Mature Arkansas

Mature Arkansas JUNE, 2012

Doctor Helps at Home

PageS 14-17

ALSO in this issue

Tour de Rock pages 6-7

Get to Know Your Hospital pages 18-24

Farm Bill Affects Us All pages 26-27

MATURE ARKANSAS

JUNE, 2012

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2 JUNE, 2012 MATURE ARKANSAS

Reynolds ad3.Mature Ark.indd 3

4/19/12 10:48 AM

e d i torIAL

Snell Prosthetic & Orthotic Laboratory

End the Doping Scandal

By Anne H. Wasson

D

oping 40% of nursing home residents to control their behavior is a national scandal. For residents with dementia who become agitated, far too often the medication of choice is an antipsychotic. About 40% of nursing home patients with dementia received antipsychotics at some time in 2010, even though they had no diagnosis of psychosis. These are serious drugs that can kill when given to dementia patients. Death rates double when residents with dementia are given antipsychotics such as Haldol, Risperdal, Abilify, Geodon, Seroquel or Zyprexa.

Nearly a fifth of all nursing home residents are getting daily doses that exceed recommended levels.

These drugs do calm agitated and sometimes violent people and are an accepted therapy for bipolar and schizophrenic patients. But giving antipsychotic drugs to dementia patients with no diagnosis of psychosis, who are confused, scared and unable to recognize anyone around them is wrong. It happens because it’s the only alternative in nursing facilities that do not employ an adequate number of staff trained to care for dementia patients. Advocates cite staff shortages and poor training for much of the abuse and poor care in nursing homes.

The federal government has taken action with the “Partnerships to Improve Dementia Care.” This new initiative from the Centers for Medicare and Medicaid (CMS) has a goal of a 15% reduction in antipsychotic use among residents with dementia by year end. The initiative will focus on training to ensure appropriate use of antipsychotics in nursing homes; on more transparency by including data on each nursing home’s use of antipsychotics on the Nursing Home Compare website; and on using non-drug alternatives.

This initiative gives us hope that more humane care might finally replace the rows of drooling, stupor-like figures that line the halls of far too many nursing homes. We must stop substituting drugs for compassionate, individualized care of our most impaired fellow citizens. In nursing homes that value profit over compassionate care, it is the over-worked and under-paid staff and the residents with dementia who suffer…and die.

Fancy Footwork • Custom Fabricated Foot Orthotics and Diabetic Footwear • Specialists in Lower and Upper Extremity Prosthetics • Custom Orthotics for Lower and Upper Limbs and Spine • Licensed and Certified Practitioners on Staff • Nine ABC-Accredited Facilities in Arkansas

(501) 664-2624 Statewide Toll-Free: 1-800-342-5541 625 North University Avenue • Little Rock, AR www.snellpando.com

Offices located in Little Rock, Russellville, Fort Smith, Mountain Home, Fayetteville, Hot Springs, North Little Rock, Jonesboro, and El Dorado

Providing the Latest in Technology & the Best in Care for More Than a Century PROSTHETICS / ORTHOTICS / PEDORTHICS / POST-MASTECTOMY

Mature Arkansas Publisher Alan Leveritt Editor Anne Wasson Art Director Mike Spain Photographer Brian Chilson Graphic Artist Bryan Moats Director of sales Katherine Daniels Account Executive Erin Holland

Circulation Director Anitra Hickman ad Coordinators Roland Gladden Kelly Schlachter Production Manager Weldon Wilson Production Assistant Tracy Whitaker Office Manager Angie Fambrough Billing and Collections Linda Phillips

• Active lifestyle

Mature Arkansas is published monthly by Arkansas Times Limited Partnership, 201 E. Markham St., P. O. Box 34010, Little Rock, Arkansas 72203, phone 501-375-2985. Reproduction or use, in whole or in part, of the contents without the written consent of the publisher is prohibited. Manuscripts and artwork will not be returned unless sufficient return postage and a self-addressed stamped envelope are included. The publisher assumes no responsibility for care or safe return of unsolicited materials. All letters will be treated as intended for publication and are subject to Mature Arkansas’ unrestricted right to edit or to comment editorially. All contents copyrighted 2012 Mature Arkansas.

Like us on Facebook! facebook.com/maturearkansas MATURE ARKANSAS

JUNE, 2012

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guest editorial n june 2012

You've Earned a Say

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voice has been missing from the political debate over the future of Social Security and Medicare — yours. AARP wants to fix that.

For more than a year, President Obama and Congress talked about changes to Medicare and Social Security, as part of a budget deal, without any discussion about how any changes would affect you and your family.

AARP is taking the debate out from behind closed doors in Washington, and launching “You’ve Earned a Say” (YEAS) — a national conversation to ensure you and the people of Arkansas have a say in the future of Medicare and Social Security.

You’ve earned your benefits by paying into Social Security and Medicare for years. You deserve to know what changes politicians are considering, so you can speak out about how they would affect you. AARP is sponsoring community conversations, debates, webcasts, bus tours and other events – all with the goal of giving you a chance to state your views and offer ideas about how to keep Social Security and Medicare strong for the long term.

You should join this conversation because your health AARP State Director Maria Reynolds-Diaz a n d re t i re m e n t addresses crowd at Arkansas YEAS kickoff at security are at stake. the Clinton Presidential Center.

Medicare is facing financial challenges, especially due to ever-rising healthcare costs. The Medicare fund that pays hospital bills will face a shortfall in 2024. Social Security can pay 100% of benefits until 2033, and 75% after that. That’s not good enough, so policy decisions will have to be made.

In Arkansas, 391,700 seniors depend on Social Security; 409,987 count on Medicare to help them afford healthcare, including guaranteed coverage for doctors, hospitals and prescription drugs.

AARP will ensure you have easy access to information about the programs and the challenges they face, free of Washington spin and jargon. Our website www.earnedasay.org gives you simple and accurate information and enables you to share your ideas about how to strengthen these programs with Congress and the political candidates.

This dialogue takes on extra meaning in an election year. We urge candidates for Congress and the White House to be forthcoming about their plans for Social Security and Medicare. Voters have a right to know their views, so they can weigh them carefully in evaluating candidates.

Washington needs to hear from you that the future of Medicare and Social Security isn’t just a debate about budget numbers, it is a debate about people’s lives.

You also can show it’s possible to discuss important issues without all the partisan bickering and posturing we’ve come to expect from Washington. We all have an interest in keeping Social Security and Medicare strong for our children and grandchildren.

AARP is working to make sure your voice is heard loud and clear.

When it comes to the future of Social Security and Medicare, you’ve earned a say.

Stop the Violence

By Erica Sweeney

E

lderly victims of abuse, maltreatment and exploitation will have an opportunity to tell their stories and learn ways to protect themselves at an Elder Maltreatment Symposium on June 22 at the Wyndham Hotel in North Little Rock.

The symposium, sponsored by the Ark. Div. of Aging and Adult Services (DAAS) as a way to raise awareness about these issues, will feature speakers from the UALR Criminal Justice Dept., Attorney General’s Office, Fourth District Prosecuting Attorney’s Office, Alzheimer’s Arkansas, Adult Protective Services and a panel of consumers affected by these issues.

To p i c s w i l l i n c l u d e Medicare fraud; recognizing signs of abuse, maltreatment, or neglect

“We want to give consumers and victims

a voice.

Until people are

and how to report it.

“These are topics we as a society often don’t talk about,” says DAAS Director Krista Hughes. “But until people are aware of these issues and how to prevent them, we are never going to make an impact.”

DAAS, a division of the Ark. Dept. of Human Services, administers Adult Protective Services (APS), which investigates reports of individuals who are in imminent danger or lack the capacity to protect themselves. In 2011, the APS hotline (800-482-8049) received more than 6,000 calls; more than 4,400 resulted in investigations.

“We want to give consumers

and victims a voice, and allow them to speak out to help other families in similar situations,” says Hughes.

“And, hopefully offer them some closure.”

Nationally, the U.S. Ad m i n i s t ra t i o n o n Aging (AoA) recognizes elder abuse as a public health crisis affecting all demographics. The AoA estimates that 84% of abuse, neglect and exploitation cases go unreported. This year marks the seventh anniversary of World Elder Abuse Awareness Day on June 15.

The symposium is free, but space is limited.

Make your reservation by calling Delsandro Franklin at 501- 683-5451 or delsandro. franklin@arkansas.gov by June 15.

aware of abuse and how to prevent it, we cannot make an impact.

Look at what we’ve got.

SUMMER FUN, NATURALLY.

We have tons of activities to keep you and your children occupied this summer.

Go to agfc.com to find out more about all we offer at our Nature Centers and Education Centers.

Education. It’s in our nature. agfc.com Nature Center hours: Tue.‑Sat. 8:30‑4:30 | Sun. 1:00‑5:00 | Closed Mondays

Wednesdays 2 p.m. ‑ Fish Feasting Fridays 2 p.m. ‑ Alligator Feeding Second Saturdays 2 p.m. ‑ Lil’ Wild Ones: Nature Stories & Activities www.centralarkansasnaturecenter.com (501) 907‑0636

Tuesdays‑Fridays 11 a.m. ‑ Fish Feeding 3:15 p.m. ‑ Eagle Feeding and Presentation Saturdays and Sundays 3 p.m. ‑ Fish Feeding Saturdays 3:30 p.m. ‑ Alligator Feeding www.deltarivers.com (870) 534‑0011

Tuesdays‑Sundays On the half hour ‑ Crowley’s Ridge Movie 3:30 p.m. ‑ Feeding Frenzy Saturdays 10 a.m. ‑ Creature Feature First Saturdays 10:30 a.m. ‑ Tales & Trails Nature Stories & Crafts Second Saturdays 10 a.m.‑2 p.m. ‑ Fly‑Tying Round Table www.crowleysridge.org (870) 933‑6787

Tuesdays‑Sundays 2 p.m. ‑ Critter Crunch Animal Feeding Fridays 3:45 p.m. ‑ Nature Break (3‑7 year olds) Saturdays 10 a.m. ‑ Guided Hike Noon‑2 p.m. ‑ Canoe/Kayak Program 3 p.m. ‑ Laser Shot Sundays 2:30 p.m. ‑ Archery www.rivervalleynaturecenter.com (479) 452‑3993

MATURE ARKANSAS

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tour de rock

Bicycling Is Kind to Older Riders

Tour de (Little) Rock on a bicycle.

By Erica Sweeney • Photos by Bob Ocken

M

ore than half the competitors in the 9th Tour de Rock are over age 45 and they expect to raise a lot of money for CARTI, the Central Arkansas Radiation Therapy Institute--an independent network of cancer facilities throughout Arkansas. Last year nearly 1,100 cyclists took part and Rebekah Howe, CARTI special events coordinator, is expecting more than 1,200 riders to participate on June 9. The ride will start at the Burns Park Soccer Complex in North Little Rock.

The event began in 2004 as the “brainchild of CARTI Foundation board member Stephen Bentley,” says Howe. “From modest beginnings, the event has definitely evolved into a major fundraiser for CARTI.” Last year the event generated over $125,000. “Funds raised at Tour de Rock ensure the future of our patient Ray of Hope programs,” Howe says. “The program provides housing, transportation to and from treatment, emotional and educational support and much more.” Howe says CARTI serves 14,000 patients annually with a full scope of cancer treatment in 14 clinics across the state.

Cycling is an ideal activity for older individuals because its low impact workout is gentler on the joints and muscles. Other activities like running can put stress on the body, especially on the knees, says avid cyclist Michael Shelley, state president of U.S. Bank, a Tour de Rock sponsor.

Cycling promotes emotional well-being as well. “People continue to cycle well into their 80s,” says Shelley, 60. “Cycling is a wonderful way to stay young.

You’re around people who are energetic and feel good about themselves. As you get older, mobility goes down because of lack of exercise.

But getting out on a bike two to three times a week becomes infectious and keeps you active and mobile,” he says.

Mike Coulson, 58, owner of Coulson Oil Company, began cycling about 10 years ago after a friend invited him on a fundraising ride

Mike Coulson is a presenting sponsor of and avid participant in Tour de Rock.

6 JUNE, 2012 MATURE ARKANSAS

through France and Switzerland. He says he got fitted for a bike and “just started riding” to be in good shape for the ride. Coulson says he lost 25 pounds in his first year of cycling.

For the past five years, Coulson Oil has been the presenting sponsor of Tour de Rock.

The Tour features several courses for all skill levels. The Arkansas Children’s Hospital Family Fun Ride is a 10-mile course across North Little Rock for cyclists of all ages and all abilities. It will include the Big Dam Bridge and the new Two Rivers Bridge.

The U.S. Bank Advanced Ride is a separate advanced course for more experienced cyclists and offers ride routes of 30, 50, 62 or 100 miles, starting at the Burns Park Soccer Complex in North Little Rock at 7:00 AM. Shelley says he was encouraged to be a Tour de Rock sponsor by his good friend, Coulson, four years ago. This year more than 20 U.S. Bank employees will ride the course, and many more will volunteer at the event, according to Shelley.

Last year, Shelley rode the 62-mile course and says he “never heard the end of it.” This year he plans to ride the full 100-mile course.

“It’s the best supported and managed cycling event I’ve ever been a part of,” Shelley says. “The spirit of the people around you makes you feel good. You’re raising money for a really good organization and doing something good for yourself.”

“It’s a well-done event, with great volunteers,” Coulson adds. “It’s wonderful to help CARTI and promote the sport of cycling.”

Shelley began cycling in 1980. He had been a runner, but once he started cycling, he says, “I never looked back. I love the exercise. And, you get to see so many things.”

He said the “runner’s high” occurs more frequently in cycling. “You never know when it will happen. It’s a wonderful feeling when the endorphins kick in,” he explains. “Even at my age, I can still go fast.”

For Shelley, cycling is a family activity. His wife, three adult children, their spouses and

Cycling is an ideal

activity for older

individuals because of its low impact

on joints

Start of the Tour de Rock Advanced Ride from 2011 (above). David and Nancy Halsted of North Little Rock chaired Tour de Rock from 2008-2010. Nancy is a breast cancer survivor and David serves on the CARTI Foundation Board (below). his grandchildren all ride bicycles. He and his wife often ride together after work. Each year for his birthday, the family holds “Tour de Papa” and rides one mile for each year of Shelley’s age.

Both Shelley and Coulson ride several times a week. They say central Arkansas has many great rides for cyclists, including their favorites: the River Trail, Maumelle Park and the Big Dam Bridge.

“We have trails equal to anything” in other states, says Coulson, who rides about 100 miles a week. He said cycling gives him time to think, but “you have to pay attention.”

Bike safety is highly important, says Shelley. Wearing a helmet is essential; Coulson also suggests carrying a water bottle and cell phone when riding.

Finding the right bike is important for new cyclists, both Coulson and Shelley agree. They suggest going to a local bike shop to get fitted for a bike. Shelley says many first-time cyclists make the mistake of getting the wrong kind of bike.

“A good bike shop will consult with you and not just try to sell you a bike,” he says. “You don’t have to spend a lot, but bike fit is very important. What works for one cyclist may not work for their twin brother.

It’s highly individualized.”

If You Go...

S

pectators can enjoy the race at the start/finish line at Burns Park Soccer Complex, North Little Rock and in the River Market area in Little Rock.

Bicyclists may register up until the morning of the event, beginning at 6:00 AM. Registration fees are $40 for ages 12 and up, $5 for

ages 5-12, children 4 and under are free.

The Advanced Ride begins at 7:00 AM at the Soccer Complex.

The event will also include food, live music at the start/finish line.

For more information about CARTI or Tour de Rock, visit www. carti.com MATURE ARKANSAS

JUNE, 2012

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CALEN DAR P I C KS

☛

The people never give up their liberties but under some delusion. — Sir Edmund Burke

☛

Get In Tune With June

By A.H. Wasson

June 4 -28-SeniorNet Classes: NavigatingtheInternet,Intro to Computers,Fundamentals for Beginners,and Exploring Windows 7; Reynolds Institute on Aging, Room 1155, UAMS campus, Little Rock. $45 per class ($75-couples attending together), manuals $15, free parking in front of building.

2-hour classes meet twice a week for 4 weeks. For information 603-1262 or visit seniornetjoan@gmail.com

and fitness classes, including Zumba Gold, Tai chi, Yoga and SilverSneakers.

Membership $35 per mo. or $175 for 6 mo.

For more information call 526-5779.

J une – Au g 17-Prepare your application for LeadAR, Arkansas’ June 9—“Herbs—Growing, premiere leaderLandsc aping and Using ship development Them,” workshop at Gar van program, sponsored Woodland Gardens, 9:30 AM-3:00 by the Cooperative June -Travelers Baseball, Dickey-Stephens Park, foot of PM; $45 members, lunch included; Extension Service, Broadway Bridge, North Little Rock. $6-$12, children under 2 free. Home $55 non-members. To register call U of Ark. Application games: June 1-4, 14-21, 29-30; all games 7:10 PM; Sun. 6:00 PM. 501-262-9300. for the 2-year program due Aug. June 12-16—Petit Jean Car 17. Designed for Show and Swap Meet, Museum of June 22-24—“ Great War Memorial people who want to develop their leadership Balloon Race,”War Memorial Stadium, Little Automobiles, Petit Jean Mountain, Morrilton. skills, the program focuses on community Rock, Call 501-993-4504 for information. Hot-air Call 501-7275427 for information. leadership. Gain an in-depth, global view of balloons, kite flying and lots of food trucks.

Arkansas issues and resources; get connected June 17—Father’s Day Family Fishing with leaders in Washington, DC; and experiDerby, Swan Lake, Wildwood Park for the Arts, J une 2 3 — S u m m e r S o l s t i ce ence international travel. Tuition $3,000. Visit Celebration, Toltec Mounds Archeological west Little Rock, noon- 5:00 PM. Call 501-821uaex.edu/leadar or contact Prog. Dir. Dr. Joe State Park, Scott. Call 501-961-9442 for informa7275 for information.

Waldrum, 501-671-2076. tion.

Nowthrough June 24—“The Dixie Swim June--Zumba Gold classes, sponsored Club,” Murry’s Dinner Playhouse, 6323 Col. June through July 21—“The White

by CareLink, modify for active older people House Garden,”Laman Library, 2801 Orange Glenn Rd., Little Rock; dinner 6:00 PM; curtain the regular Zumba moves and pacing, also for St., North Little Rock; Mon.-Thurs. 9:00 AM-9:00 7:45 on Tues. - Sat. A touching comedy about beginners of any age. The zesty Latin music PM; Fri.-Sat. 9:00 AM-5:00 PM; Sun. 1:00-5:00 friendships that last forever. $29-$33; $23 for age and the invigorating, party-like atmosphere all PM, free. Exhibit features historic and contem15 and under. Call 562-3131 for reservations and stay the same. porary photos tracing the development of the show times for Sun. matinees.

In Little Rock at: June 26 – July 22-“Barefoot in the spectacular,18-acre gardens surrounding the Park,” Murry’s Dinner Playhouse.

UAMS Institute on Aging on Mon. & Fri. 1:00 White House. Call 758-1720 for information.

PM and Fri. 11:00 AM (call 526-5779) June-July 1—“A Loss of Roses,”Arkansas June-UAMS Therapy and Fitness Bess Chisum Stephens Community Center on Program has new fitness equipment and Repertory Theatre, 601 Main St., Little Rock. Call Tues. & Thurs. 11:15 AM (call 664-4268) longer hours, Ottenheimer Fitness Center, 501-378-0405 for information.

LifeQuest on Wed. 1:15 PM (call 225-6073) Reynolds Institute on Aging, UAMS campus, Pulaski Heights United Methodist Church on June 21-23—BrickFest, Malvern, includes Little Rock. New hours are Mon.-Thurs. 7:30 Tues. & Thurs.2:00 PM (call 664-3600) food, free music, car-motorcycle-truck show, AM – 5:30 PM; Fri. 7:30 AM – 4:00 PM. New In North Little Rock at Indian Hills Church on parade, scavenger hunt, best-dressed brick equipment includes 2 new treadmills (5 total), Mon., Wed. & Fri. 3:15 (call 835-2838) Lakewood contest, watermelon-eating contest., 5K run 2 ellipticals, 8 strength-training machines United Methodist Church, Mon. & Fri. 2:30 PM and lots more family fun. Call 501-458-1115.

(16 total); also: 16 cardiovascular machines (call 753-6186).

8 JUNE, 2012 MATURE ARKANSAS

June 18—“Keeping Your Mind Sharp,” a lecture by Denise Compton, PhD, at UAMS’ Reynolds Institute on Aging, Little Rock, 5:30-7:00 PM, free; snacks provided. The second lecture of “everything I want to know about…” series. Reservations are appreciated by emailing skbaker@uams. edu or call 686-8100.

Saturdays—Group Bicycle Ride, hosted by Bicycle Friendly Community Committee, 7:00 AM, starts at River Trail Bicycle Rentals, 140 Riverfront Dr., North Little Rock. Call 374-5505 for more information.

Third Mon.—Preservation Conversations, at Curran Hall, 615 E. Capitol Ave., Little Rock, 5:00 PM beer and wine; program 5:30-6:30, free.

The discussion will continue over dinner at Lulav Restaurant. Sponsored by the Quapaw Quarter Association, the education series focuses on city-wide historic preservation topics. For more information call 371-0075.

There are cycling events throughout the state all summer.

Third Thurs.—Central Ark. Coin Club, Parkway Place Baptist Church, 303 Parkway Place; 6:00 PM. Buy, sell, swap coins, or get appraisals. Free, for more information call 351-3114.

FARMERS' MARKETS

Hot Springs—Tues. 5:00 -8:00 PM; Thurs. 7:00-11:00 AM; Sat. 7:00 AM-noon; Historic Downtown Farmers’ Market, 121 Orange St.; free parking. Tuesday evening market includes live music, kids’ activities and other entertainment. Visit hotspringsfarmersmarket.com for information.

Conway’s On-Line Farmers’ Market--Visit Conway.locallygrown.net Order Sun 7:00 PM - Tues. 9:00 PM; pick up order on following Fri. 4:00-6:00 PM at St. Peter’s Episcopal Church, 925 Mitchell St. Annual membership is $25 per household; $5 of fee donated to St. Peter’s Food Pantry and $5 donated to Conway Locally Grown Community Fund, a micro-lending program funding sustainable community projects for $500 or less.

Born at the close of World War I and on the cusp of the Roaring Twenties, Dorothy Howell Rodham and Virginia Clinton Kelley came of age in a changing America. The Great Depression and World War II defined their Generation, and both women overcame obstacles to provide nurturing homes filled with love and support. Their lives were an inspiration to their family, friends, and those who knew them.

June 11, 2012 – November 25, 2012

Conway Farmers’Market, 717 Parkway St., Tues, Thurs, Sat. 7:00 AM-1:00 PM; third Thurs. 4:00-8:00 PM. Call 501-329-8344 for more information.

Hot Springs—Spa-City Co-Op. Visit spacity.locallygrown.net/market for an amazingly varied list of products—from artisan breads to natural cleaning products; from free-range eggs to wild-flower honey, and more fresh fruits

1200 President Clinton Avenue • 501-374-4242 • clintonpresidentialcenter.org MATURE ARKANSAS

JUNE, 2012

9

☛ We have no more right to consume happiness without producing it than to consume wealth without producing it. — George Bernard Shaw ☛

CALEN DAR P I C KS

from Southern Regional artists Carroll Cloar, William Dunlap, Theora Hamblett, Robert Rector and many others. Tues- Fri, 10:00 AM-5:00 PM; Sat. 10:00 AM-2:00 PM. For more information visit gregthompsonfineart. com or call 664-2787.

and vegetables than you can count. Place order from Sat. 9:00 AM-Tues. 9:00 PM, every other week. Pick up order on following Fri. LittleRock—Tues.andSat.through October 27; 7:00 AM-3:00 PM; River Market Pavilions, 400 Pres. Clinton Ave. Call 375-2552 or visit rivermarket.info L i t t l e R o c k ’ s H i l l c r es t Neighborhood, Pulaski Heights Baptist Church, 2200 Kavanaugh; Sat. 7:00 AM-noon, 2200 Kavanaugh Blvd.

Little Rock’s Bernice Garden, 1401 S. Main St., Sun. 10:00 AM-2:00 PM; call 617-2511 for more information.

North Little Rock—Sat. 7:00 AM to noon—The Argenta Farmers’Market, 6th & Main streets. All products certified as from Arkansas family farmers. Free parking.

ARTS Now through Aug. 19—Arkansas Arts Center exhibits, 9th & Commerce St., Little Rock, 9:00 AM-5:00 PM weekdays (closed Mon.); 11:00 AM-5:00 PM weekends. Free admission. Call 372-4000 or visit arkarts. com for more information.

Exhibits include: Now through June 10—Mind’s Eye: Still Lifes of Daniel Massad. Massad works on a dark, atmospheric background with layers and layers of pastel.

N ow t h ro u g h Au g. 5— T h e N ew Materiality: Digital Dialogues at the Boundaries of Contemporary Craft.

Explores growing use of digital technology as a means of expression in craft.

June 24—GalleryTalkwith Charlotta Kotik, guest curator for the 11th National Drawing Invitational: New York. Free June 18-Aug. 25—The AAC’s Museum School summer art classes registration. Classes for all ages, all skill levels and day, evening and weekend class times. For a full list of classes visit arkarts.com

10 JUNE, 2012 MATURE ARKANSAS

Nowthrough Aug.19—The Rockefeller Influence, exhibit focuses on Gov. & Mrs. Rockefeller’s role in establishing the Arts Center and includes 55 works given or loaned to the museum by the Rockefeller family.

Now through July 13—“Small Works, Native Treasures,” at the Sequoyah National Research Center’s Wiggins Native American Art Gallery, UALR’s University Plaza, Suite 500, S. University and Col. Glenn, Little Rock; weekdays 8:00 AM- 5:00 PM ; free. Over 60 works from J.W. Wiggins Collection of Native American Art. Call 501-569-8336 for information.

Museum of Contemporary Art, 425 Central Ave. in the restored Ozark Bathhouse, Hot Springs, Wed.-Sat. 10:00 AM-4:00 PM, Sun. Noon-3:00 PM; $5, 12 and under free. Current exhibits include Disfarmer Photos, Boban sculptures, Fidel Garcia, Renzo, M.L.Snowden and others.

For more information call 501-609-9966.

MUSEUMS

Now through July 29-“Extreme Deep: Mission to the Abyss,” Museum of Discovery, 500 Pres. Clinton Ave., Little Rock, Tues-Sat 9:00 AM-5:00 PM; Sun 1:00-5:00 PM. $10; $8 for seniors and children under 12.

J a c k s o n v i l l e Gu i ta r This interactive exhibit Museum, 1105 Burman Dr., includes a model of the Jacksonville, Mon. –Sat. 10:00 Titanic. Call 396-7050 or AM – 6:00 PM, free. Most of the visit amod.org museum’s public attention is due to the large number of cowboy Jacksonville guitars but vintage Martin, Gibson Museum of Military and Fender guitars also displayed.

History, 100 Veterans For information call 501-982-4933 Circle, Mon.- Sat. 9:00 or visit cowboyguitars.net AM – 5:00 PM. Permanent and special exhibits range from the Civil War to Now through Sept. 16—“Play Ball! present, focusing on the military contribuThe St. Louis Cardinals,” Clinton tions of local vets. Includes a research library.

Presidential Center, 1200 Pres. Clinton Ave., Little $3; $2 seniors & military; $1 students. Call Rock; Mon.-Sat. 9:00 AM-5:00 PM; Sun. 1:00-5:00 501-241-1943 for information.

PM; $7; $5 seniors and students; $3 ages 6-17; MacArthur Museum of Ark. Military free for active military and children under 6. A History, 503 E. 9th St, MacArthur Park, Little unique collection of over 100 items brings back Rock; Tues.-Fri. 9:00 AM-4:00 PM; Sat. 10:00 the nostalgia of Arkansas’ team. Call 374-4242 AM-4:00 PM; Sun. 1:00-4:00 PM. Numerous for more information. exhibits depict Arkansas’ military history, June 15—Argenta ArtWalk, every including WW II photos, the 1911 Confederate third Friday from 5:00 – 8:00 PM, Main Vets Reunion, the Little Rock Arsenal, the Street, North Little Rock. Meet the artists in Jeep and others. Free, for information call a casual setting and stay for dinner at any of 376-4602. the chef-driven restaurants in the Argenta Now through June 16--“From Here to area. Paintings, pottery, jewelry and glass. Call Timbuktu: A Journey through West 993-1234 for information.

Africa,” Mosaic Templars Cultural Center, N o w t h r o u g h J u ly 1 0 — G r e g corner of 9th and Broadway, Little Rock; Tues-Sat. Thompson Fine Arts, 429 Main St, North 9:00 AM- 5:00 PM. Free, call 683-3593 for more Little Rock, presents the best in Southern Art, information.

June — AARP's Driver Safety Classes Date 11th 13th 14th 14th 16th 20th 21st 23rd 26th 28th

City Little Rock Hot Springs Hot Springs Vil. Hot Springs No Little Rock Little Rock Hot Springs Searcy Benton Hot Springs Vill

Time 9:00 8:30 8:30 8:30 9:00 9:00 1:00 8:30 8:00 8:30

Location St. Vincent NPMC McAuley Center Irwin Agency Baptist Medical Center Baptist Health (Room 20) St. Joseph’s MHC Prime Times Benton Sr. Center Village Bible Church

Contact Phone 501-552-3333 501-620-2705 501-984-5594 501-623-7066 501-227-8478 501-227-8478 501-622-1033 501-380-1057 501-776-0255 501-922-0404

Old State House Museum, 300 W, Markham St., Little Rock. Permanent and special exhibits focusing on Arkansas life, politics and government include: 1836 House of Rep. Chamber, Ark. First Ladies Inaugural Gowns, “On the Stump: Ark. Politics 1819-1919.” Mon.-Sat. 9:00 AM- 5:00 PM; Sun. 1:00-5:00 PM. Free; for more information call 324-9685.

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MATURE ARKANSAS 2 APRIL 26,

2012 20 2

Mature Arkansas

MUSIC June 3-16—The Hot Springs Music Festival, at various venues in Hot Springs; 20 concerts and over 250 free open rehearsals, all with the goal of making classical music relevant to people today. June 9--free concert down Bathhouse Row, Central Ave., from the Buckstaff to the Superior Bathhouse.

Call 501-623-4763 or visit hotmusic.org for a complete program of concerts.

ON THE BUZZ BY, GREAT HOB

ALSO IN UE THIS ISS

AS. URBAN ARE EVEN IN Paying for Care Long-term PAGE 2

BEES PAGE 8

s ERA’s Statu Has Changed PAGE 15

Tips to Prevent Falls PAGE 4-5

June 9—“A Stars and Stripes Celebration,” Little Rock Wind Symphony Orchestra Concert, MacArthur Park, downtown Little Rock, 7:00 PM. For information call 666-0777.

June 20—Banjo lovers: Join Steve Martin and the Steep Canyon Rangers at Robinson Center Music Hall, 426 W. Markham, Little Rock, 7:00 PM. Call 800-745-3000 for ticket information.

MATUR E

ARKAN SAS

Sundays-Beatles Brunch, Revolution Room Restaurant, River Market District, 300 Pres. Clinton Ave., Little Rock; 11:00 AM-3:00 PM. Enjoy Beatles music while you brunch on Beatles-themed breakfast favorites, $1 Mimosas, frittatas, crab cakes benedict, salads, etc. Park in lot behind restaurant. Call 823-0090 for more information.

First and third Sundays—traditional Irish music sessions, Hibernia Irish Tavern, 9700 Rodney Parham Rd., Little Rock; 2:30- 5:00 PM; free.

2012 APRIL 26,

1

If you are interested in learning more about Mature Arkansas and how you could promote your business or services, please contact us at matureadvertising@arktimes.com or call 501-375-2985 and ask for Katherine Daniels.

THE DELTA

CULTURAL CENTER • Helena, AR •

June 23-- Arkansas Jazz Experience, Quapaw Bathhouse, 413 Central Ave., Hot Springs; $10. Enjoy a guest artist every 4th Fri. in an intimate concert. Call 501-767-0211.

June 30—Hot Springs JazzFest and scholarship fundraiser, Arlington Resort Hotel, 239 Central Ave., Hot Springs, 6:30 – 10:00 PM; $60-includes heavy hors d’oeuvres, cash bar, dancing, entertainment and silent auction. For more information call 501-627-2425 or visit hotspringsjazzfest.org

Kevin Odum, Attorney

Mother’s Best Music Fest

June 9th, 2012

King Biscuit Blues Festival

October 4th-6th, 2012

ARKANSAS DELTA FAMILY GOSPEL FESTIVAL MAY 18th, 2013

Make the drive to historic Helena and discover the Delta Cultural Center!

We believe deeply in the stories of the Delta and its people. Experience our award-winning exhibits on the music and musicians of the Delta, the arrival of Arkansans in this fertile land by the Mississippi River, the Civil War, and much more. Check new art in our galleries.

Drop by a live broadcast of the nation’s longest-running blues radio show, “King Biscuit Time,” with legendary host “Sunshine” Sonny Payne weekdays at 12:15 p.m. in our Visitors Center.

Gallery Hours Visitors Center at 141 Cherry Street Depot at 95 Missouri Street in Helena 9am - 5pm, Tuesday - Saturday Admission is free.

(870)-338-4350, toll free (800)-358-0972 www.DeltaCulturalCenter.com

THE DELTA CULTURAL CENTER IS A MUSEUM OF THE DEPARTMENT OF ARKANSAS HERITAGE

Fridays & Saturdays, Willie Davis & Co., a jazz combo, Arlington Resort Hotel bar, 239 Central Ave., Hot Springs.

MATURE ARKANSAS

JUNE, 2012

11

T H E W O UL D - B E GOURMET n By Bob Wood

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MATURE ARKANSAS welcomes letters or emails from readers on any subject of n interest to older Arkansans. Letters to columnists are also welcome. Email your letters to annewasson@arktimes.com and include “letter” on the subject line.

GUEST EDITORIALS, on issues of interest to Arkansans over age 50, are encouraged.

This is a forum for readers’ opinions and comment. Views expressed are not necessarily n those of the Publisher. Contact the Editor at 501-375-2985 to discuss topics or send 300-500 word editorials to annewasson@arktimes.com All editorials are subject to editing and space limitations * Offered by the Arkansas Department of Career Education/Arkansas Rehabilitation Services Division. ©2012 Arkansas Relay. All rights reserved. CapTel is a registered trademark of Ultratec, Inc. Other marks are the property of their respective owners.

12 JUNE, 2012 MATURE ARKANSAS

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I

’ve driven past The Pig & Chik for years and always thought, “What a great name; I need to go there some time.” A couple of weeks ago, I did and discovered a comfortable neighborhood barbeque joint with food that is just OK. With a name like that, I really wish it had been better.

The Pig & Chik bills itself as “The Great American Barbecue House.”

But, when we asked our waitress what to order, she immediately said, “The catfish.” Huh? Like the tired, Wally Hall cliché: “There’s no ‘I’ in TEAM;” there’s no “FISH” in “Pig & Chik.” She was adamant, though.

“I like Grampa’s,” she said, invoking a hallowed fish eatery, “But the catfish here is really good.”

It seemed to me, when you go to “The Great American Barbecue House,” you order BBQ. I ordered the lunch version of the “Bar-B-Que Sampler Platter” ($9.95). It includes two pork ribs, two slices of beef, a bunch of sliced smoked sausage, two sides and the ubiquitous “Texas Toast.” Drinks are extra. My lunch companion ordered a BBQ pork sandwich ($5.75) with a side of corn fritters ($1.69).

It was a Saturday afternoon, there weren’t a lot of folks in the place at the time, but the service was sort of slow. When the food arrived, it

looked pretty good, even though the table top was one of those garish things covered with ads for auto transmission shops and real estate agents.

The Great American Barbecue beef turned out to be dry and only moderately flavorful. The ribs were better, but I knew when I bit into the smoked sausage that, like every chili-dog I’ve ever eaten, it would come back to visit me later in the day. The baked beans seemed to be canned pork-and-beans with BBQ sauce added. But the potato salad was good--tangy, vinegary and maybe the best part of the meal. I don’t consider “Texas Toast” a food item.

My friend’s BBQ sandwich was pretty good. Not as good as the late, lamented “Tom’s 12th Street BBQ” quality, but reasonably tasty with sauce and slaw on top. Her corn fritters were just an odd accompaniment to the sandwich. With soft drinks (they also have beer on tap and in bottles), our tab with tip came to $22.45.

The Pig & Chik may be trying to do too much. The menu is BIG--two pages full of … stuff; more things than they can possibly prepare well. In return for variety, you get lower quality. It’s the Dizzy’s Gypsy Bistro concept: Whatever you want, we’ve got it. It may not be good, but we’ve got it.

When I return to the Pig & Chik, it will be for either the fish or a burger. The build-up for the fried catfish intrigues me, plus I’m addicted to the stuff. And, I figure no one can screw up a burger too badly. But, the Pig & Chik oddly touts their burgers as “100%-pure beef,” and that creates a little squeamish uncertainty in my mind.

What else would they be?

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Eating Healthy Have a FruitFul Summer One of the best things about summer is the great fruits that accompany the scorching heat.

There is an abundance of watermelons, strawberries, blackberries, raspberries, cantaloupes, pineapples, kiwis and much more. They make the perfect summer snack and are not only delicious but also good for you. Fruits, fresh or dried have been a natural staple diet of human beings since ancient times. Replete with minerals, vitamins and enzymes, they are easily digestible. In addition to being a good food source , fruits can also treat ailments.

Fruits, eaten raw or consumed as fresh juice, are excellent ways to retain and balance the moisture level in the body. The low level of sodium in fruits plays an important role for people who must eat a salt-free diet.

Berry Good For you SmootHie What you need: 1 medium banana 1/2 c. blueberries 1/2 c. strawberries 1/2 c. green tea, cooled 1/2 c. cranberry juice 4 ice cubes 2 Tbsp. canola oil What to do: 1. In a blender, add banana, blueberries, strawberries, green tea, cranberry juice,

The Pig & Chik 7824 Highway 107, Sherwood, 501-834-5456

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2. Blend until combined. Serve immediately.

Tip: Use fresh or frozen fruit. Your favorite cold tea may be substituted for green tea. * Smoothies are a great way to get a dose of fruit, fiber and good fats. This shake is loaded with antioxidants and full of flavor. Adding a little canola oil to it provides omega-3 fats and vitamin E as well as a smoother taste.

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Nutritional information is based on 1/2 c. serving size. nnn For more delicious recipe ideas go to www.edwardsfoodgiant.com/recipeweb/recipes.jsp and create a grocery list of everything you need using the shopping tool on the website.

If you have any questions, just ask friendly and helpful Food Giant staff who are there to make your shopping experience a pleasant one.

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Mr. Wood, a Little Rock writer and designer, is often hungry.

July 21st, 2012

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MATURE ARKANSAS

JUNE, 2012

13

Home visits help doctor understand patient’s support system

Doctor House Calls

A

Who Makes

W

hen she was four years old, Dr. Delbra Caradine made her first house call. She was with her great-grandmother

By Erica Sweeney

Photography by Brian Chilson

and the pair were visiting a sick friend in her home-

town of Holly Grove. n Now, Caradine visits patients in their homes every day. She is the medical director of the HouseCall Program, part

explains. The program accepts Medicare, Medicaid and of the University of Arkansas for Medical Sciences’ (UAMS) Donald private insurance.

W. Reynolds Institute on Aging’s array of services for older patients.

“It’s just like coming into a clinic,” says Caradine. “It’s The UAMS HouseCall program began a way of getting their healthcare. Patients part time in September 1999; becoming are still being taken care of, but they don’t a full-time program in November 1999. have to worry about getting out to see a Caradine has been a part of the program doctor, but can be assured that someone is since the beginning. there to provide the same quality of care.”

The program provides physical exams, For the first nine years of the program, regular visits, prescription refills and Caradine worked alone as the “only clinireferrals to other services, like immunician seeing patients,” she says. Now, zations, rehabilitation services or durable a nurse practitioner also makes house medical equipment. Emergency visits are calls. Patients are usually seen every two not included in the program. The program months, or more often if needed.

HouseCall allows doctors to see the whole patient, including their physical and social environment and support systems. uses contracts with other agencies to visit patients for blood work and x-rays, Caradine says.

To be eligible for the UAMS HouseCall program, patients must be 65 or older, live within 30 miles of UAMS, and have a difficult time accessing medical care because of physical or mental barriers, Caradine 14 JUNE, 2012 MATURE ARKANSAS

Caradine and the nurse practitioner see six to eight patients a day, five days a week.

Someone is on call by phone 24 hours a day, seven days a week, she adds. They schedule patient appointments in clusters to limit the amount of driving they have to do, which is often up to 50 miles a day.

The HouseCall program allows medical

professionals to see the “whole patient,” including their physical and social environment and support systems, which is something doctors rarely have the opportunity to do, Caradine says. It is also more comfortable for the patient and their family.

“When a patient comes to a clinic, they feel like the doctor is in control,” she says.

“In their home, they’re in control. They feel more comfortable talking about issues they wouldn’t [in a clinic]. They don’t feel like they have to be on their best behavior and can be themselves because they’re at home.”

Caradine says that interacting and getting more involved with patients on this level are the favorite parts of her job, which she calls her “mission on earth.” She says some of her most memorable patients are those who were “standoffish at first, but eventually warm up to you.”

“It’s just so great to be able to go into people’s homes,” she says. “We become part of their families. I’m honored to have the opportunity.”

The UAMS program is the only full-time house call program in the state. Making house calls is “part of a patient’s continuity of care” and is “another branch of what we do [at the Institute on Aging],” Caradine says. The program plays an important role

Dr. Caradine checks blood pressure at Mrs. Fike’s home in North Little Rock. Caradine can observe her patients in a more relaxed setting with UAMS’ HouseCall program

in helping elderly patients remain independent because it “takes care to them,” and reduces emergency room visits and hospital readmissions for elderly patients, she says. “It helps them to stay at home, and live and die with dignity. It delays the transition to a hospital or nursing home.”

“We believe in and practice a continuity of care and patient- and familycentered care,” Dr. Jeannie Wei, director of the UAMS Reynolds Institute on Aging told Mature Arkansas. “The HouseCall program fills a very important link and provides a critical element in the seamless transition of care.”

Wei says the HouseCall program plays an important role in ensuring an individual’s safe transition home after being in a hospital because it addresses all of a patient’s needs and allows the patient to be taken care of in the community.

MATURE ARKANSAS

JUNE, 2012

15

F

or every one person in a nursing home, Caradine says there are three who need care at home. She says not being able to reach all of the individuals who need to be seen by a doctor at home is one of the program’s biggest challenges. The need for more staff is also another issue.

Currently there are about 250 patients in the program. Wei says there is a waiting list, but HouseCall staff work tirelessly, “to get patients seen as soon as possible,” Wei says.

Caradine says treating and caring for patients at home is much more cost effective than treating patients in hospitals and nursing homes.

She says she hopes policymakers understand this and keep programs like hers going for a long time, and that new doctors will want to continue this type of care. Caradine sometimes takes medical students on house calls with her to show them this side of the profession.

“This is a labor of love that comes from the heart,” Wei says. “Our reward is seeing patients well taken care of. We’re filling a needs no one else is.”

“I encourage everyone to have children and love your children, so they will take care of you in your old age,” Caradine says laughing. She has two adult children and says she hopes to

be able to stay at home as she ages.

Caradine has always liked “taking care of people.” She says it was her chosen careers that made the HouseCall program such a perfect fit for her and allows her to put all her knowledge and skills into practice.

She attended medical school at UAMS, and as a resident in family practice, about 60 % of her patients were elderly. She says she loved the older population, whom she calls “very proud people,” and decided to become a geriatrician— a medical doctor that treats older people.

“They know they have a chronic disease and that you can’t fix it, but you can make them comfortable. They are so appreciative,” she says.

“They may need something, but may not tell you,” she says. “But if you see a need and suggest something, they are very appreciative.

As long as you aren’t taking them out of their home, they’re OK.” Caradine earned a master’s degree in social work before deciding to go back to school to become a physician. She had worked in home health services and for a similar house call program as part of the Visiting Nurse Association of Arkansas. Because social work is such a “helping profession,” she says it helps her feel comfortable working with patients and their families “outside the formal clinic environment.”

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16 JUNE, 2012 MATURE ARKANSAS

HouseCall helps el reduces emergenc “I love being outside the four walls of a clinic,” she says. “I get time to sit and talk to patients. I know my patients well. I know when the time is right to talk to them about different issues.”

Making house calls is a “different kind of medical care,” she explains. “You have to be comfortable making all the decisions, because you don’t have support staff.

House call clinicians are the receptionist, the nurse, the

Dr. Caradine often forms a close bond with her patient on the HouseCall program. doctor and the pharmacist all in one, she says. They also make referrals for other services, such as home health, physical therapy, hospice, personal care or home-delivered meals. One day, she would like to expand the house call program into an adult day care program.

lderly patients remain independent and cy room visits and hospital readmissions.

W

ei says Caradine is an “all-around clinician” and “crackerjack geriatrician,” who has cared for patients in all settings. “She is very compassionate and well-loved by her patients and well-respected by her colleagues. She does an outstanding job.”

While she sometimes worries about patients, particularly the ones who are alone, Caradine says experience has taught her to separate work and home. “You want to be a super woman,” she says. “But, I never allow myself to get consumed. In order to keep from getting an ulcer or having a heart attack, you have to separate it. Work will be there tomorrow. Now, it’s time to go home and have fun.”

At 60, Caradine says she has no plans to retire and wants to continue making house calls for “as long as I can.”

“Being out, rolling down the windows and listening to music as I drive from patient to patient; I go home happy every day,” she says.

Mature Arkansas Subscriptions Available Annual subscriptions to MATURE ARKANSAS are $15 per year for 12 issues, via the U.S. Postal Service. Send your check to: Mature Arkansas, P.O. Box 34010, Little Rock, AR 72203-4010. Allow three weeks for processing. Expect mail delivery to take about a week.

MATURE ARKANSAS

JUNE, 2012

17

Get to Know Your Local Hospitals

By Anne H. Wasson

C

entral Arkansas is home to more hospitals than any other part of the state. Choosing a hospital that meets your needs can be overwhelming. To help you make a good choice, Mature Arkansas profiles the many fine facilities that serve central Arkansas. These brief descriptions give you the basics. Call the number listed for more details about your specific needs.

ALLEGIANCE SPECIALITY HOSPITAL of LITTLE ROCK (ASH) 1400 Braden St., Jacksonville, 501-985-7026 ASH is a 40-bed, long-term care acute hospital serving patients who have serious medical conditions that require intense, specialized treatment for an extended period of time, usually about a month, such as ventilator dependent, cardiac and multi-system failure, complex wounds, malnutrition, respiratory conditions, infectious disease, extended post-surgical care and kidney failure.

ASH serves those patients who are too ill to go home or to a nursing home and need physical and speech therapy, respiratory care, advanced wound care, nutrition therapy, pain management, IV antibiotic therapy or in-room hemodialysis for both end-stage and acute kidney failure.

ASH’s respiratory care, available 24/7, uses ventilators that permit the patient to speak without an external valve.

ASH accepts Medicare, Medicaid, HMOs and private insurance.

ARKANSAS HEART HOSPITAL (AHH) 1701 Shackleford Rd., Little Rock 501-219-7000 AHH is the only hospital solely dedicated to heart disease. As a leading specialist in heart treatment technology, AHH cardiologists perform more open-heart surgeries and interventional heart procedures than any other Arkansas hospital.

Ranking in the top 1% for patient satisfaction, its medical outcomes are among the highest in the state.

AHH uses physicians to deliver anesthesia rather than nurse anesthetists. The nurse-to-patient ratio is the lowest in the state—1 nurse for 3.5 patients. Because AHH cardiologists are also internal medicine specialists, they can treat other 18 JUNE, 2012 MATURE ARKANSAS

The Arkansas Heart Hospital

healthcare problems.

Wound care for non-healing or difficult wounds includes use of the largest hyperbaric chambers to speed healing.

The Leg Clinic diagnoses and treats peripheral vascular disease (PVD) and peripheral arterial disease (PAD).

The Heart Failure Clinic is an outpatient service offering disease management tools for heart patients, including infusion therapy, education and support groups to improve overall quality of life.

The Emergency Department is a full service emergency room that can treat any injury or illness.

AHH also has central Arkansas clinics located in Benton, Cabot, North Cabot, Malvern, North Little Rock, Searcy and Sheridan.

All patient rooms are private rooms and all rooms are self-contained intensive care units.

AHH accepts Medicare, Medicaid, private insurance, workers comp and private pay.

Most (41 out of 51-licensed beds) of ASH’s rooms are in-patient suites—a private patient room with secondary sitting area for the family.

The patient care ratio is one registered nurse for every five patients.

ASH accepts payment from Medicare, Medicaid, private pay and private insurance.

BAPTIST HEALTH MEDICAL CENTER, LITTLE ROCK 9601 Interstate 630, Exit 7, 501-202-1090

BAPTIST HEALTH MEDICAL CENTER, NORTH LITTLE ROCK 3333 Springhill Dr., 501-202-3000 Baptist Health (BH) is a comprehensive system of seven hospitals and other healthcare facilities including clinics and rehabilitation facilities. The BHMC in Little Rock, is the most comprehensive of the BH facilities and specializes in heart care, including heart transplants.

The BH Chest Pain Emergency Centers are

ARKANSAS SURGICAL HOSPITAL (ASH) 5201 Northshore Drive, North Little Rock, 501-748-8000 As the newest hospital in central Arkansas, ASH concentrates on orthopaedics and spine surgeries. A specialty hospital that is owned by the physicians who practice there, ASH has exceptional safety ratings. With one of the lowest infection rates in the state, ASH ranks first in both spinal fusion procedures and total joint surgery.

ASH also offers breast cancer surgery and pain management services.

Little Rock’s Baptist Health Medical Center

Elder Maltreatment Symposium Abuse, neglect and exploitation of the elderly is a growing crisis.

Join the Division of Aging & Adult Services and other stakeholders in discussing this critical issue.

• Adult Protective Services • Senior Medicare Patrol • 4th Judicial District Prosecuting Attorney’s Office • Partners for Inclusive Communities • Alzheimer’s Arkansas • Stories from victims and advocates

Conway Regional Hospital

part of the hospitals’ (in Little Rock, North Little Rock and Arkadelphia) emergency departments. Designed to provide prompt evaluation, they also add a special sensitivity for older patients experiencing chest pain.

Geriatric Psychiatry provides behavioral and emotional care for seniors in a 16-bed inpatient unit.

Home Health care is available for patients who need medical attention at home. Skilled nursing, physical and occupational therapy, speech pathology, medical social work and home health aides are provided under a physician’s orders.

Hospice provides compassionate and comprehensive services to patients nearing the end of life, including pain and symptom management, emotional and spiritual support for the patient and his/her family.

BH LifeLine is a personal emergency response system (PERS).

A push of a button can summon an ambulance, police, fire dept. or a patient-chosen responder to a patient’s home if they need help or are unresponsive to regular operator calls.

Sleep Disorders Center diagnoses a variety of sleep problems that negatively affect overall health.

Support Groups for patients and their families include groups for those with Alzheimer’s disease, organ transplants and Parkinson’s disease.

Walking programs include MallWalkers at Park Plaza Mall,

June 22 at the Wyndham Hotel Zoo Walkers at the Little Rock Zoo and free health screenings.

Water exercise includes water fitness and water aerobics classes for those over 55 and for arthritis patients, are available in the Olympic-size pool on the ground floor of BH Rehabilitation Institute in Little Rock.

Active Living offers free or discounted services, including seminars, social events, travel club, cafeteria and gift shop discounts, AARP 55-Alive Driver Safety Program ($10) and an optional prescription drug plan ($10.50 per yr.)

Community Resource Manual is a free guide to community resources for those over 55.

CONWAY REGIONAL MEDICAL CENTER (CRMC) 2302 College Ave., Conway 501-329-3831 CRMC serves central Arkansas with 146 beds and acute-care hospital services that include: Evaluation and Counseling Center assists older adults and their families in coping with the changes that often accompany the aging process; including neuropsychological testing, mental health evaluation and counseling, medication evaluation and management, grief therapy and caregiver classes.

Transitional Care provides inpatient care for individuals 65 and older who need acute mental health care or stabilization. This unit also pro-

in North Little Rock Registration begins at 8 a.m.

Symposium is free but RSVP to Delsandro Franklin at (501) 683-5451 or delsandro.franklin@arkansas.gov by June 15

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Call Today To See If You May Qualify At No Cost To You! Only Accredited Caregiver Registry In Arkansas MATURE ARKANSAS

JUNE, 2012

19

GE T TO KNO W YOU R LOCAL H O SP I T A L S

Levi Hospital vides individual psychotherapy, group therapy, medication management and transitional support.

Transitional Care only accepts Medicare payment.

Health and Fitness Center features the popular SilverSneakers fitness program. Available to those on Medicare or members of a health plan that includes SilverSneakers. The program includes free gym membership and daily fitness classes designed for older adults. Other wellness services include the Arthritis Foundation’s Aquatic Program and Fibromyalgia aquatics.

Home healthcare services are available for patients needing skilled nursing services, physical therapy or speech therapy. HomeCare can arrange for skilled or personal care services in the home, including therapy, wound/ostomy care, intravenous (IV) therapy and pain management.

LifeLine is a personal emergency response system (PERS), available in 10 counties of central Arkansas. The push of a button can summon an ambulance, police or other responder to a patient’s home if they need help or are unresponsive to regular operator calls.

Well@Home provides on-going monitoring of vital signs for patients with cardiovascular dis-

Saline Memorial Hospital ease, diabetes, kidney disease, hard-to-manage homebound patients and patients needing medication management.

Support groups are available for Alzheimer’s disease, Parkinson’s disease, diabetes education, cancer support and weight management.

CRMC also offers heart care that includes a 12-bed intensive cardiac care unit, diabetes and wound care, orthopaedics, and rehabilitation therapy.

Cancer treatment is available on campus for both in-and outpatient needs, as well as at CARTI/ Conway Regional at 2605 College Ave. (501-3294741), providing outpatient cancer treatment.

A primary care network of CRMC clinics are located in Clinton, Conway, Greenbrier and Mayflower.

With the exception of Transitional Care, CRMC accepts Medicare, Medicaid, private insurance and self-pay.

unique difference is that patients can receive physical and occupational therapy in the healing, thermal waters of Hot Springs National Park.

Levi’s services include outpatient physical rehabilitation, sports medicine, arthritis treatment clinic, osteoporosis treatment, inpatient and outpatient psychiatric services.

Transitions is an outpatient mental health service designed to provide a short-term mental health program that can be an alternative to inpatient treatment or a transition from inpatient to outpatient treatment.

Rehabilitation services include use of a 3,000 sq. ft. gym and a 50’ x 20’ thermal waters pool.

Rehab focuses on recovery from strokes, surgery, accidents, sports-related injuries and easing the symptoms of arthritis, lupus and osteoporosis. A satellite, outpatient, rehab therapy clinic is also available at the Hot Springs YMCA, offering physical and occupational therapy and sports medicine.

LEVI HOSPITAL 300 Prospect Ave, Hot Springs, 501- 624-1281 Levi Hospital focuses on healing both the body and the mind. Levi is an 81-bed general medical care hospital serving central Arkansas. Levi’s

NATIONAL PARK MEDICAL CENTER (NPMC) 1910 Malvern Ave., Hot Springs, 501-321-1000 NPMC, a 166-bed, full-service hospital serves

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the five counties near Hot Springs: Garland, Hot Spring, Montgomery, Pike and Clark.

The Breast Center offers comprehensive breast services, including the latest in digital mammography technology providing very clear images with no waiting for film to develop.

Center for Sleep Disorders can diagnose and treat sleep disorders that adversely affect many aspects of health.

Skilled Nursing Home for patients discharged from the hospital, but not ready to return home to self-care.

Senior Care Geriatric Behavioral health unit is designed for patients over 65 with an emotional illness.

Inpatient Rehabilitation and Outpatient Physical Therapy work with patients after injuries, strokes, heart disease and other physical traumas.

The Heart and Vascular Institute services include a variety of diagnostic testing methods, catheterization, surgery, nutritional counseling and cardiac rehabilitation.

In-home care (Home Touch Healthcare) includes nurses and nurses’ aides; physical, occupational and speech therapy; social workers are available 24/7. This service, provided in the patient’s home, is available within 50 miles of Hot Springs.

NPMC accepts Medicare, Medicaid and private insurance.

NORTH METRO MEDICAL CENTER (NMMC) 1400 W. Braden St., Jacksonville, 501-985-7000 NMMC is an acute care hospital serving the Jacksonville area. It offers both in-patient and out-patient Geriatric Psychiatry; a Wound Center; Sleep Center; and both in and out-patient physical therapy and occupational therapy and physical rehabilitation.

Skilled home health services are also available for patients who cannot leave home, to help with wound care or other illnesses.

Improving Quality of Life for Seniors & their Families

Skilled home health can include physical and occupational therapy in the home.

NMMC accepts payment from Medicare, Medicaid, private insurance and Tri-Care.

SALINE MEMORIAL HOSPITAL (SMH)

The aging process can take its toll on loved ones and caregivers. Depression, anxiety and grief can strain even the strongest family ties. Counseling can help both patients and family caregivers.

1 Medical Park Dr., Benton, 501-776-6000 SMH is a 167-bed comprehensive medical center serving Saline At Conway Regional Senior Evaluation & Counseling Center we offer counseling services for adults 65 and over as well as support for their County. Specific services for older families to help ease the strain and anxiety. We offer: patients include: • skills for coping with depression to • support for spouses and children of Generations, a comprehensive help change negative beliefs and memory-loss patients, emphasizing psychiatric inpatient program feelings into a positive, healthy coping skills and new, positive ways mindset to interact with loved ones. treating the unique emotional and • techniques for dealing with anxiety health-related needs of adults, and anxious thoughts • grief resolution therapy, with emphasis has two units: for ages 18-54 and on moving through the stages of the a senior adult program for those personal grieving process • improved communication between over 55. Using a team approach, family members, with emphasis on Senior Evaluation & the program includes the services healing and listening Counseling Center of psychiatrists, psychiatric nurses, case managers, recreational thera(501) 932-0480 • ConwayRegional.org/SeniorHealthServices pist and others.

Acute Rehab Unit is a comprehensive 12-bed inpatient unit for patientsCRHS_mat_ark_counseling_ad.indd 1 5/22/12 disabled due to stroke, head injury, amputation, spinal cord injury, hip fractures or multiple-joint arthritis.

Home Health services are a “healing link” between the hospital and It’s Simple. No Worries. home. Provided in the home and We pack. We move. We unpack. ordered by a doctor, each patient has a personalized plan to maintain physical, mental and social well being.

Hospice Care maximizes comfort for terminally ill patients by reducing pain and addressing physical, psychological, social and spiritual needs. Unlike other Call Today to learn about our moving program medical care, the focus of hospice is not to cure but to provide the and hear our highest quality of life possible Bring in this ad to receive this one time exclusive deal! for whatever time remains. It is available at home, assisted living facilities, or nursing home. A 16bed hospice inpatient facility in available in Bryant.

Diabetes Care includes a monthly Diabetes Support Group meeting on the last Thursday of each month; free and open to the public.

SMH accepts Medicare, Medicaid, private insurance and private pay.

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MATURE ARKANSAS

JUNE, 2012

21

8:17 pm

GE T TO KNO W YOU R LOCAL H O SP I T A L S

Mercy Health Center.

The Reynolds Institute on Aging at UAMS.

MERCY HEALTH CENTER (MHC) 300 Werner, Hot Springs, 501-622-1000 MHC, formerly called St. Joseph Hospital, continues a long tradition of care in its 282-bed acute care hospital serving the Hot Springs area.

Services for their older patients include: Cancer Care includes a full range of cancer treatment options plus a registry that permits life-time follow-up, pain management and case management to help with physical, emotional and financial needs.

Diabetes treatment uses an educational approach to help you manage diabetes using an individual plan of care. It includes diet, exercise, therapy and difficult-to-heal wound care.

Heart and Vascular Center provides a wide range of heart care including diagnostic services, catherization and cardiac rehabilitation.

Laboratory services also include outpatient transfusion services.

Intensive Outpatient Psychiatric Services use a team of doctors, nurses and social workers to respond to seniors’ unique challenges.

Trauma and Burn Care includes a Level II trauma center and a 31-bed emergency department.

Mercy has put in place an electronic health records system that permits access to your medical history for all your healthcare providers. This reduces errors and speeds up the delivery of healthcare services.

Primary care is available in Hot Springs Village and includes an imaging center, cardiology services, physical therapy, internal medicine, orthopaedics and urology clinics.

MHC accepts Medicare, Medicaid, private insurance and private pay.

ST. VINCENT HEALTH SYSTEM 2 St. Vincent Circle, Little Rock, 501-552-3000 St. Vincent Infirmary Medical Center is a 615-

bed acute care hospital serving Little Rock and central Arkansas. In addition to the standard services of a major urban hospital, it focuses on older patients through its Longevity Center and VIVA program.

The Longevity Center uses a team of healthcare professionals to coordinate services, primary care, referrals to specialists and coordination of community services. It includes on-site specialty programs for nutrition counseling, stress management, medication management, evaluation of depression, risk of falls, fitness assessment and the Memory Center.

The Longevity Center accepts Medicare, most Medicare Advantage plans, private insurance and Medicaid but only if it is secondary to Medicare.

The VIVA Active Adults Program serves those over 55 with services to help maintain independent living and good health, plus disease

The Good Life Starts Here!

Crown Point Retirement is licensed by the state as an Assisted Living Level II facility. We can care for you or your loved one up to the level of care that forces many people into nursing homes.

Assisted Living facilities are designed to respect the individual needs of those who require some assistance in daily activities, but do not require 24-hour skilled medical care.

We have 5 different apartment options to choose from. Our caring staff is prepared to make you feel at home throughout changing health conditions.

We Accept Medicaid.

Crown Point Retirement Center and Assisted Living 501 South Rose • Sheridan, AR 72150 870-942-4623 www.crownpointretirement.com 22 JUNE, 2012 MATURE ARKANSAS

prevention and management. For a one-time fee of $15 ($25 for couples), members can enjoy a monthly luncheon, group travel, cafeteria discounts and a wellness help line.

Two rehab hospitals: St. Vincent Rehabilitation Hospital, 6101 St. Vincent Circle, 501-552-6000 and St. Vincent Rehabilitation Hospital North, 2201 Wildwood Ave., Sherwood, 501-834-1800.

vention training, incontinence treatment, podiatry (foot care), osteoporosis treatment, treatment for rheumatology and arthritis.

Medicare and most private insurance plans are accepted in the Longevity Clinic and parking is free in front of the building.

The recently renovated University Hospital now has all-private rooms that have a sleeper sofa for family, 26” flat-screen TV and wireless Internet access.

Other services available on the UAMS campus include a Level I Trauma Center, the Stephens Spine and

Neurosciences Institute (treatment and rehab for the spine, head and neck), Jones Eye Institute, Myeloma Institute (the world’s foremost research and treatment center for blood cancer), Psychiatric Research Institute (comprehensive psychiatric treatment) and Rockefeller Cancer Institute for cancer treatment.

UAMS’ nine Centers on Aging bring quality senior healthcare to within 60 miles of 98% of all older Arkansans. This is an important service for a largely rural state. At each center, an interdisciplinary geriatric healthcare team provides treatment and follow-up.

THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 4301 W. Markham St., Little Rock, 501-686-7000 or for appointments 686-8000.

UAMS’ comprehensive services for older Arkansans are centered in the Reynolds Institute on Aging (RIOA) and the Thomas and Lyon Longevity Center. The RIOA, at 629 Jack Stephens Drive, opened four additional floors this month to better serve senior patients and continue their world-class research.

Fitness services include the Ottenheimer Fitness Center and therapy pool--a complete athletic complex for individual training and physical therapy—offering daily fitness classes and a water wellness program.

The HouseCall Program, brings the doctor to the patient’s home.

Read more about this unique service on pages 14-17.

The Thomas and Lyon Longevity Clinic (formerly called the Senior Health Clinic) is a primary care clinic for patients 65 or older.

Most healthcare needs are conveniently located in the clinic, making medical appointments easier for older patients. UAMS uses a multi-disciplinary team, including geriatricians, advance practice nurses, pharmacists, social workers, nutritionists, physical and occupational therapists.

The clinic provides specialized services to screen for age-related diseases, driver safety training, caregiver training and support and an urgent-care clinic.

Other services for seniors include screening for falls and fall pre-

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Our mission is to provide a quality, affordable living experience to the elderly in a faith-based community committed to the dignity of our residents.

Good Shepherd sits on a 145-acre campus located off Aldersgate Road in the heart of West Little Rock and provides convenient access to West Little Rock’s medical, financial and retail business districts.

Over four hundred elderly residents live in four apartment buildings surrounded by tree-covered landscape that includes an 8-acre lake.

• Affordable housing with no sacrifice to service • Four living facilities - the Moore, the Rhinehart and Shepherd’s Cove, which caters to independent living, and the Roberts Building, a Residential Care Facility • 24-hour Security and/or Staff on duty • On-site exercise facilities • On-site beauty salons • Personal emergency alert pendant systems • Three full-service dining rooms offering home-cooked meals • Transportation with fully equipped wheelchair lift vans • An award-winning wellness program • A family atmosphere in a faith-based community

Call Today For More Information! 501-224-7200 MATURE ARKANSAS

JUNE, 2012

23

GE T TO KNO W YOU R LOCAL H O SP I T A L S

McClellan Memorial Veteran’s Hospital in Little Rock, Towbin Healthcare Center at Fort Roots in North Little Rock. Photos by Jeffery Bowen

CENTRAL ARKANSAS VETERAN'S HEALTHCARE SYSTEM (CAVHS) includes a network of community-based outpatient clinics and two main hospitals:

JOHN L. MCCLELLAN MEMORIAL VETERANS HOSPITAL 4300 W. 7th St., Little Rock, 501-257-1000

EUGENE J. TOWBIN HEALTHCARE CENTER 2200 Fort Roots Dr., North Little Rock, 501-257-1000.

CAVHS is one of the largest and busiest Veterans Affairs (VA) medical centers in the country.

Services to older veterans and their spouses include a broad spectrum of in- and outpatient healthcare services from disease prevention through primary and acute care; from complex surgical procedures to extended rehabilitation.

Community Based Clinics serving central Ar-

kansas include Conway, Hot Springs, Pine Bluff, Russellville and Searcy.

The VA’s Health Promotion and Disease Prevention efforts focus on improving and maintaining good health and lessening the effects of chronic diseases.

Veterans can better manage their health by signing up for My Health eVet. Designed for vets and their dependents and caregivers, it provides tools to help make informed decisions. It also provides a way to communicate with your healthcare team, check on prescription refills, check on appointments and get lab results.

Pharmacy services are available via U.S. mail (Central Mailout Pharmacy), telephone, the Internet, or at the hospital (for new prescriptions and inpatient hospital vets only).

CAVHS also operates a Home Health Care Service Center in Hot Springs and a Drop-in Day Treatment Center for homeless vets in downtown Little Rock.

Other senior-specific services include: Adult day health care center (drop-in service for those who cannot be left alone during the day), nursing home, respite care (providing a break for caregivers), home health care, Senior Companions, and Alzheimer’s and related dementia care.

CAVHS also offers audiology and speech pathology, dental care, diagnostic and therapeutic imaging, coronary care units and mental health services, including treatment for post-traumatic stress disorder (PTSD) as an in- or outpatients.

A full-service emergency department, neurology, nutrition therapy, prosthetic treatment center, rehabilitation and surgical services are also available.

All military veterans are encouraged to enroll in the VA’s healthcare system. To determine eligibility, call toll free 800-224-8387 or get a copy of the application at littlerockva.gov/patients/eligibility.asp CAVHS accepts Medicare, Medicaid, private insurance, TriCare and TriCare for Life (for vets over 65).

COMMUNITY HEALTH CENTERS (CHC) C

HCs are non-profit health clinics that provide a full range of medical, dental, mental health, preventive, and support services to patients who are uninsured, underinsured, on Medicare or Medicaid, or who have private health insurance.

“All 75 of our centers are unique… but they all provide access to affordable, quality care, regardless of the patient’s ability to pay,” according to Sip Mouden, executive director of the Community Health Centers of Arkansas.

Services are provided through a team-based approach that includes doctors, nurses, nurse practitioners, dentists, pharmacists, social workers, health educators, other health professionals and the patient. All aspects of the patient’s health are included in a CHC visit. A patient with a medical problem will also receive health assessments of their oral and mental health; preventive measures to improve their health and education about 24 JUNE, 2012 MATURE ARKANSAS

their illness or chronic disease.

Mouden says the CHCs are unique in providing care coordination and chronic disease management that keeps patients out of hospitals and nursing homes. Care coordination insures that patients understand and participate in their treatment. CHCs follow-up with each patient to be sure treatment instructions are understood and being followed.

The six CHCs in central Arkansas include: Cabot, ARcare 501-941-3522 Carlisle, Carlisle Medical Clinic, 870-552-7303 College Station, College Station Health Clinic, 501-490-2440 Conway, ARcare Conway, 501-932-9010 England, England Health Center, 501-842-3131 Little Rock, Open Hands Clinic, 501-244-2121

HI K I NG W I T H LEE HI L L E R Photos by Lee Hiller, HikeOurPlanet.com

Cool Hike at Cedar Glades C

edar Glades Park offers a variety of activities and is a perfect destination for kids of all ages. It’s on the edge of Hot Springs National Park, between Hot Springs and Lake Ouachita.

At the Wildcat Road entrance, the park is highly groomed for hiking, biking, rock climbing, Frisbee golf and more. The Cedar Glades Road entrance is less groomed and includes a playground, wheelchairaccessible trail, hiking/biking trails, creeks, steams, ponds and hike-in camping sites. The three main trails (blue, green and black) offer a nature escape for all fitness levels.

The Green Trail is a 1.2 mile loop connecting both park entrances. It A view of the pond from the Black Trail. has ample parking and restrooms nearby.

The Blue Trail has a pleasant rolling bushes attract a variety of colorful butterflies terrain. Wear hiking boots as this trail is narrow, to the open meadow areas. rocky and has continuous exposed roots. The A wooded campsite is another great feature free-flowing streams have both man-made and of Cedar Glades Park. This “hike-in” camp rock bridges for all-weather-condition crosssite is perfect for campers who want to get ings. There are no benches for resting along away from RVs, trailers and electric generathe trail. tors. The campsite, next to a wooded steam, is As the temperature climbs, the areas reached by a short hike. The central feature of around springs become a great place to spot the wooded campsite is an emergency shelter turtles, snakes and frogs. Butterflies, lizards (wooden gazebo), a perfect refuge should and hummingbird moths were abundant an unexpected storm rolls through. A lovely throughout the hike. A large crayfish, moving stream and open area for tent pitching among in the middle of a shadow-covered stream, the trees makes it a great weekend get-a-away. freezes as I cross a wooden bridge.

Bird song echoes along the trail and the shadows of wings flicker from the canopy above.

The Black Trail Loop is the park’s longest trail and the most difficult for hikers, runners and cyclists. Depending on your fitness level, you can do the entire trail of 4.64 miles, or use the Red Trail crooked bridge cut-through to reduce the distance to 2 miles. This trail has multiple water features within a mixed forest and is a great workout. Your reward for reaching the top of the switchbacks is a beautiful avenue of pines stretching out along the ridge. In the spring Part of the Blue Trail at Cedar Glades Park and summer, clusters of flowering

After exploring the trails, visit the new threestory tree house or have a picnic on one of the numerous benches. Park trail maps are available at http://bit.ly/CedarGladesParkARMap and at the Wild Cat Road entrance.

Cedar Glades Park is a great place to stretch on a road trip or a fun day trip destination. Best of all it is free.

Trails: Green - easy, Blue - moderate, Black - difficult Trail head: Near parking at each entrance Points of Interest: ponds, streams and bridges Duration: 30 minutes to 3.5 hours depending on trail Footwear: Boots Wheelchair Access: Yes, accessible forest trail at the Cedar Glades Road entrance.

Driving directions: From Hot Springs, Hwy 7 North; turn left on Whittington Avenue; turn right on Cedar Street; follow Cedar Street to Cedarglades Road to the Black Trail entrance; or turn right on Wildcat Road to access the main park entrance.

For more information: https:// www.facebook.com/pages/CedarGlades-Park/205393235105

MATURE ARKANSAS

JUNE, 2012

25

advocacy

Farm Bill Will Affect Us What we eat and our overall health.

By Cal Wasson

A

rkansas really, really needs things from the new federal five-year farm bill. We're overweight and unhealthy. A quarter of our kids are hungry, yet are too fat. Food-borne epidemics make us leery. We're a poor state and even our usually well-to-do East Arkansas farmers may be facing a crisis in production lending this year.

The effects of the farm bill, if it can happen at all in this contentious Congress, will rock the state. The Senate draft, or mark-up, is out with $23 billion in cuts, an end to the direct-subsidy system and surprisingly widespread support.

The big fight though, hasn't started.

Since 1995, the year the direct-subsidy program started, the U.S. Department of Agriculture (USDA) has put some $10 billion into Arkansas with about 75% of it going to direct subsidies for East Arkansas rice and cotton producers. The Senate bill ends these. Big Arkansas farmers and their bankers are nervous.

It is hard to generate support for a program that in Arkansas sees 80% of the subsidies going to 10% of the producers while 75% get nothing.

About a third of the money goes to 1% of the producers with Riceland Foods topping the list at more than one-half billion dollars for the period, according to the Environmental Working Group.

Producers, banks, and the Farm Bureau know this and didn't even try to keep direct support in this political climate. "Direct support is dead," Arkansas Farm Bureau government affairs associate director Jeffery Hall told last month's Arkansas Women in Agriculture meeting. "The new bill replaces a bill that has been very good to Arkansas," he added.

That 'very good' was a quarter of a billion dollars a year with 25% of that going to five East Arkansas counties. There is also a replacement insurance program but it is largely an unknown. All Arkansans will feel these changes because agriculture is about 12% of the state's economy.

More basically, the Agriculture Reform, Food and Jobs Act of 2012, the passed Senate bill, will impact what we eat and our overall health.

Health, rural development and sustainability advocates are pushing for major reforms to steer us away from petro-chemical-based big agriculture, a system that is increasingly making the country fat and unhealthy. This will not be the year for that fight, but the result could be a lot 26 JUNE, 2012 MATURE ARKANSAS

U S Senator John Boozman, a member of the Senate Agriculture Committee, prefers the Senate’s farm bill. worse. The mark-up recognizes the growing “good food/local food movement” with some solid program support. These, along with critical conservation and nutrition programs, face the House’s fund-nothing-but-defense gristmill.

There's really no question USDA will continue to give its major crop support to corn, soybeans and wheat, all of which help drive the national plague of obesity, diabetes and other weight-related illnesses. These crops also generate questionable chemicals, super weeds and geneticmodification fears.

Senate Agriculture Committee member John Boozman (R-Ark) bubbles when he talks of parts of the bill that will help the booming direct-farm-to-consumer food movement. "There are some really nice things in there for farmers’ markets and small producers," Boozman told Mature Arkansas.

One Arkansas program, the 25-year-old Dale Bumpers Small Farms Research Center in Booneville, was slated for closure by the Obama Administration in the latest round of mandatory cutbacks. Boozman seems to have a detailed grasp of what the Center does and says he will lead a fight to save it. The Center gets high marks from local sheep and goat farmers who

praise the work it has done with small scale animal health.

Boozman shows two peculiarities of agriculture bills. First, they tend to be based on regional rather than political considerations. Rice farmers will have more in common than Republicans, for instance. Boozman seems proud of the work he did with Committee Chairman Debbie Stabenow, a Michigan Democrat, to hammer out provisions for consumers and small farmers.

Concurrently, he quickly aligned with mostly Democratic East Arkansas and voted against the bill because of what the rice industry sees as a deck stacked for corn and soybeans.

First District Congressman Rick Crawford (R-Ark) is facing a local firestorm after voting for the House Republican budget that slashed agriculture even deeper. Nearly two thirds of the agriculture agency’s Arkansas largesse flows to his district.

T

he second peculiarity is, contradictions are necessarily common in farm bills. This is why the bill will support crop prices and also pay for not growing them. But it’s difficult to deny that the USDA, celebrating 150 years last month, has been effective. While we can and should quibble over the details, the U.S. has the world’s most abundant and generally safest food supply, and at bargain prices—we spend less than 10% of disposable income on food.

USDA will continue to give crop support to which help drive the national plague of Agriculture is also the base of our exports.

Those pushing locally grown food, conservationists and rural development generally agree with Boozman that the Senate version is a pretty good bill, especially given the international cries for austerity.

Funding for farmers market promotion and Community Food Grants doubled with the Senate bill. Organic research and certification programs were trimmed but retained.

Conservation and new farmer programs were generally kept intact with a few being expanded.

All Most Arkansas crops will go in the ground next spring with bank loans, as usual. With the end of direct subsidies, which have been in place since 1996, bankers lose the farmer’s federally guaranteed cash flow. There will be a guarantee program but the original one was replaced, largely over fraud problems.

Farmers and Merchants Bank of Stuttgart President and CEO Gary Hudson is worried. As head of the state’s second largest agricultural lender he oversees some 250 production loans a year, including ones to some of the nation’s biggest rice producers. “Unless we can accurately and conservatively project cash flow we can’t book the loan,” Hudson says, adding “without subsidies 60% of those loans would not cash flow.”

The new guarantee program should protect farmers from rapidly falling yields and prices. Unless these programs turn out to be better than most anticipate, Hudson says banks won’t be able to loan as much on a crop.

This forces farmers to book more of the crop before it is planted. “’If yields plummet, the farmer still has to deliver his booked crop or make up for it in cash,” Hudson warns. “The risks are huge and a bad crop year would be devastating.”

The measured, bi-partisan Senate bill is severely clashing with an ideologically driven Republican House. Observers worry that these differences are severe enough to rule out compromise and we won’t have a farm bill at all. Without one the USDA will likely limp along on emergency appropriations and directionless policy.

The House’s first version, opposing the Senate mark-up, would have devastating impacts on Arkansas. The Agriculture Committee has voted to decrease the Ag budget by $33 billion over a decade with all the cuts coming from the SNAP, the Food Stamp program. This was done to help avert negotiated cuts in Defense. No other agriculture program was been touched yet. This comes on top of an earlier House proposal to reduce SNAP by $133 billion over a decade and convert it to a block grant program. These measures would all but assure its death.

About a quarter of Arkansas’ children do not have regular access to food and that’s the worst ranking in the country, according to the USDA. In Lee and Phillips counties, about 40% are in the SNAP program; well over the 10% in more affluent counties. Without SNAP, health will deteriorate and some, mainly the very old and very young, will starve. Since Arkansas is one of the hungriest and poorest states, the worst of it will be at our doorstep.

On a brighter note, both the Agriculture bill drafts and USDA announcements say SNAP recipients will soon be able to use their cards at farmers’ markets. African-Americans and Hispanic-Americans are exceptionally high organic food consumers along with having a high ratio of SNAP participants. Most home-grown markets are closer to inner city areas where grocery stores are sparse and access to good food is a key factor in coping with diabetes, the nation’s growing plague.

The Senate version of the farm bill is simple, puts money into local farmers’ hands, and has lots of promise for healthier eating.

corn, soybeans and wheat, all of

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M E DIC A R E M A T T E R S n B y Sally Jo hnson

Do the WAVE W

e all think of hospitals as places we go to get better.

In most cases, that’s what happens. But did you know that at any given time, one in every 20 hospital patients is suffering from an infection they got after they were admitted?

These infections are called “healthcare-associated infections,” or HAIs, and they are a huge problem. HAIs can be caused by many different kinds of bacteria, fungi and viruses. Patients can also develop HAIs when they’re getting medical care in doctor’s offices, nursing homes or rehabilitation facilities.

HAIs make about 1.7 million people sicker every year, and close to 100,000 people die from them. The financial cost of treating HAIs is high too--an estimated $28 to $45 billion every year. The most common types of infections are urinary tract infections in patients with catheters, infections of surgical wounds, and infection from a type of bacteria called Clostridium difficile, or C. diff. Other types of HAIs are associated with ventilators and central lines. HAIs can be extremely hard to get rid of because they often have developed a resistance to antibiotics.

28 JUNE, 2012 MATURE ARKANSAS

Steps to prevent hospital infections The good news is, you can help prevent HAIs with just a few simple steps. To help remember them, think about doing the WAVE: Wash your hands. Clean hands are the best defense against the germs that cause infection. You should wash your hands with soap and water or use hand sanitizer when you visit someone in the hospital, especially if you have to touch any medical equipment.

If you see a doctor or nurse who does not wash their hands when they come in the room, don’t be shy, remind them to.

Ask questions. You may have been raised to believe that asking questions, especially of a doctor, is impolite or will be bothersome. Throw that way of thinking out the window! Taking an active role in your own or your loved one’s care can mean getting a higher level of care and lowering the chances that doctors or nurses will make mistakes. Ask about the diagnosis and treatment. If you don’t understand the answer, ask again.

Ask what all tests are for. Ask why you or your loved one needs a certain treatment. Ask about possible complications and what you can do to prevent them. If you

NEW Low Impact Classes

Commissioner range from one year to the remainder of one’s lifetime. It is important to ask if the benefit amounts will increase with inflation and if that coverage increases your premium.

As an older adult, you may qualify for Medicaid, which pays almost half of the nation’s LTC bills. To qualify for Medicaid, your monthly income must be less than the federal poverty level, and your assets cannot exceed certain limits.

Arkansas has a program called the Long Term Care Partnership which is designed to recognize the efforts of Arkansans who prepared for the financial impact of LTC. The goal of the Partnership is to reward those who planned ahead for their LTC needs.

Under the Partnership, the state will disregard the policyholders’ personal assets that are equal to amounts paid out under a qualifying LTC insurance policy, when determining eligibility for Medicaid assistance.

For example, if a qualifying LTC insurance policy pays out $50,000 in benefits, Medicaid would not count up to $50,000 of the person’s assets when determining eligibility for Medicaid assistance with LTC costs. This means the person could qualify for Medicaid LTC assistance without first having to spend all of his or her personal assets on LTC care.

The Arkansas Insurance Department posts on its website those companies authorized to sell Partnership policies, as they are approved.

A Long Term Care Partnership policy must be an approved LTC policy and provide inflation protection for policyholders through age 75.

Partnership status is forfeited if inflation protection requirements are not maintained.

are concerned about something or if something doesn’t seem right--for instance, if you notice a bandage isn’t clean, dry or fully attached--speak up. Most doctors and nurses will appreciate it, and even if they don’t, being an advocate for your or your loved one’s health is more important.

Vaccinate. Flu and pneumonia can be especially dangerous to hospital patients. The best way to prevent these illnesses is to get vaccinated — a flu shot every year, and a one-time vaccination for pneumonia if you are over age 65 (and for all adults who smoke or have asthma or a condition that affects the immune system). If friends or family have a cold or don’t feel well, ask them not to visit the hospital.

Ensure safety. Medical devices such as catheters can be lifesavers.

But they can also be a source of infection if they’re left in longer than needed or are not kept clean. Ask doctors and nurses to explain why your loved one needs a catheter or other medical device and how long it will be needed. Continue to ask each day whether the device is still needed.

To help ensure safety, don’t touch the catheter or tubing (or any medical equipment) unless you have to, and don’t tug, twist, or kink the tubing.

Tell a doctor or nurse if the area around a catheter is sore or red, or if a bandage comes off or is wet or dirty.

Hospitals and other healthcare providers work hard to prevent infections in the people they treat, but patients and their caregivers can make a huge difference too. Don’t be afraid to speak up and be an advocate for yourself or your loved one. It’s your health--protect it!

Mrs. Johnson is Benefit/Relations Director with the Arkansas Foundation for Medical Care. For answers about Medicare or Medicaid, call her toll free 888-354-9100.

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Th e Ag e of T echnology n B y K elly F erguson

It's Time To Get Social P

eople over age 55 are quickly embracing to share life events, chat and create a sense of the new social media. If you would like to community among users. join the fun, this column can help make the It is the social interaction, and the techtransition a smooth one. nology that makes it accessible, that drives According to the online resource “Inside older people to online activity. If you are new Facebook,” the number of women over 55 to social media, it is important to keep a few on Facebook grew by an astounding 175.3% things in mind. during 2009. And the trend continues. The A Netiquette article from CNN.com this number of women over 55 on Facebook is week outlines good advice to follow when almost double the number of men over 55 on connecting with your children online. I thought Facebook. they were good for everyone, so I amended The reason Facebook (one of several online them a bit for this column. social media—Twitter, Pinterest and others-ThetoNew York Times Syndication Corporation called “platforms”) continues grow in popuGuardSales your privacy 620 Eighth Avenue, New York, N.Y. 10018 larity among all age groups, is the For photo, video Many of us could Information Call: 1-800-972-3550 use a reminder that if you For Release June 07,2012 2012public on a social network, For Release Friday, May 04, and connectivity components that make it easyThursday, make something

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30 JUNE, 2012 MATURE ARKANSAS

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If you are dealing with other people’s photos, though, please ask their permission to either use it yourself or re-share their images.

Set up your own privacy standards. Reading through each platform’s “how-to” section and privacy policy is NEVER a bad idea.

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For For answers, answers, call call 1-900-285-5656, 1-900-285-5656, $1.49 $1.49 a a minute; minute; or, or, with with a a credit credit card, card, 1-800-814-5554.

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Friend carefully Request Facebook friendships with people you actually know; and only accept friendships from people you know. Public feeds like Twitter and Pinterest work differently, so you can feel free to “follow” those people whose opinions, photos or blogs you like to read or look at. The difference is the amount of information shared on each social media platform.

And don’t ever feel like you have to accept someone’s friendship on Facebook. You can deny their request.

The etiquette there is clear.

Ms. Ferguson is the digital and social media director for the Arkansas Times and its affiliates. Send your technology questions to her at kellyferguson@ arktimes.com

FREE iPhone Workshops Every Tues and Thurs, 7:008:00 PM, FREE workshops are held at Verizon locations in Little Rock: 12018 Chenal Parkway, 2608 South Shackleford. On Tuesdays: Basic iPhone and iPad Workshop; Thursdays: Basic Android Phone and Tablet Workshop. Register on line at verizonwireless.com/ workshops or at any location.

money n By Gary Garr i son

Key to Good Retirement: Financial Planning I

read a statistic recently that was surprising.

While women make roughly 90% of the household’s purchasing decisions, they are less confident with financial planning. Born between 1946 and 1964, baby-boomer women are more financially empowered than any previous generation. But a 2011 report from the Insured Retirement Institute shows only 34% of women surveyed were confident that they would have enough money throughout retirement. Women need to be particularly aware of their financial future since, on average, they outlive their spouses by at least six years.

Here are four potential pitfalls facing women as they plan for retirement.

Not understanding the source of advice It is crucial to know where you are getting your financial advice and understand the motives behind the person giving the advice. The majority of women rate “trust” and “respect” as the most important factor in deciding what planner they choose. Yet research shows 84% of women feel misunderstood by investment marketers. By educating yourself on the options

available, you can ensure you find a true financial planning partner.

Failing to allocate assets according to their risk tolerance Key to financial planning is allocating your financial assets appropriate to risk tolerance, income needs and legacy desires. Many women overlook changes that should be made as retirement age approaches. One way to adjust your risk level as you age is to use the Rule of 100 -- take your age, subtract it from 100 and what is left is the percentage of your investments that should be in higher-risk vehicles. If you are 60,, only 40% of your investments should be in higher-risk ventures.

Failing to prepare for legacy planning When was the last time you updated your will, trusts and beneficiary designations? Have there been births, deaths, or divorce in your family? Or, have you just changed your mind?

Reviewing your will, trust and related legacy plans will give you confidence that your legacy

Rick London

www.ltcartoons.com ©2012 londons times cartoons

is left exactly as you wish. Consider whom you want as your estate administrator--the person responsible for making decisions on your behalf. Consider how your death would impact the decision-making ability of that person.

Failing to fill the income gap In 2009, unmarried women and widows, age 65 and older, used Social Security to comprise 50% of their total income. For many women over 65, their Social Security benefits, pensions, or other income is not enough to maintain their lifestyle. Financial planning helps you determine what you’ll need and how to cover that gap.

You don’t have to become an expert in financial products or follow the stock market.

Ask questions and participate fully in the financial planning process. Empower yourself. Remember, financial planning isn’t about numbers and calculations; it’s about funding your future and determining what you need to live your best retirement life.

Mr. Garrison specializes in helping clients financially prepare for retirement.

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