BEACON - Transitions in Aging (August 2014)

Nursing Home

Produced by the BEACON’s Advertising Team © copyright 2014

Your Local Guide to Aging Well Bereavement

Medical Services

Hospice

Senior Living

Home Care

Assisted Living

Medical Equipment

Aging in Place

Medicare

Financial Planning

2014 ™

www.BeaconSeniorNews.com

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www.BeaconSeniorNews.com care needs. We must face the fact that at a certain age, and it is different for everyone, we will Financial Planning likely need assistance with daily activities. This help can be in our home or in an assisted living or a skilled care facility. A good estate plan includes wills, advance directives and trusts that direct the use and distribution of assets. A complete estate plan includes longterm care instructions as well.

Proper long-term care planning offers peace of mind

By Billie Castle

tatistics show that less than a third of Americans over 50 have S made plans for possible long-term

As we age, many of us find ourselves caring for our own aging parents.

They realize they need to have long-term care plans in place—and sometimes they realize it a little late.

Through them, we learn it would be in

our best interest to put together our own long-term care instructions. Long-term care planning involves thinking about how we will pay for the care we need.

This includes using savings, annuities, insurance, reverse mortgages and Medicaid.

There is legislation in place that governs our ability to provide care for family members and ourselves. We have rights, we have responsibilities and we have choices. Attempting to navigate the law by oneself can be mind-boggling. Working with a qualified attorney who knows the nuances of elder law is money well spent. A proper estate plan offers peace of mind and makes sure our loved ones are cared for properly when the time comes. A long-term care plan is added comfort to our family members who will help us when tough decisions become necessary. Estate planning is not a static exercise, and plans should be reviewed from time to time, always with the consideration of “what if” scenarios that we may experience down the road. ■

&

2014

Worried about loss?

Start with the “age 100” rule. When entering retirement, you are moving from the accumulation phase of life to the preservation phase. This requires that you begin allocating more money to safe, income-producing assets, such as property, and taking some of the risk off the table.

Try using this simple calculation: Subtract your age from 100, and use the answer as the absolute maximum percentage of your assets that should be in risky investments. Your age then indicates the percentage that should be allocated in safe investments. This is only a guideline; if income is needed from your investments, you will need a more in-depth investment risk assessment.

“For most people, financial planning does not come naturally, but neither does performing surgery on yourself. Do your research or seek trusted counsel,” said Andrew McNair of SWAN Capital. “This is the first step to attaining your dream while in retirement.”

THE LAW OFFICE

OF

BILLIE M. CASTLE, LLC

Professional Personal

Services Emphasizing:

■ ADVANCE DIRECTIVES ■ LONG-TERM CARE PLANNING ■ WILLS & TRUSTS

Trust in the services of a knowledgeable

and experienced professional who’s earned designation as a Certified Elder Law Attorney. Take comfort in a caring advocate with a personal interest in the well-being of each and every client.

Orthopaedic Services FOR APPOINTMENTS

970.625.1100

(970) 255-7488 ◆ www.BillieCastle.com 2710 Patterson Road, Suite B, Grand Junction, CO 81506

2014

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Medicare

5 things you might not know about Medicare

By Lew Barr, Grand Valley Senior Benefits

Like any massive bureaucratic

enterprise, Medicare can be very confusing.

The “Medicare and You” booklet that the government sends out to people turning 65, and every year thereafter, will give you hundreds of pages of explanations about Medicare explanations concerning what Medicare covers, prescription drug coverage, enrollment information, what Medicare will pay, and so on. It is easy to see why many seniors might not know what they don’t know.

I spent over 30 years in my previous career, and while I never claimed to know everything, I had enough experience and knowledge to know what I didn’t know. Due to circumstances beyond my control, I had to make a career change. After giving it serious thought, I decided on a career in health insurance.

As a licensed insurance agent specializing in supplemental Medicare products for seniors, I work hard to ensure that the information I provide my clients is accurate and complete.

Before you can sell any type of Medicare health insurance you must past a series of tests and certifications.

Additionally, if you want to represent major carriers like United Healthcare and Humana, you must pass their own series of tests and certifications specifically designed around their particular products and services.

All of these certifications require an annual recertification, as rules, regulations and product offerings can change.

Below are a few things that seniors might not know when it comes to Medicare.

1. There are no annual out-

of-pocket limits under Original Medicare, which is why adding a Medicare Supplement or Medicare Advantage Plan to Original Medicare can help offset some of the medical costs associated with aging.

2. Though Medicare is run by the

federal government, supplemental product offerings and premiums vary by state and county. A Medicare Advantage Plan available in Mesa County may not be available in Delta or Montrose counties.

3. The premium you pay is the same

whether you buy a Medicare product online or through a licensed agent. This is why it’s important to contact a knowledgeable agent who can provide you with the information you need to help you determine which plan is right for you.

Are You Confused

By Your Medicare Options?

My name is Lew Barr and I am a licensed insurance agent who specializes in Medicare Products for seniors.

As an Independent Agent I represent many of the top plans in the Grand Valley, and I will do the following: • Educate and inform you of your Medicare options.

• Show you how to find a drug plan that fits your current situation.

• Provide you with the information you need, so you may determine which plan is right for you.

4. In most situations, Medicare will

not pay for custodial care, which is non-skilled personal care that helps with daily living activities, such as bathing, dressing, eating, etc.

5. A low monthly premium for a

Prescription Drug Plan is no guarantee of low annual drug cost. The right drug plan for your personal situation is not determined by the monthly premium of the drug plan, but by the drug formulary. The formulary is the list and costs of prescription drugs covered under that specific plan.

The official Medicare website, www. medicare.gov, contains a wealth of information and can be a valuable resource for seniors. If you don’t have a computer, then call 1-800-633-4227.

Lew Barr is a licensed independent insurance agent and can be contacted by calling 773-0220 or by email at gvsb65@gmail.com. ■

Lew Barr

970-773-0220 gvsb65@gmail.com

Medicare Moment Medicare has an Annual Enrollment Period each year. It is from October 15 through December 7. This period of time is also called Medicare Open Enrollment.

During Open Enrollment, people who have Medicare can check their Part D prescription drug plan and change to another Part D plan if they find one that suits them better.

In addition, Medicare beneficiaries may also be able to change their health plan coverage during Open Enrollment. Some limitations apply, depending on individual situations.

Brought to you by the Senior Health Insurance Assistance Program (SHIP) Sponsored by the Association of US West Retirees (AUSWR) and Mesa County RSVP

QUESTIONS? Call SHIP! 243-9839

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Universal Design Bathing Stations Barrier Free Showers Grab Bars & Installation Ramps (Constructed or Pre-Built) Interior / Exterior Platform Lifts Electric Door Openers Portable Threshold Ramps Custom Bathroom & Kitchen Design Ceiling Mounted Patient Transfer Systems

2014

Disease Control and Prevention, accidental falls are at an all-time high, causing injury or fatalities Aging in Place to an estimated 433,000 older individuals annually. Preventive measures are critical. We take pride in our level of education on and assistance with the removal of things that can cause falls.

Age gracefully at home?

By Shelley Clennin, Paragon Restoration & Building, Inc.

ccording to a recent study, 90 percent of people would like to live A out their lives at home. However, that same study shows that only 5 percent of them have taken steps to make that a reality. If you’re not making plans to age at home, then you are making plans to age somewhere else.

That’s where Paragon Restoration & Building, Inc. comes in. We can meet with you or your loved one, and make a plan for you to live in your home as long as possible. We are your local aging-in-place experts.

Do you know what stage of mobility decline is present in you or your loved one’s life? Here is a handy guide.

Stage 1: When fully ambulatory, being proactive is important so as to take care of some of the preventable hazards, which can potentially cause injury. We offer free in-home assessments, which will help educate you on adaptations and equipment available for your safety and independence.

Stage 2: At the time when evident weakness and lack of endurance starts to show up, it is a good idea to consider making small changes that will create a safer living environment. Such as refraining from the use of throw rugs, installing lever-style faucets or lever-style doorknobs.

Stage 3: If performing tasks, such as grooming or meal preparation, become tiresome, it may be beneficial to consider aids such as grab bars, a raised toilet or hand-held shower head. At Paragon, we can supply these items and offer installation at competitive pricing.

Stage 4: According to the Center for

Stage 5: Typically after a fall victim is released from a hospital, therapy and rehabilitation are required. Regaining mobility is better achieved when confidence and peace of mind are present. We will walk you through the steps to take to help maintain your independent living goals.

Stage 6: Occasionally the need will arise for a short-term stay at a rehabilitation center before transitioning back into the home. During that period of recovery, Paragon Restoration & Building, Inc. will adapt your home for your mobility devices as well as help envision any future home accessibility needs.

Stage 7: If assistance with light duties is what you are looking for, it may be beneficial to secure a nonmedical care provider. We partner with several local professionals that we can recommend for you. We will work together so we can determine your home accessibility needs.

Stage 8: At this stage it is typical that a full-time home health care professional be involved. A caregiver usually provides assistance with duties such as bathing, medication, etc.. We will work with the caregiver to not only ensure your safety, but the caregiver’s as well. Modifications such as transfer systems, ramps, barrier-free showers and bathing stations are all within our scope of expertise.

Stage 9: Should the patient need hospice care, we are available to provide helpful solutions for performing duties such as bathing in bed or enabling the patient to move freely throughout the home using a ceilingmounted lift system.

If remaining independent and safe in your home is what you are looking for, our vision for you is the same. ■

2014

Help to stay in your home

By Cloie Sandlin

Are you worried about living safely

and independently at home? Do you need to make modifications to your home, but can’t afford it? There may be help.

Housing Resources of Western Colorado’s Housing Rehabilitation program provides low- and moderate-income homeowners the means to repair and upgrade their homes through a low- to no-interest loan program. Improvements and repairs can be made to plumbing, electrical, windows, roofing, handicap accessible modifications, foundation and siding.

“The program usually has a waiting list,” Program Coordinator Jani Hunter said. “But we’re having a hard time finding eligible people because we have to secure the deed of trust. To do that, they must have equity in their home.”

Annette Benoit is a senior who enlisted the program’s help three years ago.

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www.BeaconSeniorNews.com together a pool of contractors for her to choose from.

Hunter oversaw the entire process.

Doorways were widened and loose transition boards were replaced. They installed a sliding screen door leading to the patio, and a handicap accessible shower and grab bars in the bathroom. The patio in the backyard was made of rickety wooden boards, which were replaced with concrete.

As you age your needs change.

Now we can help your house change with you Replace youR old Roof

“When you get to be my age, it’s hard to tell who’s trustworthy,” Benoit said.

“It’s nice to have someone see the whole process through.”

The loans taken out to pay for the project are secured by a promissory note and deed of trust. Loan interest rates range from 0-3 percent.

install new windows

“They give you a reasonable price to pay each month,” Benoit said. “They really work with your budget.”

Payments are based on what the clients can pay, not the amount of money they borrow. Payments, interest rates and terms can be renegotiated if the income of the client changes. All loans must be paid in full when the property is sold, given away or inherited.

“It was hard for me to get around at home,” Benoit said. “I was concerned about safety, and like many seniors, I wanted to stay in my home longer.”

“It’s an excellent program for seniors,” Benoit said. “There’s something special about staying at home.”

Once approved for the program, Hunter came to inspect Benoit’s home for needed repairs and brought

To see if you qualify for the Housing Rehabilitation program, call Hunter at 773-9739. ■

add handicap accessibility

Our Housing Rehabilitation program provides low and moderate income homeowners the means to repair and upgrade their homes through a low to no-interest loan program. Housing Resources makes the loans, secured by a promissory note and deed of trust. Our specialists will: • Secure bids for your project.

• Help you choose a qualified contractor.

• Help with all inspections, and provide assistance with the paperwork.

Eligible home improvement activities include, but are not limited to: • Remove old shingles and install new roofing materials.

• Replace old leaky windows with high efficiency dual pane windows.

• Handicap accessible modifications.

Contact Jani Hunter for program details

773-9739 524 30 Road, #3 GRand Junction, co 81504

970 683-1848 www.housingresourceswc.org

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2014

Medical Equipment & Medical Services

Fashionable even while rolling around

By Tait Trussell

B

y far, the elderly population makes up the highest number of people using wheelchairs, as 2.9 percent of those aged 65 or older use wheelchairs. That’s about 900,000 people.

adaptive clothing line for both men and women.

She was quoted in the Los Angeles Times saying, “It’s really great to be able to share my story and my history, and put (out) the work I’m doing now, which is very important for people to know about who need it.”

Journalist Barbara Turnbull is an honorary co-chair of the exhibit and has a special connection to Camilleri, as she is the designer’s first seated client. Initially, learning to create clothing for seated clients presented a fresh set of challenges and considerations for Camilleri.

“When you’re paralyzed, for example, the risk of pressure sores is huge,” CamilIn Toronto, Canadian deleri said. “And sometimes signer Izzy Camilleri has a you can get pressure sores new exhibit offering a unique from your clothes. I needed platform for showcasing her to learn how the clothes innovative clothing fashions needed to be cut, and even for people using wheelabout seams and bulk. You chairs—mostly seniors.

Izzy Cailleri could actually hurt someone An estimated 1.6 million Americans if you don’t do it properly.” residing outside of institutions use To help illustrate how the items are wheelchairs, according to data from customized for individuals in wheelthe National Health Interview Survey chairs, a selection of her works were on Disability (NHIS-D). Most (1.5 displayed in both seated and standing million) use manually moved chairs positions. A classic trench coat was while some 155,000 people use drafted in an L-shape following the electric wheelchairs. The proportion line of the body while seated and a of the population using wheelchairs formal suit featured added length to increases sharply with age. the back and less in the front body “Fashion Follows Form: Designs for area to accommodate the wearer.

Sitting” opened recently at the Royal Detailed descriptions accompanied Ontario Museum in Toronto. Camileach item showcased, highlighting leri’s creations were a focal point in the careful work done to make them the exhibit, featuring items from her

It’s a nu day in mobility.

With a strong local focus, we aim to be the most responsive and innovative complex wheelchair company to do business with. As a loyal and helpful partner for our customers, we’re here to move lives forward for years to come.

2487 Industrial Blvd , Unit 1-1A Grand Junction, CO 81505 970.242.3011 P 970.242.3072 F

2014 Classic Trench Coat

www.BeaconSeniorNews.com Separating Biker Jacket

easier to wear and take off.

and it gives them dignity.”

“Sometimes, it can be transforming for people because they›ve never been able to dress properly or they buy things that are too big because it’s easier to get on,” she said. “But then they look all disheveled. It’s allowed people to also be who they are. It gives them identity

These clothing creations will undoubtedly be welcome news to the many seniors who have to spend so much of their lives in wheelchairs.

There are dozens of wheelchair fashion websites. Camilleri’s website is www. izadaptive.com. ■

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There’s no place like home.

We can help.

2014 adult children might react immediately without thinking things through, retreat and disengage from further communication, or do nothing and just wait it out.

The senior parents may also not share the same information to all of their children.

Home Care

Communication is key in longdistance caregiving

Now what are some of the things you can do to help improve communication, get more accurate information, and maintain the senior’s independence?

Keep the lines of communication open with seniors and maintain a positive attitude. Ask for more details ong-distance caregiving is a grow- about their days without sounding like ing task for an estimated 14 million an FBI agent. Begin sentences with, Americans. This relationship presents “I am concerned.” For example, “I many challenges, but many can be am concerned that the burners being eliminated or minimized with some left on might start a fire.” See what tasks completed by yourself or with kind of response you get. If they stop the help of various talking to you, it professionals. with might indicate how sensitive they are For most people, the to comments about primary challenge how they are manof long-distance October 23, 6-8 p.m. aging. This means caregiving is comOctober 25, 9-11 a.m. it’s probably time munication. Somefor a personal visit times, information Western Colorado by you or a profesexpressed over the Community College sional. If they are phone is not always Register at 255-2828 open to suggestions accurate. Over time, like leaving reminder the need for spenotes, or Parents? only using cific information on Aging the health and well the microwave, then How do we help? being of seniors usuyou know they are ally becomes more being somewhat reDon’t wait for a critical. The seniors alistic and cooperamedical crisis to might not recognize tive, which is good. force unwanted the needs they have options Recognizeon thatthem! you or might have vague ways of describare entering into a new season with ing them. They might fear the potenyour aged relatives.

Be CAN awaremake that a You tial consequences if they divulge the their needs and abilities are changing. difference! truth. They might think, “If I tell them Roles will be shifting.

So be kind to the truth, they’ll surely put me in a one another.

Tell yourself and others home,” or they just might not see the 7 important tools involved that although it might not be seriousness of their situation. you can learn now! easy, you are willing to help because In the case of adult children being the you all care for one another.

Family Dynamics, long-distance caregiver, they might Next month, I will cover the necesCommunication, not know what questions to ask or sary information youLegal will need before how to ask them without sounding issues, you receive that emergency in too invasive. They might respond to Housing call options will be your what they hear in a different way than the middle of the night. It etc.. their siblings would. When serious intool kit for surviving the long-distance formation is mentioned on the phone, challenge. ■ PRESENTED BY:

By Paula McCormick, Elder Quest

Providing quality in-home health care to Grand Junction and surrounding communities since 1989. www.ColumbineCaregivers.com

L

Transitions Grace

Aging Parents?

How do we help?

Don’t wait for a medical crisis to force unwanted options on them!

You CAN make a difference!

7 important tools you can learn now!

Family Dynamics, Communication, Legal issues, Housing options etc..

PRESENTED BY: ELDER QUEST * Hosted by: WCCC Register at 255-2828 Oct 23 6-8 p.m.

Oct 25 9-11 am

ELDER QUEST * Hosted by: WCCC

2014

Prevent falls and remain safe for independent living

By Sue Brown, Home Care of the Grand Valley

here are multiple risk factors that cause falls. When an individual is Texposed to multiple risk factors, the

probability of a fall is greater and the result of the fall is more likely to threaten the individual’s independence.

Some people believe that falls are a normal part of aging, but what they don’t know is that many falls are preventable.

At Home Care of the Grand Valley, we think fall prevention is very important. That’s why one of our team members can visit a client’s

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www.BeaconSeniorNews.com home and evaluate each client’s risk factors. We then educate our clients and their loved ones on what factors contribute to falls and what they can do to prevent them.

Risk factors include, but are not limited to, the client’s level of physical activity, medication effects, impaired vision and home safety hazards. Our nurses and therapists often partner with resources in our community to help prevent our clients from falling.

When someone falls, immediate response is required.

Home Care of the Grand Valley can provide personal electronic monitoring available through Lifeline.

For more information about help to stay in your home and for an in-home visit at no cost to you, call Home Care of the Grand Valley at 263-0202. ■

Your Goals Are Our Goals!

Bringing Health Care Home To You • Home visits from our Nurses, Therapists and Aides • Personal Care Providers • Personal Safety Alert Units • In Home Support Services (IHSS)

Call us FIRST to see how we can help you.

(970)263-0202 Bringing Health Care Home to You Medicare/Medicaid Certified

www.homecareofthegrandvalley.org Local Not-For-Profit since 2002

Let home care help with life’s transitions

By Janet Walker, Nightingale’s Home Care & Sarah Andrews, Elite Care at Home

R

emember when, as children, many of us were told to go to school, grow up, get married, have children of our own and retire? That was probably mostly true for a lot of us. But as some of us know, it doesn’t always happen in that exact sequence and so much more happens in between. I bet that if we look back at the transitions in our life, we’d realize that some were welcome and some were very difficult.

We plan many transitions so well.

Examples are weddings, where we go to college, or where we choose to live. Do we plan on where we want to be in our golden years? Will our children or family always be available

to help us if we need it? These may be hard questions; however, you need to plan for them just like you planned for everything else in the past.

When deciding on your next journey, consider quality of life, level of care needed and cost.

Benefits of in-home care include:

Housekeeping & Laundry Medical Reminders Shopping & Errands Companionship & Dementia Care Personal Care/Bathing Assistance Respite Care Long-term or Temporary Care Meal Preparation 2352 N.7th Street, Unit C Grand Junction, CO 81501

1. Care is delivered in your home.

2. Meals and your routine are

970-208-3985

customized to fit you.

3. Stress is reduced and independence maintained.

4. Home care is the most efficient and cost-effective form of health care.

Be proactive and in control of your future just like you were with all of your past decisions. Speak up and advocate for the care you receive, wherever you are.

For more information and a free consultation, call Nightingale’s Home Care at 208-3985 or Elite Care at Home at 208-8359. ■

www.nightingales-care.com

Medical Care Provided in the comfort of your own home!

2829 North Avenue, Suite 102 Grand Junction, CO 81501

208-8359

970www.elitecareathome.org Services include: Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Home Health Aides, and Social Work Services.

Treating patients with compassion, dignity, respect and understanding, we are committed to providing excellent care to you at all times.

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Resources Financial Planning

Planning for your long-term care Ideally, one should start saving for retirement at birth. But who has that kind of foresight? Your projected retirement savings will have a great deal to do with your long-term care choices and now is a great time to sit down with a good attorney, a good financial planner and your insurance agent.

 Attorneys Law Office of Billie M. Castle...................255-7488 (See ad page 2)

 Elder Care Manager Elder Quest, Paula McCormick............. 985-5950 Elder Quest provides peace of mind through quality care management.

From brief consultations to ongoing support, we can guide you and your family through the maze of care options. (See ad page 8)

 Insurance Services Lew Barr, Grand Valley Senior Benefits................. 773-0220 (See ad page 3)

Medicare

Medicare Counseling

RSVP - SHIP.........................243-9839 (See ad page 3)

Aging in Place

Aging in Place

The experts agree that the best place for you to live as you grow older is in your own home. But in order to do so, you may need to change your house to fit your changing needs. It could be as simple as adding a grab bar in the shower or as involved as adding an elevator if you’re having trouble getting up and down the stairs.

Handy-Pro Services.............683-1848 Handy-Pro Services provides professional home remodeling, repair and maintenance at fair, honest prices. We are full service, from hanging artwork and installing appliances to outdoor additions and major handicap modifications.​(See ad page 5) Housing Resources of Western Colorado.............................773-9739 The Homeowner Rehabilitation program serves low- to moderate-income homeowners and provides a means to do necessary repairs or modifications to their home. This is a loan program with interest rates from 0 to 3 percent. (See ad page 5) Paragon Restoration & Building, Inc................... 241-2180 (See ad page 4)

Medical Equipment Medical Equipment

As you age, you may need tools to help you walk, such as a cane, walker or a wheelchair. Modern technology has made great advancements in helping people hear and see more clearly.

AAA Hearing....................... 243-6440 (See ad page 6) Numotion Seating & Mobility........................... 242-3011 (See ad page 6)

Medical Services Medical Services

Some medical services, like foot surgery, will keep you mobile, while other medical procedures can keep you looking younger. (Rumor has it that Suzanne Somers is in her 90s!) Whatever you need, we have local experts that can help.

2014

Healing Hearts Saving Lives ..................... 433-8084 (See ad page 7) Western Colorado Specialty Pharmacy ..................844-245-5050 At Western Colorado Specialty Pharmacy we believe everyone is unique so we provide compounding pharmacy services custom made for you. Expert and caring staff offers private consulting support and education to help you manage your medications and compounding therapies. (See ad page 7)

In-Home Care

In-Home Care

You should live long enough that someday your kids will say to you, “Ew! I’m not doing that.” When that happens or when you need assistance around the house, consider calling someone to help you out.

 Caregiving/ Nonmedical- A nonmedical caregiver is someone who will do stuff like walk with you, run a few errands, tidy up the living room and listen to your childhood stories.

Center for Mental Health.....252-6220 (See ad page 17)

Nightingale’s Care.............. 208-3985 (See ad page 9)

Family Health West..............858-2503 (See ad page 17)

 Caregiving/ Medical Home Care- A skilled medical caregiver

Grand River Health.............. 625-1100 (See ad page 2) Grand Valley Foot & Ankle Center ..................245-3338 Welcome to the most comprehensive foot and ankle care in Western Colorado. From routine foot care to the most complex foot and ankle injuries, G.V.F.A.C. will keep you on your feet.

(See ad page 7)

can do everything a nonmedical caregiver can, plus give you a shot.

Columbine Caregivers......... 241-2698 At Columbine Caregivers, we respect our clients’ individual needs for privacy while assisting them to maintain a high quality of life at home. Trusted home care since 1989.

(See ad page 8)

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Elite Care at Home.............. 208-8359 (See ad page 9) Hilltop Home Care................ 208-1345 Providing the care you need to remain safe and independent in your own home. Geriatric Care Managers help you navigate the complex issues of aging with a unique range of medical and nonmedical services.

Visit www.HilltopHomeCareGJ.org (See ad page 15) Home Care of the Grand Valley............... 263-0202 Choose Home Care of the Grand Valley to maintain your independence in the home. Our services ensure you or your loved one will have the highest quality care at home. Visit www.homecare ofthegrandvalley.org (See ad page 9) Home Health of Western Colorado, Montrose...........240-0139 (See ad page 13)

Senior Living Community

Senior Living Community

You’re ready to move but not yet into assisted living. Would you like to live in a place where other people your age live? A senior living community might be just the ticket.

Horizons Health Care & Retirement Community, Eckert................................. 835-3113 (See ad page 13) Spring Creek Chalet, Montrose............................249-2438 (See ad page 12)

Assisted Living

Assisted Living

When you need a little assistance.

Aspen Ridge Alzheimer’s Special Care Center........... 254-1233 Aspen Ridge Alzheimer’s Special Care Center is a beautiful, secured assisted living facility caring for persons with memory loss. We have licensed nurses on site 24/7 and our staff is committed to providing the best care for our residents. (See ad page 12) Bee Hive Homes.................. 549-6555 Bee Hive Homes is assisted living in a residential setting. We pride ourselves in providing quality care for your loved ones. Come see what quality senior care really is! (See ad page 14)

Nursing Home

Nursing Homes

When you need more assistance and some medical care.

Homestead at Montrose......252-9359 (See ad page 13)

Bereavement

When it’s time to go you can always go in style.

Mesa Manor......................... 243-7211 (See ad page 17)

Morris Monument............... 323-6658 (See ad page 19)

Paonia Care..........................527-4837 (See ad page 20)

Snyder Grand Valley Memorials, Inc. .................242-2020 (See ad page 19)

Valley Manor Care Center, Montrose........................... 249-9634 (See ad page 13) Willow Tree Care Center, Delta...................................874-9773 (See ad page 16)

Hospice

Grand Villa........................... 241-9706 Grand Villa is a non-profit, faith-based senior community, located at 2680 N. 15th Street. The two-story residence features restaurant-style dining, common areas full of natural light, lovely patios and beautiful grounds. We offer a caring atmosphere, enriching activities and cultural outings. Call us today at 241-9706 about lunch and a tour.

(See ad page 14)

Bereavement

Hospice

When medicine can no longer offer you a cure, hospice care can provide you comfort and support when you’re terminally ill. But what’s really cool is that hospice care can offer that support to your family and friends as well. While they can’t offer you a miracle drug, what they do offer is a miracle.

HopeWest............................. 241-2212 HopeWest is dedicated to profoundly changing the way our community experiences serious illness and grief – one family at a time. The organization provides care in Delta, Mesa, Montrose, Ouray and Rio Blanco counties.

(See ad page 18)

Other Resources

Other Resources Region 10 Community Living Services, Montrose...........249-2436

For a more complete list of resources please call the beacon office at 243-8829 for our free 2014 directory.

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“Mom was always there for me when I needed her and now that she needs more care than I can manage, I’m glad to know Aspen Ridge is there to help”

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2014

Assisted Living

10 tips for choosing an affordable assisted living facility

By Teresa Ambord

A

ssisted living communities can be a beautiful answer for those who need it. Gorgeous new assisted living facilities have cropped up everywhere, as senior care has become a huge industry.

Unfortunately, as with most things worthwhile, it’s not cheap. A MetLife survey in 2012 said the average cost of a one-bedroom apartment in assisted living rose to $3,550 per month, and depending on where you live, the price can soar much higher.

In some areas, the monthly cost is closer to $9,000.

Too often the families of seniors who are not well off place their hopes on some kind of financial help, like Medicaid. But the rules for Medicaid qualification are strict and complex.

Often a senior ends up between the rock (can’t afford to pay for private care) and the hard place (too financially stable to qualify for help).

Whatever you decide to do, you shouldn’t feel like you are compromising quality of care in the interest of money, but obviously any arrangement you make must be affordable.

So how do you balance cost and care? Do some serious homework.

1. Contact your Area Agency on

Aging office and ask to talk to an advisor. In Mesa County, call 248-2717. In Delta and Montrose counties, call 249-2436.

2. Consider an assisted living

facility outside your area. It’s generally advisable to place your loved ones in facilities that are

convenient for you to visit. But this could mean paying a great deal more. Driving 20 minutes to a suburb where there is a more affordable facility might be an easy trade off of convenience for price.

3. Consider a smaller living space.

Obviously the larger apartments will cost more. My aunt was in an assisted living facility, which offered various sizes of apartments. Hers was tiny, yet more than enough for her. She had a small bedroom, a goodsized bathroom, a partial kitchen (all meals were provided), and a more than adequate living room/ dining room area. She had a small front porch when she wanted to be outside, and her back door opened into a communal area where it was a short walk to the dining room and all kinds of activities. If your loved one does qualify for Medicaid, this will likely mean he or she must share living space with another Medicaid recipient.

4. Ask about move-in incentives.

Often assisted living facilities will offer special deals to potential residents. Don’t be too proud to ask. They need to keep their occupancy high to be able to afford the quality personnel they require. So ask about discounts, such as lower rent, a waiver on the entry fee, the possibility of freezing the rent for a time. Don’t be afraid to negotiate.

5. Resist pressure. A facility that

is most concerned about quality of care for your loved one will not try to pressure you. They will want you and allow you to take the time you need to make the best choice. If you are told there is a limited time offer for

2014 a certain price, beware. If you are told, “Only one unit left!” or “This special rate is only available to the end of the month,” beware.

6. Look for a not-profit facility. This won’t necessarily be easy, since NPR reports 82 percent of residential care facilities are private forprofit organizations. A study of price changes over the last several years showed the profit margin of for-profit facilities jumped significantly, while at the same time, the payroll expenses fell. Does this mean you should avoid for-profit homes? Not necessarily, but keep in mind there is likely to be pressure from the admissions staff to make a quick decision. And check with people who live there or have loved ones there to make sure the staff is adequate.

7. Check inspection reports. Don’t judge this book by its cover. It may have terrific curb appeal to attract new residents while cutting costs on personnel and other expenses.

On the flip side, a facility that looks like it needs a facelift may offer the best care in the area. How can you know? Take a look at inspection reports available through your longterm care ombudsman. Or contact the local senior center and ask how to reach the ombudsman. While you are checking on the quality of care, check on the financial stability of a facility you are considering. Ask to see a copy of the annual report.

Go online and find out if there have been any negative financial reports on the facility.

8. You might also ask if there is a waiting list and if there is a probationary period.

9. Ask the facility for a list of references.

10. .In addition to checking inspection reports, do your own investigation.

Visit, visit, visit, and don’t always call first. If you’ve zeroed in on a facility, make many visits and go at various times of day. Also make at least one unannounced visit on an evening or weekend, or both. Visit during at least one meal and ask to taste the food. ■

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Eliminate the surprise costs in an assisted living facility hile you are talking price, be sure you eliminate as many W surprises as you can. There may be

no intent to deceive, but prices do change and the residents themselves change, possibly requiring more care, and that could cost a bundle. If you move your mom into an assisted living and a few months later find the bill has gone up, you will no doubt be distressed, even angry. Before you commit: Ask about upfront fees, such as for assessment and community fees.

Ask what services are included in the basic rate. More importantly, ask what will cost extra. Suppose you are in the middle of a work meeting and get a call saying your mom has a cold and wants to have her meals brought to her room until she feels better. No problem, you say. But don’t forget to ask if this costs extra.

If the facility is calling to get your permission, this is a sign you’ll pay more. A cold can last for weeks and you may get a bill significantly higher than you expect. To avoid nasty surprises, know in advance what will cost extra.

Ask if the facility will give you a costs and payment schedule before you sign.

Ask if you will be given a copy of the admission agreement to take home and study before you decide.

Ask what the cost will be if something significant changes. For example, your elderly dad is comfy in his new digs. But a year later he begins showing signs of dementia. At some point, he will require different treatment and there’s a good chance he will have to move to a dementia unit.

Know in advance how much this will cost and how the need for dementia care will be determined. It is possible the facility does not even provide such things as dementia care, which would mean another move.

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2014

usan Williams remembers the struggle of trying to find services for her parents as they aged. She was overwhelmed and didn’t know where to turn. She finally called Sally Schaefer, the CEO of Hilltop at the time, who was able to point her in the right direction. But she remembers thinking that there needed to be somewhere people could turn to find answers and support. Today, Williams is a geriatric care manager for Hilltop’s Home Care.

The good news is that there are more services and senior care options available than ever before. However, navigating these choices can be confusing, stressful and time consuming.

What is even more challenging is that families often wait until they are faced with a health crisis or other major change before seeking services or help. Geriatric care managers help in navigating the aging process from the family’s and the senior’s perspective.

Geriatric care managers have become an indispensible and critical first step in helping people face the complex issues of aging.

Geriatric care managers are experienced problem solvers. They provide in-depth assessments, home safety evaluations, service coordination, and ongoing monitoring for seniors and their caregivers. Care managers are adept at building personal relationships with clients, and finding solutions that meet the needs and desires of those they serve. Often the concerns of family members and caregivers may seem to contradict the wishes of their loved ones, result-

ing in emotional conflicts. In these cases, the geriatric care manager has the ability to act as a neutral third party, circumventing the emotions involved to arrive at a solution that works for everyone.

“Building trust and relationships is key for geriatric care managers,” Williams said.

The relationship can be short or long term, but the goal is always to meet the needs of the seniors and their caregivers. Care managers will evaluate all available services in the community and make unbiased recommendations. These recommendations will also reflect the full range of senior life options, including independent, home care, medical and senior living communities. Geriatric care managers can also play a valuable role in monitoring the ongoing needs of seniors when their family members live outside the area.

Geriatric care managers often work with clients who are choosing to age at home or in the care of family members. This provides unique challenges and opportunities that affect seniors and their caregivers. To meet these needs, Hilltop Home Care has developed a full range of services that allows seniors to remain safe and independent in their own homes.

Companionship services can offer seniors the extra support they need while providing their caregivers with the flexibility and personal time they need. These services include providing conversation, monitoring diet and eating habits, playing games, going for walks and reading. For those needing personal care, services include assistance with grooming and bathing, incontinence care, transfer help and medication reminders.

As the number of seniors and their caregivers grows, it is reassuring to know there is a wide range of quality care options available, and a geriatric care manager can help you navigate your choices. For more information on geriatric care managers and Hilltop Home Care, call 208-1345 or visit www.HilltopHomeCareGj.org ■

2014

Three myths of senior living communities

By Dwayne J. Clark

t’s difficult to overcome stereotypes of senior living communities.

IDespite the fact that the level of care

and amenities have evolved significantly over the past decade, people still tend to think of senior housing as the “old folks’ homes” of the past: antiseptic, white-walled, linoleumlined institutions with cold nurses, hot temperatures and nasty food. It’s no wonder then that people continue to buy into three myths about senior living institutions that are wrong.

Myth #1: All senior housing options are the same.

The reality is that today’s senior living industry is similar to the hotel industry, with a range of choices for every lifestyle, need and budget. You can find low-end chains that offer only the very basics, similar to a Motel 6.

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www.BeaconSeniorNews.com There are family run operations set up in residential homes like bed and breakfasts, and then there are highend luxury options comparable to the Four Seasons.

Myth #2: Entering a senior living community hastens “the end.”

Many seniors who could benefit from just a little added care are often found living alone, away from family, isolated and devoid of much human interaction. These seniors are perfect candidates for an assisted living community because once they are living in a place where they have access to medical care, personal assistance, medication management, good nutrition, opportunities for mental and physical activity, and a chance to make friends and socialize, they truly thrive. In fact, several studies show that not only does a move to an assisted living community not hasten a resident’s demise, but it can actually ensure a greater quantity and a better quality of life.

At many senior living communities

there are residents who have renewed their childhood hobbies, or taken up new ones. There are residents who always have a dinner or coffee companion. They can enjoy on-site book groups and religious services. Residents often enjoy unexpected romances. Family members, freed from the worry and guilt of seeing their loved ones in less than ideal circumstances, tend to visit more often, strengthening long-worn family ties through new opportunities for quality time and stress-free activities.

Myth #3: Only the very wealthy and the very poor can afford to live in a senior living community.

The fact is that most retirement and assisted living communities are created to be affordable. The cost of assisted living needs to be carefully compared with the total ongoing costs of living at home. Additionally, as a parent or sibling ages, there are likely to be new costs, including outside help with laundry, housekeeping, home upkeep and meal preparation; medical equipment; home health care; and transportation for medical appointments and other necessities.

These expenses, when taken in their entirety, are likely to be almost as much as or equal to the flat-fee monthly cost of an assisted living community. Most people are surprised when they realize that not only can their parents afford to live at one of these communities, but they actually have funds left over.

Some seniors, of course, won’t have quite enough monthly income to pay the total or to pay for incidentals and will have to make use of their long-term care insurance or begin to tap their financial assets. In other cases, children or siblings help pay for the difference.

What most aging seniors need is some oversight by professionals who understand their unique needs. They need to be treated with kindness and dignity.

Seniors will find all of that in abundance at today’s assisted living communities and nursing homes. For new residents, living away from the life they’ve always known is an adjustment, but more often than not, they quickly realize that it’s a change for the better. They soon realize that the three myths about senior living communities are just that. ■

We Can Help with the Hard Conversations Helping you navigate the complex issues of aging at home Our Geriatric Care Managers have become an indispensable and critical first step in helping people face the complex issues of aging. They provide in-depth assessments, home safety evaluations, service coordination, and ongoing monitoring for seniors and their caregivers. Care Managers are adept at building personal relationships with clients and can even serve as a neutral third party in situations where the wishes of the client seem to contradict the concerns of a family member.

Other unique non-medical home care services available including: Personal care. Companionship services. Downsizing and relocation. Handyman services.

Housekeeping. Home electronics and computer.

All caregivers are screened and insured.

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16 Before the modern nursing home, also known as a skilled nursing facility, there was the Nursing Home old age home, and before that, the almshouse. One of America’s first true old age homes, the Indigent Widows’ and Single Women’s Society was founded

by Quakers in Philadelphia in 1817.

Its mission was to provide those with social standing a place to live and die with some bit of respect and comfort, and to avoid the often nightmarish conditions found in the charitable

By Robin Avery almshouses, where the poor and ursing homes are ubiquitous instithose without social standing were tutions found in communities large sent to die. and small across the U.S., where Usually operated by charities, almsabout 1.38 million U.S. elders reside houses endured a squalid reputation today. Nursing homes have a short well into the 20th century. Abraham history, but one that holds stories of Epstein, an early pension advocate, both tragic and heroic proportions. wrote in 1929 that the almshouse My mother-in-law recently passed “stands as a threatening symbol of away in a nursing home at age 91. We the deepest humiliation and degradawere able to create a wonderful endtion before all wage-earners after the ing with a private room large enough prime of life.” to accommodate visiting family, and Frightful conditions in Depressionthe nursing home staff catered to us era almshouses were a driving force during the last week of her life.

The role of nursing homes along the continuum of care

N

www.BeaconSeniorNews.com behind the Social Security Act in 1935.

The belief was that by creating a source of guaranteed income, no Americans would have to end up on their deathbed without a modicum of care and dignity. Supreme Court Justice Benjamin Cardozo (1870-1938), writing for the majority in affirming the constitutionality of the Social Security law, proclaimed that “the hope behind this statute is to save men and women from the rigors of the poorhouse as well as the haunting fear that such a lot awaits them when the journey’s end is near.”

Beyond the personal guaranteed income of Social Security, the creation of government-run health insurance systems like Medicare and Medicaid were signed into law in 1965 and provided additional impetus to the dramatic growth of the nursing-home industry. Between 1960 and 1976, the number of nursing homes grew by 140 percent, the number of beds increased by 302 percent, and the revenues received by the industry rose 2,000 percent.

The 1970s brought widely publicized investigations that uncovered many

2014 instances of the poor conditions and substandard care that was more typical of early 20th-century homes for the aged and infirm. Lacking in medical care, proper nutrition and competent, caring attendants, the offending nursing homes were viewed as warehouses for the elderly or junkyards for the dying.

Like their ancestors who were horrified at the idea of disappearing into an almshouse, elderly citizens feared ending their days in a nursing home, and family members grappled with guilt because they had abandoned their loved ones to institutional care.

In 1972, Social Security reforms established a single set of requirements for facilities supported by Medicare and for nursing homes that received Medicaid.

Although this limited the ability of most individuals to enter skilled-nursing facilities, it increased the demand for intermediate-care facilities. Other amendments to the Older American Acts in 1973 and 1987 provided and strengthened statewide nursing home ombudsman programs, respectively, giving nursing home residents and their

2014 families stable and secure channels for voicing complaints. These actions, however, did not raise nursing home standards uniformly nor did they eliminate the dread with which older adults faced nursing home admission.

As the percentage of the U.S. population over age 85 continues to grow, nursing home care is increasingly in the future for many of the oldest Americans. By 2000, nursing homes had become a $100 billion industry, funded largely

by Medicaid and Medicare along with families’ private resources. Although only 2 percent of Americans between age 65 and 74 resided in nursing homes at the turn of the century, the proportion of those 85 or older had increased to 25 percent. (Approximately five million Americans are 85 or older.)

According to the American Health Care Association, as of December 2012, 1,382,546 people lived in 15,664 nursing homes across the U.S. In 2011, Colorado had 214 nursing homes offering 18,682 licensed beds with an average occupancy rate of 83 percent or 16,418 people. A year later, there were 19,993 beds in Colorado but only 15,875 residents—a 79 percent occupancy rate.

As a society, many want to take advantage of the coming demand for long-term care services to improve the system of care for the frail elderly.

However, financial challenges loom for this nursing home industry that employs

17

www.BeaconSeniorNews.com over 1.7 million people nationwide.

According to the American Health Care Association, over the next 10 years reimbursement will fall by $65 billion.

There are political pressures to reduce benefits and cut costs. The republican proposals for block grants would effectively end government oversight that has driven the improved care that seniors receive. The AHCA estimates that nursing homes are currently losing $20 per day on each Medicaid patient.

If public policy pressures inhibit industry growth by failing to provide incentives to businesses to expand or improve, they won’t, and the demand will be unmet.

If you are faced with finding a nursing home for a loved one, it pays to do your homework and explore all options, including various assisted living scenarios.

If you’ve done that and your only option is a nursing home, ask people you trust about their experiences. Friends, neighbors, teachers and clergy may have personal experience with nursing homes in the area. Your doctor or hospital’s social services departments can be valuable sources of information.

Aging is Inevitable.

Depression isn’t.

Reach out.

Get Help.

For more information about the services we offer, please call (970) 252-3200.

If you are in need of immediate help, call our 24-hour crisis line: 970-252-6220.

Conduct research on local nursing homes at www.medicare.gov. Click “Find nursing homes” on their home page, and then enter your zip code.

You can also contact your local Agency on Aging. If you’re in Mesa County, call 248-2717. If you’re in Delta or Montrose counties, call 249-2436. ■

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Hospice

Understanding hospice care

By Claire Yezbak Fadden

at the medical center near my home when the administrator of Imywas mother’s board and care intro-

duced the word “hospice” to me. In her gentle way, she was getting me acquainted with the term. I had heard the word before. It was used for situations that wouldn’t have a positive outcome. Just hearing her say “hospice” made me afraid. She and I were in the doctor’s office with my mom.

For some 10 years, my mother had suffered from Alzheimer’s disease and was in the late stages.

That’s when Mom’s doctor told us everything that could be done medi-

cally was being done. “The truth is,” the doctor said, gesturing toward my 89-year-old mother, “we are moving in the direction of comfort care.”

Since that meeting, I have learned a lot about hospice care. The most important lesson is that having hospice intervention for my mom didn’t mean that I had given up on her. It meant employing a level of care designed to improve her quality of life, even at its end. It meant that I sought optimal physical and emotional comfort for her in a way that minimized her pain. In fact, due in part to the efforts of the hospice care workers during the next 16 months, my mother’s quality of life improved. I believe their care extended her life.

What is hospice?

Hospice dates back to medieval times when travelers, the sick, wounded or dying would seek a place for rest and comfort. Today, hospice offers a comprehensive program of care to patients and families facing a lifethreatening illness. Hospice is primar-

ily a concept of care, not a place.

Hospice emphasizes palliative rather than curative treatment—quality rather than quantity of life. Its goal is to relieve and soothe the symptoms of a disease.

Who’s involved?

Hospice care involves teamwork between the caregivers and the family. Working with the patient and the patient’s family, a care plan is outlined.

Emotional, spiritual and practical support is given based on the patient’s wishes and family’s needs. The hospice physician, nurses, aids, social workers, clergy, volunteers and other professionals work together to ease the difficulties and uncertainties of the dying process.

How to decide At any time during a life-limiting illness, it’s appropriate to discuss all of a patient’s care options, including hospice.

The requirements to be hospice-appropriate include: • The patient must be diagnosed with a terminal illness by a physician.

• Because of the illness, the patient is considered to have a life expectancy of

Who is HopeWest?

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You or your loved one is losing or has lost a significant someone. Grief always is difficult and doesn’t end when the funeral flowers have faded. HopeWest Grief Support offers professional counselors to walk with you along the path toward healing with one-on-one or group sessions, family programs and continued support for as long as it takes.

Serious illness strikes you or a loved one, and you need care and support but you aren’t sure where to turn for help. HopeWest will help provide the right care by the right providers at the right time to best help you and your family.

Our physicians offer expert consultations, and coordinate the best plan for care.

We are here when you need help!

Just call us – 24-hours a day, seven days a week.

970.241.2212 • HopeWestCO.org

dedicated to profoundly changing the way our community experiences serious illness and grief – one family at a time.

2014 six months or less, if the disease runs it normal course.

• Patients must sign a statement acknowledging that they choose hospice treatment over curative treatment for their terminal illness.

Understandably, most people are uncomfortable with the idea of stopping aggressive efforts to “beat” the disease.

Hospice staff members are sensitive to these concerns and are always available to discuss them with the patient and family. A patient who needs hospice care exceeding six months can remain in the program.

Is hospice care covered by insurance?

Hospice coverage is widely available.

It is provided by Medicare and by most private insurance providers. To be sure of coverage, check with your health insurance provider.

Hospice affirms life and regards dying as a normal process. Its goal is to neither hasten nor postpone death. For more information on hospice services, call HopeWest at 241-2212. ■

2014

19

www.BeaconSeniorNews.com Who to tell Tell friends and family of the deceased. Tell his or her employer, Social Security if the decedent Bereavement was a recipient, the decedent’s insurance company, family physician and clergy, and notify any organizations and social clubs that the deceased belonged to.

The plans no one wants to make

By Teresa Ambord

C

hances are, few plans are as overwhelming as planning a funeral.

If you are planning ahead for yourself or someone else, you may be able to make choices at your leisure. But when a death has already occurred, decisions must be made quickly. Ask a trusted friend to help steer you to choices that are affordable for you.

Assuming a death has already occurred, here are some guidelines.

Last wishes You may already know the last wishes of the decedent, such as special requests for cremation or burial in a certain cemetery. Possibly he or she has already made some arrangements. Those arrangements may be detailed in a will or health care directive. If you don’t know if a will exists, contact the probate court in the county where the person died. Expect a fee for this. Also, if the decedent left instructions not to have the will read until after the funeral, ask your attorney to find out if it includes any special last wishes that you need for planning the service. The decedent’s attorney may have a copy of the health care directive.

Choose a funeral home If this is an emotionally charged decision, you may be tempted to discard financial common sense. That’s why it is a good idea not to do this alone. Speak to at least three funeral homes/directors and ask for general pricing. Once you have selected a funeral home, an employee must give you an itemized statement, which includes only the goods and services you selected in your contract. Do not sign a contract without an itemized statement and total price. The funeral home will apply for death certificates for you. Decide where the service will be held, the day and time, and if the service will be traditional or military.

Contact your funeral director to select the casket or cremation urn. Feel free to shop around. Choose flowers, scriptures, pallbearers and music to be played. Arrange for a funeral car, pick out clothes that the deceased will be buried in, and contact the person to perform the eulogy.

You’re ready for the obituary You need to contact a newspaper to run an obituary. Generally, there is a fee for this. The details you include are up to you, and may include surviving relatives and organizations the decedent belonged to. ■

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Life’s Legacy in Stone

20

Graceful living at Paonia Care and Rehab

P

aonia Care and Rehabilitation Center, a Grace Healthcare Facility, is a licensed 60-bed skilled nursing and rehabilitation center rurally located on the Western Slope in the beautiful town of Paonia. We are a faith-based organization and believe that in every situation, we must choose to do the right thing for all of our stakeholders, residents and local community.

Paonia Care and Rehabilitation Center serves our residents’ needs. We are committed to the elderly and maintain their involvement in our community.

We provide skilled nursing services, post acute rehabilitation, traditional long-term care, hospice and respite stays to the North Fork Valley and surrounding areas. Our therapy services are available seven days a week. We have our own full range of in-house therapy services such as cardiac rehab, orthopedic rehab,

www.BeaconSeniorNews.com

2014

stroke modalities, pain management, diathermy and ultrasound therapy.

Our facility has recently been remodeled to accommodate a memory care unit that helps with Alzheimer’s and dementia-type diagnoses. The remodel incorporated an in-patient/ out-patient therapy department, which serves the entire community.

These additions to our facility help us to further carry out our philosophy of person-centered care.

We encourage our staff to memorize our mission statement and emulate the culture of caring from the heart when they provide services to our residents. This statement is provided to all of our staff upon hire with the expectation that the principle of graceful living is adopted into their skill set. To contact Paonia Care and Rehabilitation Center, call 527-4837 or visit www. paoniacareandrehab.com. ■

Resources available through 2-1-1: • Support for Older Americans & People with Disabilities • Basic Human Needs Resources • Physical & Mental Health Resources • Employment Support • Support for Children, Youth & Families • Volunteer Opportunities • Emergency Services • Registrations for various trainings & community events

Western Colorado 2-1-1 is the national abbreviated dialing code for free access for community, health and human services information and referral. We connect individuals and families in need to appropriate community-based organizations and government agencies who offer services and solutions to address those needs. The service is FREE and Confidential for callers. Western Colorado 2-1-1 covers 16 counties on the Western Slope.

• NOW dial 2-1-1 directly from a cell phone!

• Western Colorado 2-1-1 has an app for smart phones!

• Access services & our community calendar at www.wc211.org