Boomers & Beyond November 2013 ebook

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Boomers d n o y e B & Westchester County

November 2013

Hearthstone Alzheimer Care

Creating environments where people living with Alzheimer's can truly flourish p7

Cassidy Law Firm

Top-notch Elder Law and Estate Planning Services p9

A & T Healthcare Home healthcare with dignity p11

Edna L. Roker Social Adult Day Center

Provides nationally recognized caregiving services to seniors in Westchester County p18

Alzheimer’s Association Walk to End Alzheimer’s®

Engages and inspires Westchester County p7

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November, 2013

Ph: 914-582-0796

Boomers & Beyond - Westchester

Fax: 914 220 0333

We provide Exceptional Home Care AND Geriatric Care Management

Warning signs of

Alzheimer's More than five million Americans are living with Alzheimer’s today, with another person developing the disease every 68 seconds. By 2050, the number of people living with Alzheimer’s disease is expected to triple. Indeed, the numbers are staggering. And consider this: Alzheimer’s disease is the only cause of death among the top 10 (it’s currently ranked No. 6) in the United States that can’t be prevented, cured or slowed down. Ask any expert, and he or she will tell you that early diagnosis is key to helping patients live better day to day, so even though the disease is still progressing, the symptoms are less harsh. If you suspect a family member or friend is developing Alzheimer’s, take a look at these 10 warning signs of Alzheimer’s Disease, put together by the Alzheimer’s Association. The importance of early detection and early intervention can’t be stressed strongly enough. It could mean added years of lucidity and life for you or someone you love. 1. Memory changes that disrupt daily life 2. Challenges in planning or solving problems

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3. Difficulty completing familiar tasks at home, at work, or at leisure 4. Confusion with time or place 5. Trouble understanding visual images and spatial relationships 6. New problems with words in speaking or writing 7. Misplacing things and losing the ability to retrace steps 8. Decreased or poor judgment 9. Withdrawal from work or social activities 10. Changes in mood and personality

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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. 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.

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TRUSTS & ESTATES

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EMPLOYMENT LAW

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November, 2013

Boomers & Beyond - Westchester

5 Tips to a Healthier Thanksgiving for Seniors 1.

Don't dine alone. Many senior centers provide opportunities for people to enjoy a hearty Thanksgiving meal in the company of others. Sharing the holiday with others not only lifts your spirits, but provides a well-balanced healthy meal. If you're able, find out how to volunteer to help prepare and serve this year's Thanksgiving feast.

2.

Mind your heart. Calories and fat still count during the holidays. Overeating can lead to everything from heartburn to a heart attack. Limit gravies, butter and other high-fat choices with plenty of vegetables and lean white meat. If you experience chest pain, don't delay seeing a doctor.

3.

Drink in moderation. Besides a nasty hangover and obvious safety hazards, over-imbibing can have many negative effects - some social and some physical - including depression, an inflammation of the pancreas, hepatitis and an irregular heartbeat. Limit your intake to no more than one alcoholic drink per day for women and no more than two drinks per day for men. And never drink and drive.

4.

Plan ahead. Be sure to have an up-to-date list of medications you are taking. If you do face a health emergency during the holidays, it's important for your doctor to know your current medical conditions and have a list of your medications.

5.

Keep your health in focus. If you feel under the weather - physically or mentally - during the holidays, don't wait to visit your doctor. Colds, flu and depression are much more common during this season.

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November, 2013

Boomers & Beyond - Westchester

Advertiser’s Index

From the General Manager

A&J Home Care, Inc.............................................................17

The best part of Thanksgiving? Spending time with friends and family around the dinner table. Telling stories, listening to them, laughing, reminiscing – that’s what the wonderful Holiday is all about. Of course, you know who has the best stories, right? The senior citizens set. Forget about iphones, Justin Bieber and all that other high-tech gadgetry. Your grandmother, your grandfather, you parents, the AARP set, have some of the best stories to tell. So cherish them. And, if you are a senior citizen, make sure you share those tales. Thanks to you, memories are created, lasting through generations. The number one thing to remember is that age is really irrelevant. Everyone enjoys Thanksgiving because it means good food and excellent company. Those are the two most successful things to any holiday celebration. So make sure that you decorate your house nicely. Have holiday scented candles laid out. Decorate the dining room table with a lovely fall centerpiece. Have snack foods to adorn the table with until the main meal is served. Make sure to have plenty of drink choices on hand. This, indeed, is a special day.

A&T Healthcare.......................................................................11 Audio Help Hearing Centers...................................................5 Burke Rehabilitation Hospital...............................................13 ColumbiaDoctors..................................................................19 Connect Hearing..................................................................17 Cassidy Law Firm...................................................................9 Edna L. Roker Social Adult Day Center.................................20 Elder Care Homecare Inc..........................................................2 Ely J. Rosenzveig & Associates, PC...................................3,14 Integrated Medicine of Mount Kisco...................................12 Hearthstone Alzheimer Care....................................................7 Patricia G. Micek, Esq. ......................................................16 Neighbors Home Care Services.............................................15 United Hebrew......................................................................10

Enjoy your Thanksgiving!

Jim Stankiewicz, General Manager

Victoria Home.........................................................................8 Willow Towers.........................................................................4

Westchester County

Boomers d & Beyon

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 EXECUTIVE Anthony Mairo (Anthony@healthcarenewspaper.com) ••• BUSINESS DEVELOPMENT, PUBLISHER’S REPRESENTATIVE Jeff Horton jeff.healthcarenewspaper@gmail.com Field office; Mahopac, NY cell- 845-729-2525 ••• CIRCULATION Michelle Belsito (Michelle@healthcarenewspaper.com) ••• SENIOR CORRESPONDENTS Brendan Coyne John Jordan

Corporate Information Healthcare News - Westchester, New York edition - Vol. 6 No. 11 - 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… Boomers Surving and thriving at any age Rehabilitation programs that make you feel younger Senior residences that feel like home Starting a job at 50… Education and entrepreneur opportunities Giving your precious Grandchildren the gift of health and happiness

Boomers & Beyond - Westchester November, 2013

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Alzheimer’s Association Walk to End Alzheimer’sŽ engages and inspires Westchester County

Alzheimer’s fast facts

Participants raise critically needed funds for Alzheimer’s Care, support and research

More than 5 million Americans are living with the disease.

Alzheimer’s disease is the sixth leading cause of death in the United States. 1 in 3 seniors dies with Alzheimer’s or another dementia.

The Alzheimer’s Association and Westchester and nearby area residents united in a movement to reclaim the future for millions by participating in the Alzheimer’s Association Walk to End Alzheimer’s. White Plains High School was the site of the Walk on Sunday, September 29. Walk to End Alzheimer’s is more than a walk, it brings attention to a public health crisis. Much was planned to make the Walk event an experience for participants, including learning more about Alzheimer's disease and how to get involved with this critical cause, from advocacy opportunities, the latest in Alzheimer’s research and clinical trial enrollment to support programs and services. Each walker is also part of a special tribute to those who have experienced or are experiencing Alzheimer’s. Alzheimer’s disease is a growing epidemic and is now the nation’s sixth-leading cause of death. As baby boomers age, the number of individuals living with Alzheimer’s disease will rapidly escalate, increasing well beyond today’s more than 5 million Americans living with Alzheimer’s. Sponsors for the Walk to End Alzheimer’s included Atria Senior Living, The Bristal Assisted Living, CDPHP, Cedar Manor Nursing & Rehabilitation Center, Crystal Run Healthcare, Dutchess Center , The Fountains at Rivervue, HHH Choices, The H.O.P.E. Center / The Osbourn, The Kensington, The Seabury / Fieldhome, SQAD, Wartburg. “There has never been a greater need for the citizens of Westchester County, friends and family members to join in the fight against Alzheimer’s disease by

participating in Walk to End Alzheimer’s,� said Michele Muir, Alzheimer’s Association – Hudson Valley/Rockland/Westchester, NY Chapter vice president of communications and public policy. “Funds raised from the Walk provide care and support services open to the tens of thousands in our county who are either living with a diagnosis of Alzheimer’s, or who are assisting in the their care. And Walk funds will advance critically-needed research.�

In 2012, 15.4 million caregivers provided more than 17.5 billion hours of unpaid care valued at $216 billion. Nearly 15% of caregivers for people with Alzheimer’s or another dementia are long-distance caregivers. In 2013, Alzheimer’s will cost the nation $203 billion. This number is expected to rise to $1.2 trillion by 2050.

About the Alzheimer's Association Walk to End Alzheimer’s The Alzheimer’s Association Walk to End Alzheimer’s is the nation’s largest event to raise awareness and funds for Alzheimer’s care, support and research. Since 1989, the Alzheimer’s Association mobilized millions of Americans in the Alzheimer’s Association Memory WalkŽ; now the Alzheimer’s Association is continuing to lead the way with Walk to End Alzheimer’s. Together, we can end Alzheimer’s – the nation’s sixth-leading cause of death. About the Alzheimer's Association The Alzheimer’s Association is the world’s leading voluntary health organization in Alzheimer care, support and research. Our mission is to eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. For more information, visit www.alz.org/hudsonvalley or call 800 - 272 – 3900.

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November, 2013

Boomers & Beyond - Westchester

- Sweet potatoes are rich in fiber and can be sprinkled with cinnamon, which has been shown to stabilize blood sugar levels. - Substitute unsweetened apple sauce for the cranberry sauce, which has far more sugar. - Opt for whole grain rolls instead of buttermilk biscuits or cornbread. - Autumn harvest brings a bounty of delicious vegetables! Go for the options with less dressing and frills, and enjoy the healthy benefits of simple green beans or corn. - Dessert can be overwhelming with pecan pie, pumpkin pie, cheesecake, brownies, and more. Limit yourself to one treat. It’s good to celebrate, but not in excess. With these tips in mind, make sure you still enjoy yourself at the Thanksgiving table. Most importantly, Thanksgiving is a chance to reflect on the year’s bounties, so take the time to enjoy the best of that wonderful holiday spread.

Senior Living: Healthy Tips for Thanksgiving With Thanksgiving, comes opportunities to give thanks, watch the parade or a football game, and eat some great holiday food. Of course, often the main event of Thanksgiving is the meal, yum! Still, there’s no need to over-indulge on unhealthy foods. No matter where you celebrate Thanksgiving, you can still enjoy a healthy meal. Here are some tips: - Eat slowly, and drink plenty of water. This will help you recognize when you’re full and avoid that tired overfull sensation. - When it comes to the turkey, opt for white meat, which has more lean protein and fewer calories.

Boomers & Beyond - Westchester November, 2013

PAGE 9

Want to make sure you live a long, rich life? Having the right genes certainly boosts your chances of making it to the century mark, since longevity runs in families. At least 50 percent of centenarians have first-degree relatives or grandparents who reach a ripe age, according to Boston University’s New England Centenarian Study (NECS), the most comprehensive study of seniors in the world. You can't control genetics, but there are plenty of things you can do to increase the probability of living to a ripe old age. Here are 15 tips to help you get to 100. 1. Stay trim: Extra weight puts you at risk for heart attack, diabetes, cancer and other diseases that can shave years off your life. 2. Eat well and prosper: You know the drill – 10 servings of fruits and veggies a day (the more colourful the better), lots of whole grains and cut down on salt, fat and sugar. 3. Don't smoke: Need we say more? 4. Have kids later: A woman who bears a child after age 40 has 4x of a greater chance of living to 100 than women who give birth earlier in life, according to NECS.

9. Lend a helping hand: Volunteering makes you happier, healthier and live a longer life. 10. Daily multivitamin: A report from Harvard Medical School advises a regular dose of supplements, including calcium and vitamin D, can help lengthen life. 11. Get married: Plenty of studies show that married folks live longer than their unmarried counterparts.

14. Laughter really is the best medicine: A University of Maryland study found that 15 minutes of laughter a day can improve blood flow to the heart by 50 per cent, which helps reduce heart disease.

15. Keep your cool: Men who frequently express anger are more than twice as likely to have a stroke than those who control their tempers, according to a 1999 study reported in the journal Stroke.

914.428.1404

MCassidy@CassidyElderLaw.com

Overview of Services Elder Law & Medicaid Eligibility Cassidy Law Firm can help you cope with the myriad legal and financial problems created by sudden or looming, catastrophic or progressive illness.

6. Stay fit: Regular exercise keeps your body strong and is the best insurance against disease and injury.

8. Develop stress-busting habits: Walk, meditate, talk to a friend or play music. Learn stress management, as it's one of the keys to disease prevention.

13. Have more sex: A 2010 report in the American Journal of Cardiology shows that men who have sex two or three times a week have a lower risk of heart disease by 45 per cent.

Call or email us to make an appointment.

5. Feed your head: Do crosswords, learn a new language, take up a hobby, attend a lecture and figure out how to Twitter and Skype. Keep your mind engaged.

7. Be the life of the party: Maintaining social connections with friends and family can help ward off depression and boost your immune system.

12. Get the right amount of shut-eye: A 2002 study conducted by the Scripps Clinic Sleep Center in California on the sleep habits of 1M Americans found people who sleep between 6.5 and 7.5 hours a night live the longest.

Wills, Trusts, & Estates Cassidy Law Firm can help you develop an estate plan specifically tailored to your needs, taking into account estate, income, and gift tax consequences.

Special Needs Planning Cassidy Law Firm can help you provide for a loved one who is disabled, making sure he or she is well cared for over the course of a lifetime. Michele Cassidy, J.D., LL.M.

Guardianships Cassidy Law Firm can help you attend to a loved one’s personal and/or financial needs when he or she is no longer able to make these decisions independently.

ADDRESS: Cassidy Law Firm \ 2900 Westchester Avenue, Suite 308 \ Purchase, NY 10577 TEL: 914-428-1404 \ FAX: 914-428-5655 \ EMAIL: Info@CassidyLawFirm.com WEBSITE: www.cassidyelderlaw.com

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November, 2013

Boomers & Beyond - Westchester

Senior Advice: What steps can I take to lose weight to prevent type 2 diabetes? If you are overweight or obese, choose sensible ways to prevent or delay the disease: Reach and maintain a reasonable body weight. Your weight affects your health in many ways. Being overweight can keep your body from making and using insulin properly. It can also cause high blood pressure. Make healthy food choices. What you eat has a big impact on your weight and overall health. By developing healthy eating habits you can help control your body weight, blood pressure, and cholesterol. Reducing portion size, increasing the amount of fiber you consume (by eating more fruits and vegetables) and limiting fatty and salty foods are key to a healthy diet. Get at least 30 minutes of exercise at least five days a week. Regular exercise reduces diabetes risk in several ways: it helps you lose weight, controls your cholesterol and blood pressure, and improves your body's use of insulin. Many people make walking part of their daily routine because it's easy, fun and convenient. But you can choose any activity that gets you moving. It's fine to break up your 30 minutes of exercise into smaller increments, such as three 10-minute periods. Check with your doctor before beginning any exercise program.

The Outlook Just Got Better At

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Boomers & Beyond - Westchester November, 2013

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Senior Advice: Maintaining Balance and Preventing Falls If you feel dizzy when you roll over in bed, or when you tilt your head to look for something high up, BPPV is probably the culprit. As we age, small calcium particles in the inner ear can become displaced and hit the inner ear balance sensors, causing vertigo and dizziness. BPPV can be treated with a series of movements known as canalith repositioning. Labyrinthitis: Another type of balance problem that affects the inner ear is

known as labyrinthitis. The specific part of the inner ear that controls balance is called the labyrinth, and even though it’s tiny, it interacts with many other systems in your body, including your eyes and your joints. When the labyrinth is infected or swollen, imbalance is often a symptom. Viral infections like upper respiratory infections can lead to labyrinthitis. It can be treatable with diet and lifestyle changes, as well as certain maneuvers and exercises that affect your inner ear.

Age-related Changes: Other health issues that can affect your balance include weakened muscles or changes in vision. Make sure to have your vision checked regularly, and use bifocal or multifocal glasses when you walk, especially on stairs or varied terrain, since depth perception is important to navigating. Exercise can improve your muscle strength and joint flexibility. Falls are not inevitable, but you can help prevent them by maintaining your health and addressing issues with balance.

More than one in three people over the age of 65 fall each year, and the risk of falling rises with age. Most people have a friend or relative who has fallen, whether they stumbled while walking or felt dizzy upon getting up. Falls lead to fractures and trauma, and among older adults, falls are the number one cause of hospital admissions and loss of independence. If you have problems with balance, your risk of falling rises significantly. Luckily, balance problems can be easy to identify and improve upon. You can better your balance through exercise or medical attention. Firstly, identify what good balance means to you personally. You should be able to walk without staggering, and get up from a chair without danger of falling. A good way to test balance is to see if you can bend over without feeling dizzy or lightheaded. Good balance should mean being able to control and maintain your body’s position when you’re both moving or staying still. Here’s a look at the common causes of balance problems, and how they can be treated. BPPV: The number one cause of balance problems is disturbances in the inner ear. Benign Paroxysmal Positional Vertigo, or BPPV, results in brief, intense feelings of vertigo when the position of the head changes.

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November, 2013

Boomers & Beyond - Westchester

Emergency Preparedness Tips for Older Adults Would you be ready if an emergency occurred? Say like Hurricane Sandy, which created havoc across Westchester County last October. It takes a little planning, but emergency preparedness can ensure that you and your loved ones will be ready to withstand all kinds of emergencies. Older adults, in particular, might have unique personal needs that should be considered in emergency preparedness. There are three basics to emergency preparedness. Here’s a short overview of how seniors can take these steps to prepare for emergencies.

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Make a plan Usually, an emergency preparedness plan involves knowing how to get to a safe place, how to contact those close to you and get back together, and how these plans will change depending on the kind of emergency. The same goes for seniors. If an older adult anticipates needing assistance during an emergency, a support network should be part of their emergency plan. Establish contacts with family, friends, and others who can be counted on to help. Make sure these people know evacuation plans, meeting locations, and any relevant medical information. Practice makes perfect, so practice the plan with those who have agreed to be part of the network. Build a kit A disaster supplies kit is just a collection of items that might be needed in the event of an emergency. Each household should have a basic kit: water, non-perishable food, a radio, first-aid kit, and more. Ready.gov has a comprehensive list of what is needed and how and where to store it. Seniors should also consider what else they might need in an emergency, including a supply of medication, batteries for hearing aids or wheelchairs, and oxygen. Consider keeping copies of important documents in the emergency supply kit. This is a good place to keep notes about medical needs. Stay informed Emergencies aren’t always earthquakes or tornadoes. It’s important to know what kind of emergencies might occur and how to act in each scenario, whether it’s a natural disaster or an isolated home fire. Learning what to do in different situations can reduce the impact of emergencies. Ready.gov has information on everything from where to go during a hurricane to the basics in seeking disaster assistance.

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Boomers & Beyond - Westchester November, 2013

PAGE 13

Safe Holiday Travel: What every driving senior needs to know Each holiday season, travelers flock to the skies and highways to reunite with family and friends. It is projected that over 43 million people will travel more than 50 miles from their home during the holiday season, 90 percent of those people will travel by car. Staying safe on the road is an increasingly important task, especially for seniors who are driving long distances. The following tips can help drivers stay safe during the holiday hustle and bustle. Carry a car safety kit: Driving during the holidays can include the threat of winter weather. This includes black ice and snow, which cause hundreds of accidents each year. This is especially true for drivers who are not used to driving in such dangerous conditions. Seniors can prepare for inclement weather by carrying a safety kit in their car at all times. The kit should include things like blankets, warm gloves, a flashlight, a small first aid kit, jumper cables, a spare cell phone battery and some non-perishable foods.

Founded in 1915, Burke Rehabilitation Hospital is the only hospital in Westchester County dedicated to rehabilitation medicine. Burke offers inpatient and outpatient programs for those who have experienced a disabling illness, traumatic injury or surgery. Burke is both a rehabilitation hospital and medical research institute. Burke's doctors and therapists provide the highest quality treatment, while its research scientists explore the frontiers of rehabilitation medicine. All share the Burke mission to ensure that every patient makes the fullest possible recovery.

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Eliminate distractions: Around 25 percent of all accidents occur when people are distracted. When seniors are behind the wheel, it is vital for all distractions to be eliminated. Seniors often have diminished eyesight, hearing or reaction time. For those reasons, seniors must be vigilant when it comes to road safety. Avoid using cell phones, reading maps or reading a GPS while driving.

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Leave early and drive slowly: Millions of people will be sharing the roads this holiday season. Seniors should give themselves extra time to meet their destination. This extra time will eliminate the urge to speed. Traveling faster than the speed limit in hazardous conditions can often lead to accidents, speeding tickets or even fatal wrecks.

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Take car for a tune-up before traveling: Holiday season is no time to be stuck on the road. Seniors can avoid this headache by simply taking their automobile in for a tune-up before making the trip. Mechanics should check fluid levels, air pressure in all tires and windshield wipers.

PROGRAMS: • Amputee • Joint Replacement • Brain Injury • Cardiopulmonary • Neurological • Orthopedic • Spinal Cord Injury • Stroke Recovery

785 Mamaroneck Ave. White Plains, NY 10605 888.99.BURKE www. Burke.org

ATTORNEYS AT LAW Many Years of Experience Protecting the Legal Interests of the Elderly & Special Needs Populations

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

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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.

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Boomers & Beyond - Westchester November, 2013

PAGE 15

Caregivers Guide to Alzheimer’s disease Someone in your family or, perhaps, a friend has been diagnosed with Alzheimer’s disease. It can be a traumatic time, but it’s important to learn as much as you can about the disease and how to care for someone who has it. You may also want to know the right way to share the news with family and friends. Below is a guide for caregivers dealing with someone close to them who has Alzheimer’s disease. Learning About Alzheimer’s Sometimes, you may feel that you don’t know how to care for the person with Alzheimer’s. This is a common feeling among caregivers of people with Alzheimer’s because each day may bring different challenges. Learning about the disease can help you understand and cope with these challenges. Here is some information about Alzheimer’s and ways you can learn more about it. Alzheimer’s disease is an illness of the brain. It causes large numbers of nerve cells in the brain to die. This affects a person’s ability to remember things and think clearly. People with Alzheimer’s become forgetful and easily confused and may have a hard time concentrating. They may have trouble taking care of themselves and doing basic things like making meals, bathing, and getting dressed. Alzheimer’s varies from person to person. It can progress faster in some people than in others, and not everyone will have the same symptoms. In general, though, Alzheimer’s takes many years to develop, becoming increasingly severe over time. As the disease gets worse, people need more help. Eventually, they require total care. Mild Alzheimer’s Disease In the mild stage of Alzheimer’s, people often have some memory loss and small changes in personality. They may have trouble remembering recent events or the names of familiar people or things. They may no longer be able to solve simple math problems or balance a checkbook. People with mild Alzheimer’s also slowly lose the ability to plan and organize. For example, they may have trouble making a grocery list and finding items in the store. Moderate Alzheimer’s Disease In the moderate stage of Alzheimer’s, memory loss and confusion become more obvious. People have more trouble organizing, planning, and following instructions. They may need help getting dressed and may start having problems with bladder or bowel control. People with moderate Alzheimer’s may have trouble recognizing family members and friends. They may not know where they are or what day or year it is. They also may begin to wander, so they should not be left alone. Personality changes can become more serious. For example, people may make threats or accuse others of stealing. Severe Alzheimer’s Disease In the severe stage of Alzheimer’s, people usually need help with all of their daily needs. They may not be able to walk or sit up without help. They may not be able to talk and often cannot recognize family members. They may have trouble swallowing and refuse to eat.

Caregivers are licensed & bonded • Home Health Aides • Personal Care Aides • 24 hour Live-In Aides • RNs & LPNs Compassionate, comprehensive & customized services • Medication Management • Escort to and from Appointments • Bathing Services • Companions/Sitters • Grocery Shopping/Errands 24 Hour Emergency On-Call Service Private pay, Medicaid & Most Long Term Care insurance accepted

Serving Westchester County since 1983

914-949-3112 148 Hamilton Ave., White Plains, NY 10601 www.neighborshomecareservices.com

A Program of

PAGE 16

November, 2013

Boomers & Beyond - Westchester

Medicaid Planning: Protect Your Assets for Your Family By Pat Micek, Esq. We’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 creditors’ 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 life’s earnings so that they pass automatically to your family on your death. You can also maintain a substantial amount of control over the assets. 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 health care aides in your home right away. In fact, it will help enable you to qualify. 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 health care costs. But to get this peace of mind, you have to act promptly if you are over age 65 or in poor health. 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. © 2013 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. In-home and after-hours appointments available. Call for a free consultation or to attend one our workshops. Email patmicek@mcmplaw.com or Telephone (914) 834-3500

11TH ANNUAL GERIATRIC PALLIATIVE CARE CONFERENCE

IT’S NOT THE PLACE, IT’S THE PRACTICE: Sponsored by Jewish Home Lifecare Tuesday, November 12th, 8:30 AM – 4:30 PM Once considered an alternative care approach, palliative care is now a central and vital advancement for carrying out the best possible quality of care for end of life patients and their families. At this year’s Jewish Home Lifecare’s 11th Annual Geriatric Palliative Care Conference, “It’s Not the Place, It’s the Practice,” leading physicians, nurses, social workers, research scientists and educators in the field will discuss best practices in implementing care teams and offering a continuum of patient care across an array of healthcare disciplines. The conference will be held on Tuesday, November 12th at UJA-Federation of New York, 130 East 59th St. (Lexington/Park Aves.) CONTINUING EDUCATION CREDITS This conference has been reviewed and is acceptable for up to 6 credit hours by the National Association of Social Workers (NASW). Additionally, this live activity has been reviewed by the National Association of Long Term Care Administrator Boards (NAB) and is approved for 4.75 credit hours. Credit hours from the American Academy of Family Physicians (AAFP) are 5 credit hours. TICKETS: $75.00 (Students = $30.00) FOR MORE INFO: 212-870-4709 or palliativecareconfer@jewishhome.org

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Boomers & Beyond - Westchester November, 2013

PAGE 17

A&J Home Care, Inc. A name that families have learned to trust with the care of their loved ones.

3 super foods for seniors Walnuts, Almonds, Nuts Considerable scientific evidence suggests that eating one ounce per day of certain nuts, most notably walnuts, almonds, hazelnuts, pecans, pistachios, and peanuts, may reduce the risk of heart disease. Although nuts are a higher-fat food, they are cholesterol-free. One handful of walnuts a day is all that is needed to meet the daily omega-3 dietary recommendation by the National Academies’ Institute of Medicine and also provides 35 percent of the RDA (recommended dietary allowance) for vitamin E. One study reported in the Journal of the American Medical Association suggests vitamin E may help protect people against Alzheimer’s disease. Carrots Many studies have shown that people who consumed higher levels of vitamin A and other anti-oxidants over several years had substantially decreased levels of Alzheimer’s disease. This was even more pronounced among smokers. Another study links diets rich in four antioxidants—betacarotene, vitamin C, vitamin E and zinc—to lower odds of losing eyesight proficiency during to old age. Nothing beats a carrot as a powerful source of beta-carotene (which your body converts to vitamin A). Because many elderly may have difficulty chewing, it’s recommended to microwave or lightly steam vegetables to soften them while minimizing the loss of nutrients.

A Licensed Home Care Agency 359 East Main St. Mt. Kisco, NY 10549

Salmon and Fatty Fish Salmon and other cold water fish, such as tuna, sardines and mackerel, are low in calories and saturated fat, yet high in protein. Most important, these fish are rich in a unique type of health promoting fat, omega-3. Omega-3 essential fatty acid (DHA) optimizes levels of triglycerides which carry fat in your bloodstream, reducing the low density LDL (bad) cholesterol, while improving the high HDL (good) cholesterol that fights deposits in the arteries. There is strong evidence linking low levels of DHA to memory loss and other symptoms of dementia.

When temporary or long term Nursing or personal care is needed, let our professional staff assist you to plan for your individual needs.

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HEARING AID

* The $999 offer may be applied toward the purchase of one Phonak Milo Plus or Unitron Latitude™ 4. Not valid with any other discounts or offers. This offer is not combinable with insurance. New orders only. Offer expires 11/30/13.

We have a wide variety of hearing aids to fit your unique needs. Call today to schedule your free hearing consultation and get a free 45 day risk-free trial!

Appointments are limited. Call today! Get FREE batteries and warranty for 3 years with hearing aid purchase.** ** The 3 year warranty is valid starting from the date of invoice. This limited warranty covers manufacturing and material defects in the hearing aid itself, but not accessories such as batteries, tubes, ear modules, external receivers. The warranty includes 3 year loss and damage coverage that can be redeemed ONE TIME and requires a deductible of $450.

SPRAIN BROOK HEARING AID CENTER, INC. 1075 Central Park Ave Scarsdale, NY 10583

877-335-4169 Amazingly Small (Phonak Milo Plus)

connecthearing.com

Nearly Invisible

Now a member of the Connect Hearing Network.

TM

(Unitron Latitude 4)

All major health plans accepted.

PAGE 18

November, 2013

Boomers & Beyond - Westchester

One Is The Loneliest Number: Alzheimer’s Caregivers Need Support By Christina Horsford, MSW, MPA In 2012, there were more than 1 million Alzheimer’s dementia caregivers across New York State according to the Alzheimer’s Association. These caregivers provided more than 1 billion hours of unpaid care, at a value of nearly $141 billion dollars.

Support to manage the tasks of caregiving is available from a variety of sources. The Alzheimer’s Association of Hudson Valley / Rockland / Westchester, NY Chapter is located in Purchase, and offers many caregiver resources including consultation, education, support groups, and professional training.

The costs are not only monetary. Caregivers often suffer psychological and physical challenges due to stressors related to their role. Anxiety, depressive symptoms, somatic illnesses, and general feelings of malaise are not uncommon. These conditions can cause existing physical illnesses to worsen among caregivers, and it can be difficult to achieve “self-care” if a caregiver is the primary breadwinner, and has limited financial and social support.

The Edna L. Roker Social Adult Day Center (www.RokerAdultDayCenter.com) is an adult day program located in White Plains, and is open six days a week from 8 am- 4 pm Monday through Friday, and 9 am-3 pm Saturday. Extended care hours are offered at an additional cost. The Roker Center offers care management by Registered Nurses, daily recreational programs by a Certified Therapeutic Recreation Specialist (CTRS), personal care by certified staff, and round-trip transportation in Westchester County. Continental breakfast, catered lunch, and afternoon snack are provided daily. Weekly unisex salon services, regular podiatric care, as well as Physical, Occupational, and Speech Therapy (by Fox Rehabilitation) are available.

Care of a loved one with Alzheimer’s disease is also challenging due to the longevity and progressive cognitive and physical decline of the individual living with the illness. It is a long, sometimes lonely, and isolating experience to be a caregiver to someone living with any chronic illness. Respite is necessary for caregivers to regroup, rest, and complete tasks they may otherwise leave undone or unfinished. Options for caregiver respite include supervision of a loved one by family and friends, hiring an aide or companion, enrolling a loved one in an adult day program, using overnight respite services available in long-term care settings, moving a family member into an assisted living residence, or admission to a nursing home. Nationally1 non-medical home care aides and companions, on average, cost $21 per hour. Adult day centers may cost $70 per day depending on the location of the program. The average monthly cost of a dementia-specific assisted living residence is nearly $4,800 per month, and Alzheimer’s nursing home care is close to $8,000 per month ($95,00 per year) for a private room ($7,000 per month, or $84,000 annually for a semi-private/shared room).

The Roker Center aims to support caregivers by providing respite while engaging clients in meaningful and interesting activities throughout the day. Art programs, animal therapy, and social outings are planned regularly. Registered Nurses manage the certified, licensed, and degreed staff, and care about the total wellbeing of each client and their caregivers. Care management is provided at no additional cost. To tour the Roker Center, please call: (914) 761-3885. Alzheimer’s Association 2013 Alzheimer’s Disease Facts and Figures (www.alz.org/downloads/facts_figures_2013.pdf) 1

Christina Horsford, MSW, MPA is a geriatric social worker and voluntary consultant to the Edna L. Roker Social Adult Day Center. Roker Center staff include: Miriam Roker Horsford, R.N., Executive Dir., / Owner Grace Sells, R.N., Nurse Manager

For many caregivers these costs are difficult to manage without monetary support from family, special grant programs available from organizations, or local, state, and federal entitlements. Caregivers who have the financial means to care for a loved one with Alzheimer’s disease are fortunate, but not necessarily any more prepared to deal with the complexities of caregiving than those who are not as financially comfortable.

Jim Agostino, Director Sales & Marketing Susan Sourby, MS, CTRS, Dir. Therapeutic Recreation Jeanette Ebanks, Administrator Fox Rehabilitation Staff On-Site: Carolyn Reardon, MPT

Boomers & Beyond - Westchester November, 2013

PAGE 19

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

HONORED ON

‘Best Doctors’ LISTS YEAR AFTER YEAR

ROBERT BELKIN, MD GABRIELLE BOLTON, MD MARK BORKIN, MD SUSAN CAMPANILE, MD LEO CARDILLO, MD MAXWELL CHAIT, MD ALBERT DELUCA, MD JEFFREY DONIS, MD JOYDEEP GHOSH, MD LAWRENCE GLASSBERG, MD EDUARDO GRANATO, MD CRAIG HJEMDAHL-MONSEN, MD KUMAR KALAPATAPU, MD

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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 Suite 1E Hartsdale, NY 10530 (914)725-2010

3 Michael Frey Drive Eastchester, NY 10709 (914)337-3500

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

334 Route 202 Bailey Court Somers, NY 10589 (914)277-4367

154 Pike Street Port Jervis, NY 12771 (845) 858-4444

105 Stevens Avenue Suite 101 Mount Vernon, NY 10550 (914)667-8777

A Different Kind of Adult Center! • • • • • • •

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Round Trip door-to-door pick-up and drop-off transportation provided. Daily Continental Breakfast, Catered Lunch and afternoon snack provided. Safe secure home like environment. ! Certified, trained caring staff. Four separate client groups based on cognitive and physical abilities. ! ! Open 6 days / week 8am-4pm; Extended Care hours 4-6pm Monday- Friday ! ! Recreational activities include: ! ! ! ! ! ! ➢ Early ! stage ! ! programs ! ! ! ! ! ! ! ! ! ! ! ➢ Sensory stimulation ! ! ➢ Cognitive enhancement activities ! ! ➢ Intergenerational programs ! ! ➢ Seated exercise and yoga classes Awards ➢ Art and music classes ! ! ! ! ➢ !Birthday and holiday celebrations ! ! ! ! ! ! ! ! ! ! ! ! ! ➢ Discussion Groups ! ! Excellence in Healthcare ➢ Field Trips American Red Cross Good Neighbor Award ! ! ! ➢ Professional Entertainers Member of the New York State Social Adult Day Services Association

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Edna! L. Social Adult Day Center ! Roker ! ! 311 !

! !Street! | White ! North Plains, New York 10605 ! To schedule an appointment call: (914) 761-3885 E-mail:! info@rokeradultdaycenter.com

website: www.rokeradultdaycenter.com

Forbes® Enterprise Award - 2006 Winner for Excellence in Healthcare. Nationally recognized award demonstrating the Roker Center's noteworthy achievements in healthcare, self-management, customer service, and community service.

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