona Beach Iris Manor LLC Deltona 52 John Knox Village Of Central Florida Orange City Kist Alf Daytona Beach Kozy Korner Elderly Care Ormond Beach 36 La Poinciana Alf Port Orange Lakewood Retirement Center Daytona Beach Linden Lea Assisted Living Inc. DeLand Little River Manor Inc New Smyrna Beach Manila Home Care Inc. Port Orange Mi Casita Alf Inc Deltona Monastery Oaks LLC Orange City Monroe Manor DeLand OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803 New Smyrna Beach Assisted Living Facility Inc New Smyrna Beach Oak Manor Inc DeLand Oasis (The) Holly Hill

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Is Assisted Living the

Answer?

Get free advice at Aging Tree 866-320-8803

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6 Iris Manor LLC Deltona No Information Available 60        John Knox Village Of Central Florida Orange City 12   Kist Alf Daytona Beach 11   Kozy Korner Elderly Care Ormond Beach 6      36 La Poinciana Alf Port Orange 32       Lakewood Retirement Center Daytona Beach Column1 Linden Lea Assisted Living Inc. 9      DeLand 15      Little River Manor Inc New Smyrna Beach 6    Manila Home Care Inc. Port Orange Column2 Column3 5 Mi Casita Alf Inc Deltona No Information Available Page # Monastery Oaks LLCFACILITY NAME CITY 10     Orange City 38 6      Americare Assisted Living Inc. Deltona Monroe Manor DeLand No Information Available 6      Angel's SeniorBeach LivingAssisted AssistedLiving LivingFacility FacilityInc LLC Ormond Beach New Smyrna New Smyrna Beach 450 11      15 Bishop's Glen Holly Hill Oak Manor Inc DeLand 68     41 Blossoms Daytona Oasis (The)Assisted Living 1 LLC. Holly HillBeach 60 85    Brookdale Orange Port Orange Ocean ViewPort Manor Daytona Beach 55 14      Brookdale DeLand Open ArmsDeLand Alf Port Orange 70 95     BrookdaleInOrmond Beach Ormond The Pines Ormond Beach 60 6      BrookdaleAssisted Ormond Living Beach West Ormond Beach Parkview DeLand 102 6 BrookdaleParadise Yorktowne Pheasant Port Orange No Information Available 6 25      Canal View Rest Home Port Orange Rastelle Manor Daytona Beach 6 14   Available  Caring Hearts Assisted Daytona Beach No Information Regency Elderly Care Living Edgewater 220 6       17 Cloisters OfHomecare DeLand The DeLand Right Spirit Inc Deltona 28 80       Compassion In Healthcare Daytona Riviera Assisted Living Residences Holly HillBeach 6 10       Coquina Cottage South Daytona 29 Rose Manor Inc. Assisted Living DeLand 6   Available   Coquina Cove(The) Port Orange Sarah House Ormond Beach No Information 6   Available   Coqunia Cay Assisted New Smyrna Beach Sarah House Ii (The) Living Ormond Beach No Information 120 24 No Information   Countryside Port Orange Sarah HouseLakes Iii The Ormond Beach Available 6 35   Available   Cunningham Deltona Beach Sarah House Elderly Iv (The)LLC Ormond No Information 6 45      D'manila Inc.Orange City Port Orange SavannahGarden Court Of Orange City 12 8      Deerfoot Manor Living Facility DeLand Savannah Place Assisted Care Center Holly Hill 15 68    DeLand Alf Home DeLand Beach 13 Seaside Manor Ormond 15 40     Elderly Living Center Of Holly Hill Inc. Holly HillBeach Seasons By Riviera Ormond 68       Evergreen AlfLLC Ormond Beach Selah Living Port Orange 40 16        Fairgreen Assisted Living Inc New Smyrna Shady Lane Orange City 14 16   Available    Florida Oaks Shores Assisted Edgewater Shady Rest Home Living Inc. Facility Daytona Beach No Information 80 12        Forest Seniors Lake Manor Daytona Beach Sixma Deltona 6 16 Fran's Port No Information   Available    SmyrnaElderly West Care Assisted Living Facility New Orange Smyrna Beach 28  6 Garden ManorAssisted Living Facility Inc Holly Hill    Spruce Creek Port Orange 55      6 Gold Choice Ormond Beach Ormond  Summerhaven Assisted Living LLC Debary Beach 69 Golden AbbeyRetirement Assisted Living Daytona No Information   Available     Sunny Ridge & Assisted Living Facility DeLand Beach 37       6 Good Society-Daytona Daytona SweetSamaritan Home At Last Deltona Beach 45      6 44 Good Society-Florida Lutheran DeLand TiffanySamaritan On The River New Smyrna Beach 11    6 Good Shepards Of Assisted DeLand-West DeLand  Timberlane Lodge Living(The) Facility Inc New Smyrna Beach 54   175 21 Grace Manor Assisted Living And Memory Care Port Orange    46 Woodland Towers DeLand 15 19 Grand Villa OfInc. DeLand DeLand No Information Available    Worc Haven Daytona Beach 115      15 Grand Villa Of Ormond Beach Ormond  Worc Inc. Daytona Beach 44       6 43 Groves At Alliance Community (The) DeLand Worc Inc. Port Orange 11    Guardian Home Ii Alf LLC New Smyrna Beach 40   Harbor Oaks Elderly Care Home Port Orange 6  Herald's Retirement Home Daytona Beach 104     23 Horizon Bay A Brookedale Community Orange City 84 Ms.Smith   Indigo Palms Daytona Beach $100,000 50  Indigo Palms At The Manor Daytona Beach In assets 6 Iris Manor LLC Deltona No Information Available 60        52 John Knox Village Of Central Florida Orange City 12   Kist Alf Daytona Beach 11 Living with   Kozy Korner Elderly Care Ormond Beach Home Assisted 6    Family  36 La Poinciana Alf Port Orange Care Living 32       Lakewood Retirement Center Daytona Beach 9      Linden Lea Assisted Living Inc. DeLand 15      Little River Manor Inc New Smyrna Beach 6    Manila Home Care Inc. Port Orange 5 Mi Casita Alf Inc Deltona No Information Available 10     Monastery Oaks LLC Orange City 6 Monroe Manor DeLand No Information Available 40 hours/Wk. $2500.00/Mo. 6     New Smyrna Beach Assisted Living Facility Inc New Smyrna Beach $3200.00/Mo. Average 11    Oak Manor Inc DeLand 8     Oasis (The) Holly Hill 85  Ocean View Manor Daytona Beach 14   Open Arms Alf Port Orange 95    Ormond In The Pines Ormond Beach 6     Parkview Assisted Living DeLand 6 Paradise Port Orange No Information Available OCTOBER 2015 Pheasant | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803 25     Rastelle Manor Daytona Beach 14     Regency Elderly Care Edgewater 6      Right Spirit Homecare Inc Deltona 52

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your finances and ask about costs. Monthly rates and fee structures vary. Most of all, if you are seeking a community for someone who cannot visit the community personally, it’s important to respect their needs and wishes by including them in the process as much as possible. The result will be their greater satisfaction. As you assess assisted living communities, you will likely visit a number of them. To help you determine thefollowing one that’s right for you or your lovedtoone, The checklist is your guide the consider importhe amenities, following questions evaluate each community tant services,toaccommodations, and care based onby your needs. living Also ask whether the commuprovided assisted communities. Every comnity is a member of the Assisted Living Federation munity is unique. ALFA recommends making several of America, which demonstrates a commitment to visits at various times of day to each community you excellence and ongoing professional development.

 

Is the community clean, free of odors, and appropriately heated/cooled?

 of America’s Assisted Living Foundation Consumer Checklist:  Consumer Checklist

are considering. Ask the community for written material, including Environment copies of the residency agreement that outlines, at a As youservices, arrive at the community, do you like its and minimum, fees, extra charges, move-in  location and outward appearance? move-out criteria, staffing, and house rules. youbegin enteryour the lobby andfor tour community, search anthe assisted living  AsAsyou is the décor attractive and homelike? community, assess your current needs and be prea warm greeting from staff paredDo toyou ask receive each provider how it might accommo welcoming you to the community? date any changes in your needs over time. Examine Does the executive director call residents name your finances and ask about costs. Monthlyby rates and  and interact warmly with them as you tour the fee structures vary. community? Most of all, if you are seeking a community for Do residents socialize with each other and appear  someone who visit the community personhappy andcannot comfortable? ally, it’s important to respect their needs and wishes Are you able to talk with residents about how they  by including them in the process like the community and staff? as much as possible. The result will be their greater Do the residents seem to besatisfaction. appropriate  for you orliving your loved one? Ashousemates you assess assisted communities, you will likely visit a number of them. To help you determine Are staff members appropriately dressed,  personable, andfor outgoing? the one that’s right you or your loved one, consider Do the staff members each other in a the following questions totreat evaluate each community  manner? basedprofessional on your needs. Also ask whether the commuthe staff members that youLiving pass during your nity isAre a member of the Assisted Federation  tour friendly todemonstrates you? of America, which a commitment to Are visits the resident welcome at any time? excellence andwith ongoing professional development. 

Consumer Checklist

Environment Physical Features As you arrive at the community, do you like its Checklist Consumer Is the community well-designed for your needs? location and outward appearance?

    

      

Is the floor plan easy to follow?

As the seem lobbytoand tour the community, Doyou theenter residents be appropriate andhomelike? roomsone? accommodating isAre thedoorways, décor attractive housemates forhallways, you or and your loved to wheelchairs and walkers?

Do a warm greetingdressed, from staff Areyou staffreceive members appropriately Are elevators available those unable to use welcoming you to the for community? personable, and outgoing?

tour friendly you? with Areresidents floors of ato non-skid material carpets to Do socialize eachand other andfirm appear ease walking? happy andwith comfortable? Are visits the resident welcome at any time?

Does the community haveresidents good natural andhow they Are you able to talk with about artificial lighting? and staff? like the community

clean, free of odors, and Physical Features  Is the community appropriately heated/cooled? the community well-designed for your needs?  IsDoes community have sprinklers, smoke  Is the the floorand planclearly easy to follow?exits? marked  detectors, hallways, and rooms accommodating Doesdoorways, the community have a means of security if a  Are to wheelchairs and walkers? resident wanders?

 Are elevators available for those unable to use stairways? Needs Assessments, Residency Are handrails available to aid in walking?  Agreements, Costs & Finances Are cupboards and shelves easy to reach?  Is a residency agreement available that discloses  Are floors care of a non-skid material and carpets firm and supportive services, all fees, as to  personal      

Does the community have sprinklers, smoke detectors, and clearly marked exits? Does the community have a means of security if a resident wanders?

Needs Assessments, Residency Agreements, Costs & Finances  Is a residency agreement available that discloses

personal care and supportive services, all fees, as well as move-in and move-out provisions? What are the policies for refunds and transfers?

available?

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Are apartments for single and double occupancy available?

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Do residents have their own lockable doors?

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Are bathrooms private and designed to accommodate wheelchairs and walkers?

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Are residents able to bring their own furnishings for their apartment? What may they bring? What is provided?

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Do all apartments have a telephone, cable or satellite TV, and internet access? How is billing handled?

Is a 24-hour emergency response system accessible from the apartment?

Is there a written plan of care for each resident? How frequently is it reviewed and updated?

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Does the community have a process for assessing a resident’s need for services, and are those needs addressed periodically?

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Is a kitchen area provided with a refrigerator, sink, and cooking element?

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Does this periodic assessment process include the resident, his or her family, and community staff, along with the resident’s physician?

 

May residents keep food in their apartments?

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Are there any government, private, or corporate programs available to help cover the cost of services to the resident?

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May residents decorate their own apartments?



Are additional services available if the resident’s needs change?

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Are there different costs for various levels or categories of personal care?

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Do billing, payment, and credit policies seem fair and reasonable?



Do residents participate in activities outside of the community in the neighboring community?

Are residents required to purchase renters’ insurance for personal property in their units?

Does the community have its own pets?



Is there an appeals process for dissatisfied residents?

  

Do volunteers, including family members, come into the community to help with or to conduct programs?



Does the community create a sense of inclusion by encouraging residents to participate in activities?

Medication & Health Care  Does the community have specific policies

regarding storage of medication, assistance with medications, training and supervision of staff, and record keeping?

May residents smoke in their apartments? In public spaces?

Social & Recreational Activities  Is there evidence of organized activities, such as a

posted daily schedule, events in progress, reading materials, visitors, etc.?

Are residents’ pets allowed in the community? Who is responsible for their care?

Food Service

 

Is self-administration of medication allowed?

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Is there a staff person to coordinate home healthcare visits from a nurse, physical therapist, occupational therapist, etc., if needed?

Do dining room menus vary from day to day and meal to meal?

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Does the community provide three nutritionally balanced meals a day, seven days a week?

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Does the community have a clearly stated procedure for responding to a resident’s medical emergency?

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Are snacks available?

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Are common dining areas available?

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To what extent are ancillary services available, and how are these services provided? Ask if there is an additional charge for any of these services.

Services & Amenities  Can the community provide a list of personal care services available?



Is staff available to provide 24-hour assistance with activities of daily living (ADLs) if needed? ADLs include dressing, eating, mobility, hygiene and grooming, bathing, and toileting.

May a resident request special foods, and can the community accommodate special dietary needs? May residents eat meals in their apartment or suite? May meals be provided at a time a resident would like, or are there set times for meals?

Additional Questions  Does the community conduct criminal background checks on employees?



Does the community train staff on elder abuse and neglect? Is there a policy for reporting suspected abuse?



Does the community have a special wing or floor for residents with cognitive impairments such as Alzheimer’s disease? If so, is it secured?



Does the community provide housekeeping services in personal living spaces?

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Can residents arrange for transportation on fairly short notice?

 

Are barber/beautician services offered on-site?



Does the community provide scheduled transportation to doctors’ offices, the hairdresser, shopping, and other activities desired by residents?

Does the community allow hospice to come in and care for residents?



Does the community accept long-term care insurance?



Does the community allow a loved one, such as a grandchild, to spend the night? Is there a charge?



Does the community participate in the Veterans’ Administration Aide and Attendance Program? Will the community help complete the paperwork?

 

Does the community accept Medicaid?

Consumer Checklist

ease well walking? as move-in and move-out provisions? What are the policies for refunds and transfers? Does the community have good natural and artificial Is there alighting? written plan of care for each resident? How frequently is it reviewed and updated? Is the community clean, free of odors, and appropriately heated/cooled? Does the community have a process for assessing a

Individual Apartment Features  Are different sizes and types of apartments

Does the community have sprinklers, smoke detectors, and clearly marked exits?



Does the community have a means of security if a resident wanders?

Individual Apartment Features  Are different sizes and types of apartments



stairways?

Do the members treat each in a by name Does thestaff executive director callother residents Are handrailsmanner? available to aid in walking? professional and interact warmly with them as you tour the community? Are and shelves easypass to reach? Are cupboards the staff members that you during your

and other activities desired by residents?

artificial lighting?

available?

Are apartments for single and double occupancy available?

 Do residents have their own lockable doors? Is a 24-hour emergency response system accessible OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com  • 866-320-8803 from the apartment? Needs Assessments, Residency  Are bathrooms private and designed to accommoAgreements, Costs & Finances date wheelchairs and walkers?

What are the most common reasons why a resident may be asked to move out of the community?

| 40 |

Days of Month National

October 2015 Special, Wacky Days & Holidays

Change Your Address Not your Lifestyle!

ASK ABOUT OUR FALL SPECIALS

386-774-1234 1 & 2 BEDROOM APARTMENTS www.villagrandeonsaxon.com Your Care is Our Priority!

Paul Sturdgess, Owner

Affordable • Reliable • Committed Care “Blossoms offers a home-like environment with trained and confident staff to ensure that you have a wealth of activities, tailored support with activities of daily living, great nutrition and most importantly an atmosphere filled with dignity and compassion - you are welcome to speak with us - ANYTIME!” 386-257-2162 www.BlossomsAssistedLiving.com

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

1 2 2 2 3 3 3 4 4 4 5 5 6 6 7 7 8 8 9 9 9 9 10 10 11 12 12 12 13 13 14 14 14 15 15 16 16 16 17

World Vegetarian Day National Custodial Worker Day Name Your Car Day World Smile Day first Friday of month Boyfriends Day Techies Day Virus Appreciation Day World Animal Day Taco Day Ship in a Bottle Day World Habitat Day World Teacher’s Day Mad Hatter Day Physician Assistant Day Bathtub Day Frappe Day World Sight Day World Octopus Day Curious Events Day Fire Prevention Day Moldy Cheese Day Egg Day - second Friday of month World Homeless Day Cake Decorating Day Clergy Appreciation Day World Arthritis Day Native American Day Old Farmer’s Day Face Your Fears Day Yorkshire Pudding Day Be Bald and Free Day Emergency Nurses Day- date varies Take Your Teddy Bear to Work Day White Cane Safety Day Chicken Cacciatore Day Boss’ Day Dictionary Day Steve Jobs Day Sweetest Day Third Saturday of month

17 17 18 18 19 20 21 21 21 22 22 23 23 23 24 24 25 25 25 26 26 27 27 28 28 29 29 30 30 30 31 31 31

Wear Something Gaudy Day Spreadsheet Day Chocolate Cupcake Day No Beard Day Evaluate Your Life Day Brandied Fruit Day Apple Day Count Your Buttons Day Reptile Awareness Day National Nut Day CAPS Lock Day National Mole Day TV Talk Show Host Day iPod Day Make a Difference Day United Nations Day Mother-In-Law Day Punk for a Day Day World Pasta Day National Mincemeat Day Howl at The Moon Day Black Cat Day Navy Day Plush Animal Lover’s Day Animation Day Internet Day National Oatmeal Day Frankenstein Day National Candy Corn Day Checklist Day Carmel Apple Day Halloween National Knock-Knock Jokes Day

| 41 |

OUT ON A LIMB

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

| 42 |

Introducing DeLand’s Newest Assisted Living Option forged by the true caring hands that is Alliance Community.

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

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GARDENING BRANCH

Strong Roots

The Dirty Secret to Growing Vegetables (Part 2)

elcome back! The planting season in Florida is fast approaching so we need to get busy. Last month we looked at how to set up your plant beds. Now that you have figured out how you want to set up your garden whether it is in the ground or in a raised bed we need to begin looking at what we need to do to get the dirt ready for planting. If you are growing in the ground (which I don’t recommend for most areas in Florida) before you buy any inputs (a.k.a. fertilizers, compost) you need to perform a soil analysis. On Common Ground Farm even though we grow in pots with a prepared organic potting mix we still do this yearly. We happen to be very fortunate to have a great company local called Argo International Services in Orange City. They will perform a complete chemical analysis of your soil and give you recommendations for $25 a sample. All you need to do is collect few samples from different spots in your garden and mix them. About half a cup of soil is a sufficient amount. Once you get the report back (Usually in a week or less) then you can develop a plan for building your soil. The details are more than I can go into in this month’s column, but I can touch on a few main points you need to consider. First look at the pH of the soil. For gardening purposes most vegetables prefer a pH of 6.0 to 6.8. Our soil in Florida tends to run in the 7.0 to 7.4 range. Your soil analysis should provide you with suggestions on what to use and how much. Another way to lower the pH is by adding compost. If you have the time you can make your own or you can purchase it from a local source. I suggest you avoid mushroom compost or at the very least use it sparingly. While it is cheap there is no consistency in the mix

and it can cause serious problems when over applied. A good local source of organic compost is Quality Green Specialists on North Spring Garden Avenue in DeLand just north of International Speedway Blvd. Dana and Allen are a wealth of knowledge too and always glad to give free advice. Whether you are growing in pots or in the ground the next thing you want to consider

 2 part product called Quantum which provides the enzymes and bacteria the plants need. It is made right here in Florida. You can find both with a search on the internet. You might also want to check out Arbico. com. They have a huge list of products and I have found their sales people to be very knowledgeable. Once you have the soil prepped and cooking as I call it, then you are ready to consider fertilizers and planting. But that is a topic for next month. I hope this information has been helpful. If you have any questions feel free to email me with them at strongroots.agingtree@gmail.com . And always remember whether you are on the farm or in your garden today is always a good day to have a good day.

is adding some beneficial bacteria and fungi to the soil to aid in the breaking down of the compost and the freeing of the nutrients. Florida sand tends to be low in bacteria that digest organic matter. Of course that is to be expected since there is very little organic matter for them to feed on in our sand. We use two products, one is called Soil Restore and it provides the beneficial fungi the plants need. Another is a

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

For more information or for any questions you can contact John Joslin at the Common Ground Farm 386-740-9141, 1330 E. Taylor Rd, DeLand, FL 32724 or e-mail any questions to strongroots.agingtree@gmail.com

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FROM OUR KITCHEN TO YOURS

Carol N. Brown Personal Professional

Hometown Recipe

Independent Insurance Agent

Affordable Care Act Insurance

 Supplemental Health: Accident/Cancer/Dental/Vision

 Medicare: MAPD

Coconut Cake

HMO/PPO/Rx Drug Plans

 Life Insurance:

By Tekla Thornton

Term/Permanent

 Annuities: Fixed/Indexed

A co-worker shared this recipe with me quite a few years ago. If you like coconut, you will love this cake. It is so moist and delicious. Best of all, it is easy to make. Enjoy!

10-12

 Long Term Care Insurance  Identity Theft Protection: Legal Shield Benefits

Ask me about “Life Insurance you don’t have to die to use!” P 386-848-0543 F 386-532-3227 | CarolNBrown@aol.com | www.carolnbrown.com

Tekla

City of Sanford

Duncan Hines Classic White Cake Mix Ingredients to prepare cake per package instructions 2 cups milk 1 cup granulated sugar 6 oz. package frozen coconut 1½ containers 8 oz. frozen whipped topping, thawed DIRECTIONS: Preheat oven to 350 degrees. Grease sides and bottom of 9” x 13” pan with shortening or oil spray. Prepare cake mix according to package directions and pour into pan. Approximately 15 minutes before cake is done, mix milk, sugar and coconut in a saucepan and bring to a boil stirring constantly. Boil for two minutes. Be careful not to let the mixture scorch.

41st Annual Golden Age Games Home of the Nation’s Oldest Games

November 7th thru 14th, 2015

Events for participants 50 years & older Events: Archery, Basketball Shooting, Bowling, Golf, Horseshoes, Swimming, Table Tennis, Tennis, Track & Field Contact Kim Eltonhead Senior Center Supervisor Phone: 407.688.5129 kim.eltonhead@sanfordfl.gov http://www.sanfordfl.gov Local qualifying site for the Florida State Senior Games December 5th-13th, 2015 Clearwater, Florida

When baked, immediately use a fork to make holes all over the top. Pour hot mixture evenly over the cake. Let sit until completely cooled. (It is best to make this cake the day before and let it sit in refrigerator overnight.) Spread whipped topping over cake and serve. (Keep refrigerated until gone.) VARIATIONS: -This would be a perfect cake for Halloween. Just add orange food coloring to the whipped topping before spreading. -Canned or packaged coconut can be substituted for frozen -This cake can be served the same day it is made but it is so much moister the second day. It is worth the wait!

 Health Insurance:

Healthy Morsel Cardio Tip Jog in place for 15 seconds!

Where Life Begins Again • Premier retirement community • Relax in your own private apartment • Many interesting and fun-ﬁlled activities • Free transportation

Schedule a tour today.

113 Chipola Ave., DeLand FL 386-738-2700 There are no entrance or endowment fees required for moving into Woodland Towers -- a fully refundable security deposit is all that is needed.

Security

Transportation

Friendly

Activities

refreshfitness4life.com

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

| 46 |

CLASSIFIEDS

Used Medical Equipment: Aging Tree - 386-774-2440 NEW! Pride Silver Star Boom 250 $1500

Industry Jobs: Home Maker/Companion

Jobs available, experience preferred, reference and backgrounds checks. Qualified individuals call: 386-774-9090 Nursing, Dietary, Activities, Rehab, Maintenance, and Administration Departments positions open at Orange City Nursing & Rehab Center Port Orange Nursing & Rehab Center Please visit these websites to view all of our current open positions and available employment opportunities within both facilities. These websites are updated daily for. EEO/AA Employer M/F/V/D https:// www.EmployFlorida.com http://www. FLjobconnections.com

Have Used Items to sell?

R SELL IT HE

Aging Tree Illustrated offers free classified ads for those needing to sell their used items. You may list your ad by submitting information to: customerservice@agingtree.com or mailing to 985 Harley Strickland Blvd., Suite 5, Orange City, FL 32763 Attention-Classifieds (50 word maximum per ad).

Volunteer Opportunities: Looking for volunteers to patrol our streets, only 4 hours a week, we do house watches, traffic control. 18 years up. Please call Sonia Cortes the recruiter, at 386473-2601 or pick up the application at the nearest sub-station (Sheriff Dept.) The West Volusia Tourism Bureau is looking for volunteers to work a 4-hour shift in our Visitor Center at least once a week Monday-Friday. Friendly outgoing people with a good knowledge of the West Volusia region are encouraged to apply in person at 116 W. New York, DeLand or email info@visitwestvolusia.com. Friends of Deltona Library Used Book Store Open daily with great bargains including large print, magazines, books on CDs, movie DVDs and books for the Grandkids 25-50 cents. Ask about free classes.386-624-8767

To have your ad removed please call 386-774-2446 or e-mail graphics.agingtree@gmail.com

Enhanced Vision Merlin LCD CCTV, Model # MRVE19A-VA 19” screen, includes manual. Nearly new condition, $600. Pick up in S. DeLand or local delivery available. Contact: Susan 386-383-9156. The Lexis Light Mobility Scooter: Weighs only 54 pounds, folds into a small compartment that will fit into ‘any’ car, and can be taken onto a plane as a carry on luggage. 1 yr old - 3 Batteries - Headlight - Storage Tray - Cup Holder & Speed Control - $1,500.00 Please contact Joann at 386-344-9234. Invacare Power Chair $2000 Hoyer Lift, Automatic Hospital Mattress, Bathroom Chair w/toilet bucket - Call for price, Contact: Bob 386-860-3774 Used medical equipment for sale: Jazzy power chair, $800, Jerry chair, $20, Bedside commode, $10, Four-wheel walker, $30, XL Glider (similar to Nordic Track), $40, Hospital bed linens, free Contact Al: 386-218-5111 Remember When... • 1908 The Ford Model T introduced to the public • 1926 Babe Ruth sets new record • 1929 Wall Street Crash (Black Thursday) • 1947 US minimum wage of 40 cents per hour

WELLNESS Wednesday

Join the conversation! Building Better Balance and Bones Oct. 21, 2015 8:30 AM

RSVP Today!

Items For Sale: 4 Side by Side Cemetery spaces, Garden of Memories, Perpetual Care,Tampa, FL $6,000 (valued at $12,900).Contact: Judy 386-956-5613 2 CEMETERY LOTS Side by Side In the Garden of Prayer @Forest Lawn/Lauderdale Memorial Gardens Cemetery Fort Lauderdale, Florida, Asking price $1500.00 OBO for both lots (includes transfer fee) Cemetery value $1995.00 each. Contact: Sandra 386-804-6354 Two Mausoleum Crypts Abbey of Faith, space 13 and 14 Deltona Memorial Gardens, Orange City FL. Valued at $12,000 will sell for $6,000.00 Prayer Level Contact: William 386-789-6419 QUILT LOVERS: 2 antique quilts that can be purchased at half price, 1 Amish twin-bed (yellow nine patch pattern); 1 pink & white, standard (cathedral window pattern) Pictures can be sent, Contact: Shirley, 228-4041 Zingo Electric Panel Box Breakers Used: Singles $25, Doubles $45, 15 - 20 - 30 & 40 Amps. Contact: Larry 386-801-5837 22 Pieces Crystal Stemware, over 60 years old, clear/gray floral on bowl & foot (6 water goblets, 8 iced tea glasses, 8 sherbet/champagne glasses), $200. Worth over $300. Contact: Judy 386-956-5613 Items for Sale - Brass Disc - For Wall or Table $50, Various Original Oil Painting Tropical Landscape Cuban Painter from Bella Artes/Havana from $150.$900, Two Ottomans-$20 Each Artificial House Plants in Baskets - $10, 16” TV or Desk Computer Screen - $45, Upscale Vintage Clothing and Jewelry - All or Part, Please leave message - Contact: Cira at 386-532-1777 Men’s bicycle 1974 Schwinn Varsity $200 - Excellent Condition Contact: Anthony at 386-740-8808

Wanted Items: Wanted: CASH PAID Looking for Fishing Reels, Lures,Rods, Tackle, Duck Decoys, Fishing & Hunting Stuff of all kinds. Contact Bob in DeLand 321-2208154 Wanted: Records (45 & 33 1/3 rpm ) Will pay $100.00 plus for Elvis Presley 45 and 78rpm on SUN label. Also, buying early 50-60s 45rpm doo-wop, rhythm & blues, etc. and jazz albums on Blue-Note, Prestige and other labels. Contact in DeBary at 386-956-2350

985 Harley Strickland Blvd., Ste. 100, Orange City, FL 32763

386-774-2446

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

| 48 |

Calendar of Events October SENIORS ON SUNRAIL DAYCATIONS

Winter Park Daycation or Dr. Phillips Center for the Performing Arts 3rd Wednesday of Each Month - Oct. 21

_________________________________________________________

COMMUNITY EVENTS

Aging Tree 2015 Annual Fall Festival - 386-774-2446 10 AM - 1 PM - 985 Harley Strickland Blvd., Suite 100 VITAS Bilingual Health Fair – 10:00 AM - 2:00 PM Oct 10 & 24, 2015

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EDUCATIONAL SUPPORT

DeLand Bakery/Natural Market Education - 386-736-7919 Call for Class Information Please Contact Orange City Senior Center Wava Hall October Schedule of Events - 386-775-3121 Free Wellness Wednesday Seminars by Cheree Albert, MSN, ARNP, CPNP Join Us Today at Aging Tree October 21, 8:30 - 9:30 AM RSVP 386-774-2446

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HEALTH SCREENINGS & SUPPORT GROUPS Monthly Health Screenings Summit Medical Office Building 386-917-5155 er e! d 2nd Tuesday of each month, Ste. 211 - 7 - 9:00 AM October 14 r in O nl (12 hour fasting required for some screenings) Osho Meditation Bamboo Arts Center – 386-956-1329 or 386-277-2069 7 – 9:00 AM Call for Dates Zumba Orange City Wava Bldg - 386-775-3121 9:15 – 10:00 AM Call for Dates Support Groups located at Florida Hospital Fish Memorial Cancer Institute RSVP or Questions 386-917-5852 Breast Cancer Support Group – 5 – 6:00 PM October 13 Cancer Support Group – 5 – 6:00 PM October 15 Men’s Cancer Support Group – 2 - 3:00 PM October 21 Cancer Survivorship Support Group – 5 – 6:00 PM October 27 Look Good Feel Better – Call 1-800-227-2345 Support Groups Located at Florida Hospital DeLand Cancer Center RSVP or Questions 386-943-7160 Men’s Cancer Support Group – 2 - 3:00 PM October 6 Cancer Survivor Support Group – 5 - 6:00 PM October 13 Cancer Support Group – 5 – 6:00 PM October 21 Breast Cancer Support Group – 5 - 6:00 PM October 26 Look Good Feel Better – Call 1-800-227-2345 Support Groups located at Aging Tree Vitas Healthcare Memorial Service – 3 - 4:00 PM October 7 Bereavement Support Group – 2 – 3:00 PM October 20 Alzheimer’s Support Group – 11 AM - 12:00 PM October 21 Coffee and Conversation – 11 AM– 12:00 PM October 28

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Port Orange

862 Saxon Blvd. Orange City, FL

3850 S. Nova Rd. Port Orange, FL

Open Daily

386-775-7002

386-763-7046

www.DebbiesHealthFoods.com

MIND BENDERS

OCTOBER 2015 | ONE-STOP Senior Care | Aging Tree.com • 866-320-8803

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EVERY DAY, THOUSANDS OF PEOPLE LIKE YOU PARTICIPATE IN CLINICAL RESEARCH STUDIES.

Covance in Daytona Beach is looking for diabetics for upcoming research studies: •Diabetic Men & Women, Age 18 & up •You may be compensated for time and participation If you are interested in participating in future diabetic studies call our recruitment center to be entered into our database. Call 1-866-429-3700 or Go to CovanceClinicalTrials.com 1900 Mason Ave., Ste. 140 Daytona Beach, FL 32117 © Copyright 2015 Covance Clinical Research Unit Inc.

We Keep you dancing...

Pharmacy

Outpatient Therapy

Clinic

386 456 1500

701 Monastery Rd., Orange City, FL 32763

101586