Healthcare Newspaper

Boomers d n o y Westchester County

e B &

December 2012

Baby Boomers & Blood Tests p4 Naturopathic Medicine

DRS2HEALTH®

A Unique Brand In Natural Healthcare p7

Healthy New Year’s Resolutions For Seniors p10

Wartburg’s

Adult Day Services: A Lifesaver for Everyone p12

Medicaid Planning: Protect Your Assets For Your Family p17

PAGE 2

December, 2012

Boomers & Beyond - Westchester

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

HONORED ON

‘Best Doctors’ LISTS YEAR AFTER YEAR

ROBERT BELKIN, MD CRAIG HJEMDAHL-MONSEN, MD GABRIELLE BOLTON, MD KUMAR KALAPATAPU, MD MARK BORKIN, MD SRIRAMA KALAPATAPU, MD SUSAN CAMPANILE, MD RICHARD KAY, MD LEO CARDILLO, MD ANDREW KUPERSMITH, MD MAXWELL CHAIT, MD STEVEN LANDAU, MD ALBERT DELUCA, MD YAT WA (BETTY) LI, MD JEFFREY DONIS, MD SANJAY NAIK, MD JOYDEEP GHOSH, MD DIMPLE PATEL, MD LAWRENCE GLASSBERG, MD RONALD PRESTON, MD EDUARDO GRANATO, MD ANTHONY PUCILLO, MD

MONICA REYNOLDS, MD JAE RO, MD WARREN ROSENBLUM, MD INDERPAL SINGH, MD SUSAN SOEIRO, MD DAVID E. SOLARZ, MD CARMINE SORBERA, MD STEVEN L. VALENSTEIN, MD MELVIN WEISS, MD RONALD WEISSMAN, MD PRESTON WINTERS, MD

Visit us at one of our locations: 19 Bradhurst Avenue Suite 700 Hawthorne, NY 10532 (914)593-7800

15 North Broadway 2nd Floor White Plains, NY 10601 (914) 428-6000

5 Coates Drive Suite 2 Goshen, NY 10924 (845)294-1234

30 Greenridge Avenue Suite 207 White Plains, NY 10605 (914)328-8555

180 East Hartsdale Avenue 3 Michael Frey Drive Suite 1E Eastchester, NY 10709 Hartsdale, NY 10530 (914)337-3500 (914)725-2010

688 White Plains Road Suite 210 Scarsdale, NY 10583 (914)723-3322

ATTORNEYS AT LAW 15 YEARS OF ELDER LAW EXPERIENCE Advising Families about: • • • • • • • •

Medicare/Medicaid Home Care Long term Care Special Needs Trusts Wills/Trusts Health Care Proxies Powers of Attorney Guardianships

See more information on page 14

Client Testimonials I reached out to you during the most stressful time of life for both my loved ones and myself - horror had occurred to my dear loving mother.

My mom had fractured her hip and due to her frail health and advanced age required risky hip replacement surgery. Many issues legal and otherwise arose which I could not personally resolve. You not only resolved each and every one, but you continue to do so now, over 4 years later.

You always display extreme sincerity, compassion and friendship, using your vast experience and confidence in your ability, to continually bring satisfaction, positive results and a tremendous sense of relief and comfort to my loved ones and myself.

You have gone out of your way to visit Mom on multiple occasions in her Nursing house and we love you for it. As an attorney, friend, and a great man, I could not possibly hope to know anyone more phenomenal. The three greatest men I have ever known are my dear departed father, my dear departed father-in-law and Ely Rosenzveig.

– Jeff D.

2 Gannett Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com

Tel: (914) 816-2900 www.ejrosenlaw.com

I hired Ely to assist with my parents estate planning and it was a wise decision. He is a true expert in navigating through complex elder care law and procedures. His guidance was invaluable and his communication excellent. I would strongly recommend his services.

– Tom C. Attorney advertising • Prior results do not guarantee a similar outcome

ELDER LAW • TRUSTS & ESTATES • EMPLOYMENT LAW • MEDIATION • PROFESSIONAL DISCIPLINARY ACTION REPRESENTATION

PAGE 4

December, 2012

Boomers & Beyond - Westchester

By Dr. Michael Wald

Baby Boomers are the segment of the population who really need a plan for their health… just like a retirement plan. Statistics show that as one grows older one’s risk of all varieties of chronic degenerative diseases also increase.

Heart disease, Alzheimer’s disease, diabetes, arthritis, chronic infections and cancer rates are increasing in spite of more “wellness visits” to doctors.

Baby Boomers & Blood Tests: What your Doctor doesn’t know.

New Answers for Baby Boomers The American Medical Association (aka, AMA) themselves has said that the medical physical examination is virtually useless unless the patient is having a health event at the time of the exam. However, a different perspective is necessary that I have relied upon for over 22 years that helps to uncover disease tendencies far sooner than the traditional medical examination and accompanying “basic laboratory work”. Einstein said, “if one wants new answers one must ask a whole new set of questions”. In the case of the baby boomer and preventative health, an integrated (holistic) approach to thinking about the patient with an orientation towards prevention, and not just treating disease when it becomes obvious, is needed. The tools of the trade include advanced blood work as part of a longevity workup that I call, The Blood Detective Longevity Plan. In short, the work up consists of lab work chosen from virtually all areas of medicine and nutrition so that each and every system in an individual baby boomer is appreciated. Testing in just one area is shortsighted, incomplete and leads to mistakes in diagnosis and treatment.

Hidden Disease Blood laboratory work is often an important part of assessing and diagnosing your current health issues.

But more than just identifying current disease states, laboratory tests can be used preventively to identify sub-clinical diseases hidden from normal view that represent degenerative health problems early on, before they develop into full-blown diseases.

Normal Blood Work...who says?

New patients come to me all the time saying “My doctor says my blood work is normal, but I still don’t feel well.” In over 22 years of clinical practice, I have discovered that most medical doctors rarely order anything beyond “routine” standard lab panels and only review the results of these for blatantly high or low abnormal values. Baby boomers are told, “What do you expect? You’re getting old…live with it.” I hear this statement all too often, and, it is simply continued on next page untrue most of the time.

Blood Tests continued from previous page

Boomers & Beyond - Westchester December, 2012

Standard is NOT normal when it comes to blood testing.

There are several problems with this approach. Although standard lab panels give a good general glimpse into your health they do not include other important predictive factors for disease. For example, while cholesterol and triglyceride levels are helpful for considering heart disease, tests like homocysteine and CRP are also predictors of heart health that are not included in a standard lab panel. A standard lab panel may not identify issues specific to your symptoms and current health concerns, which may require additional specialized tests that would require many doctors of different specialties to uncover. CRP and homocysteine are also predicative tests for literally dozens of different diseases…and can most often be fixed preventing many diseases that short life span and reduce quality of life of baby boomers!

The predominant medical health care approach is more of a diseasecare approach, in that you are only treated once you have a disease like cancer, diabetes or atherosclerosis. In contrast, the Blood Detective Longevity approach that I have developed includes preventative tests that identify obvious health problems (disease), but also dis-eases…the earlier manifestations of disease. Most of the tests that I use are not included in the regular work ups by various types of medical specialists and therefore, miss many opportunities to enhance quality of life for all individuals including baby boomers.

Diabetes Here’s an example: diabetes is increasingly prevalent among adolescents and adults.

An internist or endocrinologist looks at a lab test known as HBA1C or glycosylated hemoglobin for an abnormally high value of 6.5 percent or higher to diagnose and treat a patient for diabetes. In my practice anyone with an HBA1C greater than 5 percent is placed on a special health plan and nutritional supplements that promotes weight loss, lowering of blood sugar and supports healthy insulin production and kidney function– reversing the early or midstream diabetic problem.

Weight Gain & Fatigue As another example, many women come to me complaining of weight gain, difficulty losing weight and fatigue. Their medical doctors have ordered a CBC to check their blood for anemia, TSH and T3 to check thyroid function and are told that all is “normal” and there is nothing for them to do.

In my assessment, I would not only check CBC, but other important blood markers to diagnose any of over a dozen different types of anemias that could be the culprit. I would consider not only total thyroid hormone, but T3, T4 and TSH (thyroid stimulating hormone), as well as other important hormones that are directly involved with healthy thyroid function, like the hormones testosterone, progesterone and DHEA. I would review these results not only for obvious abnormal highs or lows, but for sub-clinical highs or lows, so that I could offer treatment both for obvious disease and deficiency and to prevent discovered trends and patterns leading toward disease and deficiency.

Compare yourself to “average” people or “healthy” people…you choose!

By comparing your lab values to healthier, narrower ranges and looking for hidden, abnormal results that are on the high or low end of normal, you are treated preventively, through nutritional supplementation and dietary and lifestyle changes, to improve your health, symptoms and reverse developing illness before it is far gone. It is always easier and smarter to prevent a problem than to treat it once it is a full-blown disaster.

If you would like to learn more about how our Blood Detective Weight loss and health optimization plans and specials, visit www.intmedny.com or www.BloodDetective.com.

PAGE 5

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PAGE 6

December, 2012

Boomers & Beyond - Westchester

Advertiser’s Index

From the General Manager

A&J Home Care, Inc............................................................ 11

The holidays are almost here, which means family dinners and parties, gift giving and receiving.

Audio Help Hearing Centers.................................................19 Burke Rehabilitation Hospital...............................................15 ColumbiaDoctors....................................................................2 DRS2HEALTH®..................................................................7 Jewish Home Lifecare.............................................................8

However, for some seniors, this season can be very lonely. According to the Geriatric Mental Health Foundation, some major factors contributing to holiday depression in the elderly are financial limitations, loss of independence, being alone or separated from loved ones, failing eyesight (and lessening of the ability to write or read holiday correspondence), and loss of mobility and/or the inability to get to religious services.

New York Life..........................................................................7 Premiere Audiology..................................................................9 Ely J. Rosenzveig & Associates, PC...................................3,14 Sprain Brook Audiology........................................................17 Victoria Home.......................................................................11 The Wartburg Adult Care Community...................................13 Westchester Meadows...........................................................20 Willow Towers........................................................................5

But we can all help these seniors in need, whether they are a friend, family or a neighbor. Remember, it can be the little things that help: Christmas carolers at the door, a thoughtful card, a small gift. Some company.

Each of these tokens helps the senior to know that he or she has not been forgotten. They will thank you and, believe us, your holidays will feel even more warmer.

Happy Holidays!

Jim Stankiewicz, General Manager

Boomers & Beyond Westchester County

Display Ad deadline November 30, 2012 Print Date December 7, 2012 Online edition December 14, 2012

845-534-7500 • (fax) 845-534-0055 Info@HealthcareNewspaper.com PUBLISHER Joseph P. Belsito (Joe@healthcarenewspaper.com) ••• GENERAL MANAGER James Stankiewicz (Jim@healthcarenewspaper.com) ••• MANAGING EDITOR Cathryn Burak (Cathy@healthcarenewspaper.com) ••• MARkETING ASSOcIATE Katie Rider (Katie@healthcarenewspaper.com) ••• ADvERTISING-PUBLIc RELATIONS Ellie K. Ellis (elliekellis@gmail.com) ••• MARkETING EXEcUTIvE Anthony Mairo (Anthony@healthcarenewspaper.com) ••• cIRcULATION Michelle Belsito (Michelle@healthcarenewspaper.com) ••• SENIOR cORRESPONDENTS Brendan Coyne John Jordan

Corporate Information Healthcare News - Westchester, New York edition - Vol. 5 No. 12 - is published monthly, 12 times a year by Belsito Communications, Inc., 1 Ardmore Street, New Windsor, NY 12553. Postage Paid at New Windsor, NY and additional mailing offices. Postmaster: Send address changes to Healthcare Newspaper, 1 Ardmore Street, New Windsor, NY, 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

Next Month in Boomers & Beyond…

Retirement Bringing peace of mind for the future Financial, residences, estate planning, home care, assisted living when needed Experts advise on how to manage your pension in volatile markets

Elder law Top Lawyers guide you through Medicaid, Home Care and LTC

Boomers & Beyond - Westchester December, 2012

PAGE 7

Schaffer Extended Care Center honors its Centenarians Schaffer Extended Care Center at Sound Shore Medical Center (SSMC) recently recognized National Centenarians’ Day with a luncheon honoring seven of its own, each of whom has reached this milestone and beyond.

The noontime gathering included the following residents, listed in centenarian standing from senior to junior:

Amy Dorman, Dec. 8, 1906 Beatrice Wars, Dec. 9, 1906 Elcener Jones, Nov. 27, 1907 Anne Hughes, June 3, 1909 Martha Rayner, April 4, 1912 Pauline Pace, August 1, 1912 Elaine Sears, August 29, 1912 provided

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Joining the Honorees for the Centenarian Celebration, that included a speciallyprepared four-course luncheon, were some of their family members, SSMC Senior Vice President John Mamangakis, Vice President of Long Term Care/Administrator of Schaffer Extended Care Center Susan Sales and Schaffer’s Director of Nursing Jean Bartley, as well as Schaffer staff.

The venerable ladies were especially pleased by the presentation of Certificates from Mayor Noam Bramson of the City of New Rochelle honoring them as Centenarians.

The statements of appreciation recognized their contributions over the years and congratulated them on achieving this significant milestone.

Born in Jamaica, Ms. Dorman at 106 is the oldest of the honorees – by just one day!

Ms. Hughes, 103, and Rayner, 100, were both born in Ireland. Ms. Dorman’s closest competition for Schaffer senior is 106 year old Beatrice Wars. She, along with junior centenarians Pauline Pace, Elcener Jones and Elaine Sears, are all long-time residents of New Rochelle. When the oldest resident was asked the secret to her longevity, Ms. Dorman quickly replied, “Being nice to everyone, including myself.� She added that the Good Lord had a lot to do with it, too.

For more information, please visit www.soundshore.org or call the VP for Long Term Care/Administrator of SECC, Susan Sales, at 914.365.3702.

NEW $212K GRANT UNDERWRITES CLINICAL DEMONSTRATION ON

Preventing Delirium in Elders Jewish Home Lifecare Delirium Prevention Project is also anticipated to reduce hospitalization of participants Delirium in elders can lead to falls, function decline and hospitalization and may be preventable. A Jewish Home Lifecare clinical demonstration project, funded through a $212,000 grant from the Fan Fox and Leslie R. Samuels Foundation, has commenced to explore risk factors and indicators of delirium and strategies to prevent it from occurring. Led by Kenneth Boockvar, MD, MS, Jewish Home Lifecare’s Director, Clinical Studies, Research Institute on Aging, the clinical demonstration project is anticipated to improve ill elders’ lives. Over the course of two years, 300 to 400 elders are expected to participate in the Jewish Home Lifecare Delirium Prevention Project.

“Delirium is a harbinger of worsening health. With its accompanying hallucinations and agitation, it is associated with long term complications and is disturbing at best for the patient and most distressing for family members,”

explains Dr. Boockvar. He continues, “While there have been studies on how to treat delirium, to my knowledge, there has not been a project to prevent delirium from developing while a person is living in a nursing home setting. By identifying risk factors and tailoring interventions, our goal is to prevent delirium from occurring in the first place. In so doing, the impact on the older person’s health and well-being would be significant.”

In addition to his work at Jewish Home Lifecare, Dr. Boockvar is Associate Professor, Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine; and Associate Director, Geriatric Research Education and Clinical Center, JJ Peters VA Medical Center.

For the first time, the successful Elder Life model, a groundbreaking evidence-based intervention designed to prevent functional and cognitive decline of elders during hospitalization, is being adapted for use within a nursing home. Using a mobile team of a nurse practitioner and an Elder Life specialist, standardized assessment and treatment for delirium risk factors will be provided at the onset of and

during an acute illness (like a bladder infection or fever).

These brief interventions are expected to last seven to 14 days, until the acute illness has elapsed.

After the Fan Fox and Leslie R. Samuels Foundation funding expires, Jewish Home Lifecare intends to continue the Elder Life program at its Bronx Campus and to implement Elder Life at its other skilled nursing facilities in Manhattan and Westchester.

Jewish Home Lifecare is one of the oldest and largest not-for-profit rehabilitation, long-term care and community-based service providers in New York State and has been serving elders for 164 years. With campuses in the Bronx, Manhattan and Westchester and through its Community Services division, Jewish Home serves over 10,000 individuals annually.

Its Research Institute on Aging is dedicated to expanding knowledge of the aging experience and innovating new models of service that can contribute to the quality of care and life afforded to older adults.

For more information, visit www.JewishHome.org.

Sarah Neuman Center presents:

Health Tips for Staying Well Sarah Neuman Center offers: ngg FFiit SSttaayyyiing healthy lifting and kickboxing may not be For most seniors, jogging, weight ember rem se plea but ss, fitne to boost your options. Try these simple, fun tasks en. regim cise exer re starting a new to first check with your doctor befo Be Active your usual stop and walk the Step off the bus two blocks before rest of the way. on the joints, improves your Take a Tai Chi or Yoga class. It’s easy balance and makes you stronger.

* * * * * *

uming, Doing everyday chores, like vacu shopping, count too.

mopping, dusting and

Walk a dog; play with a cat.

Be Social ” invite a friend over to “cut the rug.

Join a local dance class or simply rs blood pressure and decreases your Laugh more. It reduces stress, lowe risk of heart disease.

Be Mindful couch ure, whether you’re sitting on the Always try to maintain good post y. injur g and less susceptible to or on a chair, to keep your back stron k adequate fluids throughout the Eat breakfast and remember to drin ty. day — even if you don’t feel thirs

* *

apy

bilitation with individualized ther

Comprehensive short-stay reha plans and care teams Skilled Nursing care services on

a beautiful residential campus

social models—for health and Adult Day Programs—medical and n wellness support and social interactio those caring for an elder at home Respite Care providing a break for

NNeed Nee eed ed mo mor ree iinf more infoffo ?

Health Tips are for you from your neighbors at Sarah Neuman Center. Helping you stay well and safe is our first priority.

To learn more about us, call (914) 864-5621. www.jewishhome.org

845 Palmer Avenue, Mamaroneck NY 10543

Elder Care takes center stage at Phelps

The NICHE team at Phelps Memorial Hospital Center discussing and reviewing the plan of care for a geriatric patient on the medical unit where the NICHE program is being piloted. Left to right: Cheryl Burke, RN; Maria Magno, RN; Kathy Pappas, RN; and Alicia Mulvena, RN.

Because people are living longer, the number of elder hospital patients is on the rise and they often have serious illnesses and special needs. To address the growing demand for geriatric nursing care, a team of nurses at Phelps Memorial Hospital Center in Sleepy Hollow is introducing a program to improve healthcare for older adults.

The program, Nurses Improving Care for Health System Elders (NICHE), was developed by the Hartford Institute for Geriatric Nursing at the New York University College of Nursing.

The Phelps nursing leadership team for NICHE includes Cheryl Burke, RN, clinical specialist and NICHE program coordinator; Kathy Pappas, RN, Phelps and NICHE clinical educator; Paula Keenan, RN, nursing director and NICHE program administrator; Maria Magno, RN, and Ronda Osborn Haroon, RN, coordinators from the medical unit; and Alicia Mulvena, RN, clinical educator and NICHE evidencebased practice coordinator. These nurses are learning new ways to deal with such common syndromes as falls, incontinence, pain and wound care . Sharing their knowledge with the rest of the hospital, will bring about change in the way care is provided to the elderly.

The goals of NICHE are to increase sensitivity of hospital staff to the aging process, improve the recognition of age-related changes in older adult patients, enhance communication skills with patients and their families, and ensure mental and physical stimulation for patients while they are in the hospital.

“Anytime we can improve the outcomes for our elders,” says Cheryl Burke, “we are improving the lives of all our patients, their families and our hospital staff.”

The program will be expanded throughout the hospital in phases.

The nursing leaders have completed their initial NICHE training and will soon begin training the staff who will be participating in the first phase. The program will begin in one unit and eventually be brought to the remainder of the hospital, including the Emergency Department.

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2013 It's almost time to ring in another Happy New Year! It’s the time of when many seniors resolve to improve their health.

However, the problem with the start of a new year is that most good intentions are often derailed within a few weeks.

Make this year the year you make good on your New Year’s resolutions. Get on the path to good health in 2013!

Whether your goal is to lose weight, exercise regularly or stop smoking, Boomers N Beyond is here to help you maintain your motivation and avoid common pitfalls.

What’s your priority for 2013: smoking, weight loss, fitness?

How can you harness that instinctive desire for change to create enough will power to make it succeed? Mental strength matters.

What you believe about self-control affects the goals you set and go on to achieve. If you think you’ll be able to achieve a goal, you’re more likely to set it in the first place. Successful resolutions are more likely if you’re highly confident with plenty of drive.

Here are 10 healthy New Year’s resolutions for seniors.

1 2 3

Try a new sport: Exercise doesn’t have to be boring, so

get out of your exercise rut and find a new activity to participate in Make your home safe: such as walking or tennis. Not only will it increase your physical health, but you will meet new people and widen your social circle. Each year, one in three adults over the Plan a vacation or getaway: Plan a trip to somewhere age of 65 falls and sustains an injury. new—somewhere you have never been before. Perhaps a trip to Many of these falls another country, a cruise to Alaska, or a weekend at the beach. are preventable, especially if home safety tips are implemented.

Meditate: Meditation reduces stress by teaching you to Tips like moving cords out of walkways, switch off from the worries that can plague you through the day. having good lighting near beds and taping down It is an opportunity to spend time by yourself reconnecting with your inner spirit. Spend 15 minutes a day meditating and you will edges of carpet and rugs can help to decrease the number and severity of falls for seniors. reap the rewards of a relaxed and calm mind.

4

continued on next page

New Year’s resolutions

Boomers & Beyond - Westchester December, 2012

continued from previous page

5

Read a self-help book: Self-help books can empower you by giving you the tools you need to control of your own destiny.

The skills and methods you learn while engaging in the self-help process are likely to be helpful across many different aspects of your life.

6

7

Eat sea vegetables: Seaweed offers the

broadest range of minerals of any food and is an excellent source of the B-vitamin folate and magnesium, as well as an excellent source of iron, calcium and the B-vitamins riboflavin and pantothenic acid.

In addition, seaweed contains significant amounts of lignans, which are plant compounds with cancer-protective properties.

Schedule doctor visits:

Unfortunately, with age comes an increased risk of illness and other complications such as high blood pressure, osteoporosis and other medical conditions. Making sure that you schedule a regular annual checkup can help in early detection and prevention of many diseases.

8

Eat dark greens: Dark green vegetables such as kale, spinach and broccoli can help with weight management, reduce your risk of several types of cancer and provide you with many nutrients your body needs— specifically vitamins A, D, C and E. Aim for three cups of leafy greens a day.

9

Challenge your brain: Keep your mind in top shape with games, puzzles and brain teasers.

Games such as these rely on logic, word skills, math and more—all which help the brains speed and memory.

For maximum benefits spend 30 minutes a day on brain related activities.

10

Laugh more: Research has shown that the health benefits of laughter are far-ranging. Studies have shown that laughter can help relieve pain, bring greater happiness and even increase immunity. Rent a funny movie, get together with friends or go to a comedy club to enjoy a little laughter.

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PAGE 11

According to Dana Nolan, Director of Wartburg’s Adult Day Services, “We’re here to provide the safest, healthiest environment possible for vulnerable individuals who are at risk of being left unsupervised during the day. We also offer these services to frail, elderly individuals of any age with Alzheimer's disease or a related disorder. We pride ourselves in doing all this with compassion and care that’s unlike any other.” This is more than a promise coming from one of New York State’s leading adult care communities. It is a practical and necessary solution to restore a quality of life to both the ones being cared for, and to the caregivers themselves. “Our Social Model includes programs that provide the adults in need with enriched recreational and social activities that have them coming back. This, in turn, allows their caregivers well-deserved respites, with precious time for themselves to relax and refuel,” continued Ms. Nolan.

“The mission of Wartburg has never wavered “, added David J. Gentner, Wartburg’s President & CEO. “We continue to play a leadership role in the eldercare community, assisting persons to age successfully through wellness programs and spiritual enrichment. The Social and Medical Models of our Adult Day Services are examples of our vision and commitment.

The actual caregivers whose loved ones are benefitting from Wartburg’s Adult Day Services, continue to sing the praises of this remarkable program: Leonard Poggiali - “My wife, Elizabeth, diagnosed with middle stage Alzheimer’s, has been a part of the Wartburg’s Social Model Program for almost a year and a half.

It’s amazing how Wartburg takes care of everything, so I don’t have to worry about a thing. We bring Elizabeth here three times a week for 4 ½ hours each visit. This allows me enough time to accomplish things that I would not ordinarily have time to do, like house cleaning, cooking, errands, and some much needed time to myself to rest and refuel. And because Wartburg’s staff is so talented and diverse, there is always some activity that they can provide her with at her stage of Alzheimer’s, including art, music, dancing, and yoga. Even at the spiritual end, there is this wonderful companionship and love for each other. I never imagined how my life would change when Elizabeth’s changed. But Wartburg provides so many opportunities of a normal, happy and functional life. Gosh, even when it comes to Elizabeth’s hair, I used to sit for hours in a hair salon and just wait, but now, she has her hair done right at The Wartburg - she loves it, and I have those precious few hours of respite.

I feel blessed that the Wartburg is in our lives.”

Wartburg’s Adult Day Services: A Lifesaver for Everyone!

Lorraine Godwin- “My mom, Margherita, who has dementia, has been a part of the Social Model Program since 2005. Mom is there five days a week, from Monday through Friday, from morning till night. The care is magnificent. In seven years, we have not had one negative experience. Not one; ‘Safety’ was always my main concern; I feel so confident that mom is totally safe. The Wartburg is like a well-protected little village with serenity and peacefulness. Mom is in the best of hands, totally safe, always having some one near her. And the opportunities of socialization are extensive. There is always something to do with someone to do it with.

Wartburg has enhanced the quality of my life, as well. They give me the opportunity to do what I need to do. What a peaceful feeling to know that mom is enjoying her life there, with activities, friends and companionship, while I can resume some normalcy in my life. We are so very appreciative to Wartburg for all they do.”

Steve Hiller- ”My wife Marianne is in Stage 2 of Alzheimer’s. My daughter assists me as a caregiver, contributing as much time as she can. But it is very difficult. Our lives have surely changed. Fortunately, for the past two months, Marianne has been a part of Wartburg‘s Adult Day Services. There are many activities there that keep her busy, giving both my daughter and me the breaks we need. And the care that Wartburg offers is simply incredible. The staff is hands-on…so compassionate… and always there for whatever Marianne needs. One staff member is nicer than the next. And the support that they provide us with is extremely valuable. They have a special talent for providing both emotional comfort with pragmatic advice. There are so many things that we have learned from them, making our lives so much better…handling Marianne’s cognitive decline and unexpected actions so much easier. They have a special awareness.

They “get it”. They just know how to relieve our frustrations, angers and resentments, while they prepare us for the “next level”. Their love and patience have made us better caregivers. They are truly special. They have become our family.”

continued on next page

Boomers & Beyond - Westchester December, 2012

STUDIOS &1-BEDROOMS AVAILABLE AT THE WARTBURG’S MEADOWVIEW ASSISTED LIVING! continued from previous page

Angela Sharpe, MSW, the Social Model Specialist who coordinates the operations of the program, states, “We make sure that everyone is constantly assessed and given individual attention. Our goal is to meet the needs of both the loved one and the caregiver, by not only providing superb programs, activities, and events, but also educating them with new found knowledge, while instilling confidence and encouragement as we travel with them throughout their journey.

It’s an enhanced quality of life for everyone. Here at Wartburg, we create new memories for you and your loved ones that will last a lifetime.�

Even from beyond the campus, Christine A. Fitzgerald, Executive Director of The Adult Day Health Care Council at LeadingAge New York added, “I am very encouraged to see organizations such as The Wartburg support the all-important adult day services. These forward-thinking, home and community-based programs are going to be crucial for individuals as they age.�

About Wartburg’s Adult Day Services Located on a beautiful 34-acre campus, Wartburg’s Adult Day Services offers both Social and Medical Model Programs, open 7 days a week – half or full days - all year except for New Year’s Day, Thanksgiving, and Christmas. There’s hot breakfast, hot lunch with choice of entrĂŠe, afternoon refreshments, and an option for light “meals to goâ€?, with all dietary needs accommodated. Activities include live entertainment, guest speakers, intergenerational programs, yoga, strength-training, aerobic exercise programs, art, gardening and cooking classes, and a full beauty salon. Transportation is available. There are also community trips to museums, casino, local shopping and restaurants. A popular Caregiver Support Group meets on first Thursday of every month. Fees can be met by Medicaid, private pay or long-term care insurance policies. For more information contact Angela Sharpe at 914-513-5108 or asharpe@thewartburg.org, and inquire about FREE 3-DAY TRIAL. About Wartburg Recently recognized by U.S. News & World Report as one of the “Best Nursing Homes in New York Stateâ€?, The Wartburg Adult Care Community is a not-for-profit Lutheran ministry, serving people of all faiths with a full range of residential options and health-related services for older area adults and their families. The Wartburg offers skilled nursing care, rehabilitation, Alzheimer’s and dementia care, assisted and independent living, adult day services, home care, pastoral care and monthly caregiver support groups. The Wartburg is a member organization of the National Center for Creative Aging.

For more information about The Wartburg Adult Care Community or to support its mission, please call (914) 699-0800, or email info@thewartburg.org.

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Call today for a tour at 914-513-5178 and be our guests for lunch.

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PAGE 13

ATTORNEYS AT LAW 15 YEARS OF ELDER LAW EXPERIENCE

Why should I spend money hiring attorneys to do asset protection planning for me and my loved ones?

Currently, the monthly cost for nursing home care in New York ranges between $10,000-$15,000, and properly certified home health attendants (nurse aides) can cost as much or more for round- the-clock home care. Statistically, it is likely that most people will need either or both of these care options as they grow older. It is critical that you plan appropriately to best minimize the strain that elder care costs may have on your estate, and to help put you in the best position possible to qualify for benefits that are largely covered by the government, under Medicare or Medicaid.

Our firm has attorneys with extensive experience in developing tax-effective action plans for our clients that help protect their assets from government imposition. We have also been very successful in negotiating the complex bureaucratic minefield in which Medicaid is now mired. We have achieved remarkable results for our clients on a host of Medicaid related issues, from obtaining Medicaid approvals for coverage of home care and institutional care benefits, to very accommodative resolutions of Medicaid spousal recovery claims, where the office of Medicaid aggressively pursues the non-institutionalized (i.e., or “community”) spouse for Medicaid benefits provided.

Why should I have a lawyer prepare my will?

If you die without a Will, the law, not you, determines how your assets are divided and to whom they are given. A poorly drafted Will may result in a sizeable chunk of your assets not ending up where you want them to go. We are an experienced law firm that can expertly craft your will to address your long-term care, tax, estate planning, and asset protection planning issues. It is in your best interest that planning be done properly so as to minimize the tax burden on your estate.

Our experience and skill in the fields of Trusts, Wills, and Estates enables our firm to uniquely tailor estate planning to your individual needs. We will review your entire estate and draft a personalized plan that will best direct the disposition of your assets after death, whether through your Will, or by means of testamentary substitutes (trusts, joint-asset ownership with right of survivorship, or by beneficiary designation in life insurance policies, annuities, or individual retirement accounts).

My father is having difficulty caring for himself. I am afraid he will no longer be able to live on his own. I am worried about finding the money to pay for his care, whether he stays at home or moves to an assisted living facility or nursing home. What do I do?

2 Gannett Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com

Tel: (914) 816-2900 www.ejrosenlaw.com

Your concerns are certainly daunting, and heart-rending. Our firm offers you a caring hand, an open ear, and uncompromising professional competence, and commitment. We will help find for you solutions that best suit your needs, using the latest tax, trust, and other asset protection strategies available under the law.

The law firm of Ely J. Rosenzveig & Associates, P.C. practices in all aspects of elder law, including trust and estate planning, administration, and litigation, tax counsel, asset protection and special needs planning, Medicaid, Medicare, and Social Security disability benefits, guardianships, long term care planning, spousal recovery claims, and Medicaid lien resolutions.

Attorney advertising • Prior results do not guarantee a similar outcome

ELDER LAW • TRUSTS & ESTATES • EMPLOYMENT LAW • MEDIATION • PROFESSIONAL DISCIPLINARY ACTION REPRESENTATION

Boomers & Beyond - Westchester December, 2012

PAGE 15

Westchester named one of nation's Top

“Age-Friendly Communities” AARP Awards Westchester for One of Nation's Top "Age-Friendly Communities"Praising the county’s “innovative approach” to tackling issues that affect seniors, AARP recently named Westchester as one of the nation’s first seven “AgeFriendly Communities” during the Golden Harvest Breakfast at Abigail Kirsch at Tappan Hill in Tarrytown.

AARP vice president Bob Stephen presented the designation to Westchester County Executive Robert P. Astorino, citing the county’s multiyear efforts to champion seniors in areas that range from safe and affordable transportation to the promotion of healthy lifestyles.

upcoming events

December 3 30th Annual Westchester Senior Hall of Fame Westchester Marriott Hotel Tarrytown, N.Y. 11:30 a.m. – 3 p.m.

For more information, call (914) 813-6400.

December 4 Medicare Basics Westchester County Office Building 9 S. First Ave., 8th floor, Mount Vernon 10 a.m. to noon Case workers will provide information about Medicare parts A, B, C and D and how to use Elderly Pharmaceutical Insurance Coverage (EPIC) for even greater savings. To register, call the Westchester County Department of Senior Programs and Services Medicare Information Line at (914) 813-6100.

“This is a proud day for Westchester County,” Astorino said. “And thanks to AARP’s affiliation with the World Health Organization, we’ll now have access to a wealth of planning tools and resources – which will help us serve our seniors even better.”

The Golden Harvest Awards are presented each year by the Westchester Public/Private Partnership for Aging Services. The Partnership is a coalition of government, business and voluntary service agencies that develops resources and services to help seniors remain independent and active members of the community. source: www.westchestergov.com

provided

Westchester County Executive Robert P. Astorino, center, accepts a certificate designating Westchester as one of the first seven members of AARP's "Network of Age-Friendly Communities" from AARP vice president Bob Stephen along with Commissioner Mae Carpenter of the county's Department of Senior Programs and Services

Unfortunately, and sadly, senior citizens are often targeted for crimes.

However, this can be prevented. One of the best ways to take an active part in crime prevention is to become more alert and aware of what's going on around you.

Each person should adopt a more observant and active attitude on a daily basis. As a result, you become more aware of strange cars, persons or circumstances which might be dangerous and require calling the police.

Not every stranger you encounter is a criminal by any means, but criminals will look for easy opportunities to get something of value.

Here are some tips for senior citizens: Don't Be A Victim Of Fraud If someone offers a deal that sounds to good to be true, it probably is.

Yet every day people get taken in by different schemes.

Con artists defraud and cheat unsuspecting citizens out of several billion dollars each year. The swindler's prime target is the senior citizen.

Swindlers see the elderly as easy marks for many reasons. Many senior citizens live on social security and pensions supplemented by savings.

They may be looking for ways to increase their incomes through investments, home business opportunities or retirement properties.

Most con artists promise "incredible bargains" or "quick money." Unfortunately, senior citizens are just as vulnerable as everybody else when it comes to get-rich-quick schemes.

Swindlers are usually well-dressed, talkative and intelligent. After all, they are trying to win your confidence.

Con Artist Schemes Con artist schemes come in a variety of situations. Just to name a few, BEWARE OF: The Phony Bank Examiner Scheme- a telephone caller will identify himself as a bank examiner who is trying to weed out a disloyal employee by getting you to withdraw money from your bank account and turn it over to them.

Pigeon Drop- the swindler will claim to have found a large sum of money with you being the witness to the findings. A second person will come into the scene and help to convince you to put up good faith money, switch the real money with phony money and leave you holding the bag.

Buying at the Door Schemes- someone might come to your door and offer to sell home insulation, energy saving devices or burglar bars.

BEWARE! Do not purchase or sign any contracts without first having it examined by someone you know and trust. Also check with the Better Business Bureau to see if this company is legitimate.

Remember, anything that sounds to good to be true might be just that.

So talk to your bank officer before withdrawing a large sum of money from your bank account to make a purchase or close a deal. Remember, most criminals look for the easiest way to get something of value.

Purse Snatch "Purse snatching" is a common crime, but not widely publicized. Any woman is a target for this offense, even though elderly women seem to be more vulnerable.

You can minimize your chances of becoming a victim of purse snatching by following these simple rules: Do not carry a shoulder bag over your shoulder. This makes it easier for a suspect to grab the bag, knock you down and cause bodily injury.

Carry a small clutch-type handbag underneath your arm. This will prevent bodily injury from occurring in the event of a purse snatch.

Do not carry large sums of money, valuable jewelry or all of your credit cards in your purse.

Carry only what you plan to use for the day. This includes one check instead of the whole checkbook or one credit card.

Do not walk with your purse dangling from your person.

Do not leave your purse in shopping carts or on counters.

Boomers & Beyond - Westchester December, 2012

PAGE 17

Medicaid Planning: Protect Your Assets for Your Family

By Pat Micek, Esq. Weâ&#x20AC;&#x2122;ve all heard the horror stories of people whose life savings were eaten up by nursing home costs, leaving nothing for their families. But the right planning can prevent this from happening. Your home and all of your assets can all be protected by a trust that is safe from all creditorsâ&#x20AC;&#x2122; claims- including nursing homes, Medicaid reimbursement and any other debts. This trust is specially allowed by New York State law, and allows you to legally shelter your lifeâ&#x20AC;&#x2122;s earnings so that they pass automatically to your family on your death.

Medicaid cannot make a claim for reimbursement from these assets, since they do not pass through your estate. Plus, the trust gives you the added bonus of passing your assets on directly to your heirs, which avoids the expense and delay of probate. Probate is a long and expensive process, and a trust would represent a substantial time and cost-saving benefit for your family.

It is important not to delay, because if you need nursing home care, your assets must be in the trust for 5 years in order to be exempt from use as an asset to pay the nursing home. However, the trust will not disqualify you from receiving Medicaid-paid home health care aides right away. Most people would prefer to be maintained at home with assistance if at all possible. Then, once the 5 years runs, if your condition worsens to the point where you need nursing home care, you will have had all of your long term care costs paid for by Medicaid, and the estate that you have worked a lifetime to build up will pass to your family free and clear.

With the right planning, your home and other assets can be preserved for your family instead of being used up by nursing home costs.

But to get this peace of mind, you have to act promptly if you are over age 65. The longer that you wait to shelter your assets, the greater the chance that you will lose them to health care expenses and not be able to pass them on to your loved ones. Š 2012 Patricia G. Micek, Esq. Pat Micek is a an experienced attorney concentrating on Estate Planning and Elder Law. She is a partner in the law firm of McMillan, Constabile, Maker & Perone LLP, with offices in Larchmont, Yorktown Heights and Manhattan.

Home appointments available.

Email patmicek@mcmplaw.com or Telephone (914) 834-3500

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Westchester County

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Contact Jim Stankiewicz GM for more information • Phone: 845-534-7500 *219 • Email: Jim@healthcarenewspaper.com A sneak peak at the editorial calendar for the first half of the year…

Boomers & Beyond

2013 Editorial Calendar

January

February

Display Ad deadline November 30, 2012 Print Date December 7, 2012 Online edition December 14, 2012

Display Ad deadline January 4, 2013 Print Date January 11, 2013 Online edition January 18, 2013

Retirement

Senior residences

Bringing peace of mind for the future Financial, residences, estate planning, home care, assisted living when needed Experts advise on how to manage your pension in volatile markets

The right Retirement communities for your loved ones

Heart Health The top cardiac care in the region

March

April

May

Display Ad deadline February 1, 2013 Print Date February 8, 2013 Online edition February 25, 2013

Display Ad deadline February 22, 2013 Print Date March 1, 2013 Online edition March 8, 2013

Display Ad deadline April 5, 2013 Print Date April 12, 2013 Online edition April 19, 2013

Display Ad deadline May 3, 2013 Print Date May 10, 2013 Online edition May 17, 2013

Healthy Aging

Rehabilitation Medicine

Hearing Better for the Summer

Summer Health & Wellness Guide

The road to recovery

Audio help centers explain the importance of early detection

The latest cosmetic procedures and techniques for looking younger… without surgery

Experts discuss how Women and Men can age healthy!

Bring back your young smile!

New Chiropractic techniques for seniors

Home care Elder law Top Lawyers guide you through Medicaid, Home Care and LTC

Visiting Nurse Services, Skilled Nursing & Rehabilitation

Top Lawyers discuss Estate Planning

Improve your Vision Eye car experts give expert advice

June

Wealth Management Financial advisors discuss the best options

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PAGE 20

December, 2012

Boomers & Beyond - Westchester

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