Boomers & Beyond September 13 ebook

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Boomers d n o y e B & Westchester County

September 2013

Your guide to becoming a senior citizen p4

Helping seniors with hearing loss p7 Five things to look for in a healthcare facility for seniors p9 Sarah Neuman Center hosts International Delegation of Elder Care Experts p10

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September, 2013

Boomers & Beyond - Westchester

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

SRIRAMA KALAPATAPU, MD RICHARD KAY, MD ANDREW CARL KONTAK, MD ANDREW KUPERSMITH, MD STEVEN LANDAU, MD YAT WA (BETTY) LI, MD SANJAY NAIK, MD DIMPLE PATEL, MD RONALD PRESTON, MD ANTHONY PUCILLO, MD TODD C. PULERWITZ, MD MONICA REYNOLDS, MD JAE RO, MD

WARREN ROSENBLUM, MD ABDOLLAH SEDIGHI, MD INDERPAL SINGH, MD SUSAN SOEIRO, MD DAVID E. SOLARZ, MD CARMINE SORBERA, MD ELENA L. TSAI, MD STEVEN L. VALENSTEIN, MD MELVIN WEISS, MD RONALD WEISSMAN, MD PRESTON WINTERS, MD

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

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

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ATTORNEYS AT LAW Many Years of Experience Protecting the Legal Interests of the Elderly & Special Needs Populations Advising Families about: • • • • • • • • •

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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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September, 2013

Boomers & Beyond - Westchester

Your guide to becoming a senior citizen Welcome! You have become a senior citizen! There is no denying it. Everyone whose health endures is destined to one day find themselves turning that life page and becoming a senior citizen. You can play around a little with the particulars, deciding on your own at what age one really becomes a senior citizen. Is it at 55, 60, 62, 65 or not really until you are 70? No matter, its coming for us all at some point. When it comes we can continue to lead a healthy, active and productive life and enjoy our new senior status by remembering the ideas in this beginner guide to becoming a senior citizen. 1. Celebrate your longevity: The first and most important suggestion from any beginners guide to becoming a senior citizen should be to celebrate your longevity. You don’t have to throw yourself a mega party, though if that suits your tastes by all means indulge. More simply you can get together with friends or family and share a meal and each others company. 2. Check in with all your doctors: Having a physical examination and an opportunity to talk with your doctor about what you can expect as you enter your senior years should be seen as practical reinforcement. 3. Stop by your Social Security Office: You really can benefit by talking briefly with a Social Security Representative about your benefits and how and when to file to receive them. The good news is that you can have the conversation you need without leaving home. You can either speak by phone to someone at 1-800-772-1213 weekdays from 7 a.m. to 7 p.m. or you can seek services on line at www.socialsecurity.gov. Knowing what your benefits will be can help you to feel secure as you become a senior citizen. 4. Visit the local Senior Center: You will be warmly greeted by the center staff and someone will likely take you on a tour of the facility and acquaint you with the programs that are available. You are likely to enjoy the fact that you find yourself in the company of lots of people who have already joined the ranks of senior citizens. 5. Sign up for a fitness or exercise program: You can do this at your assisted living residence, YMCA, health club or possibly at the senior center itself. Putting exercise into your weekly schedule can help you to raise your endurance and energy level and slide a few pounds off in the bargain. The important thing is to get going and stick with it.

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August, 2013

Boomers & Beyond - Westchester

Advertiser’s Index

From the General Manager

A&J Home Care, Inc.............................................................18

This edition of Boomers and Beyond includes a feature on the do’s and dont’s of senior dating.

A&T Healthcare.......................................................................10 Audio Help Hearing Centers...................................................5 Bethel.....................................................................................4 Mitchell A. Bierman, DDS - Altadonics Dentures.....................8 ColumbiaDoctors....................................................................2

That’s right, senior dating. Because, of course, going on dates isn’t just for the young set. You can still date in your golden years and find a lover a soulmate or, perhaps, just a good friend.

Foxwoods...............................................................................7

The point is, you are still beautiful. You are still handsome. You are interesting and intelligent.

Integrated Medicine of Mount Kisco....................................9

You are a catch!

Jewish Home Lifecare...........................................................11 Madelon R. Murphy, DMD...................................................19 Neighbors Home Care Services.............................................13 Edward Prus, DDS.................................................................15 Ely J. Rosenzveig & Associates, PC...................................3,14 United Hebrew......................................................................17

Sure, you might want to take it slow, especially if you are a widow or widower. But, when you are ready, you can do it. Trust us – and the Boomers & Beyond staff is proud to be an advocate for seniors – their interests and their needs. So enjoy the dating feature and everything else inside this informative issue. We wish you the best if you chose to dip your feet in the dating waters.

Victoria Home.......................................................................12 Westchester Care at Home..................................................20

Jim Stankiewicz, General Manager

Willow Towers.......................................................................16

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. 9 - 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… Elder Care Redefined Fall management, wound care, behavior health, rehabilitation

Long Term care The best facilities and legal advice from the experts

Boomers & Beyond - Westchester September, 2013

Helping seniors with hearing loss About one-third of Americans between the ages of 65 and 74 have hearing problems. Whether a hearing loss is small (missing certain sounds) or large (being profoundly deaf), it is a serious concern. If left untreated, problems can get worse. Hearing loss can affect your life in many ways. You may miss out on talks with friends and family. On the telephone, you may find it hard to hear what the caller is saying. At the doctor's office, you may not catch the doctor's words. Sometimes hearing problems can make you feel embarrassed, upset, and lonely. It's easy to withdraw when you can't follow a conversation at the dinner table or in a restaurant. It's also easy for friends and family to think you are confused, uncaring, or difficult, when the problem may be that you just can't hear well. If you have trouble hearing, there is help. Start by seeing your doctor. Depending on the type and extent of your hearing loss, there are many treatment choices that may help. Hearing loss does not have to get in the way of your ability to enjoy life. What Should I Do? If you have trouble hearing, see your doctor. Sometimes the diagnosis and treatment can take place in the doctor's office.

Or your doctor may refer you to an otolaryngologist (oh-toh-layrehn-GOL-luh-jist), a doctor who specializes in the ear, nose, and throat. The otolaryngologist will take a medical history, ask if other family members have hearing problems, do a thorough exam, and suggest any needed tests. You may be referred to an audiologist (aw-dee-AH-luh-jist). Audiologists are health care professionals trained to measure hearing. The audiologist will use an audiometer to test your ability to hear sounds of different pitch and loudness.

These tests are painless. Audiologists can help if you need a hearing aid. They can help select the best hearing aid for you and help you learn to get the most from it. What Causes Hearing Loss? Hearing loss can have many different causes, including the aging process, ear wax buildup, exposure to very loud noises over a long period of time, viral or bacterial infections, heart conditions or stroke, head injuries, tumors, certain medicines, and heredity.

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September, 2013

Boomers & Beyond - Westchester

Leg Exercises For Seniors Leg exercises are a vital part of senior and elderly fitness. Strengthening the lower body is one of the most effective and efficient methods of preserving your independence and improving your health as you age. Strengthening exercise has many health related benefits which reduce disease and improve your functional quality of life including: • • • • • •

Improving your lean muscle mass. Reducing your blood pressure which reduces your risk of stroke and coronary heart disease. Improving your bone health to reduce the risk of osteoporosis. Improve your glucose tolerance and insulin resistance. Increase the strength of your low back reducing lower back pain. Providing beneficial effects on lowering your total cholesterol.

Below you will find 8 great lower body strenghening exercises to try. Have a chair handy for some of the standing exercises to help with balance. Strengthening exercises for seniors should be done at least twice a week. Three times per week is even better. So give some a try. Remember it takes 4 to 6 weeks for your body to become used to any new demands placed upon it.

1. Ankle Circles – This exercise improves your ankle flexibility and ability to move your ankle upward and downward. – This is a great warm up exercise for the lower leg and feet.

5. Lunges To strengthen your quadriceps and hips with leg toning exercises. Improve your ability to get out of a chair and balance. Help you with lifting chores around the house.

2. Knee Extension – Strengthening your knees with knee strengthening exercises will improve your ability to stand and balance. – This exercise will improve your available knee range of motion.

6. Straight Leg Raise – To increase your quadricep and hip flexor strength with this leg workout. – To strengthen your abdominals. – Allow you to advance your leg during walking with greater ease.

3. Calf Raises – Strenghening your calf muscles with calf exercises will give your more power to step forward on level surfaces or carry you up hills on uneven terrain.

7. Sit to Stand – Excellent hip exercises to maintain your leg and hip strength. – One of the most important exercises used daily to keep your independence and confidence.

4. Side Hip Raise – Safely strengthens your side hip muscles to help with hip arthritis. – Helps maintain your lower body endurance to better walk and side step around objects.

8. Heel Stand – Strengthens the front part of the lower leg with ankle stretches. – You will become better able to raise your toes to avoid tripping.

Important safety tips – Don’t hold your breath during strength exercises. This could affect your blood pressure, especially if you have heart disease. – Avoid locking the joints of your legs into a strained position. To straighten your knee, tighten your thigh muscles. This will lift your kneecaps and protect them. – For exercises that require a chair, choose one that is sturdy and stable enough to support your weight when seated or when holding on during the exercise.

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Boomers & Beyond - Westchester September, 2013

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Affordability. One of the most common reasons people shy away from care facilities is the perception that the cost is beyond affordable. Granted, it is a significant investment but it is also possible to find a facility within your budget without compromising on the level of care your loved one will receive there.

Location. Convincing an aging parent to live in a care facility can be a challenge for many reasons, not the least of which is their fear that they won’t see their loved ones anymore. In other words, it’s a good idea to look for a care facility in your parent’s hometown where they have family and friends who can visit.

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Five things to look for in a healthcare facility for (beloved) seniors

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Services appropriate to your parent’s needs. When catering to the unique needs of your aging loved one, a cookie-cutter approach simply cannot work. Different care facilities specialize in different things, so it is essential that you choose one specifically tailored to specific needs. For instance, many facilities are open only to patients with dementia, and Alzheimer’s in particular.

2

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Qualified, compassionate staff members. Your parent is going to be spending 24 hours a day in the care facility you choose. That means every moment of her life from this point forward will be dependent on that facility’s staff members. To ensure her physical, mental and emotional health it is essential that she receive the professional, yet personalized, care every aging parent deserves.

3

Safe, clean amenities. The safety and cleanliness of a care facility is always a good indication of the quality service your loved will probably receive there. Plus, having safe, clean amenities is the surest way to protect your parent from illnesses and injuries that her body cannot afford.

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PAGE 10

September, 2013

Boomers & Beyond - Westchester

Sarah Neuman Center hosts International Delegation of Elder Care Experts Jewish Home Lifecare’s Sarah Neuman Center was one of the host destinations for a group of Australia’s thought leaders in elder care science and management that swept up the East Coast on a multi-city Studying & Advancing Global Eldercare (SAGE) tour. Focused on innovation in technology as well as new and emerging trends, the tour included Sarah Neuman Center due in significant part to its integrated telehealth system. Jewish Home Lifecare’s Marie Rosenthal, Vice President, PostAcute Services, demonstrated how the telehealth technology kiosks, used at Sarah Neuman and other congregate settings, benefit the patients as well as their caregivers. She explained the clinical underpinnings of the kiosks’ design and ease of use that allow elders to quickly adapt to the system. Rosenthal noted that when rehabilitation patients monitor their own condition on the electronic kiosk screen, it helps them feel in control of their health, in addition to providing their healthcare team with critical diagnostic results. Kiosk users are also better prepared to use the intuitive in-home version once they leave Sarah Neuman, Following the telehealth demonstration, the Australian group toured the facility noting the prevalence of new technology in Sarah Neuman’s strategy for both clinical and non-clinical applications. For example, a touch-screen bulletin board for staff draws attention to developing intra-staff connections and feelings of team inclusion. After the tour, Bridget Gallagher, Senior Vice President, Community Services, shared a presentation outlining the importance of using telehealth to reduce rehospitalizations among Jewish Home Lifecare patients and clients. Also on hand was Jerry Kolosky of Panasonic, who demonstrated how Panasonic healthcare technologies were being integrated into Jewish Home’s care models.

The tour group, which was organized by SAGE under the auspices of the International Association of Homes and Services for the Aging (IAHSA), was comprised mainly of chief technology officers, managers and nursing directors. The delegates represented many of Australia’s leading providers of elder care. In addition to visiting Sarah Neuman Center, the delegates traveled to several other hospitals in Charleston, South Carolina and Washington, D.C., each of which was selected as a site to visit on the merits of its innovative applications and aptitudes.

provided

L to R: Dr. Elaine Healy , Medical director, Sarah Neuman Center and Regina Melly, SVP, Business Development, Jewish Home Lifecare receive traditional Australian art and boomerang as a thank you from the IAHSA SAGE Tour group.

Sarah Neuman Center is the Westchester campus of Jewish Home Lifecare. Jewish Home Lifecare has campuses in the Bronx, Manhattan and the Sarah Neuman Center in Westchester. It also serves clients where they live using innovative technology such as the award-winning HealthMonitor® program. Best practice programs are provided in fall management, wound care, pain management, mental health and wellness, diabetes and congestive heart failure. For more information, please visit www.JewishHome.org

Home healthcare with dignity

Are You Caring For An Aging Parent Or Loved One? Pediatrics through Geriatrics Free Pre Nursing Assessment ! Owned & Operated by Nurses Serving the Hudson Valley Area for 29 years • Nurse always on-call 24 Hours 7 Days • Specializing in Certified Live-Ins / Home Health Aides, Hi-Tech RN’s & LPNs • Hospital, Nursing Home & Assisted Living sitting, Hospital, Nursing & Private Duty Staffing, EOE • Lic by the Dept. of Health & Accredited by Joint Commission • Medicaid, CDPAP and Most Insurance Accepted, TBI, NHTD Waiver •

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Boomers & Beyond - Westchester September, 2013

PAGE 11

Seniors: Stay safe when eating out and at home You should refrigerate or freeze leftovers and ready-to-eat meals within two hours of receiving them. If the air temperature is 90 degrees Fahrenheit or above, you should put the food away before one hour. When storing hot foods, divide the food into small portions, place it in shallow containers, and refrigerate or freeze it. If you buy hot food out or have it delivered, keep it hot, at a temperature of 140 degrees Fahrenheit or above. You may use a preheated oven, chafing dishes, warming trays, or slow cookers. Use a food thermometer to check the internal temperature of the food. If you bring home a doggie bag, make sure to refrigerate your leftovers within two hours of receiving the food, and within one hour if the air temperature is 90 degrees Fahrenheit or above. If you will not be getting home soon enough, put the food in a cooler with ice or freezer gel packs to keep it cold. If this is not possible, it is better to leave the leftovers at the restaurant. Don't keep refrigerated leftovers more than 3 to 4 days. Even if the food looks and smells fine, it may not be safe to eat after that time. Don't hesitate to get rid of food that is no longer safe. When in doubt, throw it out.

Sarah Neuman Center presents:

Health Tips for Staying Well Sarah Neuman Center offers: Fit SSttaayyyiingg Fi healthy lifting and kickboxing may not be For most seniors, jogging, weight mber reme se plea but ss, to boost your fitne options. Try these simple, fun tasks en. regim cise re starting a new exer 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, mopping, dusting and Doing everyday chores, like vacu

* * * * * *

shopping, count too. 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 g and less susceptible to injury. 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

* *

Comprehensive short-stay reha plans and care teams

apy bilitation with individualized ther

a beautiful Skilled Nursing care services on

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

Need Nee Ne eed ed mo more mor ree iinf 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

PAGE 12

September, 2013

Boomers & Beyond - Westchester

Fun Fall activities to do with your favorite senior citizen There’s a chill in the air, nights are getting longer, and many have woken to lawns and roofs glistening with the first frost: Fall is almost here. The change of seasons can offer lots of new opportunities to spend time with your favorite senior citizen. If your senior has health problems you may need to look for specific activities to involve them in a more active lifestyle. When your senior has memory problems, doing seasonal fall activities will spark their memory of time spent during their life doing that old familiar activities. But most of all, spending time engaged in some fun fall activities with your senior citizen will enrich your life and theirs, and it will be fun for both of you.

Here are some great ideas for spending time with your senior friends this fall: Fall outdoor activities Pick the last of the tomatoes from the garden and have them wrap them in newspaper to ripen. Store in a cool dark place. Go for a nature walk at the local park. Take your senior citizen to visit an apple orchard and pick apples. Plant some bulbs for next spring. Help your senior citizen decorate for fall by planting some pretty mums. Rake fall leaves and have an outdoor bonfire. Go to a fall bazaar or outdoor fall festival. Go on a shopping trip to the grocery store and purchase groceries to put in a food basket for needy family. Take your senior citizen on a fall car ride to look at the beautiful fall foliage.

Indoor Fall activities Buy stickers and fall cards to send to their friends. Help your senior citizen make them out and mail them. Help your senior make homemade chili or a hearty fall soup. Fall cooking with your senior could include making apple butter, apple pies, and homemade bread. Help them get out their fall and winter clothing and pack away summer clothes. Bring in lots of fall and winter magazines for your senior to look at. Find some children, grandchildren, etc. to make a scarecrow. Perhaps your senior has some cool old clothes to make the scarecrow with.

Boomers & Beyond - Westchester September, 2013

PAGE 13

Senior Advice: Choosing Healthcare Facilities

Where to go for medical care? In non-emergency situations, your first choice should be your primary care provider (PCP). Your PCP knows your medical history and treats common ailments. Urgent care is best when you need medical attention for a non-life threatening illness quickly or after regular hours. Go to the emergency room if your illness is serious or life-threatening, such as:

Elder Care and Healthcare Facilities As people live longer, the need for services for seniors has become more important. The Eldercare Locator (www.eldercare.gov), a public service of the Administration on Aging, U.S. Department of Health and Human Services, is a nationwide service that connects older Americans and their caregivers with information on senior services. Visit www.aoa.gov/Elders_Families for a list of resources to connect older persons, caregivers, and professionals with important federal, national, and local programs. The Joint Commission on Accreditation of Healthcare Organizations(JCAHO) accredits hospitals as well as nursing homes and other healthcare organizations. Specially trained investigators assess whether these organizations meet set standards. At qualitycheck.org, you can check on a local facility, including how it compares with others. The Joint Commission also accepts consumer complaints. You can post a complaint online.

Choking Stopped breathing Head injury with passing out, fainting, or confusion Injury to neck or spine, especially if there is loss of feeling or inability to move Electric shock or lightning strike Severe burn Seizure that lasts three to five minutes

For more information, also call Westchester County Department of Senior Programs and Services at (914) 813-6400

Caregivers are licensed & bonded • Home Health Aides • Personal Care Aides • 24 hour Live-In Aides • RNs & LPNs

MedlinePlus has more information about the differences among health care providers and facilities.

Compassionate, comprehensive & customized services • Medication Management • Escort to and from Appointments • Bathing Services • Companions/Sitters • Grocery Shopping/Errands

Choosing a healthcare facility? Report cards on the Internet can help you compare healthcare facilities. Compare doctors and health care facilities at www.healthcare.gov/compare. In addition, private organizations like U.S. News and World Report and Healthgrades.com rate hospitals based on information collected from Medicare records and other sources. As of October 2012, the Affordable Care Act requires all hospitals to report performance publically. When determining the best health care facility for you, consider these factors: Does the facility accept payment from your insurance plan? Does your doctor have privileges to provide treatment to patients at the facility? What is the quality of the facility? Does the facility specialize in services and procedures that fit with your medical needs? Is the facility in an area you can travel to and from easily? Find health care facilities in your area.

Nursing Home Compare, operated by the U.S. Department of Health and Human Services will help you compare the facilities in many states. Visit the website or call 1-800-MEDICARE (633-4227). Eldercare Locator provides information and referral services for those seeking local and state support resources for the elderly. LeadingAge, is a trade group that represents many nonprofit facilities that serve and support the elderly. The Assisted Living Federation of America, represents both for-profit and nonprofit assisted-living facilities. Phone: 703-691-8100. The Commission on Accreditation of Rehabilitation Facilities, gives its seal of approval to qualifying facilities. Phone: 1-888-281-6531.

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

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?

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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 September, 2013

PAGE 15

How do I know if I have a hearing loss? See your doctor if you: Have trouble hearing over the telephone, Find it hard to follow conversations when two or more people are talking, Need to turn up the TV volume so loud that others complain, Have a problem hearing because of background noise, Sense that others seem to mumble, or Can't understand when women and children speak to you.

What can I do if I have trouble hearing? Let people know that you have trouble hearing. Ask people to face you, and to speak more slowly and clearly; also ask them to speak without shouting. Pay attention to what is being said and to facial expressions or gestures. Let the person talking know if you do not understand. Ask people to reword a sentence and try again. Seek treatment such as a hearing aid.

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PAGE 16

September, 2013

Boomers & Beyond - Westchester

Schaffer Extended Care showcases fashion favorites Sound Shore Medical Center of Westchester’s Schaffer Extended Care Center showcases fashion favorites during their 18th annual event. Recently the residents, family, friends and staff of Schaffer Extended Care Center (SECC), located on the campus of Sound Shore Medical Center in New Rochelle, enjoyed their 18th annual fashion show. The staff of the Department of Recreation Therapy worked their magic and transformed the day room into a visual delight. Live music and a dynamic emcee added to the festive atmosphere for the event attended by more than 50 individuals – most of whom were tapping to the music as they applauded the volunteer models and their glamorous outfits. SECC residents and volunteer models chose a personal favorite outfit to showcase, which always provides an array of styles – from casual to formal and everything in between, including exquisite ethnic ensembles. Broad smiles and loud applause greeted each participant as they made their

It was often difficult to tell who was having the best time – the onlookers or the models. Schaffer Extended Care Center offers the convenience of compassionate, respectful, community-based care for long term residents as well as short-term rehabilitation patients. Families will discover the caring that makes Schaffer a perfect choice when remaining at home is no longer possible. For more information on Schaffer Extended Care Center, please call the Vice President for Long Term Care/ Administrator of SECC, Susan Sales at 914.365.3702. For physician referrals in all specialties, call MDs-LINE (914.637.5463); and for additional information on Sound Shore Medical Center’s Care. For Life. services, visit www.soundshore.org today!

way down the runway. The annual Fashion Show is greatly anticipated and was another successful event on the busy calendar at Schaffer Extended Care Center.

Beverly & Alfred J. Green Pavilion

photos provided

Licensed Living Assisted Facility by NYS Department of Health Not-for-Profit

Registered Nurse on site & 24 hour Licensed Nursing Coverage Qualifies for Long Term Care Insurance Reimbursement Griffin Program (Specifically designed for residents with reduced executive function)

Spacious 1 & 2 Bedroom Furnished Apartments Studios,

Three delicious meals served daily in our elegant Dining Room

Daily Housekeeping & Linen Service Extensive Cultural Activities & Social Scheduled transportation to appointments

!

senior dating

Boomers & Beyond - Westchester September, 2013

PAGE 17

Meeting Mr. or Mrs. Right is always a challenge and it often becomes even harder when you’re dating over 50. If your tried-and-true methods of meeting singles are getting stale – flirting at the gym, going to bars, schmoozing at the dog park – perhaps it’s time for a change. Interesting singles over 50 are out there – trust us – so don’t be intimidated. All it takes is the right mind-set and a little strategy. Here are five tips to meet singles over 50: Try a new activity: Let your friends know that you’re dating and ask if they know anyone who might be right for you. Also, expand your social circle by taking on new actives such as a cooking class, hiking group, or becoming a docent at a park or museum. Look up an old friend: Remember the guy you dated in college for two years and lost touch with? Do you still think about the beautiful girl your traveled around Europe with for a month? If you remember someone fondly from your past, it could be worth looking them up online. Try Googling their name, contacting college or high school alumni offices, or even an old-fashioned phone book. Go online: Americans age 50 and older are the fastest growing demographic on the dating website Match.com, and they make up 20 percent of all users. Post a flattering picture of yourself online, but don’t use a photo 10 years younger than you are. Keep it light: Don’t turn a first date into a job interview. Go into the meeting with the intention of having a good time. Be open to experiencing each date and each person for what they have to offer. Prepare conversation starters. There’s nothing worse than awkward pauses on a first date that stretch into eternity. Some potential questions: What is the most memorable meal you’ve ever had? Where do you want to travel to? Movies, books, and television shows are also safe topics.

The Outlook Just Got Better At

United Hebrew of New Rochelle’s Rehabilitation and Nursing Pavilion

View from our gracious nursing pavilion

Burke Rehabilitation Therapists On-Site Private Rooms with Stunning Views

Nursing & Rehabilitation Center Burke Rehabilitation | Willow Towers Assisted Living Independent Living | Home Health Care

New York State Department of Health Award Winner – Top 4% Performer in Nursing Care

For more information or to schedule a tour, please call 914.632.2804 ext. 1148.

www.uhgc.org

PAGE 18

September, 2013

Boomers & Beyond - Westchester

What to look for in a home care facility and what questions to ask If you're recovering from surgery or need long term care for a chronic illness — or you have a loved one facing a similar situation — you may be interested in senior home care services. Home care services range from skilled care provided by nurses or therapists to household support, such as cleaning, cooking and running errands. Whether you're planning to enlist the help of a home care services agency or hire a personal home health aide, knowing what questions to ask can help ensure that you receive quality assistance. After you've found a home care services provider, monitor the situation. If you're concerned about the care or services provided, discuss it promptly with the agency or home health aide. If necessary, involve your doctor or your loved one's doctor as well. Quality of care If you’re considering a home care services agency: • How does the agency hire and train caregivers? Does the agency provide continuing education? • Are the caregivers licensed and insured? • How closely does the agency's supervisor evaluate the quality of home care? • Does the agency have a quality improvement program? • Do the agency's employees seem friendly and helpful? Make sure you feel comfortable with the agency's representatives.

If you're considering a home health aide: • Does the home health aide have a positive attitude? • Are you and your loved one comfortable with the home health aide? Costs If considering a home care services agency: • How does the agency handle expenses and billing? Ask for literature explaining all services and fees, as well as detailed explanations of all the costs associated with home care. • Will agency fees be covered by health insurance or Medicare? What arrangements are in place for specific health insurance plans? • What resources does the agency provide for financial assistance, if needed? For instance, is a payment plan available? If you're considering a home health aide: • How much does the aide charge for home health services? Make sure you're comfortable with the fees and the included services. • Does the aide require payment for sick days, vacation days or holidays? If so, clarify how many sick and vacation days are allowed, as well as which days are considered holidays. Source: Mayo Clinic

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

Qualifications If you're considering a home care services agency: Is the agency licensed by the state? Most states — but not all — require agencies to be licensed and reviewed regularly. Reviews may be available on request through your state health department. • Is the agency certified by Medicare to meet federal requirements for health and safety? If not, ask why. • What type of employee screening is done? Can the agency provide references? Ask for a list of doctors, hospital discharge planners or other professionals who have experience with the agency, as well as a list of former clients. Ask doctors, family and friends for agency recommendations. • Is the agency accredited by a governing agency such as The Joint Commission, an independent group that evaluates and accredits health care organizations and programs that voluntarily request review? If so, ask to see the results of the most recent survey. If you're considering a home health aide: • What are the aide's credentials? Make sure you're comfortable with the aide's training and experience. • Can the aide provide references? Take time to check the aide's references thoroughly. Ask doctors, family and friends for home health aide recommendations.

A Licensed Home Care Agency 359 East Main St. Mt. Kisco, NY 10549 When temporary or long term Nursing or personal care is needed, let our professional staff assist you to plan for your individual needs.

,ŽŵĞ ĂƌĞ ^ƚĂĨĨ͙ Registered Nurses, Licensed Practical Nurses, Home Health Aides, Personal Care Aides, Companions, PRI Certified R.N. & Geriatric Care Assessments. Please call for a free consultation. We are available 24 hours a day and 7 days a week.

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Boomers & Beyond - Westchester September, 2013

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PAGE 19

PAGE 20

September, 2013

Boomers & Beyond - Westchester

Providing the Highest Quality Home Health Care in Westchester & Putnam

Our Certified Home Health Aides, supervised by Registered Nurses, can assist you or your loved one with:

s 0ERSONAL #ARE s -EAL 0REPARATION AND (OUSEKEEPING s ,AUNDRY 3HOPPING AND Errands s #OMPANIONSHIP s %SCORT 3ERVICES TO !PPOINTMENTS

Call us to learn about our affordable rates on an hourly or live-in basis. Some third party payers provide reimbursement for our services.

800-305-9224 914-997-7912 A New York State-Licensed Home Health Care Agency An Affiliate of Visiting Nurse Services In Westchester CHAP Accredited

Westchester Care at Home, 360 Mamaroneck Ave, White Plains, NY 10605

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