Boomers August 2013 ebook

Boomers d n o y e B & Westchester County

August 2013

Sarah Neuman Center’s Rehabilitation Team

pulls out all stops to return a patient to his own home See page 4

Success story Michael Babboni returns to Burke

See page 12

Ann Sayer, a Pelham resident, celebrates 105th birthday at SSMC

See page 17

PAGE 2

August, 2013

Boomers & Beyond - Westchester

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

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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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PAGE 4

August, 2013

Boomers & Beyond - Westchester

Sarah Neuman Center’s Rehabilitation Team pulls out all stops to return a patient to his own home…

A Rehab success story, thanks to Telehealth technology Kira Capowski, Nurse Manager at Sarah Neuman Center is actually beaming when she talks about her recently discharged patient, 87-year-old NYC resident Leonard Miniowitz. “To see the smile on his face when he left to go home was worth millions.”

Mr Minowitz’s care team at Sarah Neuman was determined to work out the laborious details to make sure all measures were in place for him to live safely and comfortably upon returning to his own apartment after eightarduous months of numerous hospitalizations and rehabilitation stays.

Mr Minowitz has multiple myeloma with a secondary diagnosis of congestive heart failure (CHF). He’s been out of his home since last October, bouncing from one hospital to another, including an admission to hospice care at CalvaryHospital in the Bronx. The end-of-life care specialists realized Mr. Minowitz was actually well enough to go to rehabilitation!

Upon his arrival at Sarah Neuman Center, the staff observed that Mr. Minowitz didn’t smile much, if ever.

Despite his depressed state, he was making good progress physically, walking with more strength and meeting his rehabilitation goals. Because of his CHF condition, Sarah Neuman’s Telehealth Kiosk program became an important part of his health care monitoring.

Using the electronic monitoring device, Mr. Minowitz answered questions about his health, three times a week by pressing the appropriate button on the unit’s digital display. The easy-to-use device allowed him to feel in control of his chronic issue, while alerting the nursing staff when any of the responses detected changes in his condition.

The Sarah Neuman team of case managers, social workers, and medicalstaff knew its patient’s unwavering desire to return to his own home.They team wanted to give him a fighting chance to achieve that goal and after many meetings with him and his family, Mr. Minowitz was told he’d be able to celebrate his May birthday in his own apartment.

Upon getting the good news, Mr. Minowitz’s demeanor brightened and his engagement with life was nothing short of remarkable. “You would have never guessed it was the same man from the time he came in here,” reports his nurse.

Minowitz is managing well in his own environment.

He was sent home with all the supportive services in place including a visiting nurse, a compact teleheath in-home unit, which enables him to chat electronically with nurses on a daily basis to share his diagnostic information, along with other private help.

provided

Sarah Neuman Center’s sub-cute Certified Nurse Assistant (CNA) demonstrates how to use the telehealth kiosk to their rehabilitation patient. Monitoring chronic health issues using this on-site unit, helps familiarize patients with the technology so they can return home more quickly with the easy-to-use home version.

The benefit of this monitoring technology affords a patient prompt intervention when necessary, keeping small problems in the home instead of becoming bigger ones in a hospital

Kiera recognizes that a heightened quality of life has been restored to this gentle man. She remarks, “Working with Mr Minowtiz is one of those cases that really moves you. You can’t imagine the difference it has made for him to go home.” She adds, “I think he’s going to do just fine.”

Background Sarah Neuman Center is the Westchester campus of Jewish Home Lifecare. It is a 300-bed, long-term skilled nursing care facility in Mamaroneck, NY, that offers nursing home care, a full range of post-surgical, disease recovery and short-stay rehabilitation, an adult day program and respite care. In addition to a highly trained staff, Sarah Neuman features private rooms, dining options, beautiful gardens and lounges, Internet-equipped computers, concerts and art programs and even awardwinning pet therapy to enhance any stay. Sarah Neuman is a key provider in the Westchester area and a partner of

UJA Federation, serving over 1,000 individuals annually with 400 staff and over 360 volunteers from the community.

Jewish Home Lifecare has been meeting the needs of New York’s elders for over 165 years. It provides a network of care that includes longterm skilled nursing, post acute care, Alzheimer’s/Dementia special care communities, respite care, senior housing and community programs, such as home care and adult day care along with other specialized services.

Jewish Home Lifecare has campuses in theBronx, Manhattan and the Sarah NeumanCenter 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, visit www.JewishHome.org.

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PAGE 6

August, 2013

Boomers & Beyond - Westchester

Advertiser’s Index

From the General Manager

Advanced Audiology................................................................20 A&J Home Care, Inc.............................................................10 Audio Help Hearing Centers...................................................5 Mitchell A. Bierman, DDS - Altadonics Dentures.....................8 Burke Rehabilitation Hospital...............................................13 ColumbiaDoctors....................................................................2 Eastern Planning, Inc..........................................................18 Foxwoods...............................................................................7 Integrated Medicine of Mount Kisco....................................9 Jewish Home Lifecare...........................................................11 Madelon R. Murphy, DMD...................................................19 Edward Prus, DDS.................................................................15 Ely J. Rosenzveig & Associates, PC...................................3,14 Schnurmacher Center for Rehabilitation and Nursing.......10 United Hebrew......................................................................12 Victoria Home.......................................................................16 Willow Towers.......................................................................17

The older you get, the more you lose your memory. It’s that simple, right?

No, it’s not. For some of us, memory impairment with aging is a fact of life.

But don’t give in, you can stay sharp.

The first step to staying mentally sharp as you age is to understand the difference between normal forgetfulness that may be due to stress or other factors and serious memory problems. Still, there are ways to maintain your memory as you age, gracefully, of course.

We have included some of them in this month’s edition of Boomers & Beyond.

You can remain sharp as a tack, just like, say, our favorite 105-year-old from Westchester County: Ann Sayer.

Sayer of Pelham recently celebrated her 105th birthday with family, friends – and Sound Shore Medical Center of Westchester’s (SSMC) Chief of Geriatrics, Norris Fox, MD at the hospital’s Center for Sound Aging Home Visit Program.

She doesn’t miss a beat and serves as an inspiration for all of us.

We are proud to share Sayer’s story in this issue and, please, feel free provide us with more.

Jim Stankiewicz, General Manager

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. 8 - 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…

Home Health Care Making a difference in quality of life

Hearing Exams Hearing Aids

Boomers & Beyond - Westchester August, 2013

PAGE 7

Memory impairment with aging is a fact of life for many of us.

Researchers report that the brain function decline of aging can begin when we are only age 45 and that by age 80 normal people have lost 40% of their memory.

How many of us have asked ourselves why we came into a room and just for what we were looking when we did? How many times have we misplaced our car keys or forgotten someone’s name?

Have you ever looked everywhere for your reading glasses to finally find them next to the sink – or on your head?

However, there are ways we can help many of them to maintain their memory and head more easily into the golden years.

Sleep Getting fewer than six hours of sleep a night can raise the risk of stroke, according to research presented at a 2012 Associated Professional Sleep Societies meeting.

Eat right More than half your plate should be filled with green, leafy vegetables. Get plenty of fish, nuts and olive oil; steer clear of refined carbs.

A Columbia University study found that this kind of diet may help ward off Alzheimer’s Disease.

Challenge yourself Memorize three names a day — such as those of an announcer on TV, a person in your company and a key player on your favorite sports team. Studies prove this will help you with your memory.

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Meditate Reduced anxiety improves blood flow to the brain. A quick calm-me-down: Inhale for a count of seven, hold for a count of seven, exhale for a count of seven. Repeat seven times.

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Healthy Eating after 50 PAGE 8

August, 2013

Boomers & Beyond - Westchester

Having Problems With Food?

Does your favorite chicken dish taste different? As you grow older, your sense of taste and smell may change.

Foods may seem to have lost flavor.

Also, medicines may change how food tastes. They can also make you feel less hungry. Talk to your doctor about whether there is a different medicine you could use. Try extra spices or herbs on your foods to add flavor.

Maybe some of the foods you used to eat no longer agree with you. For example, some people become lactose intolerant. They have symptoms like stomach pain, gas, or diarrhea after eating or drinking something with milk in it, like ice cream. Most can eat small amounts of such food or can try yogurt, buttermilk, or hard cheese. Lactose-free foods are available now also. Your doctor can test to see if you are lactose intolerant.

Is it harder to chew your food?

Maybe your dentures need to fit better, or your gums are sore. If so, a dentist can help you. Until then, you might want to eat softer foods that are easier to chew. continued on next page

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“I’m just not that hungry.”

Sound familiar? These are a few common reasons some older people don’t eat healthy meals.

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2. Make sure at least half of your grains are whole grains.

3. Eat only small amounts of solid fats and foods with added sugars. Limit saturated fat (found mostly in foods that come from animals)and trans fats (found in foods like store-bought baked goods and some margarines) 4. Eat seafood twice a week.

Read the Label At first, reading labels on food packages may take some time.

The facts there can help you make better food choices. Labels have a Nutrition Facts panel. It tells how much protein, carbohydrates, fats, sodium, key vitamins and minerals, and calories are in a serving.

The panel also shows how many servings are in the package—sometimes what looks like one serving is really more.

Each label also has an ingredients list. Items are listed from largest amount to smallest.

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continued from previous page

Boomers & Beyond - Westchester August, 2013

PAGE 9

Do I Need To Drink Water?

With age, you may lose some of your sense of thirst. Drink plenty of liquids like water, juice, milk, and soup. Don’t wait until you feel thirsty. Try to add liquids throughout the day.

You could try soup for a snack, or drink a glass of water before exercising or working in the yard. Don’t forget to take sips of water, milk, or juice during a meal.

Can I Afford To Eat Right?

If your budget is limited, it might take some planning to be able to pay for the foods you should eat. Here are some suggestions. First, buy only the foods you need. A shopping list will help with that. Buy only as much food as you will use. Here are some other ways to keep your food costs down:

What About Fat? Fat in your diet comes from two places—the fat already in food and the fat added when you cook. Fat gives you energy and helps your body use certain vitamins, but it is high in calories. To lower the fat in your diet:

Federal Government programs are available to help people with low incomes buy groceries. To learn more about these programs, contact your local Area Agency on Aging.

• Choose cuts of meat, fish, or poultry (with the skin removed) with less fat. • Trim off any extra fat before cooking. • Use low-fat dairy products and salad dressings. • Use non-stick pots and pans, cook without added fat. • Choose an unsaturated or monosaturated vegetable oil for cooking—check the label. • Don’t fry foods. Instead, broil, roast, bake, stir-fry, steam, microwave, or boil them.

• Plain (generic) labels or store brands often cost less than name brands. • Plan your meals around food that is on sale. • Divide leftovers into small servings, label and date, and freeze to use within a few months.

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Handle raw food with care. Keep it apart from foods that are already cooked or won’t be cooked. Use hot soapy water to wash your hands, tools, and work surfaces as you cook.

Don’t depend on sniffing or tasting food to tell what is bad.

Try putting dates on foods in your fridge. Check the “use by� date on foods. If in doubt, toss it out.

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PAGE 10

August, 2013

Boomers & Beyond - Westchester

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

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.

Senior Safety: Always be alert!

As a senior citizen, chances of a becoming a victim of crime increases dramatically. You may have a lifetime of experiences, but being aware of your surroundings, staying alert of situations that may make you vulnerable, following your intuition, and watching out for con-games can make all the difference in staying safe.

Because many criminals target those victims who are considered vulnerable, it is especially imperative that senior citizens be the “BOSS” (Be Observant, Smart, Safe) whether at home or during their travels.

,ŽŵĞ ĂƌĞ ^ƚĂĨĨ͙ Registered Nurses, Licensed Practical Nurses, Home Health Aides, Personal Care Aides, Companions, PRI Certified R.N. & Geriatric Care Assessments.

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Here are some important safety tips: Safety in the Community – Be alert of your surroundings whether you are in an office building, walking down a street, in a shopping mall, waiting for a bus or driving a vehicle.

– Carry your purse close to your body...not dangling by the strap.

Never leave your purse in a shopping cart. Never leave your purse unattended.

– Place your wallet in the inside coat or front pants pocket.

– Wrap a rubber band around your wallet to make it harder to be removed from your pocket.

– Do not carry large amounts of cash in your wallet, purse or in your pockets.

– Try to sit close to the bus driver or the “exit” while riding public transportation.

Safety at Home – Sign up for direct deposit instead of having your social security or other pension checks mailed to your home. And, at many banks, free checking accounts are available to senior citizens.

– Be certain that all door locks are functioning properly and install deadbolts on all doors. Make sure windows are locked and cannot be forced open. Secure all basement and attic windows.

– Ask for identification from service or delivery people before letting them in. If you are the least bit concerned, call the company to verify.

– Always be suspicious of phone solicitors who ask for your personal information such as credit card number, social security number or checking account numbers. Ask them to mail you the information. If they don’t have your address, do not give it to them.

Schnurmacher is there... when you need a little more help to get you home. · Short Term Rehabilitation · Subacute Medical Services · Skilled Nursing Care · Music Therapy

12 Tibbits Avenue White Plains, NY 10606 914-287-7200 Schnurmacher and Burke Rehabilitation Hospital Schnurmacher.org Working together to provide excellent rehabilitative care

Schnurmacher Center for Rehabilitation and Nursing is a member of CenterLight Health System.

Boomers & Beyond - Westchester August, 2013

PAGE 11

Jewish Home Lifecare partners with eCaring to demonstrate effectiveness of home care management system for elderly home care patients Jewish Home Lifecare and Senior Health Partners leveraging in-home health data and web-based care management tools for innovative, new initiative complementing telehealth with the help of eCaring eCaring, the nation’s most extensive inhome real time health care data company, announced today that it has been selected as a strategic partner by JewishHome Lifecare to enhance the organization’s managed care, telehealth and home health care services. The program is collaboration between Jewish Home Lifecare’s licensed home care service agency, Home Assistance Personnel Inc. (HAPI) and Senior Health Partners, a managed long term care plan (MLTC).

Jewish Home Lifecare serves over two thousand patients in the city’s five boroughs and is actively expanding to Long Island and Westchester. Senior Health Partners provides services to over five thousand members in the New York metropolitan area.

“Jewish Home Lifecare has long been an innovator in using technology to improve patient care,” said Bridget Gallagher, Senior Vice President of Community Services at Jewish Home Lifecare. “We arevery enthusiastic about the potential of eCaring to us improve care quality, as well as help us make the inhome aide a major player in the care team.”

By capturing real-time information about a patient’s care, activities and clinical data from the home, eCaring will improve carecoordination efforts between Jewish Home Lifecare and Senior Health Partners in order to avoid costly, serious events such as emergency room visits and hospitalizations. eCaring will also help the

organization increase in-home caregiver engagement, resulting in greater employee satisfaction and retention.

To begin, the program will run with 30 elderly patients receiving home health aide service—a population that eCaring has demonstrated remarkable effectiveness with in prior trials. During a 90-daytrial with Morningside Long Term Home Health Care in the Bronx, NY, eCaring prevented ER visits, hospitalizations, doctor visits and unplanned nurse visits, saving an average of $2,500 per patient, per month.

"For managed care organizations, such as Managed Long Term Care Plans, Accountable Care Organizations and Medical Homes, getting actionable real time health

care data from the home is essential to containcosts while enhancing care quality for better outcomes," said Robert M. Herzog, CEO of eCaring. "We're proud to be working with farsighted organizations such as Jewish Home Lifecare and Senior Health Partners that understand and are addressing the changing demands of our health care environment."

In addition to partnering with Jewish Home Lifecare, eCaring has ongoing trials with Morningside Long Term Home Health Care, Maimonides Hospital, and Beth Israel Medical Center to reduce preventable readmissions through timely access to clinical, behavioral and medication adherence data from a patient’s home.

Sarah Neuman Center presents:

Health Tips for Staying Well Sarah Neuman Center offers: Staying Fit healthy lifting and kickboxing may not be For most seniors, jogging, weight mber reme se plea but ss, fitne to boost your options. Try these simple, fun tasks re starting a new exercise regimen. 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 y. injur to g and less susceptible or on a chair, to keep your back stron k adequate fluids throughout the Eat breakfast and remember to drin ty. day — even if you don’t feel thirs

* *

apy bilitation with individualized ther Comprehensive short-stay reha plans and care teams a beautiful residential campus Skilled Nursing care services on 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 more info ?

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

August, 2013

Boomers & Beyond - Westchester

Success story Michael Babboni returns to Burke It’s been nearly three decades since Michael Babboni wheeled through the halls of Burke Rehabilitation Hospital in White Plains, but he recently returned to where the his second life began. Babboni toured the nursing unit and the clinic where he spent nine months rehabilitating after his spinal cord injury, along with his wife Roseann and 17-year-old son Matthew.

“I want [Matthew] to see Burke and see what helped shape who I am today,” Babboni said. “I think it’s important for him to understand what happened.”

Babboni shared his story with current spinal cord injury patients, including Elliot Vasquez, 20, who, like Babboni, injured his spinal cord at a young age.

Prior to his injury, Babboni was an active 19-year-old from New Rochelle, attending Siena College for computer science. In the spring of 1984, while playing mud volleyball with his friends at school, he dove for a ball not seeing a hard mass beneath the surface of murky, muddy water. His chest collided with the earth, whipping his head back and snapping his C3 and C4 vertebrae.

Babboni was rushed to Albany Medical’s trauma center where they re-set his spine and admitted him to the intensive care unit. He spent five weeks in the ICU before he was able to have spinal fusion surgery. During that time, he began to get some movement back—wiggle his toes and eventually bend his knees.

On July 3, 1984, Babboni was admitted to Burke where he would spend the next nine month in intensive inpatient rehabilitation therapy and another nine months as an outpatient. continued on next page

provided

The Outlook Just Got Better At

United Hebrew of New Rochelle’s Rehabilitation and Nursing Pavilion

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

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Boomers & Beyond - Westchester August, 2013

PAGE 13

Success Story continued from previous page With his undeterred will, Babboni went on to finish his computer science bachelor’s degree at Iona College and his master’s degree at Rensselaer Polytechnic Institute, using a mouth stick instead of his fingers to type. He currently resides in Delray Beach, Fla., with his wife and son,

solely to rehabilitation medicine.

Burke offers both inpatient and outpatient programs for those who have experienced a disabling illness, traumatic injury or joint replacement surgery. Burke is both an acute rehabilitation hospital and medical research center. Burke’s world renowned doctors and therapists provide

state-of-the-art treatment, while its research scientists at the Burke Medical Research Institute explore the frontiers of neurological and rehabilitation medicine.

All share the Burke mission to ensure that every patient makes the fullest possible recovery from illness or injury regardless of their ability to pay.

E X C E L L E N C E I N R E H A B I L I TAT I O N F O R N E A R LY 1 0 0 Y E A R S

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

Where You Go For Rehab Matters

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.

BURKE R

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“Dr. Peter Stern [Babboni’s then doctor] was great,” he said. “He advocated to keep me here until our house was accessible and something I can work with, but more importantly, kept me until I was ready.”

Babboni received intense physical and occupational therapy to strengthen his legs and arms and increase his range of motion. As a computer science student, it was his goal to be able to type on a keyboard and go back to school to finish his degree.

“When you start, it’s great.

You have little but constant progress throughout and you start to think you’re stabilizing and are going to get back to where you were,” Babboni explained. “Things keep coming back but then you get to a point where you realize, that’s it. This is as far as I can go.”

While Babboni regained strength to stand and walk short distances with the help of braces and crutches, he was not able to recover motion below his shoulders.

“There’s sensation everywhere but I have limited independent motion and truly only with my left little finger.

But that’s not what you should focus on,” he added.

“And this is what I want to tell all the other spinal cord injury patients. You have to appreciate what you have and focus on that. Focus on what you can do, not on what you can’t. Being at Burke has helped me see that.”

and drove the nearly 1,300-mile distance from there to White Plains by himself with his new van, equipped with a joystick driving system.

Burke Rehabilitation Hospital is a private, not-for-profit, acute rehabilitation hospital. Founded in 1915, it is the only hospital in Westchester County dedicated

785 Mamaroneck Ave White Plans, 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?

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Boomers & Beyond - Westchester August, 2013

PAGE 15

Local author publishes second book on care giving Caring for an ailing or disabled loved one can often be a long, demanding role that gets more difficult and time-consuming with each passing day.

Christine Sotmary, in her most recent book, —When the Voiceless Sing, explores the thoughts, feelings, and observations of 22 different caregivers as they share their experiences. This book is a comprehensive look at the day in and day-out world of caregivers and follows them as they solve problems, find meaning and reflect on the many feelings they’ve experienced while caring for someone who needs them.

As caregiver for her husband, Alan, who was stricken with early-onset Alzheimer’s disease, Sotmary spent eight years dealing firsthand with the roller coaster of emotions that accompany long-term caregiving for a loved one.

Sotmary, who lives in Westchester County, notes that—in a variety of situations, from caring for someone with an addiction to someone with cancer, the caregivers need to understand that they all get to learn about their

Rumor

own strengths and weaknesses. They are all learning to express themselves in areas such as health, healing, aging, medical terms, legal and financial issues, education and resources.

Caregivers are also learning what they are capable of and how to speak about their loyalty, determination, love, affection, and, on the flip side, they learn about sharing their losses, sadness, anger, frustrations, and disappointments.

Her hope is that this book will empower caregivers to get together to talk and support each other around their shared experiences.

In addition to writing, Sotmary is a life coach and an acupuncturist. She has created www.caregiveraccess.org to provide family caregivers in Westchester with the resources and information they need. Sotmary has also developed hundreds of programs throughout Westchester to help caregivers cope with their situations. She is an active member of Livable Communities, the Alzheimer’s Leadership Committee, Westchester County’s Caregiver Collaborative and the New York State Intergenerational Network – Westchester Chapter.

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PAGE 16

August, 2013

Boomers & Beyond - Westchester

Preventing Falls Conversation starters…

Worrying about the health and safety of an older family member or friend can be stressful. Use these tips to talk to your loved one about preventing falls.

Begin by saying, “I care about you.”

“You are important to me. I don’t want you to fall and get hurt.”

“More than 1 in 3 older adults fall each year. Most falls happen at home.”

“There are things you can do to prevent falls. Taking steps to protect yourself – like exercising – will help you feel more positive and stay independent.”

Talk about four ways to prevent falls. Offer to help.

1. “Exercise to improve your balance and strength.”

2. “Ask your doctor to review your medicines. Some medicines can make you sleepy or dizzy and cause you to fall.”

3. “Get your vision checked. You might need to update your glasses or contacts.”

4. “Make your home safer. For example, use non-slip mats in the bathtub and on shower floors.”

Here are some ideas: Go with your loved one to get his vision checked.

Put railings on both sides of the stairs. Put grab bars inside and outside of the tub and next to the toilet. Or help your loved one find someone else to do it, like a contractor.

Sign up for a tai chi (“ty chee”) class together. Tai chi is a Chinese exercise that involves moving the body slowly and gently.

Move her telephone closer to a favorite chair or the bed.

Help move furniture around so the walking paths are clear.

Help pick up clothes, books, and other items from the floor and stairs. This will help keep your loved one from tripping.

Help your loved one collect all of his medicines and put them in a bag to take to his next doctor’s visit.

Boomers & Beyond - Westchester August, 2013

PAGE 17

Sayer, a Pelham resident, celebrates 105th birthday at SSMC Happy birthday to you, Ann Sayer! Indeed, happy birthday to you!

Sayer recently celebrated her 105th birthday with family, friends – and Sound Shore Medical Center of Westchester’s (SSMC) Chief of Geriatrics, Norris Fox, MD. Sayer started receiving her healthcare through the hospital’s Center for Sound Aging Home Visit Program, Fox has become an integral part of “the family”.

Sayer is just one example of how SSMC’s Center for Sound Aging and its Home Visit Program can benefit the homebound, older adult. As a 90-year resident of Pelham, Sayer has deep roots in the community, and has chosen to age in place. And for qualifying individuals, SSMC’s Home Visit Program is well-suited for just that.

The goes back to the days when doctors made house calls. However, today it’s not just the doctor who “comes calling”. In addition to physician visits, in-home services can include laboratory, pharmacy, physical therapy, pain management and Palliative care. At the heart of the Center for Sound Aging is respect for a family’s traditions and wishes and a philosophy that places great importance on quality-of-life.

With a thorough understanding of and appreciation for the older adult health needs, Fox is helping Sayer, with the assistance of home health aides, enjoy her senior years

on her own terms. Sayer, a first-generation Italian, who continued to care for her home and gardens until just three years ago, moved to Pelham in 1915 when her father, Andrea Scattareggia, opened his barber shop and became a founder of the Pelham Civic Association. Remaining at home also means Mrs. Sayer can continue her bridge games with her “ole” friends, where camaraderie is more important than the bidding. Of course, she readily shares her Italian-style cooking ingredients to good health: “Everyday use the four – garlic, fresh lemon, extra virgin olive oil and Italian style flat parsley”.

About The Center for Sound Aging The Center provides inpatient services in a specialized Geriatric Unit and when remaining at home is no longer an option, the Centers for Medicare/Medicaid 4-star-rated Schaffer Extended Care Center is available. Additional outpatient services include Geriatric psychiatry, nutrition management and diabetes education as well as programs to address dementia and incontinence. SSMC also provides an Adult Day Services Program for older adults who need extra help, but not necessarily around the clock. This medically supervised program provides daily assistance in a structured program geared toward independence.

It also provides respite for the participant’s caregiver.

Beverly & Alfred J. Green Pavilion

provided

Sound Shore Medical Center of Westchester’s Chief of Geriatrics, Norris Fox, MD, recently helped one of his patients, Ann Sayer, celebrate her 105th birthday at her Pelham, NY home, where she has lived for 90 years and where, with the healthcare support of Sound Shore’s Home Visit Program, she has chosen to “age in place”

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PAGE 18

August, 2013

Boomers & Beyond - Westchester

Preserving dignity through the very end Jewish Home Lifecare social worker fulfills last wish for a special client Making sure that nursing home residents have their individual needs met, even when it comes to their final days, is something that Jewish Home Lifecare’s caring social workers attend to with heart and compassion. While most people know of Jewish Home’s exceptional nursing and homecare in life, the way its staff members take it upon themselves to prepare for the eventual death of a resident is beautiful. Social worker Meredith Levine, who works at Jewish Home’s Bronx campus, recently fulfilled a special, last wish for a client.

James Whelan, 86, a beloved resident and U.S. Military veteran who served in WWII and the Korean War, wanted to be buried in Arlington National Cemetery.

He, like all Jewish Home Lifecare residents, had several preliminary conversations with his social worker about his wishes.

While Meredith typically counsels family members about their elder’s eventual passing and final plans, James did not have a single relative with whom to consult.

In fact, despite his larger-thanlife charismatic presence and generous spirit, which touched the hearts of his fellow residents and staff, he only had one longtime friend from the outside community. Sister Alice, who James befriended some 35 years ago after making a book donation to the local Catholic school, was his sole outside advocate.

With little personal income, final arrangements for James presented challenges. Meredith, who upholds a personal responsibility to see that every one of her clients is buried in a way that meets his or her cultural or religious expectation, couldn’t fathom a nameless burial for James.. She explains, “I really would have paid for his cremation myself if I

had to. Otherwise, I wouldn’t have been able to sleep at night.”

After many phone calls, Meredith found a Brooklyn funeral director who agreed to handle the cremation when the time came, free of charge, as long as James agreed to appoint Jewish Home Lifecare with responsibility for his remains.

When James passed last November, Meredith commenced to fulfill his final wish. Immediate outreach to Arlington National Cemetery required a series of checklist items, which included the submission of his Army discharge papers. Fortunately, Sister Alice had them. After seemingly endless faxes and phone calls, Arlington National Cemetery agreed to accept his ashes. Since the burial was contingent on date availability, James was finally able to rest in peace on June 20th.

His funeral procession was distinguished with 50 servicemen, a horse drawn caisson, and a military band.

Meredith transported James’ remains from New York to Arlington and attended his funeral with Sister Alice, who made the trip from Rockland County. As his sole friend, Sister Alice was presented with the American flag that represented a dignified goodbye.

According to Meredith “It’s my job to advocate for our residents dignity until the very end. I feel comforted that in the end, James received the respect he hoped for and deserved.”

Rita Morgan, Bronx Administrator, proudly remarks, “Jewish Home’s social worker’s do an outstanding job of meeting the needs of our resident’s and their families. Meredith, who has been with us for three years, really puts her heart into her work in the most exemplary way. Her commitment to dignifying James’

memory moved me and our staff.

We are grateful for all her efforts,” Jewish Home Lifecare has been meeting the needs of New York’s elders for over 165 years.

It provides a network of care that includes long term skilled nursing, post acute care, Alzheimer’s/Dementia special

care communities, respite care, senior housing and community programs, such as home care and adult day care along with other specialized services.

Jewish Home Lifecare has campuses in the Bronx, Manhattan and the Sarah Neuman Center in Westchester. It also serves clients where they live using in-

novative 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, visit www.JewishHome.org.

Live Richly. You’ve Earned It. Benjamin Franklin, one of our Founding Fathers wrote: “wealth is not his that has it, but his that enjoys it.” In harmony with this thought, we encourage our clients to enjoy the wealth they worked so hard to build. We want them to protect it of course, but not squander it. We urge them to live richly; to enjoy the golden years of retirement. In the end, true wealth is not about money, but about the experiences we share with those we love.

To learn more, call us at 845-627-8300 or visit easternplanning.com

Securities and advisory services offered through Royal Alliance Associates, Inc., member FINRA, SIPC and a Registered Investment Advisor.

Eastern Planning, Inc. and Royal Alliance Associates, Inc. are separate companies.

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Boomers & Beyond - Westchester