Senior Connection - Alzheimer's Awareness

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Senior

Connection2011 September 4

Alzheimer’s


I don’t just wear the shirt, I live it! I started volunteering as an aide in the classroom when my granddaughter was teaching. I remember a little boy, 5 years old, who didn’t get his project finished so I suggested he put it in his cubby and take it home. He looked at me and said, ‘but grandma, I don’t have any crayons at home.’ This will be the third year, thanks to local funders like United Way that we will be providing enrichment projects for kindergartners to take home and keep as their own to complete with their family. - Jean Krohn Retired teacher, community member

A few ways we can all help children succeed in school: donate books or supplies, participate in the PTA, become a reader, tutor or mentor. Help United Way make lasting change by

Senior Connection | September 4, 2011

investing in the building blocks for a good life: education,

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income and health. That’s what it means to Live United.

www.unitedwaybattlecreek.org

United Way of Greater Battle Creek

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We’re working together to help older adults stay healthy and at home. Our Mission: Promoting health, independence and choice

Creating choices for living for older adults, individuals with disabilities, and caregivers.

• Information, assistance and referral services • Care management and care planning including in home service arrangement • Options counseling for long-term care • Assistance for individuals wishing to return home after a nursing home stay • Veterans Directed home care program • Calhoun County senior transportation • Medicare/Medicaid Assistance Program— enrollment, counseling, and assistance

Suite 102 Website: www.region3b.org Aging & Disability Resource Line 269-441-0973 or info@region3b.org

Call us, we’re here to help!

Our Mission: Improving the health and well-being of older adults and caregivers • Keep Movin’ and Whole Person Wellness • Aging Well educational series • Health screening and monitoring • More than 30 support groups • Matter of Balance Fall Prevention • PATH chronic disease management program • Family caregiving support and respite services

Suite 104 Website: www.seniorhealthpartners.com 269-441-0948 or 1-866-721-8276 toll free

Our Mission: Keeping older adults at home

CentraCare is part of the National PACE Association (Program of All Inclusive Care for the Elderly). It is a medical/social center-based model of managed care for older adults at risk of nursing home placement. • Center-based health care and support services • Primary care, nursing, social work and specialty care • Occupational, physical, and recreational therapy • Prescriptions and total medication monitoring • Medical supplies and durable medical equipment • Daily transportation • Center based group activities • Homemaking, home health and personal care • Home delivered meals and nutritional counseling • Inpatient, laboratory and outpatient services

200 W. Michigan Ave. Battle Creek, MI 49017 269-966-2450 800-626-6719 www.region3b.org LJ-0100111337

Come Visit Us Today! 200 West Michigan Avenue

inside the Burnham Brook Community Center

Senior Connection | September 4, 2011

Suite 103 Website: www.mycentracare.com 269-441-9300 or 1-877-284-4071 toll free

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Alzheimer’s and dementia basics Alzheimer’s is the most common form of dementia, a general term for memory loss and other intellectual abilities serious enough to interfere with daily life. Alzheimer’s disease accounts for 50 to 80 percent of dementia cases. Alzheimer’s is not the only cause of memory loss. Many people have trouble with memory — this does NOT mean they have Alzheimer’s. There are many different causes of memory loss. If you or a loved one is experiencing symptoms of dementia, it is best to visit a doctor so the cause can be determined.

Learn more: Visiting Your Doctor

Alzheimer’s is the sixth leading cause of death in the United States. Those with Alzheimer’s live an average of eight years after their symptoms become noticeable to others, but survival can range from four to 20 years, depending on age and other health conditions.

Learn more: 10 Warning Signs and Stages of Alzheimer’s Disease.

Alzheimer’s has no current cure, but treatments for symptoms are available and research continues. Although current Alzheimer’s treatments cannot stop Alzheimer’s from progressing, they can temporarily slow the worsening of dementia symptoms and improve quality of life for those with Alzheimer’s and their caregivers. Today, there is a worldwide effort under way to find better ways to treat the disease, delay its onset, and prevent it from developing.

Senior Connection | September 4, 2011

Alzheimer’s is not a normal part of aging, although the greatest known risk factor is increasing age, and the majority of people with Alzheimer’s are 65 and older. But Alzheimer’s is not just a disease of old age. Up to 5 percent of people with the disease have early-onset Alzheimer’s (also known Learn more: Standard Treatments, as younger-onset), which often appears when Treatment Horizon, Prevention and Clinical someone is in their 40s or 50s. Trials.

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Learn more: Risk Factors

Help is available

Alzheimer’s worsens over time. Alzheimer’s is a progressive disease, where dementia symptoms gradually worsen over a number of years. In its early stages, memory loss is mild, but with late-stage Alzheimer’s, individuals lose the ability to carry on a conversation and respond to their environment.

If you or a loved one has been diagnosed with Alzheimer’s or a related dementia, you are not alone. The Alzheimer’s Association is the trusted resource for reliable information, education, referral and support to millions of people affected by the disease. Visit their website at www.alz.org

We express our thanks to the Alzheimer’s Association as the original source of our articles and are pleased to provide you with their 24/7 Helpline number 1.800.272.3900 and their Web site address: www.alz.org.

Unpaid caregivers and stress

They have the latest information on Alzheimer’s disease research and care, and brain health.

There are nearly 15 million Alzheimer’s and dementia caregivers providing 17 billion hours of unpaid care valued at $202 billion. Facts and Figures finds that caregivers not only suffer emotionally but also physically. Because of the toll of caregiving on their own health, Alzheimer’s and dementia caregivers had $7.9 billion in additional health care costs in 2010. More than 60 percent of family caregivers report high levels of stress because of the prolonged duration of caregiving and 33 percent report symptoms of depression.


Ping-pong helps Alzheimer’s patients PLAYERS SEE IMPROVEMENT IN BALANCE

Steve Chawkins MCT News Service LOS ANGELES—On TV screens around the room, Chinese table tennis players are whirling and vaulting, but Betty Stein isn’t watching them. She’s utterly absorbed in the ball coming right at her, and she nails it— 10, 20, 30 times, shooting it back at her enthusiastic, Ukraineborn coach Bella Livshin. “Gorgeous!” Livshin cries. “A beauty! Backhand, forehand, forehand, backhand— faster! Look how smooth, how flowing. She’s a natural!” Stein doesn’t say much these days. Nobody knows whether it’s the Alzheimer’s, the medication, maybe a touch of depression. Whatever it is, the perfectly coiffed, stylishly dressed 93-year-old Stein keeps her silence.

But after 40 minutes at the table, she doesn’t slow down. “You tired yet?” Livshin asks. Stein shrugs. She misses a high, arching shot, takes another unsuccessful swat and connects on the third try. The ball hasn’t had time to bounce more than once. A concentration camp survivor whose portrait hangs in the Los Angeles Museum of the Holocaust, Stein carries herself with elegance, even at the ping-pong table. At times she holds her left hand aloft, in the manner of a duchess calling for biscuits at afternoon tea. Still, she counters Livshin’s strokes one after another, steady as the pendulum on a grandfather clock. From his tiny office looking over a roomful of tables,Mikhail Zaretsky, the center’s director, leans out and yells, “Betty, you are the best!” She allows herself a tiny smile, blows him a quick kiss and keeps on playing. Zaretsky is a huge ping-pong partisan. In 2003, he founded the Gilbert center, one of the few spots in Los Angeles where serious players train. His Alzheimer’s program, which he runs both at the center and at various senior facilities, has drawn about 100 participants. At up to $25 a

half-hour—players are charged on a sliding scale —the sessions aren’t necessarily cheap. But the ones who stick with it experience big changes in alertness, balance and coordination, Zaretsky said. And they find unexpected little joys their disease hasn’t yet extinguished. “They have to predict where the ball is going, they have to respond to distance, they have to respond to time,” Zaretsky said. “They have to be there!” Whether ping-pong has a therapeutic effect on people with Alzheimer’s and dementia is an open question. A 1997 Japanese study suggested it might. (Like some 300 million other table tennis advocates in countries throughout the world, the Japanese take the sport seriously enough to study it.) But the Alzheimer’s Association, while declining to address ping-pong specifically, says researchers have found no silver bullet in their fight against the disease. “The strongest evidence that we have right now for possible risk reduction in Alzheimer’s and dementia points to the benefits of regular physical activity,” said neuroscientist Maria Carrillo, the association’s director of medical and scientific

relations. “What we don’t have yet is a specific prescription for which activities are best at reducing Alzheimer’s risk, or how long or how hard you need to do them.” Daniel Plotkin, a geriatric psychiatrist in Los Angeles, is also cautious but hopeful. “Mainstream medicine doesn’t have a lot to offer these patients,” he said. “But meanwhile we need to give them opportunities to be engaged in life, to feel some sort of meaning and purpose.” The founder and former director of UCLA’s Alzheimer’s clinic, Plotkin has directed patients into horseback riding, piano lessons, art classes—and ping-pong.

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Senior Connection | September 4, 2011

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2011 Alzheimer’s Disease Facts and Figures With Alzheimer’s, it is not just those with the disease who suffer. It’s also their caregivers. • In 2010, 14.9 million family and friends provided 17 billion hours of unpaid care to those with Alzheimer’s and other dementias. • The economic value of the unpaid care provided to those with Alzheimer’s and other dementias totaled $202.6 billion in 2010. • More than 60 percent of Alzheimer’s and dementia caregivers rate the emotional stress of caregiving as high or very high; one-third report symptoms of depression. • Alzheimer’s disease is the 6th leading cause of death in the United States and the 5th leading cause of death for those aged 65 and older.

• Alzheimer’s is the only cause of death among the top 10 in America without a way to prevent, cure, or even slow its progression. • Deaths from Alzheimer’s increased 66 percent between 2000 and 2008, while deaths from other major diseases, including the number one cause of death (heart disease), decreased.

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Senior Connection | September 4, 2011

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MagnumCare of Hastings is here to meet all your health care needs. Personalized Care Plans developed for specific rehab needs: • Cardiac • Diabetes • Chronic Disease • Orthopedic • CVA/Stroke Offering Short Term & Long Term Care • Respite Care • Rehab • Hospice Care MagnumCare of Hastings, 240 East North St. Hastings, MI 49058 269.945.9564

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Serving Our Community For

John ter Avest Agency, Inc Since 1953

Medicare Supplemental Senior Life Insurance Senior Dental

Phone: 269.962.6135

More Than A Century BATTLE CREEK’S FIRST...EST. 1866

Member

9 Capital Avenue, NE., Battle Creek, Michigan 49017

BATTLE CREEK’S FIRST...EST. 1866 T. R. SHAW JR.

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CHUCK STALLARD

2838 Capital Ave., S.W. Battle Creek, Michigan 49015-4016 205 N. Elizabeth St., Bellevue, Michigan 49021 www.shawfuneralhome.com

Member

The Order of the Golden Rule


Taking the first step…

ASSISTED LIVING

Care Community Recognized for Making a Commitment to Quality Care Community in Battle Creek is a recipient of the Michigan Center for Assisted Living’s (MCAL) Quality Standard Seals for levels of Best Practice. Care Community has been recognized at MCAL’s second level of the Quality Standard Seals. A multi-step application process took place in early 2010 to find homes committed to quality initiatives and improvement in their assisted living settings.

able to continue providing the care their loved one needs. We provide that friendly reassurance they need and are happy to make their caregiving burden a little easier.” There is no charge for the assistance. “It’s what we do – it is inherent in the mission of an area agency on aging to support, provide assistance and advocate for the needs of disabled adults, older adults and their caregivers. We consider it a privilege.” states CEO Fales. The agency does accept donations to help them continue to provide this service in the community. In addition to being the “one-stop shop” for information on resources and services for older adults, the agency also provides grant-funded and private care management services to come along side families and help them plan and manage their loved ones care. Transitioning a loved one out of the hospital, through a rehabilitative process, and back into their home environment can be challenging; the Aging & Disability Resource Line workers can help smooth those transitions for families. The agency promotes health, independence, and choice for all. When you don’t know who to call, call the Aging & Disability Resource Line at the Area Agency on Aging. The agency is an invaluable and important resource in our community for adult individuals with disabilities, older adults and their caregivers. You can reach the Aging & Disability Resource Line by calling 269-966-2450 or toll free at 1-800-626-6179. Their website is www.region3b.org or you can email them at info@region3b.org.

Linda Lawther, president/CEO of MCAL, said “I visit many assisted living homes in Michigan on a regular basis. It is an honor to be able to recognize the ones who are proving their ability and their drive to be the very best.” In 2003, the MCAL Quality Standard Seals for Levels of Best Practice became an annual achievement opportunity for Michigan homes. Michigan’s process was based on the National Center for Assisted Living (NCAL) Quality First Principles for Performance Excellence. Michigan’s program is designed to encourage participants to move through each of three steps with a goal for greater quality and excellence each year. MCAL members applying for a level two seal develop a quality improvement program as well as have full staff commitment to the NCAL Quality First Pledge. Level two participants have also begun the basics of strategic planning. The program was developed in a way that encourages homes to step up at least one level each year with a three to four-year plan. Care Community is one of four homes in the state of Michigan receiving the level two seal in 2010. MCAL is a statewide association of Housing with Services Communities, Homes for the Aged, Adult Foster Care and Independent Senior Housing Providers in Michigan, promoting the highest quality of person centered care and leadership principals. MCAL is also a resource for consumer education and information. You may contact MCAL by calling 517.627.1561 or by email at lindalawther@michcal.com.

(269) 968-3365

565 General Ave. • Springfield, MI

www.carecommunitybc.com LJ-0100110450

Senior Connection | September 4, 2011

“I just don’t know where to start to get help in caring for my mom.” Identifying and understanding the myriad of services that are available to help meet the needs of older adults in their own home is difficult and confusing. Every advertiser says they can help; most provide a multitude of services. Complicate this with the fact that we often don’t think about long-term care and in-home services until there has been a crisis – such as a stroke or a fall in the home. The non-profit Area Agency on Aging, located inside the Burnham Brook Community Center, has been helping seniors, adults with disabilities, and their families find help and hope in their homes since 1996. The agency has specially trained resource specialists available to answer questions and provide information on local services for older adults, persons with disabilities and family caregivers. CEO Karla Fales states, “There are so many options. But who wants to trust their loved one to the first agency they find in the phone book? Our specialists can help by providing information on what things you should consider before hiring a home health service or choosing an assisted living facility. They can also identify programs that provide services for little or no cost to those that are eligible. And some programs have no income based eligibility requirements; our Aging & Disability Resource Line can help persons of any economic means.” The agency’s resource database includes nearly one thousand sources of assistance available for older adults, persons with disabilities and family caregivers throughout the southwest Michigan area. They can even connect you to agencies and services in other areas of Michigan if needed. Areas of assistance offered include housing, eligibility and availability of government-funded long term care programs, transportation, Medicaid/ Medicare assistance, personal care, respite care, nutrition services, health and wellness, and prescription assistance. Depending on the information requested, a listing of the various services and resources, tip sheets and other materials can be mailed to the caller, even if they are not in our service area. Resource specialist, Bonnie Hogoboom, shared, “Caregivers are frequent callers. We help them find other support in their community to help insure they too remain healthy and

CARE COMMUNITY

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10 Warning Signs of Alzheimer’s 1. Memory loss that disrupts daily life One of the most common signs of Alzheimer’s is memory loss, especially forgetting recently learned information. Others include forgetting important dates or events; asking for the same information over and over; relying on memory aides (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own. What’s a typical age-related change? Sometimes forgetting names or appointments, but remembering them later.

2. Challenges in planning or solving problems Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before. What’s a typical age-related change? Making occasional errors when balancing a checkbook

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Senior Connection | September 4, 2011

If you’re like most seniors, a few gray hairs aren’t your only signs that you’re getting older. When your overall health presents some gray areas, too, there’s a place you can go to get answers...The Senior Diagnostic Center of South Central Michigan.

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The skilled professionals at The Senior Diagnostic Center consider all areas of your health...physical, social and behavioral. They are experts at developing practical treatment plans that can help you enjoy life to its fullest. What’s more, in addition to being shared with your family doctor, it’s also shared with you and any loved ones you choose. This means no more gray areas when it comes to your health. So, if you’re a senior over 50 or better, consider giving your healthcare plan a complete checkup. Make an appointment with The Senior Diagnostic Center today. We’re right in your own backyard...and as far as you have to go for answers.

People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game. What’s a typical age-related change? Occasionally needing help to use the settings on a microwave or to record a television show

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3. Difficulty completing familiar tasks at home, at work or at leisure

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4. Confusion with time or place People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there. What’s a typical age-related change? Getting confused about the day of the week but figuring it out later.

5. Trouble understanding visual images and spatial relationships For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast. In terms of perception, they may pass a mirror and think someone else is in the room. They may not realize they are the person in the mirror. What’s a typical age-related change? Vision changes related to cataracts.

6. New problems with words in speaking or writing People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”). What’s a typical age-related change? Sometimes having trouble finding the right word. Continued onPage 10

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Senior Connection | September 4, 2011

Providing Post Acute Rehab Restoring Health Recovering Abilities Rejoicing in Life

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10 Warning Signs of Alzheimer’s...Continued from Page 9

7. Misplacing things and losing the ability to retrace steps

A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time. What’s a typical age-related change? Misplacing things from time to time, such as a pair of glasses or the remote control.

9. Withdrawal from work or social activities A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced. What’s a typical age-related change? Sometimes feeling weary of work, family and social obligations.

10. Changes in mood and personality

8. Decreased or poor judgment People with Alzheimer’s may experience changes in judgment or decisionmaking. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean. What’s a typical age-related change? Making a bad decision once in a while. “One of 10 great places to see the lights way off Broadway.” -USA Today

October at Tibbits:

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Senior Connection | September 4, 2011

Saturday, October 1 Dr. Scream’s Spook Show Just like the good old days October 6, 7, and 8 Rehearsal for Murder An old-fashioned whodunit October 27, 28, and 29 Monster Hunters Our young talent at work October 1 through 31 14 South Hanchett Street, Coldwater, Michigan Bare Bones & a Full Moon For a full schedule of events The featured art exhibit go to www.Tibbits.org or call us at (517)278-6029 LJ-0100115677

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BATTLE CREEK TRANSIT 339 W. MICHIGAN AVE. BATTLE CREEK, MI 49037

What is Tele-Transit?

Tele-transit service is door to door public transportation for Battle Creek area residents. For more information please visit our website or call the number below.

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BATTLE CREEK TRANSIT

Visit www.battlecreekmi.gov/living or call (269) 966-3474

The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone. What’s a typical age-related change? Developing very specific ways of doing things and becoming irritable when a routine is disrupted.

“It’s like I’m leaving my husband with family,”

Mary says. “When I could no longer care for my husband at home, my sister-in-law looked online and found Sensations. I’m so glad she did! Saying goodbye to Phil after a visit is made so much easier, because it’s like I’m leaving him with family.” Is your loved one suffering with Alzheimer’s or other form of dementia? If so, let us help. We are a 39-bed, memory care residence, licensed as a Home for the Aged, offering State of the Heart Care in an attractive, friendly setting. Call today to schedule a tour. Or, simply stop by.

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Kevan Peet is fully recovered from his knee replacement surgery thanks to physical therapy delivered by Borgess specialists. After receiving home therapy for several days each week, Kevan was able to regain his mobility, flexibility and strength. If you or a loved one could benefit from skilled home care, trust your care to the area’s original and most experienced provider—Borgess Visiting Nurse & Hospice. From skilled nursing and specialized heart and wound care to rehabilitation services, and a complete range of home health services, the Borgess advantage includes: • Positive patient outcomes that exceed the national average in 12 of 12 categories* • Nurses, therapists, hospice care and home health aide services throughout southwest Michigan • Medicare, Medicaid and Blue Cross Blue Shield accepted • Accredited by Community Health Accreditation Program (CHAP) Visit homehealth.borgess.com for information or call (800) 343.1396 to schedule a free consultation.

* Source: Centers for Medicare and Medicaid Services for CY 2009. LJ-0100110432

Senior Connection | September 4, 2011

Medicare fraud affects every American. Waste, fraud and abuse take critical resources out of our health care system, and contribute to the rising cost of health care for all Americans. Eliminating fraud will cut costs for families, businesses and the federal government and increase the quality of services for those who need care. The U.S. Department of Health and Human Services (HHS) and U.S. Department of Justice (DOJ) are working together to help eliminate fraud and investigate fraudulent Medicare and Medicaid operators who are cheating the system. Attorney General Eric Holder and HHS Secretary Kathleen Sebelius are taking the fight against Medicare and Medicaid fraud to a new level. They have convinced senior officials from HHS and DOJ to work together on the Health Care Fraud Prevention and Enforcement Action Team (HEAT). HEAT has some powerful new tech tools and software which are enabling the HEAT Joint Strike Forces in six states (including Michigan) to detect and track questionable billing practices, red flag suspect repeat transactions, and bring enhanced computerized scrutiny to the Medicare billing processes, which should help increase the capture and conviction rate for perpetrators of Medicare Fraud. And, while HEAT is mobilizing its forces, our local award-winning Senior Medicare Patrol members are educating seniors in our community to enhance HEAT’s fraud-fighting efforts! SMP teaches seniors to detect fraud, identify scams, protect personal information, report errors, and interact with the proper authorities when fraud is suspected. Approximately 60 billion dollars is lost annually to health care fraud, waste, errors, and abuse. A July, 2011, report by the Office of the Inspector General showed 95 million dollars in suspect Medicare payments related to power wheelchairs during the first six months of 2007 alone! That’s just one single type of Medicare payable that needs closer scrutiny, and citizens can help detect and report these errors and abusive practices. The SMP program empowers seniors through increased awareness and understanding of healthcare programs. This knowledge helps seniors to protect themselves from the economic and health-related consequences of Medicare and Medicaid fraud, error and abuse. For example: a fraudster uses your Medicare number to fraudulently bill for repeated services. Your Medicare number gets “flagged” and put on a watch list. Later, you have an injury or illness and your Medicare card is refused due to the fraudulent activity related to your number. Education by the SMP program can serve to enhance the financial, emotional, physical and mental well-being of older adults — thereby increasing their capacity to maintain security and independence in retirement, and to make better financial and healthcare choices. There are many, many, forms of fraud. Learn more at the free September 14, 2011, Lunch’ N Learn Event, which will feature speakers from Calhoun and Barry County law enforcement, the Medicare/ Medicaid Assistance program, and Barry County Commission on Aging. The event will be held from 11:30am-1:30pm, at Burnham Brook Community Center, with light lunch, door prizes, and presenters. Space is limited, and lunch will be provided, so advance reservations are required by 3:00pm on September 12. Reserve a space at the event by calling 269-441-0980.

A member of Ascension Health®

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Senior Connection | September 4, 2011

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1. Example based on survey. Each dealer sets its own price. Your payments may vary. Payments are for a 2011 Cadillac CTS with an mSRP of $37,290. 39 monthly payments total $13,611. Payments are for a 2011 Cadillac SRX with an mSRP of $39,135. 39 monthly payments total $16,731. Option to purchase at lease end for an amount to be determined at lease signing. aLLY must approve lease. Take delivery by 9/30/11. mileage charge of $.25/mile over 32,500 miles. Lessee pays for excess wear. Payments may be higher in some states. Not available with some other offers. Residency restrictions apply. 2. Length of contract limited. Some customers will not qualify. Take delivery by 9/30/11. See dealer for details. 3. visit www.cadillac.com/premium-care for details. 4. Whichever comes first. See dealer for details.


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Oh, I’m just old and forgetful. . . Karla Fales, CEO Region 3B Area Agency on Aging

Is memory loss synonymous with aging? Many scientist and researchers do not think so, and much work is being done investigating the possible correlations between brain injury or lifestyle factors with dementia and Alzheimer’s. It is important, however, for citizens in all walks of life to be aware of the causes, signs and symptoms of conditions such as dementia and Alzheimer’s as early intervention can make a difference in long-term effects of these conditions. The term dementia describes a group of symptoms caused by changes in brain function. Although many people experience memory lapses, those who have serious changes in their memory, personality, or behavior may suffer from a broad range of dementia disorders. The two most common forms of dementia in older persons is Alzheimer’s disease and multi infarct dementia, sometimes called vascular dementia. So, what is the difference between dementia and Alzheimer’s? Although both types are irreversible and cannot

be cured, there are other differences. In Alzheimer’s disease, the nerve cells in a certain part of the brain change and cause the death of a large number of cells. Alzheimer’s disease begins slowly and becomes steadily worse. Also other impairments accompany Alzheimer’s, including impaired thinking, judgment, and the ability to perform daily routine activities. In multi infarct dementia, series of strokes change the brain’s blood supply and result in the death of brain tissue. The location in the brain where the strokes occur and the severity of the strokes determine the severity and variety of symptoms. It is also possible for Alzheimer’s and dementia to exist together, making it hard for a doctor to diagnose either one specifically. In fact, studies show that most older people with irreversible dementia have Alzheimer’s disease. Doctors will normally conduct a thorough physical, neurological, and psychiatric evaluation, along with a complete medical examination. The examination will include collecting the person’s medical history, including use of prescription and over the counter medicines, diet, past medical problems

and general health. Because a correct diagnosis depends on having accurate information, family members are encouraged to attend the examination and help provide any important information. Other exams also help test mental abilities, such as problem solving, counting, recalling simple information, etc. A CT scan may also be ordered to rule out other disorders

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Senior Connection | September 4, 2011

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and to help show the changes in the brain related to age. These are also helpful later to see if there have been further changes in the brain. Alzheimer’s not only takes an enormous toll on families, but also society as a whole. “Alzheimer’s disease is a global emergency, and we must accelerate the discovery of methods to detect and prevent it now,” said William Thies, PhD, Alzheimer’s Association Chief Medical and Scientific Officer. “Estimated worldwide costs of dementia are US$604 billion -- $183 billion in the U.S. alone. Deaths from Alzheimer’s disease are rising while those from other diseases are falling. In fact, Alzheimer’s is the only cause of death among the top 10 in the United States that cannot be prevented, cured or even slowed. The World Alzheimer Report 2010 by Alzheimer’s Disease International says that dementia is significantly affecting every health and social care system in the world, and costs of dementia are set to soar.” The Alzheimer’s Association and National Institute on Aging estimate that current direct and indirect costs of caring for today’s 4.5 million Americans with Alzheimer’s disease are at least $183 billion annually. By 2030, when our entire baby boom generation is over 65, the number of Americans with Alzheimer’s may be at levels which exceed our ability to absorb the added cost. This is part of the reason that early diagnosis and treatment

is important for both dementia and Alzheimer’s. And although these conditions normally affect those over age 65, some forms can strike as early as age 35. Therefore, if you are having memory loss or forgetfulness you should consult your doctor. There are other conditions that mimic some of the early symptoms and may also impact brain function, such as depression, thyroid conditions, complications of diabetes, and least often, brain tumors or cancer. Recent research has found connections between Traumatic Brain Injury (TBI) in veterans and Alzheimers, and research has been done with professional football players to determine whether concussive injuries to the brains of athletes could lead to cognitive impairment later in life. Studies for physical and lifestyle issues which may predispose persons for Alzheimer’s continue; you may learn more about the various recent global studies at the Alzheimer’s Association (www. alz.org) website. What is known now is that many emotional problems and stressors can also be mistaken for early dementia. Adapting to life changes such as retirement or the death of a friend or loved one can bring on a whole range of emotions including feelings of sadness, confusion, loneliness, and boredom. Work with a physician or mental health professional if you suspect depression may be at the root of the problem. Some medications also create confusion and unsteadiness, so be

aware of the side effects of medications, as well as drug interactions. Although memory loss doesn’t have to be synonymous with aging, dementia related diseases do affect a large number of people. As with all things, if you notice changes, even subtle ones, work with your physician to narrow down the causes. The key to aggressive intervention is early awareness and diagnosis. Sometimes it is difficult for older persons to detect these subtle changes in their life. However, caregivers, spouses, children or other family or friends may notice. Rather than dismiss their concern as mere forgetfulness due to aging, consider discussing the concerns more in depth and even asking them to go to the doctor with you. The early detection can make a difference for you and for your loved ones. For more information on dementia, Alzheimer’s and related disorders, contact the Alzheimer’s Association: 24/7 Helpline – 1-800-272-3900 TDD Access – 1-312-335-8882 Web site – www.alz.org E-mail – info@alz.org For caregiver resources to assist you in caring for a loved one with Alzheimer’s or memory loss, contact the Aging and Disability Resource Line at 866-642-4582.

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Senior Connection | September 4, 2011 15


Free Event Offers Answers to Common Memory Loss Questions “If a loved one is declining in their ability to dress, bathe, cook, shop, take medications correctly, do household tasks, pay bills, or other common activities of daily living, family members are frequently called upon to help. This may be a solution in the short term but can lead to caregiver burnout or in family members taking on roles they are ill-equipped to handle. Daughters try to become nurses, spouses try to become home health aides…we’d like to teach people how using resources like CentraCare can help normalize their family dynamic,” states Rod Auton, Executive Director of CentraCare, a non-profit Program of All-Inclusive Care for the Elderly (PACE program) in Calhoun County. If you’re concerned that your loved one’s memory lapses are leading to Alzheimer’s, you should plan now to attend the free “Alzheimer’s Disease—Answers and Resources for Family Caregivers,” educational program with opportunity for questions and answers. The keynote topic, “Memory Loss – Not a Normal Part of Aging!” will be presented by keynote speaker Dr. Gary Wortz, a Board-Certified Gerontologist who

has specialized in geriatric medicine in the community for over 20 years. Dr. Wortz serves as Medical Director at CentraCare. The National Family Caregiver Support Program, a program of Senior Health Partners, hosts. “Alzheimer’s Disease—Answers and Resources for Family Caregivers,” will take place Tuesday, September 20, 2011, from 5:30pm-7:00pm, at CentraCare, in the Burnham Brook Center at 200 West Michigan Avenue, Battle Creek. Senior Services, Inc., of Kalamazoo, will cater the free light dinner. Attendees should use the main CentraCare outside entrance off the large parking lot at the Burnham Brook Center. According to Karen Manney, Marketing and Outreach Coordinator for CentraCare, “Families tell us CentraCare has prevented their loved one from having to be placed into nursing homes. Caregivers and family members dealing with Alzheimers, memory loss, and increasing frailty in a loved one may be unaware of the support a Program of All-Inclusive Care for the Elderly like CentraCare offers. The comprehensive program supports families who wish for their loved one to remain living in their home. It provides medical, social, recreational, nutritional,

*Gene D. Cohen, M.D., PhD., of George Washington University’s Center on Aging, Health and Humanities.

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Senior Connection | September 4, 2011

Art programs enrich and enhance the lives of older adults by*: • Raising self-esteem and increasing enthusiasm • Results in fewer doctor visits • Reducing the need for pain medication • Art can keep you healthy

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at-home care and chore services, transportation to the day center and medical appointments, medication management, physical therapy to prevent falls and improve function for performing daily tasks, and much more.” Attendees at this free event can connect to local resources, including Region 3B Area Agency on Aging, Behavioral Health Resources and the Senior Diagnostic Center, CentraCare, and Senior Health Partners. In addition, you can learn home safety tips, get medication list reviews, learn fall prevention strategies, discover health and fitness opportunities, and explore activities for people with memory loss. Space is limited, and in order to provide enough dinner servings, persons interested in attending are requested to please RSVP for dinner no later than September 18, by calling Senior Health Partners at 269-441-0948.

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MEDICARE PRESCRIPTION DRUG PLAN ENROLLMENT for 2011 If you currently have a Medicare Drug plan: You can switch to a new Prescription Drug Plan once a year during Open Enrollment: Oct 15-Dec 7th. Your new plan will start on January 1st. A local Medicare/Medicaid Assistance Program Counselor can: • Objectively help you compare your current drug plan with other Medicare Drug Plan choices • Help you sign up for a new Medicare Drug plan • Check to see whether you qualify for help with the cost of your prescriptions or Medicare health care • Explain your enrollment options

To find a counselor near you by phone:

For information about Senior Millage funded services, call the Calhoun County Office of Senior Services at 269-781-0846. Our purpose is to make your life worth living, with Safety, Dignity and Independence.

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Region 3-B Area Agency on Aging (269) 966-2450 or (800) 803-7174 Calhoun Co. Office of Senior Services (269) 781-0846 or (877) 645-5243 Forks Senior Center in Albion (517) 629-3842 MMAP benefits counseling in Calhoun County is funded by a grant from the Michigan Office of Services to the Aging and major support from the Calhoun County Senior Millage.

Senior Connection | September 4, 2011

If you are new to Medicare, you can join a Medicare Drug plan when you become eligible for Medicare at age 65. You may enroll: BENEFITS COUNSELING One-on-one • the 3 months before the month you turn 65, counseling helps seniors determine best • the month you turn 65, or options for prescriptions and health care. • the 3 months after the month you turn 65

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Alzheimer’s Myths Myth 1:

Myth 3:

Memory loss is a natural part of aging.

Only older people can get Alzheimer’s

Reality: In the past people believed memory loss was a normal part of aging, often regarding even Alzheimer’s as natural age-related decline. Experts now recognize severe memory loss as a symptom of serious illness. Whether memory naturally declines to some extent remains an open question. Many people feel that their memory becomes less sharp as they grow older, but determining whether there is any scientific basis for this belief is a research challenge still being addressed.

Reality: Alzheimer’s can strike people in their 30s, 40s and even 50s. This is called younger-onset Alzheimer’s. It is estimated that there are as many as 5.4 million people living with Alzheimer’s disease in the United States. This includes 5.2 million people age 65 and over and 200,000 people under age 65 with younger-onset Alzheimer’s disease.

Myth 2: Alzheimer’s disease is not fatal.

Myth 4: Drinking out of aluminum cans or cooking in aluminum pots and pans can lead to Alzheimer’s disease.

Reality: During the 1960s and 1970s, aluminum emerged as a possible suspect in Alzheimer’s. This suspicion led to concern about exposure to aluminum through everyday sources such as pots and pans, Reality: Alzheimer’s disease has no survivors. It destroys brain cells and causes memory changes, beverage cans, antacids and antiperspirants. Since then, studies have failed to confirm any role for erratic behaviors and loss of body functions. It slowly and painfully takes away a person’s identity, aluminum in causing Alzheimer’s. Experts today focus on other areas of research, and few believe that ability to connect with others, think, eat, talk, walk and find his or her way home. everyday sources of aluminum pose any threat.

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Are You Sheltered?

If you have given up your life insurance “shelter” - who will pay for your final expenses when the time comes? Are you an individual who opted for a “cash settlement,” or a buy-out when you retired? Giving up the benefit of your company plan life insurance may have left you unprotected. We at Bachman Hebble would invite you to inquire about a protection plan to safeguard your funds for final expenses. Advanced funeral funding is the most thoughtful gift you can give your family. All it takes is a little time. Protecting your future is just as important as protecting your skin from the harsh sun. Let us demonstrate how you can feel “sheltered” again. Yes, shelter is protection, and that feels comfortable.


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Procrastinators beware! Starting in 2011 and going forward, dates for Medicare Fall Open Enrollment period start earlier and end earlier. The next open enrollment starts on October 15, 2011, and will only run until December 7, 2011. During this time, people with Medicare can change how they receive health coverage and add, change or drop their drug coverage. They can also select a health plan for their 2012 coverage. Each year, Medicare plans change what they cost and what they cover. Get your best value and coverage by reviewing your options annually. Consider consulting your local Medicare/Medicaid Assistance Program (MMAP). These are free counseling services for Medicare/Medicaid beneficiaries and their caregivers. They have no financial interest in your choice and therefore, provide unbiased information about available plans and options, including options for prescription drug coverage for your actual prescriptions! They can also help low-income seniors learn about other public benefits and programs that can help pay for Medicare plan costs. It’s a good idea take a look every year at what is available, even if you are happy with your current plan. Free MMAP benefits counseling services will take place at various sites in each county. Call the MMAP program of the Area Agency on Aging at 1-800-803-7174 to learn more or schedule your benefits counseling appointment. You can also contact the Calhoun County Office of Senior Services or Barry County Commission on Aging, which are both MMAP counseling sites.

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“She’s 90 46, and she’s sharp as a tack!” By Karen Manney, Marketing and Outreach Coordinator Region 3B Area Agency on Aging and CentraCare

Did you know that memory loss is not a normal part of aging? We all forget things on occasion—at every age. That is normal. Daily

forgetfulness, vagueness, or inability to remember steps to complete tasks is not normal. Laughing these symptoms off as “hormones” or “senior moments” can prevent important early diagnosis and treatment. And ignoring symptoms at any age is stupid. I can say that because I exhibited stupidity about symptoms myself last winter, ignoring some foggy vision I’d been experiencing for over six weeks before seeing my doctor. I’d also been really tired, forgetful, and not feeling like my brain was firing on all cylinders, but had selfdiagnosed those symptoms as overwork and the hormonal changes of aging. Imagine my surprise to learn that my blood glucose tested at 497. Normal range is 70-120. Hello, Diabetes. Hello, Stupid. My dad, grandmother, and brother were all diabetic, yet it had never occurred to me that my symptoms might also be diabetes. Duh. So, here I am, six months later…48 pounds lighter, with my blood glucose readings hitting in the normal range more often than not, thanks to proper diagnosis, education, and medication. My vision has improved, and so have my energy level and memory function—I’m sharp as a tack again. My point is I was only 46 and blowing off symptoms as being age-related! Frankly, I knew that Grandma had had dementia, and Dad had had some symptoms of dementia, and I really had not wanted to think about the possibility that I might be having symptoms at my age, too. So I avoided the doctor. Now, I’ve learned that memory loss is NOT a normal part of aging. There are many things which can trigger memory or cognitive issues. Memory loss isn’t always caused by dementia or Alzheimer’s, and avoiding a diagnosis out of fear can cause long-term physical damage. Please, take advantage of the opportunity to learn more about memory loss and how it is not a normal part of aging. There is a free program for the community being presented by the National Family Caregiver Support Program, a program of Senior Health Partners, on Tuesday, September 20, from 5:30pm-7:00pm at CentraCare. Dr. Gary Wortz will be the keynote speaker, offering insight into memory loss, Alzheimer’s and dementia, and allowing time for questions and answers after he speaks. There will also be other information for caregivers and activities for people with memory loss.

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Senior Connection | September 4, 2011

MagnumCare of Albion

CentraCare is located in A wing of Burnham Brook Center, at 200 West Michigan Avenue, downtown Battle Creek. A light supper is being provided, so reservations are requested, just call 269-441-0948.

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LOCAL SENIOR LIVING COMMUNITY FUNDRAISES FOR THE CALHOUN COUNTY WALK TO END ALZHEIMER’S™

Top Team In 2009 And 2010 Looks To Dominate Competition in 2011 Jamie Dahl has led Northpointe Woods to victory for two years running and she has no plans of giving up now. She will take on all of Calhoun County on September 17, 2011 at this year’s Walk to End Alzheimer’s at the Calhoun County Fairgrounds in Marshall. But of course, this event is about more than who can raise the most money. “I work at a senior living community and I see families struggling with this disease every day. It can get really hard. I’m so proud of everyone at Northpointe Woods who dedicates their time and love to caring for people with this devastating disease.” The community will put on a month long fundraiser in August to raise funds towards the Walk To End Alzheimer’s. This fundraising frenzy includes penny jar wars, breakfasts, bake sales, flower sales, and many other activities. Dahl and her team raised almost $2,500 in 2009 and just under $3,000 last year. This year, Dahl serves as the Logistics Chair on the Walk Planning Committee. “We’ve changed the location this year to accommodate the growing number of community members who are all teaming up in the fight against Alzheimer’s. The county fairgrounds are beautiful, and we can take advantage of some new renovations.” If you would like to join Jamie Dahl at the Calhoun County 2011 Walk to End Alzheimer’s or give her team a little competition this year, you can register or join a team today at alz. org/walk.

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About the Walk to End Alzheimer’s: The Alzheimer’s Association Walk to End Alzheimer’s is the nation’s largest event to raise awareness and funds for Alzheimer care, support and research. Since 1989, the Alzheimer’s Association mobilized millions of Americans in the Alzheimer’s Association Memory Walk®; now the Alzheimer’s Association is continuing to lead the way with the Walk to End Alzheimer’s. Together, we can end Alzheimer’s – the nation’s sixth-leading cause of death.

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The Effect of Alzheimer’s on Lives Alzheimer’s is a degenerative disease that is both terminal and incurable. It was discovered and named in 1906, and is generally diagnosed in people age 65 or older. There are many different levels of Alzheimer’s, and they can develop over years or months. The different levels of the disease affect a person’s memory, language, physical capabilities, attentiveness and personality, and often cannot be stopped or slowed. The only suggested deterrents for Alzheimer’s are a good diet, exercise and mental stimulation throughout life. Pre-Dementia Often early systems of dementia are thought to be simple stress related issues, or the results of aging and entering the advanced years of a person’s life. Early symptoms can occur up to eight years before a person is actually diagnosed with Alzheimer’s disease. These symptoms include most notably memory loss and the easy loss of attention or train of thought. Early Dementia As the early symptoms progress into early dementia, the effects become much more pronounced. Persons with dementia begin having trouble with simple words and sentences; they begin to forget large chunks of their past, known as episodic memory; their speaking becomes less fluid; they lose the ability to do daily activities (such as tying shoes); and many tasks become difficult and they appear clumsy.

We’ve Got Your

By Matthew Fortuna, eHow Contributor

Moderate Dimentia With moderate dementia, the patient begins to advance to a severe form of Alzheimer’s. She loses the ability to live independently. She can no longer read and write, and her vocabulary is severely limited at this point. Long-term memories begin to fade and outbursts of aggression and emotion are common. Advanced Dementia The worst of Alzheimer’s begins to rear its head with advanced dementia. The patient becomes delusional at first, and loses memory of all but the closest contacts, and sometimes these as well. At the end of the road, the patient loses speech, becomes exhausted, muscle mass deteriorates and the ability to eat is lost. This often leads to illness which causes death. Effect on Loved Ones The effect of Alzheimer’s on loved ones can be particularly draining as the sick person becomes increasingly aggressive and increasingly hard to take care of. The family may be forced to move the sick person to a constant care facility, an emotional and financial burden on family and friends. The withering of the disease can be slow and painful, and loved ones will likely have to watch as a person slowly loses all memories and much of their physical appearance and health. Read more: The Effect of Alzheimer’s on Lives | eHow.com http://www.ehow. com/about_5436626_effect-alzheimers-lives.html#ixzz1VKO8THaW

Senior Connection | September 4, 2011

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Diagnosing Alzheimer’s Alzheimer’s disease is diagnosed through a complete medical assessment. If you or a loved one have concerns about memory loss or other symptoms of Alzheimer’s or a related dementia, it is important to be evaluated by a physician.

Steps to Diagnosis

There is no single test that can show whether a person has Alzheimer’s. While physicians can almost always determine if a person has dementia, it may be difficult to determine the exact cause. Diagnosing Alzheimer’s requires careful medical evaluation, including: 1. A thorough medical history 2. Mental status testing 3. A physical and neurological exam 4. Tests (such as blood tests and brain imaging) to rule out other causes of dementia-like symptoms Experts estimate a skilled physician can diagnose Alzheimer’s with more than 90 percent accuracy. The first step in following up on symptoms is finding a doctor you

feel comfortable with. Many people contact their regular primary care physician or internist about their concerns regarding memory loss. Primary care doctors often oversee the diagnostic process themselves. Your primary care doctor may refer you to a physician who specializes in the diagnosis and treatment of Alzheimer’s disease and related dementias. Specialists include: • Neurologists, who specialize in diseases of the brain and nervous system • Psychiatrists, who specialize in disorders that affect mood or the way the mind works • Psychologists with special training in testing memory and other mental functions Having trouble with memory does not mean you have Alzheimer’s. Many health issues can cause problems with memory and thinking. When dementia-like symptoms are caused by treatable conditions — such as depression, drug interactions, thyroid problems, excess use of alcohol or certain vitamin deficiencies — they may be reversed.

People with memory loss or other possible warning signs of Alzheimer’s may find it hard to recognize they have a problem and may resist following up on their symptoms. Signs of dementia may be more obvious to family members or friends.

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WE ARE BRONSON BATTLE CREEK

Senior Connection | September 4, 2011

Battle Creek Health System is now Bronson Battle Creek.

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As part of the region’s leading healthcare system, we’ll do our best to continue to improve the quality of life here in Battle Creek and southwest Michigan. Because we believe everyone deserves access to high-quality care. And as members of the community, we’re looking forward to growing a legacy everyone in Battle Creek can be proud of.

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