PrimeTime - March 2015

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aging well loving life!

March 2015

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• Aging in Place • Independent Living • Caregiver Support

Wine of the Month Sponsored By ATWOOD

WINE & SPIRITS Visit us today and see our large variety of Wine, Beer ^ƉŝƌŝƚƐ ĂŶĚ 'ŝŌ ĂƐŬĞƚƐ 426 Atwood Ave|Cranston, RI atwoodwinespirits.com|944-6900 Mon-Sat 9-10|Sun 10-6

Our choice for March’s Wine of the Month is

Pine Ridge

Chenin Blanc & Viognier Blend 750ml

12.98

$

Aroma

This beautiful blend opens with fresh lemon, juicy honeydew melon, pomelo and sweet mango, complemented by soft orange blossom ϐ notes.

Taste

The palate is crisp and mouth-watering, leading with papaya, yellow pear and ruby ϐ are balanced by hints of sweet tangerine and white tea.

Pairings

Light Salads Spicy Tuna Roll Thai Curry Seared Halibut

To see more of

please join us in store or online! | PrimeTime 2

March 2015

inthisissue

Pr i m e Ti m e March 2015 1944 Warwick Ave. Warwick, RI 02889 401-732-3100 FAX 401-732-3110 Distribution Special Delivery

agingwelllovinglife

PUBLISHERS Barry W. Fain, Richard G. Fleischer, John Howell MARKETING DIRECTOR Donna Zarrella donnaz@rhodybeat.com Editor/ Creative Director Linda Nadeau lindan@rhodybeat.com WRITERS Michael J. Cerio, Jessica Selby, Tim Forsberg, Elaine M. Decker, Joe Kernan, Mike Fink, Meg Chevalier, Kerry Park, Kathy Tirrell, ADVERTISING REPRESENTATIVES Donna Zarrella – donnaz@rhodybeat.com Lisa Mardenli, Janice Torilli, Suzanne Wendoloski, Alex Viscusi Classified ADVERTISING REPRESENTATIVE Sue Howarth – sueh@rhodybeat.com PRODUCTION Matt Bower, Brian Geary, Lisa Yuettner A Joint Publication of East Side Monthly and Beacon Communications.

PrimeTime Magazine is published monthly and is available at over 400 locations throughout Rhode Island. Letters to the editor are welcome. We will not print unsigned letters unless exceptional circumstances can be shown.

Dinner and a Show!

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shamrock for a chance to win a

25

$

00

Gift Certificate to

and 2 tickets to

4

LeadingAge RI

Quality care and comfort to caregivers and seniors

6 Independence

Independence HomeHealth Wares helping seniors remain independent

7 Aging in Place

What does it really mean to you?

8

Under One Roof

PACE is many things to many seniors

18 Game of Life

Better Communication Better Care

community

Peter Koch A Mentoring Legacy.........................15

Senior issues

Alzheimer’s Association..................16

Food & Drink

Speciality Mushrooms.....................10

LIFESTYLES

Retirement Sparks..............................17 What Do You Fink...............................20

professional Prospective

Your Home..............................................19 Your Taxes................................................20

o n t h e c ove r

Saint Elizabeth Manor resident Ralph Walmbolt and Administrator Beth Russell prepare for a scenic flight over Newport aboard a vintage airplane. (submitted photo)

19 55+

Not Your Grandmother’s

Retirement Home

nextmonth

Spring Home Improvement

mail entries to:

Beacon Communications 1944 Warwick Ave., Warwick, RI 02889 attn: I Found It! or send an e-mail to: donnaz@rhodybeat.com

Page ___________

ACTUAL SIZE Entry Deadline: March 31, 2015

Name__________________________________________________________________________________ Address_ ______________________________________________________________________________ Phone#________________________________________________________________________________ e-mail__________________________________________________________________________________

March 2015

PrimeTime |

b y M ichael C eri o

Commitment to

Quality Care

“

. . . seniors can remain living in their home longer, which often allows for greater quality of life – James Nyberg, MPA, Director of LeadingAge RI.

LeadingAge RI Provides Comfort to Seniors & Families

A

A Day at the Beach Each summer, residents of Saint Antoine Community’s Special Care Unit spend a day at the beach. Last year, the group went to Galilee Beach in Narragansett, where Maureen Bessette (center) relives past memories of spending time there with her children years ago thanks to help from Lisa Schenk, Special Care Unit activities coordinator (left) and nursing assistant Amanda Heywood (right).

| PrimeTime

s the landscape of healthcare and long-term care options continues to change at a pace never-before-seen, many seniors and their families often struggle navigating a complex system to find the best care that fits their specific needs.

In a world dominated by conglomerate-type healthcare providers, it’s never been more important than now to have a trusted resource to turn to for questions and direction that impacts the well-being of a loved one. This is why people have confidence in LeadingAge RI, the focus of this month’s A Worthy Cause feature.

Founded in 1989 as a membership organization consisting solely of nonprofit providers of aging services, LeadingAge RI represents a constellation of care for older Rhode Islanders and their families.

Its diverse membership includes nursing homes, assisted living facilities, senior housing providers, and adult day health services. Part of the national LeadingAge—an association made up of more than 6,000 nonprofit organizations across the country—members of this local group help thousands of Rhode Island seniors every day.

“At LeadingAge RI, we truly believe in the notfor-profit difference,” says James Nyberg, MPA, Director of LeadingAge RI. “All of our members are mission-driven with an unwavering commitment to care; their primary focus is people and quality of life, and that is the benefit seniors, their families and caregivers receive.”

As individuals age, their needs change greatly.

However, constants always remain: a desire to remain independent and living in their home, the need to socialize and be active with peers, compassionate care, and more. This is where the diverse membership of LeadingAge RI excels.

“Our members believe that the most important thing they can do is promote the greatest quality of life, care, and independence among those they serve,” says Nyberg. “There’s such an incredible range of service and expertise within our organization that we’re able to provide the appropriate care in a setting that is unique to each individual, especially in the place that they call home.”

Though each senior’s needs vary depending on their individual circumstances, the most popular services that older Rhode Islanders and their families turn to LeadingAge RI for help with include longterm nursing home care, short-term rehabilitation

March 2015

aging well

Fun for All Residents of Tockwotton on the Waterfront enjoy the home’s annual Clambake with family, friends and staff. The activity is one of many coordinated by Tockwotton throughout the year.

Living Life to the Fullest Saint Elizabeth Manor resident Ralph Walmbolt and Administrator Beth Russell prepare for a scenic flight over Newport aboard a vintage airplane — a wish come true for Ralph thanks to Saint Elizabeth Community’s “The Wish Project.”

Saint Elizabeth Community is a proud member organization of LeadingAge RI.

to recover from an injury and return home, and residential living options such as assisted living and housing apartments specific to seniors.

A sampling of LeadingAge RI member organizations includes St. Elizabeth Home, Winslow Gardens, Tockwotton on the Waterfront, To Life Adult Day Center, Saint Antoine Residence, Shalom Housing, Cornerstone Adult Services, Mount St. Rita, and March 2015

dozens more. As a great resource for those seeking information, the LeadingAge RI website (www.LeadingAgeRI.org) lists each of the organization’s partner providers on its Members page, including a description of the quality care each provides.

Because services that help seniors age in place remains one of the most sought-after aspects of LeadingAge RI’s work, its membership places additional focus on making this a reality.

“There is an enormous desire among the seniors served through our members to remain independent for as long as possible,” says Nyberg. “There will always be a need for nursing home care, but with a greater focus on the resources and services available in the community, and by helping individuals and families access them, seniors can remain living in their home longer, which often allows for greater quality of life.”

Whether through providing meals and supportive services coordination, a nursing home to help a senior safely transition back to the community, or an adult day center that offers care to an elder and relief to their caregiver, LeadingAge RI serves as an important resource.

Above and beyond its work to help seniors and their families identify care options and resources, LeadingAge RI actively advocates for the alignment of public policies that connects the needs of older adults with the efforts of its membership. Touted as “Expanding the world of possibilities for aging,” the organization promotes the independence and dignity of seniors.

“Our growing older population is a huge accomplishment; one that we should all be proud of,” says Nyberg. “However, an aging population also presents challenges in terms of the need and having to rethink how we can help people care for themselves, or how to provide direct care to seniors when they need it most.”

Nyberg is quick to point out that today’s transformative time in health and aging services has led to exciting new ideas and models of providing care that not only focus on improving quality, but also affordability.

This shift in philosophy is moving towards providing care based on an individual’s needs and wishes, and not an institutional-oriented ‘one-size-fits-all’ approach to care.

“We need to make sure that aging services are more of a priority—caring for a growing older population should be a significant issue at state and national levels, but when was the last time it came up during a

political campaign,” adds Nyberg. “There needs to be a commitment by elected leaders to help create the next generation of aging services that is responsive to the changing needs of the aging population. I think it is not only possible, but inevitable given our state and our nation’s changing demographics.”

While fully dedicated to its aspirations for the future, LeadingAge RI also recognizes that one of the biggest barriers for seniors and their families today is a lack of understanding the resources and services available to them. With this in mind, the organization regularly participates in committees, work groups and initiatives around aging services to keep its members updated on the latest information and trends. Each of its member organizations features staff that specialize in assisting individuals with accessing information and services, whether through their own program or a sister organization within LeadingAge RI. “The system for senior care resources can often be complicated and fragmented,” says Nyberg. “Oftentimes, people from the community come directly to our members because they know them by reputation or experience.”

On Friday, March 20, LeadingAge RI will host its Annual Conference and Trade Show at the Crowne Plaza in Warwick. Organized to help the community, its member organizations and other aging services providers continue their education on a wide-range of topics, LeadingAge RI secures expert speakers to help attendees learn about new developments in long-term care, obtain critical information, and be inspired to think about new ways to improve their care and services. There will also be a selection of breakout sessions and Continuing Education Units.

Additional information about this year’s Conference and Trade Show, including a full schedule of offerings, can be found at www.LeadingAgeRI.org. The website is also a great way to connect with LeadingAge RI and learn more about the services of its diverse membership.

“For LeadingAge RI, it is a privilege to represent nonprofit aging services providers, whose sole reason for existence always has been, and always will be, to provide the highest level of care possible and to promote the quality of life for people in our community,” says Nyberg. “If you or someone you know is in need of long-term care, our members stand ready to provide quality and compassionate options—no one should ever hesitate to contact us.”

PrimeTime |

aging well

b y K athy T irrell

Gain a greater degree of

Independence F

or older adults, there are pros and cons to living alone. On the one hand living by yourself can be very peaceful and quiet and gives you a sense of freedom and independence. On the other hand it can be scary and potentially dangerous if you should trip over a rug and land on the floor or fall while attempting to get into or out of the bathtub or shower. According to experts, the bathroom is the most dangerous room in your house.

Fortunately there are a lot of ways to make your home safer so you can continue to live there. One company that strives to keep folks “independent” is Independence HomeHealthWares, in business since 1999, serving all of Rhode Island and nearby Massachusetts.

“We celebrated our 15th anniversary last September,” said CEO Richard Westlake from his office in East Providence.

“There’s a lot of elderly folks and many family caregivers who don’t realize the scope of products available to them to make life easier,” Westlake continued. “And one of the reasons we named the company Independence is because our mission is to help people remain independent of whatever physical challenges they’re enduring. And that’s our goal.”

Westlake talked about the importance of receiving good service from the company that supplies your home healthcare products.

“What’s good service? Exploring the possibilities with people, offering alternatives,” he said. “One of the services we offer is shopping the whole marketplace for the best products. And we perform a functional check on every item that goes out before it goes out.”

If affordability is a concern, Westlake stressed that his company understands.

“One of the major services we provide is coordinating people’s healthcare benefits to see if we can get insurance or some other payer to cover the products,” he said. “Coordination of benefits is what we call it. We try to maximize people’s benefits to minimize their out of pocket costs.”

Westlake explained that most of their products are delivered right to a person’s home. “We set the equipment up, we adjust things if necessary. We teach folks how to use them safely.”

Independence has a Recurring Needs Program. When a customer runs low on certain products, Independence is prepared to quickly replenish the supply.

For those needing equipment, “A lot of items are available for rental or purchase,” said Westlake. “If customers want to try it before they buy it, they can. We apply the first month of rental to the purchase.”

To check out Independence products, you can stop by their showroom located at 35 Agnes Street in East Providence. Showroom hours are Monday through Friday from 8:30 to 5:00. The phone number is 401-273-8888. For more information and links to their Facebook page, visit their web site at www.HomeHealthWares. com.

For those renting critical care products, “we provide 24-hour on call service,” said Westlake. “You can leave a message and get a call back.”

Since their motto is “Better products, better service,” you know exactly what you’re going to get.

| PrimeTime

Here is a sampling of the many products available for purchase from Independence: Lift chair A very popular product, this is a comfortable armchair with a button you press to slowly move forward until you reach a standing position.

Hospital Beds for Home Use Choose from a wide assortment of electric hospital beds including standard, bariatric, extra-long, and extra-low. Accessories include a low air loss mattress which can help keep the skin protected and evenly distribute the weight of the patient.

Transfer bench A bench which helps a person get into and out of the bathtub safely.

Commodes Drop arm, Bariatric, and All in One are the three kinds to choose from. Both folding and nonfolding models.

Bath bench Placed inside the tub, this bench can prevent a fall while you’re bathing or showering.

Wheelchairs Many types to choose from including manual, electric, and scooters.

Raised toilet seat Installed on top of a regular toilet seat, it provides additional height so it’s easier to get up from the toilet.

Home Oxygen Therapy equipment The most modern, cylinder filling system to allow the user to independently manage his or her portable oxygen supply.

Rollator An outside walking aid with four wheels, handbrakes, and a padded seat to sit on if you need to rest. You can choose from several models.

Knee Walker A great alternative to crutches, this is a 3-wheeled walker with a full-length, extra-padded leg rest for either a left or right below-the knee injury.

March 2015

aging well

b y susan a . pr o mfet

Aging in Place I have my opinion of the definition of Aging in Place, as I am sure you do. But I did some research and found one that I think fits best. The Center for Disease and Control states Aging in Place is “the ability to live in one’s own home and community safely, independently and comfortably, regardless of age, income or ability level”, based on the AARP report “A Report to the National Livable Communities: Creating Environments for Successful Aging.”

Let’s dissect this. Ability; which is the means or skills to do something. Think about that. The ability of being able to cut the lawn, do one of you favorite things like gardening. How about being able to reach items in high cabinets or lifting your legs safely over the tub or bringing laundry to your basement where your washer and dryer is? Your strength, arthritis or other issues may make your ability to do these more difficult as you age.

Safety; we can all relate to this regardless of age on how safe we are in our home. With the older population there are issues that need to be addressed. Is your home design easy and safe for you

to maneuver throughout? Do you have many stairs to climb or do you need handrails for support and safety in your bath tub/shower?

Independence; this can mean some help to do certain tasks that you use to be able to do before but by getting some assistance with these tasks doesn’t mean you are not independent but it will keep you out of institutionalized care.

Comfort; we all know that we are comfortable in our own home and per an AARP report, 90% of adults over 65 years old prefer to stay in their current residence as they age.

Financial ability; this is one area that my knowledge and experience can assist you. Not only can I help you afford to be able to stay in your home but also help with other resources regarding some of the items I mention.

Your ability to cut your grass, shovel the snow is more difficult as you age (and when you are younger too!) but you do not have the extra money to afford to hire someone to do these tasks and you sure don’t want to “put out” your adult children or grandchildren to help….you want to stay independent!

What does it really mean to you?

Safety is a very important part of Aging in Place. Is your bedroom up too many stairs or your washer and dryer in the basement? Wouldn’t having your primary living space on one level be easier or the ability to afford a chair lift? How would a new shower that you can easily walk into rather than lifting your leg over a high bath tub sound?

The independence to be able to hire help when and where you need it and to know the resources of what programs are available to you at a reduced rate or even free!

Fixed income doesn’t allow you to afford to Age in Place. You are struggling to make ends meet. I’m going to educate you about how a reverse mortgage can help you with all of these challenges.

The Center for Retirement for Research at Boston College has done numerous reports regarding using home equity to Age in Place. One Report states that 51% of households are “at risk” of not having enough money to maintain their living standards in retirement and if they do not tap into their home equity that percent increases to 61%.

You could have the extra financial

resources based on your hard earned equity in your home to afford to do these things and more. Not to mention a reverse mortgage can help you with your day-to-day expenses, health care costs, needed home repairs and to be prepared for those unexpected expenses such as a new boiler or car.

A reverse mortgage is an option available to those 62 and older to tap into a portion of their equity to help afford the things I spoke about above. This will help you enjoy your Golden Years and to help you be financially and emotionally stress-free.

Susan’s volunteer work includes the CoChairperson of the Board of Directors for the Senior Agenda Coalition and past Board member for 6 years for the RI Chapter of the Alzheimer’s Association. She covered the 2005 White House Conference on Aging, a conference that is held in Washington, DC every 10 years. She is also member of the Older Women’s Policy Group and most recently the Lt. Governor’s Long Term Care Coordination Council’s Aging in Community Act Subcommittee member. She is a Reverse Mortgage Sales Manager. For a free educational consultation, Susan can be reached at 401-595-7300.

Cornerstone Adult Services, Inc. Just like family

Providing Support During the Day - Restorative Therapy - Nursing Care - Exceptional Programs Cornerstone has five adult day centers in RI 3270 Post Road, Warwick, RI 02886 60 Wood Street, Coventry, RI 02816 172 Franklin Street, Bristol, RI 02809 115 East Main Road, Little Compton, RI 02837

Call Today

401.739.2844

Alzheimer’s Care Center 140 Warwick Neck Avenue, Warwick, RI 02889 Member Saint Elizabeth Community

www.stelizabethcommunity.org A non-profit, nonsectarian 501(c)(3) charitable organization and CareLink Partner.

March 2015

PrimeTime |

b y jessica selby

PACE so many things to so many seniors

Patricia Burke, who lives alone in her North Smithfield apartment, is wheelchair bound and unable to drive. She said that she struggles with personal hygiene needs and day to day living necessities like cooking and cleaning, but thanks to a Providence based program, she doesn’t have to go at it alone.

A PACE home based aid arrives at her home in the morning to assist Burke with these daily challenges and shortly after a van arrives at her apartment building on most mornings to pick her up and take her for breakfast, then to her morning exercise class, then her doctor’s appointment and then for lunch. After a nice bite to eat, she will enjoy some therapeutic painting, a game of BINGO with friends and meet with her social worker. Before the day is through, she will chat with some friends and then head home after a full day.

This all takes place at one location in Providence. From the outside it seems quiet, but behind the big glass doors at 225 Chapman Street, there is a lot of activity going on.

Dana Jackson, 71, of Providence arrives by bus and is escorted by an aid into the building. Upon arrival a greeter at the front door says hello and then immediately turns to the woman behind her and begins to speak in Spanish, something about yesterday.

Inside the building an activities aid is calling out numbers as a dozen or so seniors are engrossed in a heated game of Bingo. Inside the full-service restroom, a group of CNAs are assisting an elderly woman get into the shower, bathe herself and ready for the day.

Around the corner a beautician is styling one woman’s hair while another sits and waits with color on her hair.

Just a short way down the hall a group fitness class is taking place and in the other direction, a few people have gathered for a therapeutic painting session.

This, according to Cyndi Forcier, vice president of marketing and development for PACE Rhode Island, is just a regular day at the facility.

PACE Rhode Island is an all-inclusive care program for elderly who wish to continue to reside and thrive in a community based setting versus an assisted living environment.

Patricia Burke

“

We are not a cookie cutter operation, each of our program participants have a program tailored just for them – Cyndi Forcier – PACE Rhode Island

Dana Jackson | PrimeTime

March 2015

aging well

The program was established in Providence 10 years ago and has, according to Forcier, grown by leaps and bounds since its founding. This is, she said, the only integrated care initiative of this kind in the nation.

“What we do is not necessarily unique when you separate it out, but it’s when you bring all of our services together under this one roof that it becomes a really special program,” Forcier said. “It’s an innovative model, it’s actually the only one of this kind in the nation, and we have been in growth mode since we opened 10 years ago.”

Typically the center services approximately 100 people a day through its various avenues of service. Whether they are coming for physical therapy, occupational therapy, a doctor’s appointment or just to socialize with peers, the center is available to its members from 7:30 a.m. until 5 p.m.

Currently PACE Rhode Island employs 80 people at both their Providence based location and the newest location in Westerly. There are master social workers, physical and occupational therapists, CNAs, activities coordinators, dietary aids, van drivers and many, many more that make up the PACE workforce. There is also a full-service medical team which is comprised of one physician, three nurse practitioners, two primary care nurses, five home care nurses and a slew of other team members.

“I can’t imagine doing medicine any other way now that I have been here for seven years,” said Betsy Canino, a nurse practitioner for PACE Rhode Island. “This concept of all-inclusive care is just the best way to attend to our people whether we are treating their physical, mental or emotional needs.

“Whether they are in our office or in the main hall or taking a fitness class, we have eyes on them all the time so we really get to know these people and learn their needs,” Canino said. “Just the other day I had a question about one of my patients and we walked right down the hall so that I could check in with our physical therapy department and determine a plan that best met that individual patients needs. These aren’t just diagnoses, they are lifestyle plans.”

According to Forcier, lifestyle plans are the backbone of the PACE innovative model. The goal, she said, is to create a complete individualized plan for each PACE member so that they can best survive and thrive as community members.

Each person who applies to PACE has to meet a certain criteria; 55 years of age or older, live in the service area, and meet the level of care need. Once accepted into the program, Medicaid and or Medicare fully fund the program so that a team of specialist can establish an individualized program for each participant. The participants are then assigned social workers, aids for at home and on-site as needed and then given a program guide which they are encouraged to follow. It might include physical or occupational therapy, fitness classes or other forms of therapy. Medical care is also rendered right onsite.

“That is the real unique part about PACE quality care,” Forcier said. “We are not a cookie cutter operation, each of our program participants have a program tailored just for them and our teams meet regularly to reassess and reconfigure the needs to be met for that person.”

PACE is currently accepting new program participants and is always open to the public for tours and inquiries about their initiatives and programs. More information is also available on the website, www.pace-ri.org.

March 2015

rita pion

PrimeTime |

b y j o e kernan

specialty

lifestyles

mushroomS

shoot up by the ton in West Kingston People who follow events in the world of cultivated mushrooms will tell you that Pennsylvania is, by far, the biggest producer of mushrooms in America, but a trio of Rhode Island entrepreneurs could possibly make Rhode Island the specialty mushroom capital of the world.

The RI Mushroom Company cultivates exotic mushrooms for restaurants and consumers in Rhode Island and further north. RI Mushroom grows several varieties or mushrooms, like blue oyster, crimini, golden oyster, king oyster, maitake, portobello and pioppino.

“I started growing them at Sweet Berry Farm, almost as an experiment,” said Bob DiPietro, a food service veteran. “We wanted to see if you could grow them along with other things in a greenhouse. Now we knew we could grow them and we knew could sell them. In fact, at one point we had so many fresh mushrooms we were afraid they wouldn’t be fresh before we could sell them. Then we saw some jars of pasta sauce a friend was selling at farmer’s markets and we said, ‘Let’s make sauce.’ Now we have a variety of sauces to sell as well.”

The business is still all so new to DiPietro that he can’t conceal his amazement at how well their venture has gone. With the problem of using surplus growth solved, the problem of meeting demand arose. In the few short years they have been producing, they’ve seen their mushrooms spread, so to speak, through restaurants and gourmet specialty shops in Rhode Island, southern New England and up into

shops in Cambridge and Boston suburbs.

“We’ve started selling them to Whole Foods, who sell them by weight in their stores,” said DiPietro. “We don’t pack them under our own name yet.”

DiPietro’s mushrooms are grown differently from the supermarket variety.

The plain, white buttons grow in compost beds. DiPietro grows mushrooms on compressed cakes of hardwood sawdust, similar to the way mushrooms grow on downed trees in the forest. Unlike the forest, DiPietro and his partner, Mike Hallett, have to maintain an atmosphere that controls the amount of carbon dioxide in the air and a high humidity of at least 95 percent. Not as easy as you would think in the “grow rooms” contained in an industrial building in West Kingston. The sheds look much like the plastic-side greenhouses of other farms but being contained in the larger space allows them to keep desired levels of moisture and air on the mushrooms and keep contaminants and foreign organisms at bay.

“This atmosphere is extremely controlled,” said DiPietro. “We actually create positive pressure inside the greenhouse, we force air out so things that are outside of the cracks and seams of the greenhouse are pushed away and do not drift into the greenhouse.”

Not only did they find a market and a method to grow the mushrooms, they are finding the demand keeps increasing. Local amateur cooks and professional chefs like the idea of mushrooms that are exotic and affordable at the same time. It will be a long time before these mushrooms are as inexpensive as the white buttons in the produce departments of supermarkets but they will be cheap enough that what used to be a seasonal treat at only certain times of the year, will now be affordable year-round.

Cultivating mushrooms has been around for much longer than RI Mushroom. Website of the Mushroom Council www. mushroominfo.com says France was the leader in the formal cultivation of mushrooms. Some accounts say that Louis XIV was the first mushroom grower. Around this time mushrooms were grown in special caves near Paris set aside for this unique form of agriculture.

From France, the gardeners of England found mushrooms a very easy crop to grow, which required little labor, investment and space.

Mushroom cultivation began gaining popularity in England with more experimentation with spawn and publicity in journals and magazines.

In the late 19th century, mushroom production made its way across the Atlantic to the United States where curious home gardeners in the east tried their luck at growing this new and unknown crop. However, growers had to depend on spores imported from England, which, by the time it reached the U.S., was of poor quality. Experts suggested that it was perfect for florists, since they grew flowers on benches. Florists could slide mushroom beds under flower benches, thereby cultivating two crops in the area of one.

William Falconer’s book on the subject (1891) inevitably led to commercial production. It also contained much practical advice on building beds for cultivation, the perfect growing temperature and where mushroom markets were developing. Concentrated areas of industry growth were Long Island, Central Massachusetts, Chicago, MORE THAN ONE FUNGI HERE: Mycologist Todd Leftwith is experimenting with ways to grow Michigan and California but southeastern Pennsylvania was, and even more exotic mushrooms with partners Mike Hallock and Rob DiPietro at the RI Mushroom still is, the largest center of white button mushroom production in Company where blue oyster and gold oyster mushrooms grow along with maitake, crimini and the country. Exotic mushrooms remained difficult and expensive piopinos for restaurants and homes in Rhode Island and other parts of New England. (Photo by Joe Kernan) Mushrooms – Page 21 10 | PrimeTime

March 2015

Elderly Housing Must be 62 years of age or older. Rents are based on 30% of adjusted household income.

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We bring great days, and nights, to families.

Assisted Living Minds rest easy knowing highly-trained, energetic associates are providing care in accordance with professionally-prepared Personal Care Plans.

Social isolation is a concern of the past, replaced by friends, family and a full calendar of tailored programs addressing all dimensions of wellness.

Worries about medication dosage, timing and nutrition evaporate, not to mention the deleterious effects of dining alone.

Wellspring Village® “In our specially-designed Wellspring Village® neighborhood, we are able to create joy for residents and their families despite the challenges people living with memory impairment face,” explains Darlene Lepore, Executive Director.

Families tell us everyone benefits because outstanding care and support reduce worry and stress.

Please call either Genia or Sheryl at 401-789-8777

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March 2015

PrimeTime | 11

4VQQPSUJOH JOEFQFOEFODF XJUI RVBMJUZ BOE SFMJBCJMJUZ

business Spotlight

Lifespan Home Medical Delivering Health with Care

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401-461-1433

~

assisted living community

50 Warwick Avenue, Cranston, RI 02905

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A Community Built with Care!

www.ScandinavianHome.com

Non-Profit - Founded in 1930

It is official. We are a nation of tired people ~ sleep-deprived and suffering from fatigue, moodiness, memory loss and diminished reaction time. All of these symptoms are experienced by an increasing number of people who are struggling with a condition known as “obstructive sleep apnea.�

Obstructive sleep apnea (OSA) is a sleep disorder wherein one’s breathing is briefly and repeatedly interrupted during normal sleep. The “apnea� in sleep apnea actually refers to a breathing pause that lasts at least ten seconds, causing fragmented sleep and low blood oxygen levels. According to the American Sleep Apnea Association, it is estimated that 22 million Americans are affected by sleep apnea, a number that continues to grow as the incidence of obesity rises. If left untreated, OSA can lead to hypertension, stroke, depression, diabetes and even heart failure.

If you are among the thousands of individuals who suffer from breathing problems ~ whether from obstructive sleep apnea or from pulmonary conditions such as emphysema, COPD and congestive heart failure, you are a prime candidate for either a portable oxygen machine or a Continuous Positive Airway Pressure (CPAP) machine.

A CPAP machine is a lightweight ventilation system that uses a mask which patients wear while they sleep to help regulate their breathing and thus mitigate the symptoms of sleep apnea.

Patients who are in need of CPAP machines, portable oxygen machines or any other medical device will find the help they need at Lincoln, RI-based Lifespan Home Medical.

Lifespan Home Medical (LHM) is an accredited durable medical equipment company that offers patients, doctors and other healthcare providers a wide range of medical assistance products. It is the mission of LHM to provide comprehensive services, equipment and supplies so as to provide a continuum of care to patients and their caregivers that extends well beyond a hospital room or doctor’s office.

One of the many unique services of LHM is its top-rated respiratory program, including its skilled clinical team of licensed respiratory therapists. Together with an experienced customer service staff, they provide the most current and advanced supplies, including easy-to-use oxygen equipment and internet modems that are built into CPAP devices to monitor their sleep apnea patients. This internet technology yields essential information and documentation for both doctors and insurance providers.

The respiratory program at Lifespan Home Medical provides CPAP machines, portable oxygen systems, non-invasive ventilators, air compressors and so much more.

In addition to their extensive inventory of respiratory equipment, LHM also has a huge selection of wheelchairs, ambulation devices, bathroom aids and medical supplies, among many other patient assistance products.

LHM offers free home delivery, set-up of medical equipment, 24-hour on-call service and insurance verification and billing. The team of dedicated professionals here have one goal ~ to get you on your way to a more independent and fulfilling life ~ and a better night’s sleep.

Lifespan Home Medical is located at 622 George Washington Highway in Lincoln. It is found behind Super Stop & Shop, near the rear entrance of the Cinema World movie theater. Call either 401-335-9000 or LHM’s toll free number, 1-800-480-2273.

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Lifespan Home Medical provides complete medical equipment and supplies to those in need throughout Southern New England.

March 2015

business Spotlight

South County Nursing & Rehabilitation Center

Congratulates newly-elected president of RIHCA Nothing brings more honor and pride to a business in the health care profession than when one among them is recognized for excellence.

Such is the case in the recent election of Jennifer Fairbank, the longtime executive director of South County Nursing & Rehabilitation, as the new head of the Rhode Island Health Care Association (RIHCA).

RIHCA is a highly regarded nonprofit organization that advocates on behalf of skilled nursing providers and their patients. Though only a member of RIHCA’s board for a year, Fairbank has already distinguished herself among her peers, winning the approval and esteem of her fellow board members with this election.

Fairbank has proven herself to be not only an exceptional leader, but also a tireless supporter of the rights and privileges of those in this Jennifer Fairbank, the Executive close-knit community of health care Director of South County Nursing & Re- providers and their patients. She hab and newly elected president of the emulates South County Nursing & Rhode Island Health Care Association.

Rehabilitation’s core values of integrity, compassion, respect and excellence ~ and the residents and staff of this progressive center in North Kingstown proudly congratulate her on this prestigious honor.

South County Nursing & Rehabilitation is a Revera Living facility found tucked into the peaceful woods off Route 4. It offers long-term care and short term and/or sub acute rehabilitation to a broad swath of individuals needing their specialized services. A whole wing of this center, known as the S.T.A.R. (Specialized Therapy and Rehabilitation) program, is devoted entirely to those who need intensive rehabilitative intervention following a surgical procedure, stroke or any other debilitating event.

In recent patient-driven surveys, South County Nursing & Rehab Center scored unprecedented high approval marks: 91% overall patient satisfaction; 89% of whom would recommend the center to others; and 97% satisfaction with cleanliness, to name a few. A 94% occupancy rate is further testament of this center’s strong reputation.

The entire staff here, from Executive Director Fairbank to their caring admission’s team and each therapist, medical directors and nursing team, is dedicated to their patients and residents. They continue to receive recognition for their compassionate and expert work. Joining Director Fairbank in garnishing such recognition is Roy Harley, the center’s Director of Social Services. Harley was just named “Social Worker of the Year” by the Alliance for Better Long Term Care for his outstanding work on behalf of senior citizens. What a well-deserved tribute.

One of the many things the staff at South County is further proud of is the partnerships they have forged with members of their wider professional community, including the Washington County Coalition. Working alongside this coalition, they are making the oft-times difficult shift from center-based rehabilitative care to home life as smooth and trouble free as possible. This center is also one of only a few in the state that has completely transitioned to electronic medical record-keeping ~ a literal lifesaver that has reduced medical errors and decreased re-hospitalizations.

Visit South County Nursing & Rehabilitation Center, located at 740 Oak Hill Road in North Kingston. For more information, contact Joshua Savory at 401-2944545 ext. 4102, or visit their website at www.reverasouthcounty.com.

March 2015

The Miriam Hospital Weight Management Program For over 25 years, our physicians, psychologists, nutritionists, nurse and exercise physiologist have guided patients through safe, healthful weight loss.

After just 16 weeks in treatment: Average weight loss: 38 pounds For more information or to enroll in a free orientation session call: 401-444-4800 146 West River Street, Suite 11A, Providence, Rhode Island 02904

Are you ready for spring?

Call Senior Real Estate Solutions, your onestop, free referral source for all your home maintenance and repair needs. yard clean ups, tree work, roof repairs and more!

“We won’t refer anyone that we haven’t used ourselves with 100% satisfaction.”

Bruce Lane, President

Ask us about our Good Deeds Program!

(401)228-7800 www.seniorrealestatesolutionsri.com

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business

Spotlight

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PrimeTime | 13

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401-732-3100

1450 Atwood Avenue • Johnston, RI • 401-300-9460 In the plaza with D’Angelo’s

Westbay Café…More than a Meal Making a luncheon reservation at our eight Westbay Cafes is as easy as 1, 2, 3!

– MarCh – SpeCial M ealS St. Patrick’S Day Luncheon

Tuesday, March 17 Potato & Leek Soup, Corned Beef & Cabbage with Carrots & Potatoes, Irish Soda Bread Cake

St. JoSePh’S Day Luncheon Thursday, March 19 Minestrone Soup, Chicken Parmesan, Penne Pasta, Green Beans, Focaccia, Zeppole

SPring BreakfaSt

Tuesday, March 24 Tomato Juice, Orange Juice, Scrambled Eggs, Bacon, Homefries, Croissants

Bring a frienD Day Thursday, March 26 Split Pea Soup, Pot Roast with Gravy, Mashed Potatoes, Carrots, Biscuit, Birthday Carrot Cake

Our caterer provides the following three options (two each day) for your meal • Hearty Meal – Appetizer, Main Entrée with sides (potato, vegetables) • Pub Option – Delicious Sandwich • Spa Option – Lighter, healthy option for those on the go All luncheons include an appetizer, bread, dessert and coffee or tea Senior CenterS Charlestown 401-364-9955 east Greenwich 401-886-8638 Jamestown 401-423-2658 the Center - S. Kingstown 401-789-0268 West Warwick 401-822-4450 Westerly 401-596-2404 Senior ApArtmentS (you do not have to be a resident) park View-Westerly 401-596-4918 Shalom Apartments 401-737-0180

14 | PrimeTime

For more information, please call Patty Martucci, Assistant Director of Senior Nutrition Program

Route 44 • Greenville Common Greenville, RI (401) 949-0180 andersonwinfield.net

Cremation with Memorial Service

$2,020

This service includes: collation of vital statistic information through our secure website, one person transfer of remains to the funeral home, use of facilities for state mandated 24-hour waiting period, preparation of remains (not embalming), cremation container, transfer of remains to crematory, filing of death certificate with appropriate city or town, crematory fee and use of funeral home for memorial service with rental urn.

Also Available: Immediate

Cremation – $1095

401-732-4666 ext. 142 We invite seniors age 60 and older and individuals with disabilities to join us at these Cafes for a nutritious lunch. The suggested donation is $3/person.

Reservations are necessary and should be made by Thursday for the following week.

Cremation permit fee of $30 payable to RI General Treasurer not included

March 2015

your community

b y tim f o rsberg

Koch honored with funding for mentoring program truly appreciate the collaborative spirit of Coastway,” Warwick’s Peter Koch of Koch Eye Associates had a huge personality that was only outsized by his genLundsten added. erosity and dedication to Rhode Island’s children.

Jo-Ann Schofield, president and CEO of the Rhode Island Mentoring Partnership, said the organization is Koch did phenomenal things to enhance youth mentoring programs throughout the state, from be“thrilled” with the bank’s “generous donation.” ing a mentor to two children, serving as treasurer of “Not only is it an affirmation of our work and their belief in quality mentoring, but it is also wellthe Board at the Rhode Island Mentoring Partnership (RIMP), to performing deserved recognition of our in their signature fundraiser long-time board member and friend, Peter Koch,” Schofield Dancing with the Stars Peter Koch is an outstanding more than once and suffersaid. “Peter’s impact on our ing through a personal roast organization was immense. example of who a mentor is.

It’s amazing the difference by the community at his ex– Wlliam White, President and CEO pense to raise funds. one person can make, just Coastway Community Bank Now, Koch’s efforts to like mentoring.”

The non-profit Mentoring make a difference in the lives of local children are getting Partnership is dedicated to the expansion of quality mentoring services for Rhode a major boost.

Island’s young people. It is also directly responsible Coastway Community Bank is pledging a donation of $100,000 to the Rhode Island Mentoring for the coordination of the school-based mentoring programs in Warwick, Woonsocket, Newport and Partnership. The donation is being made in honor of Middletown.

Koch, who was a board member for the bank.

The donation will be disbursed in increments of $25,000 per year over four years, beginning in 2015.

The program pairs school-age children with adults, with the pairs meeting in school for one hour each week.

“I think this is a wonderful opportunity for our children. I can’t speak highly enough about the program or the fact that every child needs a significant person in their lives,” said Cranston Public Schools Superintendent Dr. Judith Lundsten, who now hopes the city’s program will grow from 14 children currently to more than 50 by 2016.

“These mentors give up their time freely, and it’s the whole social and emotional piece that PETER AND HIS MENTEES: Peter Koch is flanked by Devon Allen (left) they give that’s so important. We and Nick Gifford, who he mentored through the Rhode Island Mentorsee this as a phenomenal oppor- ing Partnership program. This picture was taken at a roast held in Peter’s tunity for our students, and we honor for the benefit of the partnership in November 2013

“

Peter Alfred Koch Peter Koch passed away on February 15 surrounded by his family. He was 65.

Born in Providence, he was the son of the late Peter and Dorothy (Giovine) Koch. He was raised in West Warwick and lived in Warwick for the past 40 years.

Peter attended Bishop Hendricken High School in Warwick and the College of the Holy Cross in Worcester, Massachusetts. Peter was the Chief Executive Officer of Koch Eye Associates for the past 30 years. He was a board member of the Rhode Island Mentoring Partnership, Coastway Community Bank, Candescent Holdings, LLC, Sargent Rehabilitation Center, Workforce Partnership of R.I. and Button Hole Golf.

Peter is well known for his love of golf and was a member of The Carnegie Abbey Club, Skibo Castle in Dornoch, Scotland, and Fiddlesticks Country Club in Ft. Myers. Florida.

Some of his most memorable golf achievements include his six holes-in-one, making par on every hole at Pebble Beach and most recently winning the World Senior Amateur Championship in Provence, France. Peter was an avid traveler but his greatest pleasure was being a devoted husband, father and friend.

He leaves behind four children: Kelly Koch, of Springfield, MA, Amy (Koch) Flynn and her husband, Stephen, of Hingham, MA, Kristen Koch, and Peter Koch, Jr., both of Boston, MA. Peter was survived by his brother, Paul S. Koch, M.D., and his wife, Joanne, of Warwick, and his sister, D. Patricia Koch, O.D., of Warwick, as well as fourteen nieces and nephews; a granddaughter, Brooke Flynn, and his granddog, Maeby.

BANKRUPTCY $

950

00

Atty. Fee

Chapter 7 Bankruptcy Payment Plan Available

Attorney David B. Hathaway Former Chapter 7 Bankruptcy Trustee

Senior Discounts March 2015

401-738-3030

ribankruptcy.net PrimeTime | 15

senior

issues

b y C amilla F arrell de vel o p m e n t d i re c to r , a l z h e i m e r ’s association r hod e i s l a n d c h a p te r

Supporting Caregivers The purpose of a support group is to provide an opportunity for family members and caregivers to meet and develop a mutual support system that will help maintain the health and well being of its members. People come to support groups looking for something. They typically talk about looking for people who “really understand because they’ve been there, too.”

• Establish sympathetic connections between families dealing with similar experiences so they can call on each other between meetings when things are difficult or isolating.

• Emphasize the importance of maintaining physical and mental health of the caregiver through use of respite, continued involvement or re-involvement in family life, work, community, and social and recreational activities.

• Familiarize people with resources within the Association and the community.

• Help families learn how to appropriately advocate on behalf of residents in facilities.

• Receive current and accurate information on aspects of Alzheimer’s, recent advances in research and public policy issues.

The group provides an opportunity for members to: • Exchange practical information on caregiving problems and their possible solutions.

• Share different ways of adapting to the continuing stress of coping.

• Share feelings, needs and concerns in a confidential, safe, supportive, nonthreatening and non-judgmental atmosphere.

• Express and work through feelings associated with caregiving (e.g., fear, frustraSUPPORT FOR CAREGIVERS If you are a familyGROUPS caregiver or healthcare professional, please join us at our Caretion, worry, guilt, anger, and other emotions) with others who have experi(Updated 2/4/15 giver’s Journey Conference at the Crowne Plaza Hotel, Warwick, Rhode Island on enced similar feelings.

March 5, 2015. The conference offers a keynote address, 21 workshops, exhibiWhat is a support Support groups are regularly scheduled, free gatherings of persons who are providing care • Assist family members in developing realistic expectations of themselves and group? tors, advocacy forum, and The a panel is required - please for persons with Alzheimer’s disease or a related disorder. groupsdiscussion. are facilitatedRegistration by persons trained by the their cognitively impaired loved ones and understanding the Alzheimer’s impact ofAssociation the and areour heldwebsite throughout state the in community-based settings. The primary purpose of the theseChapvisit to the access Conference Brochure at alz.org/ri or call disease on family dynamics. groups is to provide education/knowledge about the disease and caregiving skills. The combination of education and ter office, 1-800-272-3900. emotionalofsupport • Provide social contact for family members who feel isolated because their should enable caregiver to feel better at the end of the meeting. Groups remind caregivers they are not alone, give them a chance to say what they are feeling in a supportive environment, learn new strategies and resources in continuing care of their loved one. the community and foster support networks. Each group has its own character and each meeting is different. It may take some time to find the right group.

The schedule of groups is listed below. Be sure to contact the group leader before attending group.

I. Alzheimer’s Specific Support Groups: These groups focus exclusively on the challenges and concerns of caregivers of persons with Alzheimer’s disease or a related disorder.

Setting

Group leader(s)

Phone

434-0891

1st Monday 1-2:00pm

Day/Time

946-9220

2nd Thursday 2-3:30pm

Coventry- Coventry Senior Center

Melanie Beaton & Dorothy Poveromo Peter Fournier

439-1634

1st Tuesday 6:30-8:00 pm Every Thursday 6-8:00 pm

Caregiver Support Groups

Barrington – Barrington Senior Center

East Greenwich –St Luke’s Episcopal Church

Alice Phanof/Laura Krohn, Esq.

What is a support group? Support groups are regularly scheduled, free gatherings of persons who are providing care for persons with Alzheimer’s disease or a related disorder. The groups are facilitated by persons trained by the Alzheimer’s Association and are held throughout the state in community-based settings. The primary purpose of these groups is to provide education/knowledge about the disease and caregiving skills. The combination of education and emotional support should enable caregiver to feel better at the end of the meeting. Groups remind caregivers they are not alone, give them a chance to say what they are feeling in a supportive environment, learn new strategies and resources in the community and foster support networks. Each group has its own character and each meeting is different. It may take some time to find the right group.

The schedule of groups is listed to the right. Be sure to contact the group leader before attending group.

Greenville- Dora C. Howard Adult Day Ctr.

Kathy Biddle

737-5298 398-8383 (Law Office of Laura M. Krohn) 949-3890

Lincoln-Lincoln Senior Center

Lois Durkin

753-7000

Middletown - Middletown Senior Center

Janet Grapentine, RN

401-848-4119

Middletown - Calvary United Methodist Church LGBT Support group

Janet Grapentine, RN

401-848-4119

Newport-Newport Hospital (starts Feb 2015)

Stewart Burchard

520-275-8818

North Kingstown –Beechwood House

Mary Sadowski

268-1591

North Kingstown - St. Francis de Sales

Annie Murphy

421-0008

North Providence- Sal Mancini Center

Monet Jean Phillippe

Portsmouth - Multi- Purpose Senior Center

Kerry Murphy

553-1031 ext 3923 846-0727

Providence - Spanish

Katherine Peralta & Denisse Acosta

401-461-6060

Providence - Alz. Assoc. - RI Chapter Office

Carol Nahod

401-440-3886

1st Wednesday 6:30pm - 8:00pm

Providence – Alz. Assoc - RI Chapter Office

Jody Simone & Stewart Burchard

Providence - Alz. Assoc. - RI Chapter Office Early Stage Support Group for Person with memory loss and care partner (starts in March) Warren - Warren Baptist Church

Jody Simone & Stewart Burchard

302-2498 (Jodi) 520-275-8818 (Stewart) 421-0008 Annie Murphy

1st Thursday 6pm-7:30pm 5th Floor Conference Rm. 2nd Thursday 6pm-7:30pm 5th Floor Conference Rm.

Joan Miller

396-5200

Warwick- Gentiva Hospice Care

Makayla Cunningham

738-1492

4th Wednesday 6:30 p.m-.

3rd Tuesday 10:00am-11am

16 | PrimeTime

Cranston-Hope Alzheimer’s Center

Elmwood Adult Day

Ann Murphy/Margaret Shand

4th Wednesday 1-3:00 p.m.

3rd Thursday 10:30 a.m.

4th Tuesday 11:00am-12:00 pm.

1st & 3rd Tuesday 10:00-11:00am 3rd Tuesday 6:00pm-7:30pm 2nd Tuesday 1:00p.m. -2:30p.m.

1st Wednesday 5:30-7:00pm Last Thursday 10:30-11:30 a.m.

Every Tuesday 9:30 a.m.-10:30am Last Thursday 12 - 1pm Lunch provided

March 2015

retirement sparks

lifestyles

b y elaine m . decker

Nicknaming Senior Body Parts I recently heard that Shonda Rhimes coined the word “vajayjay” as a nickname for a female body part because network censors wouldn’t let her use the anatomical label in scripts for her hit TV show, Grey’s Anatomy. Then I caught The View’s Rosie Perez using “hooha,” also a popular nickname for… well, you know. It occurred to me that as seniors, retirees need to come up with alternative names for certain of our body parts, ailments and medical devices. The ones whose real names somewhat awkwardly describe… well, you know that, too.

I’ve put together a starter list especially for Prime Time readers. The official names are shown first, then the slang.

I’ve also provided a sentence or two using the nickname and/or elaborating on it. I hope you find these colorful terms useful in your conversations with family, friends and physicians.

Bunion: Booya “The older I get, the more uncomfortable my booya gets. Pretty soon I’m going to need a booyectomy.” Good luck getting your insurance company to cover that procedure. Booya!

Fallen Arches: Floppers “As I’ve gotten older, my feet have developed major floppers.” I feel your pain.

My floppers have absolutely no cushioning anymore. I feel like I’m walking on concrete all the time. If you decide to order gel inserts online, make sure you get the ones for shoes. My Google search also turned up ones for bras. So NOT what I was looking for…

Flatulence: The Flappies “When I eat raw cauliflower, I get the flappies. It’s even worse when I eat a lot of beans.” If you suffer from the flappies, stay away from campfires! (Remember Blazing Saddles?)

Hemorrhoids/Polyps: The Pollies “I need to eat more fiber especially when football season is here. There’s nothing worse than the pollies when you’re in those rock hard nosebleed seats at a game.” Two words: inflatable inner-tube.

I have fizzies and stuffies. The more I’m fizzied or stuffied, the less I notice my stiffies and fuzzies. Yet another reason to enjoy some vino.

No doubt you can come up with a few nicknames of your own. The only guideline is this: if it sounds better than the anatomical or technical term, it’s a keeper. Happy slanging!

Copyright 2015 Business Theatre Unlimited Elaine M. Decker’s books—Retirement Sparks Redux (just published in December, 2014), Retirement Sparks Again, Retirement Sparks and CANCER: A Coping Guide— are available at SPECTRUM-INDIA, on the East Side of Providence, on Amazon.com, including Kindle editions, and by special order through your local bookstore. One of her essays appears in the recently published anthology: 70 Things To Do When You Turn 70. Contact her at: emdecker@ix.netcom.com.

Colostomy Bag: Collie Wollie “I can’t believe how stylish collie wollies have become these days. There are almost as many colorful covers available as they have for IPhones.” Not only that, Neck Wattle: Natty but caftans and long tunics are coming “I’m going to start wearing bowties to back in style, even for men. To paraobscure my natty.” This term is espe- phrase that Oldsmobile commercial, it’s cially appropriate because a gentleman not your father’s colostomy bag. in a bowtie is often described as nattily dressed.

Adult Diapers: Addys or if you prefer Incontinence Droopy Ear Lobes: Doobies Underwear: Inundaters “I can’t wear dangly earrings anymore “I can’t always control my pee anymore, now that my doobies have gotten so so I finally got some addys. I hope the long.” Be careful not to confuse this leakage doesn’t get so bad that I need to nickname with something you smoked move on to inundaters.” Apologies to when you were in college. those in the advertising business who can no longer talk about their chichi inBelly Pooch: Boochy & related term dustry awards without smirking.

Saggy Abdomen: Sabdo “My boochy is bigger than a bread box.” Dowager’s/Widow’s Hump: “If I don’t do sit-ups every morning, I Doho get a sabdo.” If you have a boochy or “I’m paying special attention to my posa sabdo, and especially if your boochy ture so I don’t develop a doho.” This is morphs into a sabdo, it’s time for Spanx. particularly important for those who The good news is that Spanx are much have opo (osteoporosis), because really more comfortable than those long-leg bad opo can lead to a doho. Then every panty girdles of our high school days. day is Hump Day. Oh, no!

Hearing Aid: Audi S’port “I love my new Audi S’port. It’s opened a superhighway of auditory experiences for me.” Indeed. And you can turn it off and tune folks out if you want to. Vroom Vroom! (And yes, I know that was a Mazda commercial, not an Audi one.)

March 2015

And my favorite slang term: Bristly Goat Hairs (on chin): Stiffies “It’s bad enough that I have fuzzy sideburns, but I also have stiffies on my chin.” And after a few glasses of wine,

PrimeTime | 17

aging well

b y kerry park

Better Communication, Better Care Google “Aging in Place” and your search will yield numerous products and services marketed to seniors who wish to remain independently at home. The term implies a promise that you’ll be able to stay put in one place. Ironically, our aging process is more like the board game, Life®, which simulates a person’s lifetime journey, including both setbacks and things that propel us forward. Aging is often accompanied by a range of healthcare services, in a variety of provider settings.

Take, for example, Mary Campbell, who has lived in her Cumberland home for 52 years. A recent fall at home required hospitalization, followed by a short stay in a nursing and rehabilitation center which helped her to eventually return home with visits from a home health care worker. In the past, Mary may not have recovered to the point of independence. Today a continuum of healthcare providers work together to create a personcentered plan of care that will help Mary get back to the comfort of the home she loves.

This teamwork approach to patient care has not always been the norm. While quality care is the primary mission of every provider, historically healthcare providers have operated in silos, detached from one another, and challenging the ability of people to navigate care for themselves or their loved ones. Overall, our healthcare system did not facilitate collaboration among different care settings and in fact, often had barriers in place to discourage it. All that changed in March, 2010, when President Obama signed into law the Affordable Care Act. The law rolled out various reforms requiring healthcare providers to partner with other members of the care continuum with the goal of offering better care while lowering the cost of delivering that care. The law

requires hospitals, doctors, nursing homes, and home health care providers to communicate better with each other about their patients’ history, status and needs, to ensure optimal quality of patient care from one care setting to the next.

In Rhode Island, the Safe Transitions Learning & Action Network, developed by Healthcentric Advisors, a leading Quality Improvement Organization, aims to connect providers in a collaborative manner to share best practices and ultimately improve care transitions.

As they describe, “transitions of care from one healthcare provider to another can often be a bumpy ride for the patient, caregivers and providers. Poorly-executed care transitions can result in low patient satisfaction, high costs and sub-optimal results.”

According to Susan Cornell, Administrator of Bayberry Commons in Pascoag, and member of the Safe Transitions network, this collaboration has yielded tangible results in improved quality of care and enhanced resident and family satisfaction. “We began working together because of the Affordable Care Act. We all had to be on the same page because reimbursement was now tied into readmissions rates to the hospital. However, this ‘conversation’ has resulted in a true partnership with everyone striving for similar goals. We have improved communication, created new practices, improved resident and family education, and every staff member is more involved in the whole process.”

Cornell states that the rate of hospital readmissions has improved, new protocols have been initiated for diseases such as congestive heart failure and COPD, and new programs have been introduced with positive impact for both long-stay residents and short-stay patients

great food! great prices! great view!

of the skilled nursing and rehabilitation facility. For example, Bayberry’s Palliative Care program offers specialized, person-centered medical care for people with serious or chronic diagnoses, such as cancer, heart failure, stroke, and Alzheimer’s disease. Under the supervision of a physician, a team of specially trained palliative care nurses, social workers and spiritual care coordinators address pain, explain options, and provide emotional support. Importantly, they communicate the needs and requests of each individual patient/resident across the continuum of care, creating seamless transitions.

In recent years, the experience of patients like Mary Campbell who move from one care setting to the other, has improved ten-fold. Providers have become infinitely more adept at breaking down the barriers that isolate them from other members of the continuum, allowing them to share goals for improvement, as well as innovative practices and new technologies.

Recognizing the flaws in a system which didn’t “follow” a patient from one care setting to the next, Rhode Island skilled nursing centers adopted the Safe Transition philosophy early on. As a result, Rhode Island has become a nationwide leader in reducing avoidable hospital readmissions. Recently, The Joint Commission on Accreditation of Health Care Organizations has begun conducting focus groups to gain feedback on transitionrelated standards and how best to provide the continuation of safe, quality care for patients in all settings. The main take-away: the need for collaboration through discussion. As Susan Cornell emphasized, “It’s all about the conversation.”

Funeral Directors UrqUhart-MUrphy

Edward L. Murphy - Director 800 Greenwich Ave. Warwick 737-3510

Barrett & Cotter FUneral hoMe

Peter Barrett Cotter - Director 1328 Warwick Avenue Warwick 463-9000

Carpenter-Jenks FUneral hoMe & CreMatory

SEAFOOD • CHICKEN • STEAK • PASTA

Fish & Chips!

Chowder & Clam Cakes Every Day!

Take OuT Orders WelcOme • smaller POrTiOns available

DAIly SPECIAlS Open 7 days a week 11:30 a.m. - 10:30 p.m.

288 Arnolds Neck Dr., Warwick, RI • 732-6575 LocAteD 1/4 mILe South of AppoNAug 4 coRNeRS

DININg AT ITS bEST!

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Stephen E. Carpenter - Director 659 East Greenwich Ave. West Warwick 826-1600

thoMas & Walter qUinn FUneral hoMe

We’re looking for new members . . .

Korean War Veterans Korean Service Veterans Meetings held 2nd Wednesday of every Month

Michael, Patrick, Jerome Quinn Directors 2435 Warwick Ave. Warwick 738-1977

Chepachet Senior Center, Rte. 44

Appears in Tuesday Warwick Beacon, Thursday Cranston Herald and PrimeTime Magazine

Call Frank 231-3736 or Gil 831-3301 For More Information

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March 2015

your home

professional perspective

by BRUCE LANE president of senior real estate solutions

March Makeover July has Independence Day. October, Halloween. December is chock full of holiday festivities. But what about March? Other than March Madness for basketball fans, there’s little to get excited about. That’s why I’ve decided to coin a new phrase: the March Makeover.

Why? There’s no better month than the one that spans from the tail end of winter to the early days of spring – the month that seemingly goes on and on – to put all that waiting for warmer weather to good use. If we play our cards right, ‘March Makeovers’ could become a global effort to spruce up and maximize our homes’ potential. For older adults, it’s the perfect time to help make their residences easier to maintain all year long.

Given that everyone is anxious to get outside after a long winter, it seems only natural that ‘March Makeovers’ should concentrate on exterior spaces. March is the perfect time for pruning most trees and cutting back and dividing tall grasses and perennials. If you have dead branches or limbs overhanging your roof, this month is a good time to get them down.

Then, toward the end of the month, a bit of leaf clean up, followed by pre-season weed killer, will help save hours of backbreaking work in the garden. Obviously this will have to wait if the ground is covered with snow, as can sometimes be the case in this unpredictable month.

If all of this seems too much to tackle though, you don’t need to go it alone. A lawn maintenance company and/or arborist can become your best friend, but contact them now because soon they will be in the full swing of the season and likely to have a waiting list. You may also need to contact a mason or landscaper that can repair bricks or stones in walkways that have become uneven, and therefore unsafe, by a frost heave.

If you’ve gotten to the point in your life where this type of general maintenance isn’t your idea of a good time even with help - or worse, is becoming physically impossible or prohibitively expensive - now may be a good time to scale back your lawn maintenance issues. Too often our homes undergo interior renovations to help homeowners age in place, but exterior issues go unnoticed. These

Take Advantage of the ‘In Between’ Season to Tackle Outdoor Issues types of chores only get tougher as we get older. Fortunately, a good landscape designer can help you create maintenance free areas that can add to your outside enjoyment without adding to your workload. For example, well-designed patios and decks, combined with pachysandra and other natural groundcovers can go a long way in beautifying your outdoor space without the hours of yard work that go hand-in-hand with a manicured lawns and gardens.

If you do decide to do some exterior alterations, be careful of the surfaces you choose for any new outdoor living spaces or walkways. Gravel or rocks, or even uneven bricks or slippery stonework can be treacherous for all of us, especially as we age. Tripping hazards, like cobblestone-lined pathways, and stairs that are difficult to navigate, should also be avoided. Installing wide paths with smooth surfaces that can accommodate wheelchairs and walkers is a smart preemptive measure if you’re an older adult who wants to stay in your home as long as possible. Adequate shade and outdoor lighting is also important.

If you’re afraid that scaled back maintenance means no gardening enjoyment at all, don’t be. You can get your gardening fix by using elevated container gardens which offer homeowners an easier form of gardening, one that doesn’t require getting down on all fours and the accompanying back aches that come with that.

(One thing to remember, when constructing the containers, avoid lumber that has been treated with chemicals that can leach into the soil. Choose cedar or redwood instead, which is naturally resistant to rot.)

The bottom line is that renovation efforts to help accommodate changing needs shouldn’t stop at the door. A little foresight about how best care for the outside of your home as you age, can greatly enhance the ease and comfort with which you maintain your home for years to come. So whether you’re still gung ho about gardening or ready to dial it back a bit, what better time than the present to undergo a ‘March Makeover’? After all, though sometimes it seems like it, the ‘in between’ months won’t last forever. Summer will be here before you know it.

aging well

Worry Less and Enjoy Life More Not your grandmother’s retirement home Age-restricted, 55-plus communities cater to what the name implies – people who are age 55 and older. However, these home developments are a far cry from what they used to be. Now they rival some of the best resorts in their features and are designed entirely around the needs of a group of active, amenity driven people. Plus, considering there now are more Americans age 65 and older than in any other point in history, according to the U.S. Census Bureau, developers understand the benefits of catering to this group of people. Therefore, there are more high-end active-living communities now than ever before.

There are many choices with regard to active adult retirement communities.

Many of these developments boast everything from detached, single-family homes to villas to condominiums. These residences are built with the active adult in mind. Here are some of the benefits that these communities boast.

Community companionship Due to the age-restricted nature of active-adult-home-developments, the residents are all in a similar age range, and may have similar interests. At a time in life when friendships from work may waver due to retirement, and older children may be busy with their own lives, these communities can help foster new friendships.

Whether through community-sponsored activities or just through home proximity, residents can enjoy one another’s company and never worry about feeling lonely into their retirement years.

Low- or no-maintenance living One of the biggest attractions to active-adult living is that these homes are built to provide worry-free living. Included in the home ownership fees are provisions to take care of much of the interior and exterior maintenance. That means March 2015

should a pipe leak or the lawn needs mowing, maintenance staff rather than the homeowner will handle the problem. This peace of mind enables residents to pursue interests rather than worry about the upkeep on their homes. Many times the community is expertly manicured, helping to create an aesthetically pleasing environment.

Activity-based fun Many communities build activities into the living plan. Therefore, there may be a workout room, the game center, exercise classes, movie nights, and many other attractions to keep residents busy. Active-adult communities may be similar to allinclusive vacations and cruises in that they have their own activities coordinator on staff. Should residents prefer solo activities, the property on which these homes are built are often created with recreation in mind. There can be walking paths or areas for cycling. Pools and spas are often part of the living package as well.

Security Individuals who are no longer bogged down with work requirements may be more likely to take vacations or go visiting. In a traditional home, there may be worries about leaving the home unattended for a period of time. However, in 55-plus residences, homes may be in gated communities or have security patrols. Also, the sheer number of homes in a townhouse-style building can camouflage homes that are currently vacant, easing the minds of those who are planning on going away.

PrimeTime | 19

LIFESTYLES

wHAT DO YOU FINK?

by MIKE FINK

It’s All For The Birds (and the dogs, cats & iguanas too)

I offer an elective at RISD called “Birds in Books” and so, I flew to the Dominican Republic to do a bit of research. A German immigrant to the DR, Andrea Thumeyer, invited me to her bird world in Sosua.

She has created a safe haven not only for native wildfowl – sometimes abandoned pets, and other times wounded or even crippled victims of cruelty or neglect – but also for dogs she saves from extermination in the pounds or death from starvation in the streets.

“I have about 850 birds in these cages, but maybe more. Babies are born: I have to sell some if I can. About a thousand all told.”

She speaks with anger about the bad behavior of careless human beings, but always with kindly respect for her charges in plumage or fur. “Some people clip the wings of their parrots, and others actually amputate the wings! Imagine that, it’s too horrible. I have birds that love me, and others that can’t forget their anger against all people.”

Andrea keeps her companions clean, tidy, and as cheerful as possible under her most impressive care and within the umbrella of her devotion to their welfare. She worries about their future.

“If there should be a tsunami, a great tidal wave, I would let them all go free, to do the best they could to survive. That’s why I much prefer the native species that belong here.”

My wife pays close attention to every word and gesture of our tour of Andrea’s Noah-like ark of goodwill.

“They are so varied, and they all thrive: she seems genuinely committed to their health in every way.”

Back at our hotel, I sip my cocktails in the lobby among a flock of pink flamingos, wading on a narrow floor of water. They tuck their odd but lovely heads around their necks to their backs and honk a bit from time to time in the confined space they share with some ducks. Beyond the lobby a group of peacocks and peahens visit the guests to ask for a hand-out of whatever you are hoarding at your plate. White egrets march about, and chickens peck here and there. Orchids grow from bare trees, like mushrooms. Sparrows or warblers perch on my chair but fly off so fast I cannot quite make out what sort of creatures they are – sometimes it’s a butterfly, not a bird at all. Like an illustration in a children’s book, a local resident strolls by with a pet monkey and shows it off gaily.

I will keep my impression of Andrea Thumeyer for a long time. I will ask my artist-students to consider the complications and implications of our intrusions into the wilderness of the planet.

Among us there are souls who seek a more peaceful and collaborative approach to the design, the Mike Fink and Andrea Thumeyer (photo by Mel Blake) Genesis of all the inhabitants of Creation.

your taxes b y meg chevalier

Health Care Law Brings Changes to IRS Tax Forms This year, there are some changes to tax forms related to the Affordable Care Act. Along with a few new lines on existing forms, there will also be two new forms that will need to be included with some tax returns. While most taxpayers will simply need to check a box on their tax return to indicate they had health coverage for all of 2014, there are also new lines on Forms 1040, 1040A, and 1040EZ related to the health care law.

To help navigate these changes, taxpayers and their tax professionals should consider filing their return electronically. Using tax preparation software is the best and simplest way to file a complete and accurate tax return as it guides individuals and tax preparers through the process and does all the math. There are a variety of electronic filing options, including free volunteer assistance, IRS Free File for taxpayers who qualify, commercial software, and professional assistance.

20 | PrimeTime

Learn more about Andrea Thumeyer and her rescue, Animal Rescue–Dominican Republic animalrescue-dominicanrepublic.com

professional perspective Here is information about the new forms and updates to the existing forms: Form 8965, Health Coverage Exemptions • Complete this form to report a Marketplace-granted coverage exemption or claim an IRS-granted coverage exemption on the return.

• Use the worksheet in the Form 8965 Instructions to calculate the shared responsibility payment.

Form 8962, Premium Tax Credit • Complete this form to reconcile advance payments of the premium tax credit, and to claim this credit on the tax return. Additionally, if individuals purchased coverage through the Health Insurance Marketplace, they should receive Form 1095-A, Health Insurance Marketplace Statement, which will help complete Form 8962.

Form 1040 • Line 46: Enter advance payments of the premium tax credit that must be repaid • Line 61: Report health coverage and enter individual shared responsibility payment • Line 69: If eligible, claim net premium tax credit, which is the excess of allowed premium tax credit over advance credit payments Form 1040A • Line 29: Enter advance payments of the premium tax credit that must be repaid • Line 38: Report health coverage and enter individual shared responsibility payment • Line 45: If eligible, claim net premium tax credit, which is the excess of allowed premium tax credit over advance credit payments Form 1040EZ • Line 11: Report health coverage and enter individual shared responsibility payment • Form 1040EZ cannot be used to report advance payments or to claim the premium tax credit For more information about the Affordable Care Act and filing your 2014 income tax return visit IRS.gov/aca.

March 2015

Mushrooms Make for Fast and Easy Side Dishes Whether you have only a few minutes to put together a meal or days to prepare, mushrooms are a great addition for marvelous flavor and minimal fuss.

The key is choosing the right mushrooms and herbs to suit your cooking method and available time. Here are some simple tips from the experts at Whole Foods Market, to create memorable combinations in minutes: Only five minutes and no stove? Pair such mushrooms as white buttons, cremini or truffles with herbs like parsley, chives, tarragon or cilantro, to create a fresh salad or a relish to top on crostini, soup or baked potatoes.

Fifteen minutes and a stovetop? Try mixing fresh herbs like oregano, marjoram or sage with chanterelles, morels or oyster mushrooms with olive oil.

Warm over a stove and in minutes you will have delicious sautéed mushrooms.

Thirty and a hot oven? Make roasted mushrooms by pairing portobellos, porcinis or shiitakes with rosemary and thyme, and your guests will sure to be impressed.

More tips and recipes are available at wholefoodsmarket.com. (StatePoint)

Mushrooms – to grow until very recently. The spread of gourmet food and wine to a larger portion of the population has now made it economically viable to cater to that population, which is what DiPietro and partner Mike Hallock were aware of from the start.

Hallock also cultivated an interest in mushrooms while working at another local farm and was immediately attracted to DiPietro’s idea of expanding their availability. In 2013 they watched their presumptions rewarded with widespread reception. Hallock is a graduate of the Berklee School of Music in Boston and still considers himself a musician, but he is equally as passionate about organic farming and exotic mushrooms.

“I play regularly with some other

March 2015

guys who like the same kind of music,” he said. “We have a jam band similar to Phish and other groups who like improvising.”

In the meantime, he’s not going to quit his day job. There’s just too much to do. According to DiPietro, growth has been fast and exponential.

“We grew about 2,500 pounds of mushrooms this week,” he said last Thursday. “Within two months we expect to be grown about 5,000 pounds per week.”

“We also sell mushrooms to people who come to us,” said DiPietro. “We also have jars of pasta sauce we’d like people to try.”

To learn more, give them a call at 401-250-3999 or visit their website, www.rimushrooms.com

CLUES ACROSS 1. Printing speed measurement 4. Fed 7. A domed or vaulted recess 11. Macaws 12. Neck garment 14. A billionth of an ohm 15. Local area network 16. Cleve. basketball hero 18. Wounded & disfigured 20. Civil Rights group 21. Master of ceremonies 22. Smallest artery branches 26. Ref 27. Exist 28. Diagram of earth’s surface 29. SE Asian sarsaparilla soft drink 31. Fire remains 35. 3rd tone 36. Before 37. It breaks down lactose 39. A waterproof raincoat 40. Atomic #18 41. NW Canadian territory 42. Hindquarters 44. Follows sigma 46. Rural delivery 47. Point that is one point N of due E 48. Excels 53. Berkus and Silver 56. Famous for fables 57. Philippine capital 58. Meg Ryan’s ex-husband 62. Doleful 63. Arugula genus 64. Nursery verse 65. The 7th Greek letter 66. Container for shipping 67. Charge for services 68. Immature onion plant

CLUES DOWN 1. Swedish statesman Olaf 2. Baltic flat-bottomed boat (alt. sp.)

3. Fingernail treatment 4. Breezed through 5. Check 6. Stray 7. Ancient computing devices 8. Something cheerleaders wave 9. The woman 10. Ambulance rescue initials 12. In a drowsy manner 13. A set of type of one style 14. Not completely closed 17. No (Scottish) 19. Microelectromechanical system 22. Having the wind against the forward side 23. Reestablish 24. Khloe K’s former husband 25.Verse forms 29. Places to sit 30. Chilean pianist Claudio 32. Rounds of poker 33. Spanish be 34. Sing and play for somebody 38. Chemical symbol for gold 39. Praying insects 43. Israeli politician Abba 45. 7th planet from the sun 49. Br. plural of a penny 50. Largest continent 51. Distress signal 52. Senate and People of Rome 54. Fill with high spirits 55. Egyptian statesman Anwar 57. Non-verbal entertainer 58. 12th calendar month (abbr.)

59. A major division of geological time 60. Ultrahigh frequency 61. Yes vote PrimeTime | 21

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March 2015

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PrimeTime | 23

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March 2015