Boomers d n o y e &B Westchester County
July 2014
Legal advice for Medicaid & Asset-Protection planning. Call (914) 816-2900 today! See page 14
B & M Capital
Helping people realize the ďŹ nancial options they never knew they had p11
Diana's Angels Home Care
Created from an emotional story p12
Drum Hill
A feeling of home p13
The Visiting Audiologists of Westchester
Convenient home hearing consultations p17
Westchester Audiology
Expert treatment and diagnosis of hearing loss p20
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July, 2014
Boomers & Beyond - Westchester
Providing the Highest Quality Home Health Care in Westchester & Putnam .OW ALSO SERVING THE "RONX $UTCHESS 2OCKLAND
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
ATTORNEYS AT LAW Many Years of Experience Protecting the Legal Interests of the Elderly & Special Needs Populations Advising Families about: • • • • • • • • •
Medicaid Asset Protection Planning Estate Planning & Administration Special Needs Home Care Long Term Care Health Care Proxies Powers of Attorney Guardianships
See more information on page 14
Client Testimonials I reached out to you during the most stressful time of life for both my loved ones and myself - horror had occurred to my dear loving mother. My mom had fractured her hip and due to her frail health and advanced age required risky hip replacement surgery. Many issues legal and otherwise arose which I could not personally resolve. You not only resolved each and every one, but you continue to do so now, over 4 years later. You always display extreme sincerity, compassion and friendship, using your vast experience and confidence in your ability, to continually bring satisfaction, positive results and a tremendous sense of relief and comfort to my loved ones and myself. You have gone out of your way to visit Mom on multiple occasions in her Nursing house and we love you for it. As an attorney, friend, and a great man, I could not possibly hope to know anyone more phenomenal. The three greatest men I have ever known are my dear departed father, my dear departed father-in-law and Ely Rosenzveig. – Jeff D. 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.
2 Westchester Park Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com
Tel: (914) 816-2900
– Tom C.
www.ejrosenlaw.com ELDER LAW
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TRUSTS & ESTATES
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PAGE 4
July, 2014
Boomers & Beyond - Westchester
46th Annual Salute to Seniors comes to County Center Event featured live entertainment, a business expo and a health fair for older adults Westchester County Executive Robert P. Astorino attended the 46th Annual Salute to Seniors on May 8 at the Westchester County Center in White Plains. The event featured a Business Expo with over 90 vendors, a Health and Wellness fair, and live entertainment by Elvis Presley and Diana Ross impersonators. “Salute to Seniors is just as informative as it is fun,” Astorino said. “As always, we’ll have a wide variety of opportunities both for seniors and caregivers. It’s an exciting event” The event was sponsored by three Westchester County departments: Senior Programs and Services (DSPS); Parks, Recreation and Conservation; and Public Works and Transportation. The Westchester Public/Private Partnership for Aging Services is a co-sponsor. The highlight of this year’s event is the launch of the Telehealth Intervention Programs for Seniors, or TIPS. The innovative new program uses technology to remotely monitor a person’s health. This enables seniors to be proactive about their health. At a convenient location, a technician takes a senior’s vital signs, such as their pulse and blood pressure, and enters the information into a computer. If medical attention is required, the results are forwarded to the seniors’ health care provider. But whatever the findings show, the senior receives a document – called a TIPS sheet – with those results along with an explanation of what they mean and recommendations for follow-up, if needed. TIPS also aims to reduce medical bills and ideally avoid unplanned hospital visits. What sets Westchester’s TIPS apart from other telehealth programs is that the seniors also receive health and wellness information, counseling and learn about what benefits they may be entitled to receive.
Business Expo: More than 90 businesses, organizations and government agencies specializing in products and services for older adults and caregivers including assisted living facilities, home health care providers and financial firms among many others were there. New vendors this year included Costco Pharmacy, In Place ReDesign, DPC; The Perfect Home Care, Inc. and Wyndham Vacation Resorts Inc. Among those returning were Foxwoods Resort Casino, Lawrence Hospital Center, David Lerner Associates, GuildNet, and Burke Rehabilitation Hospital. Seniors had the opportunity to speak with representatives from the county’s departments of Social Services, Health and Consumer Protection as well as The Volunteer Center of United Way, the Westchester Library System and the New York State Public Service Commission.
Westchester County Executive Robert P. Astorino talks with attendees.
Health and Wellness Fair: The fair featured 17 providers, including Memory Training Systems Inc., Dr. Bruce Pinker from Progressive Foot Care and Sifu Domingo Colon of the Tai Chi School of Westchester. Karen Manley, Au.D., from Premiere
Audiology will conduct hearing screenings and provide information on hearing loss and hearing aids. Dr. Michelle Verhave from Home Dental Care will conduct oral cancer screenings, and DSPS’ registered dietitian nutritionists will talk with seniors
photos by Anthony Mairo
about healthy eating and will evaluate their current diets. Also returning will be the Diabetes Center at Phelps Memorial Hospital Center and the Center for Vein Restoration which screens for varicose veins and spider veins.
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 Diane Ross and Elvis Presley impersonators
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.
Medicaid approved - CHAP accredited Tel 914.244.9570 Fax 914.242.0389 ʹ Ajhomecare.com
Boomers & Beyond - Westchester July, 2014
PAGE 5
Your mom spends so much time alone at home. Where can she go while you’re at work so she can be happy . . . and safe? Who can you turn to?
From adult day and home care to rehabilitation, assisted living and nursing home care, Wartburg offers a full range of integrated services for your changing life. Our continuing care approach means you can trust us to be here – how, when and where you need us.
Helping families keep the quality in life.
Our care advisers will help you navigate your options to best meet your family’s needs. Call 855-WARTBURG (927-8287) or visit wartburg.org today.
For Wartburg life stories, visit wartburg.org.
INDEPENDENT LIVING | ASSISTED LIVING | ALZHEIMER’S/DEMENTIA | NURSING HOME | ADULT DAY CARE | HOME CARE | REHABILITATION
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July, 2014
Boomers & Beyond - Westchester
Advertiser’s Index
From the General Manager
A&J Home Care, Inc................................................................4 B&M Capital..........................................................................11 Burke Rehabilitation Hospital...............................................19 ColumbiaDoctors..................................................................23 Diana’s Angels Home Care, Inc.............................................12 Dominican Sisters Family Health Service..............................21 Drum Hill.............................................................................13 Ely J. Rosenzveig & Associates, PC...................................3,14 Glen Island Center for Nursing and Rehabilitation.................15 Margeliz Center.......................................................................22 Phelps.......................................................................7 Sensible Hearing Solutions....................................................18 VNA of Hudson Valley...........................................................24 Victoria Home.......................................................................10 The Visiting Audiologists......................................................17 Visiting Development Care Group, LLC................................9 The Wartburg........................................................................5 Westchester Audiology.........................................................20 Westchester Care at Home....................................................2
There’s nothing quite like a traditional Independence Day celebration.
Westchester County
Boomers d
Just remember, don’t forget your favorite senior when you are celebrating July 4th. You can have a fine time, if you plan ahead. But first, make sure that your relative is in good enough health to attend a party where there will be heat, bugs, noise, smoke from the grill and possibly rambunctious children. Also, check with your hosts to ensure that they understand and can accommodate your loved one’s limitations. Here are some tips from Boomers & Beyond to ensure that everyone has a good time: –Talk to the host or hostess about dietary limitations your elderly relative may have. –If your relative is in a wheelchair, find out in advance if your hosts’ gates are wide enough and slopes gentle enough to maneuver it into the back yard. –Ask if there’s any shade in the backyard; if not, ask if you can also bring a portable beach umbrella. –Before you go, make sure that the senior has put on sunscreen. Have a wonderful Independence Day!
Jim Stankiewicz, General Manager
& 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) ••• CIRCULATION Michelle Belsito (Michelle@healthcarenewspaper.com) ••• SENIOR CORRESPONDENTS Brendan Coyne John Jordan
Corporate Information Healthcare News - Westchester, New York edition - Vol. 7 No. 7 - 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…
Nursing Guide for Summer Home Health Care, Assisted Living and Personal Care
Hearing Centers
Helping the community hear better
Legend of the
UNDEFEATED Pushing herself to the limit, this boxer’s not afraid of a little pain. But when the pain in her hip slowed her down, her quest for the best led her to Phelps Memorial Hospital Center. There her hip was replaced by the most experienced anterior approach team in the Northeast. With less pain and a shorter recovery, the anterior approach had her back in the ring in no time.
See if you’re a candidate for anterior approach hip replacement. 1-888-888-2311 s phelpshospital.org/hip
Get better. Here.
ColumbiaDoctors of the Hudson Valley Physicians selected as Castle Connolly Top Doctors ColumbiaDoctors of the Hudson Valley (CDHV), a leading provider of quality cardiovascular and internal medicine services to residents of the lower Hudson Valley, is proud to announce the recent selection of cardiologists Dr. Ainat Beniaminovitz, Dr. David Brogno and Dr. Richard Roth as Castle Connolly’s Top Doctors-New York Metro Area. Castle Connolly, a publisher of medical guides including the annual “Top Doctors” series, aims to help consumers find the best healthcare available. Top Doctors candidates are nominated by their peers in an extensive survey of thousands of American doctors and undergo rigorous screening of their educational and professional experience. Those who are selected as Top Doctors are among the top 10 to 15 percent of physicians within their geographical region and are medical leaders within their communities.
Dr. Ainat Beniaminovitz, M.D., F.A.C.C, is a board-certified cardiologist with a special focus on women’s cardiovascular health and leading heart failure specialist. She received her M.D. degree and completed her residency and fellowship training at Columbia University Medical Center. Dr. Beniaminovitz is a published author whose articles on heart disease issues have appeared in medical publications such as the American Journal of Cardiology, New England Journal of Medicine, and Circulation. She has received Castle Connolly’s regional Top Doctor award for four consecutive years. An interventional cardiologist for more than 20 years, Dr. Brogno, M.D., F.A.C.C, specializes in advanced cardiac services such as angioplasty and stent implementation. Dr. Brogno obtained his M.D. degree from the University of Michigan in 1983. In 1991, Dr. Brogno joined CDHV, then
photos provided
Dr. Ainat Beniaminovitz, Dr. David Brogno and Dr. Richard Roth named three of New York’s top medical specialists
Dr. Ainat Beniaminovitz
Dr. David Brogno
Dr. Richard Roth
called Ramapo Cardiology Associates, as an interventional cardiologist. He is currently chief of cardiology at Nyack Hospital and an attending physician in cardiology at both Good Samaritan Hospital and The Valley Hospital in Ridgewood, NJ. 2014 marks the third consecutive year that Dr. Brogno has received a regional Top Doctor honor from Castle Connolly. Dr. Richard Roth, M.D., F.A.C.C., has been practicing medicine in Rockland County for over 30 years. Dr. Roth is a
board-certified cardiologist who received his M.D. degree from Yale University School of Medicine. He is currently assistant professor of clinical medicine at Columbia University School of Medicine and practices at both Good Samaritan and Nyack Hospitals in Rockland County. Prior to joining CDHV, Dr. Roth served as chief of cardiology and chief of medicine at Good Samaritan Hospital in Suffern. He has been named a Castle Connolly Top Doctor for more than 10 years.
“We are honored to have Dr. Beniaminovitz, Dr. Brogno and Dr. Roth as part of our team here at Columbia-Doctors” said Dr. David Ramos, managing physician, ColumbiaDoctors of the Hudson Valley. “Their selection as Top Doctors reflects not only the respect in which they are held by their peers, but also by the thousands of patients who use this guide to identify excellent physicians.” Please visit www.ColumbiaDoctorsHudsonValley.com for more information.
Boomers Healthcare news eyond Fairfield County
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Healthcare News and Boomers & Beyond comes to Fairfield County Connecticut! The area’s only Health & Wellness publication to reach over 83,000 in Fairfield County Connecticut!
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July 2014
& Beyond
For more information contact: Jim Stankiewicz General Manager
Anthony Mairo Marketing Executive
Jim@healthcarenewspaper.com www.healthcarenewspaper.com
Anthony@healthcarenewspaper.com www.healthcarenewspaper.com
(P) 845-534-7500 Ext. 219
(P) 845-534-7500 Ext. 215
Boomers & Beyond - Westchester July, 2014
P AGE 9
And Away We Go… By Viviana DeCohen
Tis’ the season for a lot of Fun in Sun. For those who are recuperating and still on the mend, summer fun does not have to “go away and come again.” For the family who loves to be on the go, there is no reason to cancel that much needed vacation. Take it on the road if you can. A Road Trip is an excellent way for the entire family to spend quality time together while taking in the beautiful sights. There is no need to rush when driving to your destination, make frequent stops and take advantage of the outdoor eating spaces and enjoy those famous sandwiches that your “aunt Hilda” made. Things to remember when taking your family member(s): Walk, don’t run: Your family member may still be on the mend or not able to walk as fast. Take your time and enjoy the surroundings together as it may have been awhile since you have all been on a trip together. Be patient and prepared: Your family member may not enjoy the wonderful convenience of the air conditioned car and may complain of being cold. Remember, their temperature is not your temperature. Carry along a sweater for them that they can easily put on and take off. Arm your alarm: There is no need to try and remember the medication schedule: Set the alarm on your phone or watch to adhere to the medication schedule and use that as a water break for everyone. Remember to pack wisely: Extra clothing, incontinent products and liners for the hotel bed if needed could come in handy. Collapsible walkers and wheelchairs fit easily in the vehicle and should be placed on top for convenience. Do not forget to pack plenty of sunscreen and an upbeat attitude. If it is not possible for your family member to travel with you then please consider “Adult Nanny Care.” From the Visiting Development Care Group, LLC. Allow yourself the freedom of a vacation while experiencing peace of mind that your family member is being engaged in an assigned activity and cared for with a qualified companion in the safety of their own home. So if they have been recently discharged and you are uncomfortable about going away, call us, we would love to speak with you and get you going on your way.
Visiting Development Care Group, LLC Qualified Companions & Homemakers Let Us Care For the One you Love Family Respite Services • • • • •
Private care in Home Hospital or Rehab Short Term (Min. 4 hrs.) Overnight and Weekends Specializing in Dementia Care Extended Care
We provide • Adult Nanny Care • Reassurance • Peace of mind Helping Care for those who have cared for you! Contact us Visiting Development Care Group, LLC Serving all of Westchester County
Phone: 914-619-4515 www.visitingcaregroup.com Email : visitingcargroup@gmail.com
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July, 2014
Boomers & Beyond - Westchester
Senior Dating: Great First Date Ideas Dating among the senior set is becoming more popular thanks to online dating sites for retirees and a more liberal acceptance of senior sexuality. Seniors may have a lot of experience under their belts, but they’re also up for new adventures and relationships. 1. Get Up and Dance. Whether you’re the belle of the ball or have two left feet, dancing is a great way to get close, have fun, and check for chemistry. Many ballrooms and other dance facilities sponsor group lessons before the real dancing begins to help people who are rusty get back in the swing of things or learn a few new steps. 2. Spread a Blanket. Nothing is more romantic than a picnic in a beautiful spot. Make it even more special by shopping together to choose the food and wine that will fill your basket. It’s a great opportunity to share some of your favorite things with someone you’re just getting to know. 3. Get Moving. Maybe you both enjoy tennis or golf, or just like going for long walks. Sharing a physical activity on a first date can help create a bond that may bring you closer together while you stay in shape. 4. Is This Art? Create an artful senior dating experience by attending a gallery walk or touring a museum. Everyone has an opinion about art, so the conversation is sure to be lively. 5. Cast Off. Rent kayaks, a row boat, or a canoe and set sail on a mini-cruise around a local lake or lagoon. Being on the water will shift your perspective and make it easier for you and your date to navigate any awkward moments. 6. To Market, To Market. Check out a farmers market or flea market in your area. Browsing among the stalls and having so many different things to see and discuss will help keep the conversation flowing. 7. Fruit of the Vine. Whether you’re a wine connoisseur or have trouble telling Cabernet from Merlot, visiting a local winery or attending a wine tasting together is a great way to get to know each other while learning something new and sampling one of life’s true pleasures. 8. Literary Interlude. If you both enjoy books, this is a natural senior dating idea. Attend a reading at a local bookstore, and then browse the shelves comparing notes about your favorite authors and titles. Follow that up with coffee and dessert, and you’ve got a first date that could be the start of a new life chapter.
Avoid dehydration this summer with these delicious mocktails Dehydration is a huge issue for Westchester County seniors during the hot summer months, especially if they are active, playing tennis, taking it to the beach or spending the afternoon gardening. So fluid intake is key for seniors during another hot Westchester County summer. Boomers & Beyond provides some tips to encourage fluid consumption in the form of some delicious and simple mocktails. Strawberries and Coconut Water Ingredients: To make 2 Strawberry Mocktails combine: • 1 cup (250ml) of fresh coconut water • 1 cup (250 ml) strawberries hulled and sliced • 3 T of sugar syrup or agave nectar Directions: 1. To make the sugar syrup, boil sugar and water together in a ratio of 1:3 sugar to water until it thickens to a runny syrup consistency. Store in a jar for all future cocktail making. 2. Measure 1 cup of coconut water, either directly from a cut-open coconut or from a store-bought container (if you are lucky enough to live in an area that sells fresh coconut water in a bottle). 3. Combine the strawberries and sugar syrup and blend with a blender to desired consistency. 4. Serve with ice. Cucumber Lemonade with Basil Ingredients: To make 3 to 4 Cucumber Lemonade treats combine: • 1 English cucumber • 3 C water • 3 lemons • 2 T sugar • 1 small bunch basil • 1 C soda water Directions: 1. Start by cutting your cucumber in half. Peel one half and cut it lengthwise (you can cut it in half again first if need be). 2. Scoop the seeds out and chop it into pieces. 3. Put the cucumber pieces in a food processor and puree until smooth. 4. Put puree in a fine mesh sieve over a container and push with a wooden spoon or spatula, extracting as much liquid as you can from the cucumber puree. 5. Fill a separate bowl or container with 3 cups water. Squeeze 2 lemons into the water and mix in the sugar. 6. Pour lemonade and cucumber juice into a pitcher or serving container. Slice remaining cucumber half (unpeeled) and remaining lemon and add to pitcher. Add basil, too. Refrigerate until chilled. 7. Serve with ice. Enjoy! And make sure to share with a friend!
Boomers & Beyond - Westchester July, 2014
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July, 2014
Boomers & Beyond - Westchester
An “Angel”, Diana Djeljevic’s memory continues to live on Growing up, Diana Djeljevic loved volunteering at different nursing homes and assisted living facilities in Westchester County with her proud mother, Drita, at her side. Young Diana would often spend hours with residents, talking with and getting to know them. They all came to adore the caring and sweet young girl. Diana’s visits were often looked forward to by residents and staff. Working with seniors may very well have been Diana’s calling in life. Sadly, her wonderful work ended prematurely. Diana Djeljevic died at age 16 in a car accident in 2002 in Carmel. Still, her memory will always live on. Drita Djeljevic and her daughter, Antonette, opened Diana’s Angel’s Home Care Inc. in Mount Vernon eight years ago in Diana’s memory. The licensed facility provides home health aides, PCAs, homemakers and companions to a variety of clients. “Diana kind of laid the foundation for what we do,” said Antonette Djeljevic, president of Diana’s Angels Home Care. “I’m sure she is very proud that we are running this. I know Diana is looking down and smiling. We feel her all the time in the office. This is like therapy for us.” All of Diana’s wonderful characteristics – dignity, nurturing ability, compassion for others, love of family and trustworthiness – set the groundwork for the top-level care Diana’s Angels Home Care provides. The experienced staff is dedicated to maintaining clients’ self-respect and is diligent in providing the best care possible with compassion and integrity. The certified home health aides, PCAs, homemakers and companions at Diana’s Angels Home Care are handpicked for their professionalism and nurturing abilities.
Home care services include 24hour on-call services, certified home health aide care, homemakers, personal home health aide care, and initial and ongoing assessments and weekly medication management by RN’s. Additional services are companion services, housekeeping services and RN/LPN services. Diana’s Angels Home Care
is a fully licensed home care company that works in compliance with the New York State Department of Health. While working closely with clients, Antonette Djeljevic stresses that they maintain their indepedence, which helps their health and well-being. For instance, if a companion is cooking a meal, they will encourage a
client to add ingredients. If a client needs a letter mailed, a homemaker might prepare it, letting them put it in the mailbox. After a companion does the laundry, they give the client the option of folding it. “We just want all of our clients to have a sense of happiness,” Antonette Djeljevic said. “We want them to feel as normal
as possible and live a good life. Some of them return home after a fall or sickness, so it isn’t easy. But we do everything to take care of them. We treat them with compassion and want them to know that we are always here for them.” Indeed, Diana Djeljevic’s legacy lives on at Diana’s Angel’s Home Care.
Boomers & Beyond - Westchester July, 2014
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Memorial Day at Drum Hill Senior Living Community By Kathleen Herrmann Executive Director Memorial Day at Drum Hill Senior Living Community is always a fun filled day with an emphasis on the remembrance of our soldiers lost in the wars which were fought to keep the freedom we all enjoy today in America. Many of our residents were in World War 11 and some even the Vietnam War. We have a few nurses that served our country in war time. Our beautiful staircase donned a soldier with flags hanging from inside the community to outside in our garden.
provided
photo by Anthony Mairo
In years past as you will see by the pictures we had a garden planted for our soldiers. We started our day with an all American barbeque hosting an
array of foods from hotdogs and barbeque chicken to corn bread and watermelon! When done filling our pallets we had musical entertainment to help wind
down the day with traditional songs featuring all the standard “red, white and blue” songs. Then if desired you sat on our beautiful manicured grounds to
enjoy our breathtaking views of the Hudson River and a beautiful sunset. Now preparing for Father’s Day!!!
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 Westchester Park Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com
Tel: (914) 816-2900 www.ejrosenlaw.com ELDER LAW
•
Your concerns are certainly daunting, and heart-rending. Our firm offers you a caring hand, an open ear, and uncompromising professional competence, and commitment. We will help find for you solutions that best suit your needs, using the latest tax, trust, and other asset protection strategies available under the law. The law firm of Ely J. Rosenzveig & Associates, P.C. practices in all aspects of elder law, including trust and estate planning, administration, and litigation, tax counsel, asset protection and special needs planning, Medicaid, Medicare, and Social Security disability benefits, guardianships, long term care planning, spousal recovery claims, and Medicaid lien resolutions. Attorney advertising • Prior results do not guarantee a similar outcome
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Boomers & Beyond - Westchester July, 2014
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Five treatments older adults may not need Over treatment is a persistent problem among the aging population. Research shows that the more doctors an individual has, the more likely they are to be prescribed conflicting medications. Indeed, doctors may over treat elderly patients unintentionally. In an effort to encourage honest, informed communication between doctors and their patients, the American Board of Internal Medicine (ABIM) created Choosing Wisely, a campaign that enables different medical societies to create lists of “Things Physicians and Patients Should Question.” The initiative contains information from about 50 different organizations, including the American Geriatrics Society (AGS) and the American Medical Directors Association (AMDA). Anti-psychotic medications: Elder care experts have hotly debated this issue, trying to tease out the specific benefits of these medications for people with dementia and weigh them against the side effects, which can include confusion, incontinence, dizziness and even an increased risk of sudden death. Cholesterol-lowering drugs: While beneficial for middle-aged individuals and those with certain heart conditions, cholesterol-lowering medications (i.e. statins) may not help those in their 70s, 80s and 90s, according to the AMDA. As with all drugs, statins carry certain risks— including muscle damage and weakness, increased risk of falling and cognitive impairment. Colorectal cancer screenings: Experts are questioning the value of colon cancer exams for older adults, especially since the risk of complication from colonoscopies increases as an individual ages.
Benzodiazepines: Often prescribed as a remedy for anxiety and insomnia, benzodiazepines and other sedative-hypnotic medications can have a profoundly negative impact on an older individual’s health and safety, cautions the AGS. The negative side effects of these drugs are enhanced in elders, putting them at greater risk for falling, being hospitalized and getting into an automobile accident. Feeding tubes: For people with severe dementia who can no longer eat on their own, feeding tubes are sometimes recommended to ensure adequate nutrition and avoid aspiration. However, the AGS, the AMDA and the American Academy of Hospice and Palliative Medicine (AAHPM) all caution against the insertion of feeding tubes for those with dementia. Instead, they suggest oral assisted feedings as the preferable option.
5-STAR Government Rated Four Consecutive Years
★★★★★ Skilled Nursing Care on Beautiful Long Island Sound • Short Term Rehabilitation • Subacute Care • Long Term Care • Alzheimer/Dementia Care • Respite Services We invite you to join us for lunch and take a tour of our facility
490 Pelham Road • New Rochelle, NY, 10805 www.gicnr.com • email: info@gicnr.com
(914) 636-2800
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July, 2014
Boomers & Beyond - Westchester
Astorino launches landmark Telehealth innovative for seniors TIPS aims to improve health and well-being and reduce healthcare spending Hands-on approach features intergenerational connection and volunteer support County Executive Robert P. Astorino recently launched an innovative “telehealth” program that uses technology to remotely monitor seniors’ health as a way to improve a person’s quality of life while also reducing healthcare costs. TIPS – or Telehealth Intervention Programs for Seniors – combines three key elements to help Westchester’s seniors age successfully and avoid unplanned hospital and other medical visits: • Clinical monitoring of vital signs, including blood pressure, pulse, oxygen levels and weight. • A complete benefits “checkup” to make sure seniors are aware of all social programs available. • Hands-on, intergenerational support from a network of volunteers, including graduate student nurses and college students from Pace University. “TIPS empowers seniors be active partners in their own health care,” said County Executive Robert P. Astorino. “We value our seniors here in Westchester, and we want them to age successfully. We also realize that skyrocketing healthcare costs require us to be innovative. TIPS is at the forefront, bringing together high-tech and high-touch for the benefit of our seniors. We are excited to roll it out across Westchester.” TIPS builds on the successful Livable Communities Initiative, which put Westchester on the map as one of the first seven places nationwide to receive AARP’s prestigious designation of an “Age-Friendly Community,” which was given in partnership with the World Health Organization.
provided
Westchester County Executive Robert P. Astorino watches as volunteer technician João Pinto, a student at Pace University, takes the vital signs of Shirley Hunter, a resident of the Soundview Apartments at United Hebrew in New Rochelle. Nurse Carol Jaconetti of the Visiting Nurse Association of Hudson Valley noted that Ms. Hunter’s vitals were within normal limits and advised her to bring her personalized TIPS sheet to her next doctor’s appointment.
TIPS will be available throughout the county at locations where seniors routinely gather – like senior centers, senior apartment buildings, houses of worship, and libraries. Vitals – including weight, blood pressure, oxygen level and pulse – will be taken by student technicians twice a week at those locations. A nurse will then remotely monitor the results and send messages back to be reviewed at the next TIPS session. If the nurse has any immediate concerns, she may contact the participant, caregiver, primary care physician or onsite administrator directly. Results are given to each participant on a TIPS Sheet, which also explains what the results mean.
By encouraging seniors to be proactive about their health, and by teaching them to selfmanage chronic conditions such as diabetes or high blood pressure, the goal is not only to improve health and well-being, but also to reduce the number of emergency situations and unplanned hospital visits. Ultimately, this will reduce the financial burden on seniors, caregivers and taxpayers. A recent study by David A. Lindeman, CEO of the Center for Technology and Aging, found that for each $1 invested in remote monitoring, up to $1.30 was saved in just the first year due to a reduction in hospitalization rates and a reduction in the number of home care visits required per patient.
“Telehealth has become a common and trusted tool to help seniors age better, but TIPS is much more all-inclusive than other programs,” said Westchester County Department of Senior Programs and Services Commissioner Mae Carpenter. “Westchester is leading the way in telehealth services by combining the best technology available for remote monitoring with other well-established Westchester programs, like Care Circles and Caregiver Coaching.” Along with the clinical monitoring, each TIPS participant will receive a comprehensive assessment that includes a benefits check-up, information about chronic disease selfmanagement, and referrals for other existing programs, such
as Care Circles – a group of volunteers who assist an individual with basic needs of daily living that cannot be met with public funds; and Caregiver Coaches – volunteers, trained by professionals, who help the senior and family caregivers meet their challenges and responsibilities. TIPS sessions are held in a community setting, allowing for seniors in attendance to interact and support each other in the self-management of health, while the participation of college students as technicians fosters an intergenerational social connection. TIPS was developed in collaboration with Pace University, a partnership that began in 2005 and expanded in 2013 to include pilots of the telehealth program at several test sites. To date, more than 140 seniors have participated. “This is a natural partnership,” said David Sachs, professor of Information Technology at Pace Seidenberg School of Computer and Information Systems. “Working with the Department of Senior Programs and Services on this strategic telehealth initiative only makes good sense. We know that TIPS will make a difference in the lives and in the health of seniors.” TIPS will be offered at an increasing number of sites throughout Westchester by the end of May. The timing is no coincidence, as May is National Older Americans Month, and the 2014 theme is “Safe Today, Healthy Tomorrow.” For more information about the TIPS program, please call (914) 813-6408 or please visit www.westchestergov.com/seniors.
Boomers & Beyond - Westchester July, 2014
PAGE 17
Five signs of aging that could be diabetes in disguise Research published recently in the Annals of Internal Medicine shows a significant spike in the rates of diabetes in the U.S. over the past two decades. In particular, the prevalence of prediabetes has risen from 5.8 percent between 1988 and 1994 to 12.4 percent between 2005 and 2010. Diabetes occurs when the body does not process sugar properly. Nonwhites, people who are overweight, and those with a family history of diabetes are at a higher risk. Almost 26 million people in the U.S., or 8.3 percent of the population, have diabetes. Type 2 diabetes tends to affect people as they get older. About seven million people in the U.S. have type 2 diabetes and don’t know it. Symptoms that many people assume are just a natural part of getting older may actually point to diabetes. Everyone should be checked for diabetes by the age of 45, according to the ADA. A simple blood test is usually all that’s needed.
Here are five potential signs of diabetes in disguise 1. Vision Changes Your vision seems to be in decline. When you switch from looking at something near to something far away and lose focus, it can be a sign of uncontrolled blood sugar. If you got glasses just a year ago but seeing has already become difficult again, take note. 4. Frequent Thirst and Urination You’re up all night using the bathroom and can never seem to get enough water: That unquenchable thirst is a classic symptom of diabetes. Your body is trying to flush out the sugar and it doesn’t do a good job. More thirst, more fluids, more going to the bathroom.
2. Fatigue You’re too exhausted to do anything. Lack of energy is a common symptom of diabetes. Energy ebbs because the body is not turning sugar into energy in the right way. 3. Unusual Skin Patches There are “dirty” patches on your neck, or you have dark circles under your eyes (“raccoon eyes”). Too much glucose in the bloodstream damages blood vessels and can create these skin conditions, as well as tingling and numbness in the hands and feet. Dry, itchy skin may also develop.
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(914) 420 0064 The Visiting Audiologists of Westchester pairs convenient, at home services with high quality hearing instruments to improve patient care. Eliminating the restraints of a traditional office increases scheduling flexibility and decreases costs. This allows for savings to be passed along to the patient, as well as at home service that is truly patient centered.
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PAGE 18
July, 2014
Boomers & Beyond - Westchester
Top 5 senior scams and how to avoid them Financial scams targeting seniors have become so prevalent that they’re now considered “the crime of the 21st century.” Why? Because seniors are thought to have a significant amount of money sitting in their accounts. Financial scams also often go unreported or can be difficult to prosecute, so they’re considered a “low-risk” crime. However, they’re devastating to many older adults and can leave them in a very vulnerable position with little time to recoup their losses. 1. Health Care/Medicare/Health Insurance Fraud In these types of scams, perpetrators may pose as a Medicare representative to get older people to give them their personal information, or they will provide bogus services for elderly people at makeshift mobile clinics, then use the personal information they provide to bill Medicare and pocket the money.
2. Counterfeit Prescription Drugs Most commonly, counterfeit drug scams operate on the Internet, where seniors increasingly go to find better prices on specialized medications. This scam is growing in popularity — since 2000, the FDA has investigated an average of 20 such cases per year, up from five a year in the 1990s. The danger is that besides paying money for something that will not help a person’s medical condition, victims may purchase unsafe substances that can inflict more harm. 3. Funeral & Cemetery Scams The FBI warns about two types of funeral and cemetery fraud perpetrated on seniors. In one approach, scammers read obituaries and call or attend the funeral service of a complete stranger to take advantage of the grieving widow or widower. Claiming the deceased had an outstanding debt with them, scammers will try to extort money from relatives to settle the fake debts. Another tactic of disreputable funeral homes is to capitalize on family members’ unfamiliarity with the considerable cost of funeral services to add unnecessary charges to the bill.
4. Telemarketing Perhaps the most common scheme is when scammers use fake telemarketing calls to prey on older people, who as a group make twice as many purchases over the phone than the national average. With no face-to-face interaction, and no paper trail, these scams are incredibly hard to trace. Also, once a successful deal has been made, the buyer’s name is then shared with similar schemers looking for easy targets, sometimes defrauding the same person repeatedly. 5. Investment Schemes Because many seniors find themselves planning for retirement and managing their savings once they finish working, a number of investment schemes have been targeted at seniors looking to safeguard their cash for their later years. From pyramid schemes like Bernie Madoff’s (which counted a number of senior citizens among its victims) to investment schemes have long been a successful way to take advantage of older people.
Sensible Hearing Solutions Community Outreach Medical professionals believe it is important for every person to have their hearing evaluated annually. Your New York State licensed representative at Sensible Hearing Solutions is sponsoring a FREE Hearing Evaluation. Your FREE Hearing Exam will be offered during the month of May. With state-of-art Otoscope technology, a Sensible Hearing Solution representative inspects the inside of your ear canal. This procedure is completely painless. In addition, we offer an audiometric hearing evaluation, to further identify any hearing difficulties. THE ENTIRE EVALUATION IS FREE, AND YOU ARE UNDER NO OBLIGATION. We believe in making a difference in our communities. Otoscope exam may reveal such common problems as: • Excessive wax build-up • Damage to eardrum • Fluid accumulation in the middle ear • Other conditions Sensible Hearing Solutions has been servicing this area for many years with excellent hearing care as well as quality hearing products and services. Our mission is to help people hear to their fullest potential, and we are determined to find the hearing solution that best fits your individual needs at a price you can afford. Come in for a free trail test drive of Siemens new hearing instruments with all the latest technology. Call 914-588-6020 to make an appointment. Sensible Hearing Solutions has two locations in Westchester: Harrison and Mohegan Lake.
www.sensiblehearingsolutions.net
Boomers & Beyond - Westchester July, 2014
PAGE 19
10 vital tips for preventing a heart attack ❤❤❤❤❤ Decrease Stress Try to deal with stressors in a more positive way, such as, thinking positively, doing things that make you feel good, exercising, using relaxation techniques.
❤❤❤❤❤❤ Limit alcohol Excessive drinking can lead to many health issues including: high blood pressure, heart failure, stroke, irregular heartbeat, high triglycerides, obesity, suicide, accidents.
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❤❤❤❤❤❤❤❤❤
Manage Diabetes People with diabetes are nearly 4 times more likely to develop a cardiovascular disease than non-diabetics. Diabetics should eat a balanced diet, get adequate amounts of sleep, and have regular doctor appointments.
Previous heart attack Simple changes to your diet and activity level, managing other medical conditions and taking your prescribed medications are all good ways to be heart healthy.
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Watch Your Blood Pressure If you have high blood pressure, be sure to: avoid foods that are high in sodium, refrain from adding salt to your food, take medication to lower blood pressure.
take Your Medication If you have high blood pressure, high cholesterol or diabetes, it is crucial that you take your medications as prescribed.
❤❤❤❤❤❤❤❤❤❤
If
you are at high risk for heart disease, you should assess your lifestyle and make adjustments in order to reduce your risk of having a heart attack. Prevention is extremely important given the fact that many initial heart attacks and strokes can be deadly or cause permanent damage. Here are some useful tips for preventing a heart attack.
❤
eat More healthy Foods It is important to stay away from foods that are high in fat and cholesterol, as well as foods that have poor nutritional values.
❤❤ eliminate Junk Food Junk food can increase your risk of obesity, heart disease, diabetes and high blood pressure.
❤❤❤
Stay active Being physically active each day is an effective way to prevent heart disease and maintain a healthy lifestyle.
❤❤❤❤ Maintain a healthy Weight The trick to maintaining a healthy weight is to be sure that you are getting enough physical activity to burn off the calories that you are taking in through food.
No two patients are alike… Why should their rehabilitation be? BURKE REHABILITATION HOSPITAL offers custom-designed programs based on your individual needs. Whether you have experienced a life changing event such as a stroke, brain injury, neurological condition or joint replacement, Burke is here to help you reach your maximum recovery. You are unique. Make sure your rehabilitation journey is too. Pioneering Rehabilitation
785 MAMARONECK AVENUE WHITE PLAINS, NY 10605 888-99-BURKE WWW.BURKE.ORG
PAGE 20 Anthony Macera, M.A. CCC-A, FAAA NY State Licensed and Certified Audiologist & Hearing Aid Dispenser
July, 2014
Boomers & Beyond - Westchester
A customized hearing healthcare solution will be identified by our New York State licensed and certified audiologist that will address you hearing loss and lifestyle needs. Our digital hearing devices cover the entire spectrum of hearing impairments. They will help you hear and communicate better with those around you. Most of our hearing devices come with an industry leading 4 Year Warranty. We are, also, one of the only area providers of Lyric, the first and only 100% invisible, extended wear hearing aid (worn up to 3 months!). So, why don’t you give us a call at 914-253-9160 to schedule your complimentary hearing consultation and begin your journey to hearing like a PRO! Do you ever have difficulty hearing or understanding speech in restaurants? At parties or family gatherings? Do you feel that people are mumbling all the time? Is the volume on your television creeping up? Is telephone conversation sometimes difficult to understand? If you answered yes to any of these questions, there is a strong possibility that you may have some degree of hearing loss. It has been shown that if a hearing loss is present, a person has to struggle to hear speech. Undue stress is put on that individual. This stress can have a negative effect on a persons quality of life. It can cause that person to avoid many social situations. This, in turn, can cause that person to become more isolated. Over the past 15 years Westchester Audiology and Hearing Aid Specialist, P.C. has been helping people hear and communicate better by providing superior healthcare to their patients.
We are excited to announce the arrival of our new standard 4-year warranty! Our wide selection of styles, capabilities, features and colors ensure that your hearing needs will be met, and our warranty gives you the protection that you deserve.
Anthony Macera, M.A. CCC-A, FAAA NY State Licensed and Certified Audiologist & Hearing Aid Dispenser
Westchester Audiologyand Hearing Aid Specialist p.c.
14 Rye Ridge Plaza, Ste.247, Rye Brook, NY 914-253-9160 www.westchesteraudiology.com &REE 0ARKING s &INANCING !VAILABLE s 0ARLIAMO )TALIANO s (ABLAMOS %SPAĂ—OL
Boomers & Beyond - Westchester July, 2014
Could
PAGE 21
watermelon be “nature’s viagra?”
Men, it might be time to raise your glass of watermelon juice. Why? Coined “nature’s Viagra” by Italian scientists, watermelon juice can provide a big benefit to men who suffer from mild to moderate erectile dysfunction. According to a study published in the journal Urology, citrulline — an amino acid found in high concentrations of watermelon — is found to improve blood flow to the penis without the side effects of Viagra. To investigate the potential erection-boosting properties of watermelon juice, a team of Italian researchers at the University of Foggia, observed the effect of oral L-citrulline supplementation on men who suffer from mild to moderate erectile dysfunction. Twenty-four men with a mean age of 57 who had an Erection Hardness Score (EHS) of 3 (score of 0 means “penis does not enlarge” and a score of 4 means “penis is completely hard and fully rigid”) were recruited for the study. These men received a placebo for one month and L-citrulline, 1.5 grams per deciliter, for another month.
The male participant’s EHS, number of intercourses per month, treatment satisfaction, and adverse events were recorded. The researchers hypothesized if citrulline is known to increase the blood flow by relaxing the blood vessels, which is similar to what Viagra does, this could possibly prevent erectile dysfunction in men. The findings revealed there was a significant improvement in the EHS scale, since half of the men managed a score of four as a result of L-citrulline supplementation. The improvement in the EHS from 3 to 4 occurred in two of the 24 men when taking the placebo, and 12 of the 24 men when taking L-citrulline. Moreover, the researchers found the mean number of intercourses per month increased overall by the end of treatment. All patients who had an EHS improvement from three to four reported being very satisfied. In 2008, a team of researchers at Texas A&M found ingredients in watermelon that deliver Viagra-like effects to the body’s blood vessels may even increase libido.
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PAGE 22
without a good Farmer’s Market? The Farmers Market at Phelps will open for the season on Thursday, June 12, from 11am to 3pm, and continue weekly through the end of October in the northeast parking lot directly across from the 755 building on the hospital campus. Sponsored by Phelps Memorial Hospital Center, this source for fresh local produce, artisanal farm products and healthful prepared foods welcomes shoppers from nearby communities. The farmers market is part of Phelps’ Vitality initiative, which focuses on encouraging wellness in the community. “We are all about promoting good health,” says Phelps Senior Vice President Daniel Blum, “and good health starts with good food. The market was so popular last year, we wanted to continue to offer our community convenient midweek access to farm-fresh produce and other healthy foods.” Shoppers will find a wide range of farm-fresh fruits and vegetables, farm products including cheeses, eggs and meats, as well as prepared foods such as baked goods, sandwiches and salads. The Farmers Market at Phelps will be open every Thursday from 11am to 3pm until the end of October. Convenient free parking is available. More information may be obtained by calling 914-366-3937.
Boomers & Beyond - Westchester
2051 Baldwin Rd., Yorktown Heights, NY 10598 914.276.7601 www.margelizcenter.com
What would
summer be
July, 2014
A UNIQUE APPROACH TO MEMORY CARE AND PHYSICAL WELLNESS. The Margeliz Center Social Adult Program was created by two passionate Occupational Therapists. They bring a fresh approach to already existing ideology, making the Margeliz Center one of a kind. Our programs are developed on proven research and executed with loving kindness, dedication, understanding and delivered with an abundant amount of joy. The Margeliz Center is known for their excellence in providing services to individuals with conditions such as Stroke, Parkinson's, PTSD, Pictured from the left, Margaret M. Dobkowski, COTA, CEO TBI, MS, Alzheimer's and other and Eliza Zelazowski, OTR/ L, CEO. dementia related conditions. Our center includes many complementary programs: Memory Training, Wellness Center, Occupational, Physical and Speech Therapy, Therapeutic Recreation and even in-home-visits from medical specialties such as podiatry, neurology, psychology, internal medicine and more. Please inquire as to how we can assist you with cost reductions.
Phone: 914.276.7601 Email: info@margelizcenter.com
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Boomers & Beyond - Westchester July, 2014
PAGE 23
SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY
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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
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154 Pike Street Port Jervis, NY 12771 (845) 858-4444
105 Stevens Avenue Suite 101 Mount Vernon, NY 10550 (914)667-8777
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July, 2014
Boomers & Beyond - Westchester
Helping you make the most of precious time
(914) 666-4228 vnahv.org We are available 24 hours a day/7 days a week and provide care in any setting – at home, in a hospital, or in a nursing home.
Your family. Your needs. Our services. Our family-centered approach allows you to focus on what matters most – quality of life and time spent with your loved one. 540 White Plains Road, Ste. 300 Ȉ Tarrytown, NY 10591-5132 Ȉ (914) 666-4228